Key result
Elderly subjects exhibited a significantly different cardiorespiratory directionality index compared to young subjects (-0.17 vs -0.52, p<0.001) during a wake-resting state.
Why the study?
Cardiorespiratory interactions have mostly been studied during well-defined states like sleep and analyses have yielded general information, leaving mutual directional influences difficult to quantify.
Cross-Sectional (n=39)
Absolute Event Rate: -0.17% vs -0.52%
p-value: p=< 0.001
Ageing is associated with significant changes in cardiorespiratory directional coupling during a wake-resting state, likely reflecting altered autonomic modulation.
Age-related cardiorespiratory directionality shifts may signal autonomic changes but should not change practice; leaves open prospective outcome links.
Objective. Cooperation in the cardiorespiratory system helps maintain internal stability. Various types of system interactions have been investigated; however, the characteristics of the interactions have mostly been studied using data collected in well-defined physiological states, such as sleep. Furthermore, most analyses provided general information about the interaction, making it difficult to quantify how the systems influenced one another. Approach. Cardiorespiratory directional coupling was investigated in different age groups (20 young and 19 elderly subjects) in a wake-resting state. The directionality index (DI) was calculated using instantaneous phases from the heartbeat interval and respiratory signal to provide information about the strength and direction of interaction between the systems. Statistical analysis was performed between the groups on the DI and independent measures of directionality (nc r : influence from cardiac system to respiratory system, and nc c : influence from the respiratory system to the cardiac system). Main results. The values of DI were −0.52 and −0.17 in the young and elderly groups, respectively ( p < 0.001). Furthermore, the values of nc r and nc c were found to be significantly different between the groups ( p < 0.001), respectively. Significance. Changes in both directions between the systems influence different aspects of cardiorespiratory coupling between the groups. This observation could be linked to different levels of autonomic modulation associated with ageing. Our approach could aid in quantitatively tracking and comprehending how systems interact in response to physiological and environmental changes. It could also be used to understand how abnormal interaction characteristics influence physiological system dysfunctions and disorders.
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Heenam Yoon (2022) reported a cross-sectional. Elderly age vs. Young age was evaluated on Directionality index (DI) of cardiorespiratory coupling (p=< 0.001). Elderly subjects exhibited a significantly different cardiorespiratory directionality index compared to young subjects (-0.17 vs -0.52, p<0.001) during a wake-resting state.
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