Smethana, Michael

BACKGROUND Psycho‐socio stressors may over time result in dominance of the sympathetic nervous system (SNS) over the parasympathetic nervous system (PNS). Reduced PNS control over cardiovascular processes has been associated with decreased health. Heart rate variability (HRV) has been proposed as a technique to quantify SNS and PNS interactions and thus might offer a noninvasive predictive index. OBJECTIVE To investigate the impact of real‐life stressors on HRV fluctuations in independent living elders (EL). METHODS For three months every two weeks EL (N=22; Age=75±9; M/F ratio=17/5) performed autonomic tests consisting of quiet breathing, paced breathing and hand grip. All did a questionnaire assessing depression, positive/negative live events, and isolation. RESULTS Negative events (r=0.36, p=.01) and isolation (r=0.35, p=0.02) are correlated with HR. Personal changes in HRV, SDNN (r=−0.43, p<0.005) and Poincare Width (r= −0.42, p<0.005), are correlated to negative life events. CONCULSION Negative life events reduce HRV which suggests either SNS activation and/or PNS withdrawal. Research was made possible by Healthy for Life, TNO, and the Center for Innovation, Mayo Clinic.