Correlation Study Between Heart Rate Variability and Anxiety in Anorexia Nervosa

Not Applicable

Completed

• Conditions: Anorexia Nervosa
• Interventions: Other: Heart rate monitor

• Registration Number: NCT03003429
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

The heart rate variability (HRV) is a measure of the autonomic nervous system (ANS). In the model of anorexia nervosa, ANS is disturbed with mostly a predominance of activation of the parasympathetic nervous system and a decrease of the sympathetic system. Various explanations of this these dysfunctions are proposed in literature, mainly malnutrition, physical hyperactivity, anxiety, that are known characteristics of anorexia nervosa.

The primary aim of this study is to evaluate correlation between ANS dysfunction and anxiety in anorexia nervosa.

Other objectives of this study are firstly to evaluate correlation between ANS dysfunction and others parameters (weight, body mass index, depression, physical activity, purgative ou restrictive type, duration of disease, smoking) in anorexia nervosa and secondly to see if HRV is a predictive parameter of the evolution of anorexia nervosa.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-12-22
• Study First Submitted QC: 2016-12-27
• Study First Posted: 2016-12-28
• Study Start: 2017-03-01
• Primary Completion: 2018-09-12
• Study Completion: 2018-09-12
• Status Verified: 2019-12
• Last Update Submitted: 2019-12-11
• Last Update Posted: 2019-12-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 13

Inclusion Criteria

• Women
• Aged from 18 to 65 years
• Criteria of anorexia nervosa (DSM V)
• Body mass index (BMI) < 18 kg/m2
• Written consent to participate in the study
• Patient affiliated to a social security system

Read More

Exclusion Criteria

• Pacemaker or other implantable electronic device
• Current comorbidity psychiatric disorder according to Axis I of DSM IV : severe depression (BDI > 8/13), substance use disorder .
• Psychotropic drugs or ongoing steroid therapy ;
• Pregnancy or breast-feeding ;
• History or known cardiovascular disorder, including hypertension ( > 140/90 mmHg ) , heart failure, arrhythmia and conduction disorder .
• Major protected by a legal protection
• Minors
• Patient involved in another research with an exclusion period ongoing at the run-in

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Heart rate monitor	Heart rate monitor	The intervention consist in monitoring the heart rate variability during one night by using a heart rate monitor and a Polar RS800CX

Primary Outcome Measures

Name	Time	Method
Statistical correlation between autonomic dysfunction (measured by HRV) and anxiety (measured by questionnaire)	at day 0	The composite measure consists of the following :- Time and spectral-domain measures of HRV measured by nocturn registration with heart rate monitor and polar RS800CX Time domain - NN (normal-to-normal R-R interval), HRV index (total number of all NN/ the height of the histogram of all NN), SDNN (standard deviation of the NN), RMSSD (the root mean square of differences of successive NN), NN50 (Number of pairs of adjacent NN intervals differing by more than 50 ms in the entire recording) and pNN50 (NN50/total number of all NN), SDANN (Standard deviation of the average of NN intervals in all 5-minute segments of a long recording), SDNNIDX (Mean of the standard deviation in all 5-minute segments of a long recording) Frequency domain - VLF Power (very low frequency; \<0.04 Hz), LF Power (low frequency; 0.04\~0.15 Hz), HF Power (high frequency; 0.15\~0.4 Hz), LF/HF ratio value; - State-Trait Anxiety Inventory: version Y (STAI- form Y) - Morning blood cortisol level and serum prealbumin lev

Secondary Outcome Measures

Name	Time	Method
Statistical correlation between autonomic dysfunction (measured by HRV) and measures of Beck Depression inventory	at 6 months	Beck Depression inventory : Version 2 in french (BDI-II)
Statistical correlation between autonomic dysfunction (measured by HRV) and measures of International physical activity questionnaire	at day 0	International physical activity questionnaire (IPAQ) - French version

Trial Locations

Locations (1)

Hospices Civils de Lyon; 🇫🇷 Bron, France