Complexity-Based Measures of Heart Rate Dynamics in Older Adults Following Long- and Short-Term Tai Chi Training: Cross-sectional and Randomized Trial Studies.

Measures characterizing the complexity of heart rate (HR) dynamics have been informative in predicting age- and disease-related decline in cardiovascular health, but few studies have evaluated whether mind-body exercise can impact HR complexity. This study evaluated the effects of long-term Tai Chi (TC) practice on the complexity of HR dynamics using an observational comparison of TC experts and age- and gender-matched TC-naïve individuals. Shorter-term effects of TC were assessed by randomly assigning TC-naïve participants to either TC group to receive six months of TC training or to a waitlist control group. 23 TC experts (age = 63.3 ± 8.0 y; 24.6 ± 12.0 y TC experience) and 52 TC-naïve (age = 64.3 ± 7.7 y) were enrolled. In cross-sectional analyses, TC experts had a higher overall complexity index (CI, p = 0.004) and higher entropy at multiple individual time scales (p < 0.05); these findings persisted in models accounting for age, gender, body mass index (BMI), and physical activity levels. Longitudinal changes in complexity index did not differ significantly following random assignment to six months of TC vs. a waitlist control; however, within the TC group, complexity at select time scales showed statistically non-significant trends toward increases. Our study supports that longer-term TC mind-body training may be associated with increased complexity of HR dynamics.

Refined Multiscale Hilbert-Huang Spectral Entropy and Its Application to Central and Peripheral Cardiovascular Data.

OBJECTIVE: Spectral entropy has been applied in variety of fields. Multiscale spectral entropy (MSSE) has also recently been proposed to take into account structures on several scales. However, MSSE has some drawbacks, such as the coarse-graining procedure performed in the time domain. In this study, we propose a new framework to compute MSSE. This framework is also adapted for nonstationary data. METHODS: Our work relies on processing steps performed directly in the frequency domain. For nonstationary signals, the evolution of entropy values with scales is observed along time. Our algorithm is herein evaluated both on synthetic time series (stationary and non-stationary signals) and on data from the cardiovascular system (CVS). For this purpose, heart rate variability (from the central CVS), laser Doppler flowmetry, and laser speckle contrast data (both from the peripheral CVS) are analyzed. RESULTS: The results show that our framework has better performances than the existing algorithms to compute MSSE, both in terms of reliability and computational cost. Moreover, it is able to reveal repetitive patterns on central and peripheral CVS signals. These patterns may be linked to physiological activities. Furthermore, from the processing of microvascular data, it is able to distinguish young from elderly subjects. CONCLUSION: Our framework outperforms other algorithms to compute MSSE. It also has the advantage of revealing physiological information. SIGNIFICANCE: By showing better performances than existing algorithms to compute MSSE, our work is a new and promising way to compute an entropy measure from the spectral domain. It also has the advantage of stressing physiologically linked phenomena.