Weather and Heart Rate Variability (HRV)
Ambient temperature and
air pollution are associated with cardiovascular diseases. One of the concepts
associated with weather is Heart Rate Variability (HRV). In a layman language
HRV is simply a measure of the variation in time between each heartbeat or a
physiological phenomenon of the variation in the time interval between
consecutive heartbeats. Some situations result in high HRV and some may cause
low HRV.
Why HRV measurement is important?
The variation in HRV is controlled by a primitive part of the nervous system called the Autonomic Nervous System (ANS).
ANS regulates our internal organs such as heart rate, blood pressure,
breathing, and digestion. The ANS is subdivided into two components, the
sympathetic and the parasympathetic nervous system functions. The sympathetic
nervous system (SNS) prepares the body for intense physical activity. On the
other hand, the parasympathetic nervous system (PNS) relaxes the body and inhibits
or slows many high energy functions. HRV is a non-invasive electrocardiographic
method that can be used to measure the ANS in a variety of clinical
situations.
“HRV provides additional physiological information
which cannot be obtained through current invasive cardiac monitoring and current
vital signs”
Low and High HRV
Low HRV indicates a monotonously
regular heart rate. Reduced HRV is associated with the impaired regulatory and
homeostatic autonomic nervous system. This reduces the body’s ability to cope
with internal and external stressors. The
main mechanisms of homeostasis are body temperature, body fluid composition,
blood sugar, gas concentration, and blood pressure.
If a person’s system is
more sympathetic the variation between subsequent heartbeats is low. The
variation between beats is high if one is in a more relaxed state. People with
high HRV have greater cardiovascular fitness and be more resilient to stress.
Role of Weather in HRV
Climate
factors lead to changes in HRV due
to the physiological reaction of the ANS. A physiological reaction is an
automatic physical response to a stimulus. Heat increases sympathetic nervous system
activity by reducing HRV. Long term exposure to cold has not found to have an
influence on HRV due to adaptation effects.
Sensitive fluctuations of HRV occur in response
to heat stress. In healthy adult males, a short 15 -30 minutes’ period of
passive (350 -750 Celsius) is sufficient to induce a decrease in HRV. The influence of heat exposure on HRV was reported to be
stronger as the duration of heat stress progressed. Seasonal change in HRV
reflects SNS activation and vagal (the vagus nerve runs from the brain through
the face and thorax to the abdomen. It stimulates certain muscles in the heart
that help to slow heart rate) withdrawal that may increase the risk of
cardiovascular-related complications during the summer season.
A study was done on elderly males in
Greater Boston during the period (2008-09) found that ambient temperature was
associated with a decrease HRV during the warm season (May-September) but not
during the cold season (November-March).
Other factors that Reduce HRV
The other factors which affect ANS function
and thus decreases HRV are age, high insulin level, reduced baroreflex
sensitivity, physical inactivity, rapid and shallow breathing, smoking,
depression etc.
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