Key result
Left-handedness is linked to ~20% lower FMD and reduced HRV, suggesting higher cardiovascular risk.
Why the study?
Left-handed individuals may have shorter lifespans and more cardiovascular disease-related conditions, prompting investigation into whether vascular function and heart rate variability are reduced compared to right-handed individuals.
Does left-handedness correlate with reduced vascular endothelial function and heart rate variability in healthy adults?
Cross-Sectional (n=379)
No
Does left-handedness correlate with reduced vascular endothelial function and heart rate variability in healthy adults?
Absolute Event Rate: 6.1% vs 7.6%
p-value: p=0.043
Left-handed individuals exhibit lower vascular endothelial function and heart rate variability compared to right-handed individuals, suggesting left-handedness may be an independent risk factor for cardiovascular disease.
Should not change clinical practice; cross-sectional association leaves open whether handedness predicts incident cardiovascular events.
Background Approximately 10% of the world is left-handed (LH). Research suggests that LH individuals may have shorter lifespans compared to right-handed (RH) individuals. LH individuals also appear to have more cardiovascular disease (CVD) related conditions like diabetes and cancer. Thus, the present study sought to test the hypothesis that vascular function and heart rate variability (HRV), both key indicators of CVD risk, would be lower in LH compared to RH individuals. Methods Three hundred seventy-nine participants, 18–50 years old, were enrolled. Flow-mediated dilation (FMD), a bioassay of vascular endothelial function and standard deviation of R-R interval (SDNN), a parameter of HRV, were evaluated as indices of CVD risk. Data are reported as mean ± SD. Results 12.1% of the participants were LH. No differences in demographics or clinical laboratory values were observed between groups, except high-density lipoprotein (HDL) was higher ( p = 0.033) in RH. FMD was significantly ( p = 0.043) lower in LH (6.1% ± 3.2%) compared to RH (7.6% ± 3.8%), independent of age, sex, race, BMI, and HDL. Total power ( p = 0.024) and low-frequency power ( p = 0.003) were lower in LH compared to RH. Additionally, SDNN was lower ( p = 0.041) in LH (47.4 ± 18.8 ms) compared to RH (54.7 ± 22.3 ms). A negative correlation between FMD and mean arterial pressure ( r = −0.517; p < 0.001) was observed in LH; no relationships were observed in RH (all p > 0.05). Conclusion Vascular endothelial function and HRV are lower in LH compared to RH. In addition, relationships between FMD and traditional CVD risk factors were only observed in LH. These data support an increased risk of CVD in LH.
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Simon et al. (2023) conducted a cross-sectional in Cardiovascular disease risk (n=379). Left-handedness vs. Right-handedness was evaluated on Flow-mediated dilation (FMD) (p=0.043). Left-handed individuals exhibited significantly lower flow-mediated dilation (6.1% vs 7.6%) and heart rate variability compared to right-handed individuals, indicating an increased risk of cardiovascular disease.
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