Research Article

Impact of Ramadan Intermittent Fasting on the Heart Rate Variability and Cardiovascular Parameters of Patients with Controlled Hypertension

Table 5

Heart rate variability analysis during and after Ramadan.

AfternoonEveningMorning value (within day)
During RamadanAfter Ramadan valueDuring RamadanAfter Ramadan valueDuring RamadanAfter Ramadan valueDuring RamadanAfter Ramadan

RR interval-derived parameters
Mean RR interval (ms)749.96 ± 17.96768.74 ± 14.920.092707.37 ± 18.81 #754.51 ± 13.44 0.009817.68 ± 15.37798.14 ± 15.020.181<0.00010.008
SDNN (ms)58.62 ± 5.2444.44 ± 3.550.01346.23 ± 5.95 #40.52 ± 3.38 0.57461.32 ± 4.3953.36 ± 4.490.0820.0110.006
PNN50 (%)9.43 ± 2.408.14 ± 1.840.7047.02 ± 2.236.35 ± 1.72 0.81710.16 ± 2.449.87 ± 2.330.7110.2740.049
RMSSD (ms)40.14 ± 7.4731.83 ± 5.010.34932.37 ± 7.6827.96 ± 3.970.80534.72 ± 5.1335.56 ± 5.560.9840.3940.204
SD1 (ms)28.38 ± 5.2822.51 ± 3.540.34822.89 ± 5.4319.77 ± 2.810.80524.55 ± 3.6325.14 ± 3.930.9840.3940.204
SD2 (ms)75.17 ± 5.8657.02 ± 4.030.00659.30 ± 6.74 #52.66 ± 4.16 0.56581.32 ± 5.5469.43 ± 5.410.0590.0030.005
SD2/SD14.68 ± 0.343.53 ± 0.230.0014.51 ± 0.323.52 ± 0.250.0094.94 ± 0.404.03 ± 0.290.0860.5180.148
Stress index (pts.)279.13 ± 32.42350.43 ± 44.660.032445.69 ± 45.62 #347.31 ± 35.74 0.07231.33 ± 25.99261.68 ± 30.990.429<0.00010.014

Parameters spectral analysis
Rel. power HF band (%)16.88 ± 2.6016.64 ± 2.140.91814.47 ± 2.2315.53 ± 1.830.76214.35 ± 1.8619.82 ± 2.820.050.4600.155
Rel. Power LF band (%)27.38 ± 1.8834.73 ± 2.120.00330.03 ± 1.6435.55 ± 1.970.05926.52 ± 1.6129.23 ± 2.260.2900.2680.070
LF/HF ratio4.87 ± 0.833.41 ± 0.320.0534.93 ± 0.594.15 ± 0.470.2184.22 ± 0.624.54 ± 0.770.7640.6510.213
Rhythmisation degree7.10 ± 0.626.76 ± 0.610.4646.00 ± 0.765.98 ± 0.460.1656.37 ± 0.516.50 ± 0.480.7100.2600.266

HF band (0.150–0.400 Hz); LF band (0.040–0.150 Hz); VLF band (0.003–0.040 Hz); ULF band (0.0001–0.0030 Hz). Values presented as mean ± SEM. Statistically different compared to morning period of the same day. #Statistically different to afternoon period of the same day.