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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 6
Jul.  2021
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CHEN Ze-kun, WANG Ying, YU Xue, DOU Yu-Qi, MA De-fu. Association between resting heart rate and metabolic syndrome in adults in Dalian[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 668-672, 697. doi: 10.16462/j.cnki.zhjbkz.2021.06.009
Citation: CHEN Ze-kun, WANG Ying, YU Xue, DOU Yu-Qi, MA De-fu. Association between resting heart rate and metabolic syndrome in adults in Dalian[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 668-672, 697. doi: 10.16462/j.cnki.zhjbkz.2021.06.009

Association between resting heart rate and metabolic syndrome in adults in Dalian

doi: 10.16462/j.cnki.zhjbkz.2021.06.009
Funds:

National Natural Science Foundation of China 81573130

Beijing Municipal Natural Science Foundation S160004

Beijing Municipal Natural Science Foundation 7172117

More Information
  • Corresponding author: MA De-fu, E-mail: madefu@bjmu.edu.cn
  • Received Date: 2020-09-07
  • Rev Recd Date: 2020-12-09
  • Publish Date: 2021-06-10
  •   Objective  Investigate the intrinsic relationship between resting heart rate (RHR) and metabolic syndrome (MS).  Methods  In this study, people who had physical examination in the Physical Examination Center of Dalian Medical University Affiliated Hospital of Dalian City, Liaoning Province from January 1, 2015 to December 31, 2017 were selected as the study subjects. The prevalence of MS among groups with different heart rates was compared by chi-square test. Binary Logistic regression analysis model was used to analyze the relationship between RHR and MS.  Results  65 745 subjects were included in the study, including 36 356 males (55.3%) and 29 389 females(44.7%). Logistic regression analysis showed that after adjusting for age, height and weight, the risk of MS increased by 16% for every 10 increase in RHR per minute (OR=1.16, 95% CI: 1.13-1.20). Compared with subjects with a RHR of < 70 bpm, subjects with a RHR of ≥90 bpm had higher odds of MS: 1.51(OR=1.51, 95% CI: 1.34-1.71) in males and 1.89 (OR=1.89, 95% CI: 1.49-2.40) in females. In addition, compared with subjects with normal body mass index (BMI) (< 24 kg/m2) and normal RHR (< 80 bpm), subjects with high BMI and high RHR had higher odds of MS: 14.87 (OR=14.87, 95% CI: 11.18-19.77) in females and 6.22(OR=6.22, 95% CI: 5.40-7.17) in males.  Conclusion  In this study, the prevalence of metabolic syndrome was found to increase with increased resting heart rate. In addition, combining RHR and BMI can increase the efficacy of RHR as a marker of metabolic syndrome, and RHR can be combined with BMI as a potential clinical measure indicator.
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  • [1]
    Eckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome[J]. Lancet, 2005, 365(9468): 1415-1428. DOI: 10.1016/S0140-6736(05)66378-7.
    [2]
    Ford ES. Prevalence of the metabolic syndrome in US populations[J]. Endocrinol Metab Clin North Am, 2004, 33(2): 333-350. DOI: 10.1016/j.ecl.2004.03.004.
    [3]
    Diaz A, Bourassa MG, Guertin MC, et al. Long-term prognostic value of resting heart rate in patients with suspected or proven coronary artery disease[J]. Eur Heart J, 2005, 26(10): 967-974. DOI: 10.1093/eurheartj/ehi190.
    [4]
    Saxena A, Minton D, Lee DC, et al. Protective role of resting heart rate on all-cause and cardiovascular disease mortality[J]. Mayo Clin Proc, 2013, 88(12): 1420-1426. DOI: 10.1016/j.mayocp.2013.09.011.
    [5]
    Beddhu S, Nigwekar SU, Ma X, et al. Associations of resting heart rate with insulin resistance, cardiovascular events and mortality in chronic kidney disease[J]. Nephrol Dial Transplant, 2009, 24(8): 2482-2488. DOI: 10.1093/ndt/gfp057.
    [6]
    诸骏仁, 高润霖, 赵水平, 等. 中国成人血脂异常防治指南(2016年修订版)[J]. 中国循环杂志, 2016, 31(10): 937-953. DOI: 10.3969/j.issn.1000-3614.2016.10.001.

    Zhu JR, Gao RL, Zhao SP, et al. Guidelines for prevention and treatment of dyslipidemia in Chinese adults (2016 revised edition)[J]. Chinese Circulation Journal, 2016, 31(10): 937-953. DOI: 10.3969/j.issn.1000-3614.2016.10.001.
    [7]
    Grundy SM. Pre-diabetes, metabolic syndrome, and cardiovascular risk[J]. J Am Coll Cardiol, 2012, 59(7): 635-643. DOI: 10.1016/j.jacc.2011.08.080.
    [8]
    Perlini S, Naditch-Brule L, Farsang C, et al. Pulse pressure and heart rate in patients with metabolic syndrome across Europe: insights from the GOOD survey[J]. J Hum Hypertens, 2013, 27(7): 412-416. DOI: 10.1038/jhh.2012.61.
    [9]
    Mottillo S, Filion KB, Genest J, et al. The metabolic syndrome and cardiovascular risk a systematic review and meta-analysis[J]. J Am Coll Cardiol, 2010, 56(14): 1113-1132. DOI: 10.1016/j.jacc.2010.050.034.
    [10]
    Arnold SV, Lipska KJ, Li Y, et al. The reliability and prognosis of in-hospital diagnosis of metabolic syndrome in the setting of acute myocardial infarction[J]. J Am Coll Cardiol, 2013, 62(8): 704-708. DOI: 10.1016/j.jacc.2013.02.062.
    [11]
    Kannel WB, Kannel C, Paffenbarger RS Jr, et al. Heart rate and cardiovascular mortality: the Framingham Study[J]. Am Heart J, 1987, 113(6): 1489-1494. DOI: 10.1016/0002-8703(87)90666-1.
    [12]
    Aune D, Sen A, ó'hartaigh B, et al. Resting heart rate and the risk of cardiovascular disease, total cancer, and all-cause mortality - a systematic review and dose-response meta-analysis of prospective studies[J]. Nutr Metab Cardiovasc Dis, 2017, 27(6): 504-517. DOI: 10.1016/j.numecd.2017.04.004.
    [13]
    Inoue T, Iseki K, Iseki C, et al. Higher heart rate predicts the risk of developing hypertension in a normotensive screened cohort[J]. Circ J, 2007, 71(11): 1755-1760. DOI: 10.1253/circj.71.1755.
    [14]
    Shigetoh Y, Adachi H, Yamagishi S, et al. Higher heart rate may predispose to obesity and diabetes mellitus: 20-year prospective study in a general population[J]. Am J Hypertens, 2009, 22(2): 151-155. DOI: 10.1038/ajh.2008.331.
    [15]
    Rogowski O, Steinvil A, Berliner S, et al. Elevated resting heart rate is associated with the metabolic syndrome[J]. Cardiovasc Diabetol, 2009, 8: 55. DOI: 10.1186/1475-2840-8-55.
    [16]
    Quan HL, Blizzard CL, Sharman JE, et al. Resting heart rate and the association of physical fitness with carotid artery stiffness[J]. Am J Hypertens, 2014, 27(1): 65-71. DOI: 10.1093/ajh/hpt161.
    [17]
    韩成义, 罗新萍, 张明, 等. 静息心率与代谢综合征关系的队列研究[J]. 中华流行病学杂志, 2016, 37(12): 1653-1657. DOI: 10.3760/cma.j.issn.0254-6450.2016.12.019.

    Han CY, Luo XP, Zhang M, et al. Association between resting heart rate and metabolic ssyndrome: a cohort study[J]. Chin J Epidemiol, 2016, 37(12): 1653-1657. DOI: 10.3760/cma.j.issn.0254-6450.2016.12.019.
    [18]
    Oda E, Aizawa Y. Resting heart rate predicts metabolic syndrome in apparently healthy non-obese Japanese men[J]. Acta Diabetol, 2014, 51(1): 85-90. DOI: 10.1007/s00592-013-0503-9.
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