Oral Contraceptives Attenuate Cardiac Autonomic Responses to Musical Auditory Stimulation: Pilot Study.

Context: The literature presents contradictory results regarding the effects of contraceptives on cardiac autonomic regulation.Objective: The research team aimed to evaluate the effects of musical auditory stimulation on cardiac autonomic regulation in women who use oral contraceptives.Design: The r...

Descripción completa

Detalles Bibliográficos
Publicado en:Alternative Therapies in Health & Medicine Vol. 21; no. 5; pp. 37 - 44
Autores principales: Milan, Réveni Carmem, de Oliveira Plassa, Bruna, Guida, Heraldo L., de Abreu, Luiz Carlos, Gomes, Rayana L., Gamer, David M., Valenti, Vitor E., Plassa, Bruna Oliveira, Guida, Heraldo Lorena, Garner, David M
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: InnoVisions Professional Media Sep/Oct2015
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111318626&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 111318626
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10786791
        88C
      jtl: Alternative Therapies in Health & Medicine
      issn: 10786791
      maglogo: N
    pubinfo:
      dt: Sep/Oct2015
      vid: 21
      iid: 5
      pid: 65582
      pub: InnoVisions Professional Media
      place: Eagan, Minnesota
    artinfo:
      ui:
        111318626
        111318626
        NLM26393990
        111318626
        NLM26393990
        111318626
      ppf: 37
      ppct: 7
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Oral Contraceptives Attenuate Cardiac Autonomic Responses to Musical Auditory Stimulation: Pilot Study.
      aug:
        au:
          Milan, Réveni Carmem
          de Oliveira Plassa, Bruna
          Guida, Heraldo L.
          de Abreu, Luiz Carlos
          Gomes, Rayana L.
          Gamer, David M.
          Valenti, Vitor E.
          Plassa, Bruna Oliveira
          Guida, Heraldo Lorena
          Garner, David M
        affil: Physical Therapist, Centro de Estudos do Sistema Nervoso Autônomo (CESNA), Departamento de Fisioterapia e Terapia Ocupacional, Faculdade de Filosofia e Ciências, Universidade Estadual Paulista (UNESP), Marília, SP, Brazil.
      sug:
        subj:
          Heart Rate Physiology
          Contraceptives, Oral Administration and Dosage
          Acoustic Stimulation Methods
          Autonomic Nervous System Physiology
          Music
          Reference Values
          Brazil
          Autonomic Nervous System Drug Effects
          Female
          Young Adult
          Human
          Nonparametric Statistics
          Adult
          Randomized Controlled Trials
          Pilot Studies
          Random Assignment
          Intervention Trials
          Adult: 19-44 years
          Female
      ab: Context: The literature presents contradictory results regarding the effects of contraceptives on cardiac autonomic regulation.Objective: The research team aimed to evaluate the effects of musical auditory stimulation on cardiac autonomic regulation in women who use oral contraceptives.Design: The research team designed a transversal observational pilot study.Setting: The setting was the Centro de Estudos do Sistema Nervoso Autônomo (CESNA) in the Departamento de Fonoaudiologia at the Universidade Estadual Paulista (UNESP) in Marília, SP, Brazil.Participants: Participants were 22 healthy nonathletic and nonsedentary females, all nonsmokers and aged between 18 and 27 y.Interventions: Participants were divided into 2 groups: (1) 12 women who were not taking oral contraceptives, the control group; and (2) 10 women who were taking oral contraceptives, the oral contraceptive group. In the first stage, a rest control, the women sat with their earphones turned off for 20 min. After that period, the participants were exposed to 20 min of classical baroque music (ie, "Canon in D Major," Johann Pachelbel), at 63-84 dB.Outcome Measures: Measurements of the equivalent sound levels were conducted in a soundproof room, and the intervals between consecutive heartbeats (R-R intervals) were recorded, with a sampling rate of 1000 Hz. For calculation of the linear indices, the research team used software to perform an analysis of heart rate variability (HRV). Linear indices of HRV were analyzed in the time domain: (1) the standard deviation of normal-to-normal R-R intervals (SDNN), (2) the root-mean square of differences between adjacent normal R-R intervals in a time interval (RMSSD), and (3) the percentage of adjacent R-R intervals with a difference of duration greater than 50 ms (pNN50). The study also analyzed the frequency domain-low frequency (LF), high frequency (HF), and LF/HF ratio.Results: For the control group, the musical auditory stimulation reduced (1) the SDNN from 52.2 ± 10 ms to 48.4 ± 16 ms (P = .0034); (2) the RMSSD from 45.8 ± 22 ms to 41.2 ± 19 ms (P = .0128); (3) the pNN50 from 25.5 ± 19 to 22.0 ± 18 (P = .0211); and (4) the LF (ms2) from 954.8 ± 457 ms2 to 686.2 ± 491 ms2 (P = .0024). In the oral contraceptive group, no significant changes occurred for the HRV indices during exposure to music.Conclusions: Musical auditory stimulation had a greater influence on cardiac autonomic regulation in women who did not use oral contraceptives.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N