Abstract
Objectives: We tested that slow heart rate recovery (HRR) after exercise testing, indicative of decreased parasympathetic nervous system activity, is associated with the development of type 2 diabetes in 1,813 healthy men. Methods: Heart rate recovery was calculated as the difference between maximum heart rate during the exercise test and heart rate 1 min after cessation of the exercise test. Results: During an average of 6.4 years of follow-up, 64 (3.5%) subjects developed type 2 diabetes. The unadjusted relative risk (RR) of developing incident diabetes in the slowest versus the fastest HRR quartile was 3.13 (95% CI, 1.28-7.65). However, the association was no longer significant after adjustment for diabetes risk factors and baseline glucose (RR = 2.28, 95% CI, 0.87-5.95). Conclusion: Slow HRR is associated with the development of type 2 diabetes, but these relationships were largely explained by baseline fasting glucose in healthy men.
Original language | English (US) |
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Pages (from-to) | 189-192 |
Number of pages | 4 |
Journal | Clinical Autonomic Research |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - Jun 2009 |
Keywords
- Autonomic function
- Exercise testing
- Heart rate recovery
- Parasympathetic nervous system
- Type 2 diabetes
ASJC Scopus subject areas
- Endocrine and Autonomic Systems
- Clinical Neurology