Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance
Orthostatic intolerance syndrome occurs when the autonomic nervous system is incapacitated and fails to respond to the demands associated with the upright position. Assessing this syndrome among the elderly population is important in order to prevent falls. However, this problem is still challenging...
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doaj-6dc7b6ff957f4995939f354f4cc400df2020-11-25T01:56:31ZengMDPI AGEntropy1099-43002018-11-01201186010.3390/e20110860e20110860Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic IntoleranceMarcos Hortelano0Richard B. Reilly1Francisco Castells2Raquel Cervigón3Escuela Politécnica, UCLM Camino del Pozuelo sn, 16071 Cuenca, SpainSchool of Engineering, Trinity College, The University of Dublin, Dublin 2 D02 PN40, IrelandInstituto ITACA, Universitat Politècnica de València, 46022 Valencia, SpainEscuela Politécnica, UCLM Camino del Pozuelo sn, 16071 Cuenca, SpainOrthostatic intolerance syndrome occurs when the autonomic nervous system is incapacitated and fails to respond to the demands associated with the upright position. Assessing this syndrome among the elderly population is important in order to prevent falls. However, this problem is still challenging. The goal of this work was to determine the relationship between orthostatic intolerance (OI) and the cardiovascular response to exercise from the analysis of heart rate and blood pressure. More specifically, the behavior of these cardiovascular variables was evaluated in terms of refined composite multiscale fuzzy entropy (RCMFE), measured at different scales. The dataset was composed by 65 older subjects, 44.6% (<i>n</i> = 29) were OI symptomatic and 55.4% (<i>n</i> = 36) were not. Insignificant differences were found in age and gender between symptomatic and asymptomatic OI participants. When heart rate was evaluated, higher differences between groups were observed during the recovery period immediately after exercise. With respect to the blood pressure and other hemodynamic parameters, most significant results were obtained in the post-exercise stage. In any case, the symptomatic OI group exhibited higher irregularity in the measured parameters, as higher RCMFE levels in all time scales were obtained. This information could be very helpful for a better understanding of cardiovascular instability, as well as to recognize risk factors for falls and impairment of functional status.https://www.mdpi.com/1099-4300/20/11/860refined composite multiscale fuzzy entropyhear rateblood pressureagingexerciseorthostatic intolerance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marcos Hortelano Richard B. Reilly Francisco Castells Raquel Cervigón |
spellingShingle |
Marcos Hortelano Richard B. Reilly Francisco Castells Raquel Cervigón Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance Entropy refined composite multiscale fuzzy entropy hear rate blood pressure aging exercise orthostatic intolerance |
author_facet |
Marcos Hortelano Richard B. Reilly Francisco Castells Raquel Cervigón |
author_sort |
Marcos Hortelano |
title |
Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance |
title_short |
Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance |
title_full |
Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance |
title_fullStr |
Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance |
title_full_unstemmed |
Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance |
title_sort |
refined multiscale fuzzy entropy to analyse post-exercise cardiovascular response in older adults with orthostatic intolerance |
publisher |
MDPI AG |
series |
Entropy |
issn |
1099-4300 |
publishDate |
2018-11-01 |
description |
Orthostatic intolerance syndrome occurs when the autonomic nervous system is incapacitated and fails to respond to the demands associated with the upright position. Assessing this syndrome among the elderly population is important in order to prevent falls. However, this problem is still challenging. The goal of this work was to determine the relationship between orthostatic intolerance (OI) and the cardiovascular response to exercise from the analysis of heart rate and blood pressure. More specifically, the behavior of these cardiovascular variables was evaluated in terms of refined composite multiscale fuzzy entropy (RCMFE), measured at different scales. The dataset was composed by 65 older subjects, 44.6% (<i>n</i> = 29) were OI symptomatic and 55.4% (<i>n</i> = 36) were not. Insignificant differences were found in age and gender between symptomatic and asymptomatic OI participants. When heart rate was evaluated, higher differences between groups were observed during the recovery period immediately after exercise. With respect to the blood pressure and other hemodynamic parameters, most significant results were obtained in the post-exercise stage. In any case, the symptomatic OI group exhibited higher irregularity in the measured parameters, as higher RCMFE levels in all time scales were obtained. This information could be very helpful for a better understanding of cardiovascular instability, as well as to recognize risk factors for falls and impairment of functional status. |
topic |
refined composite multiscale fuzzy entropy hear rate blood pressure aging exercise orthostatic intolerance |
url |
https://www.mdpi.com/1099-4300/20/11/860 |
work_keys_str_mv |
AT marcoshortelano refinedmultiscalefuzzyentropytoanalysepostexercisecardiovascularresponseinolderadultswithorthostaticintolerance AT richardbreilly refinedmultiscalefuzzyentropytoanalysepostexercisecardiovascularresponseinolderadultswithorthostaticintolerance AT franciscocastells refinedmultiscalefuzzyentropytoanalysepostexercisecardiovascularresponseinolderadultswithorthostaticintolerance AT raquelcervigon refinedmultiscalefuzzyentropytoanalysepostexercisecardiovascularresponseinolderadultswithorthostaticintolerance |
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