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Heart rate dynamics during cardio-pulmonary exercise testing are associated with glycemic control in individuals with type 1 diabetes

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Listed:
  • Othmar Moser
  • Max L Eckstein
  • Olivia McCarthy
  • Rachel Deere
  • Stephen C Bain
  • Hanne L Haahr
  • Eric Zijlstra
  • Tim Heise
  • Richard M Bracken

Abstract

Introduction: This study investigated the degree and direction (kHR) of the heart rate to performance curve (HRPC) during cardio-pulmonary exercise (CPX) testing and explored the relationship with diabetes markers, anthropometry and exercise physiological markers in type 1 diabetes (T1DM). Material and methods: Sixty-four people with T1DM (13 females; age: 34 ± 8 years; HbA1c: 7.8 ± 1% (62 ± 13 mmol.mol-1) performed a CPX test until maximum exhaustion. kHR was calculated by a second-degree polynomial representation between post-warm up and maximum power output. Adjusted stepwise linear regression analysis was performed to investigate kHR and its associations. Receiver operating characteristic (ROC) curve was performed based on kHR for groups kHR 0.20 in relation to HbA1c. Results: We found significant relationships between kHR and HbA1c (β = -0.70, P

Suggested Citation

  • Othmar Moser & Max L Eckstein & Olivia McCarthy & Rachel Deere & Stephen C Bain & Hanne L Haahr & Eric Zijlstra & Tim Heise & Richard M Bracken, 2018. "Heart rate dynamics during cardio-pulmonary exercise testing are associated with glycemic control in individuals with type 1 diabetes," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-11, April.
  • Handle: RePEc:plo:pone00:0194750
    DOI: 10.1371/journal.pone.0194750
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