Autonomous nervous system regulation for teenage girls with obtained visual dysfunctions

I. V. Redka


Introduction. 12-15 years old is a critical period for the manifestation of autonomic nervous dysfunction against the background of morphological and functional heterochrony of various organs and systems. The presence of visual dysfunctions is one of the risk factors for the development of autonomous nervous imbalances. There is no consensus on the autonomous nervous regulation in people with visual dysfunctions.

Purpose of this article is to find out the features of autonomous nervous regulation in teenage girls with obtained visual dysfunctions.

Methods. The study involved 12-15 years old girls with different vision function:  20 girls with normal vision and 19 girls with obtained bilateral vision dysfunctions (the corrected visual acuity left was 0.65 ± 0.07). The studies were conducted in a darkened room in a sitting position with closed eyes. ECG registration was carried out within 2.5 minutes.

The comparison of the HRV indexes in girls with different vision functions was performed on the basis of the Wilcoxon-Mann-Whitney criteria and Fisher's angle transform criterion. The factor model of HRV was built on the basis of a correlation matrix of 29 HRV indexes (spectral, autocorrelation, statistical and R.M. Baevsky’s indexes) and Varimax rotation.

Results. Teenage girls were characterized by lower (by 42.0%, P ≤ 0.05) values of VLFt compared to control, indicating a shortening period of the reflex response of the cardiovascular subcortical center. The normal heart rate prevailed in the control group (95.0%) while the bradycardia prevailed in girls with visual dysfunctions (55.6%). In control group the factor structure of HRV was formed by three factors: factor 1 (general autonomous nervous system  tone; SDNN, TP, VLF, LF, HF, ΔX, CVr were the most contributing indexes are factors) – 43.7%, factor 2 (centralization of management; AMo, IVB, IA, IARP, ART, SI, VIR ) –23.7%, and factor 3 (sympathy-vagal balance) – 16.3%. In girls with visual dysfunctions the factor structure of HRV was formed by two factors: factor 3 (59.3%) and factor 1 (18.1%). At the same time the Factor 1 had negative correlation with HRV indexes instead of positive correlation in control group.

Originality. For the first time, a comparative analysis of the HRV indexes and its factor structure in teenage girls with different visual functions was conducted.

Conclusion. Teenage girls with obtained bilateral vision dysfunctions are characterized by different mechanisms of autonomous nervous regulation of heart chronotropic function. The tendency toward bradycardia against the background of intensifying of sympathetic nervous system activity is an indicator of chronic psycho-emotional stress in teenage girls with obtained visual dysfunctions.


heart rate variability; autonomous nervous regulation; visual dysfunctions


Maidannik, V.G. (1998). Vegetative dysfunctions in children (pathogenetic mechanisms and clinical forms). Pediatriya, akusherstvo ta ginekologiya [Pediatrics, Obstetrics and Gynecology], 4, 5–11. (in Ukr.).

Vorobieva, O.V. (2017). Psychogenically induced autonomic dysfunction: diagnosis and treatment of "difficult" symptoms. Nervnyie bolezni [Nervous Diseases], 3, 12–18 (in Rus.).

Belinsky, A.V., Momot, V.A. (2006). Psychological features of the visually impaired. Moscow. 184 p. [in Rus.].

Rees, G., Saw, C.L., Lamoureux, E.L., Keffe, J.E. (2007). Self-management programs for adults with low vision: needs and challenges. Patient Educ. Couns, 69 (1-3), 39–46. doi: 10.1016/j.pec.2007.06.016

Scott I.U., Schein O.D., Feufer W.J. et al. (2001). Emotional distress in patients with retinal disease. Am. J. Ophtalm, 131, 584–589. doi: 10.1016/S0002-9394(01)00832-7

Matsunaka, K. (2002). An investigation of personal factors on daily stress of people with visually impairment. Shinrigaku Kenkyu,73 (4), 340–345. (in Jap.)

Karaush, I.S., Shevchenko, Yu.S., Kupriyanova, I.E. (2017). Mental disorders and rehabilitation of children with hearing and vision impairments. Sotsialnaya i klinicheskaya psihiatriya [Social and Clinical Psychiatry], 27 (2), 24-28. (in Rus.)

Yokoi, T., Moriyama, M., Hayashi, K. et al. (2014). Predictive factors for comorbid psychiatric disorders and their impact on vision-related quality of life in patients with high myopia. Int Ophthalmol, 34(2), 171-183. doi: 10.1007/s10792-013-9805-8

Karaush, I.S., Dashiyeva, B.A., Kupriyanova, I.E., Stoyanova, I.Ya. (2014). Features of psychological diagnostics of children with sensory impairments. Sibirskiy psihologicheskiy zhurnal [Siberian Psychological Journal], 51, 132-140. (in Rus.)

Pyltsina, N.Yu. (2007). The correlation of the clinical course of short-sightedness with anatomical somatotype in children and adolescents: author's dis. thesis to acquire candidate of medical science degree: speciality 14.00.08 "Eye Diseases". Moscow, 22. (in Rus.)

Abramova, T.F. (2012). The state of health of children with visual impairment, prediction and prevention of its abnormalities : author's dis. thesis to acquire candidate of medical science degree: speciality 14.01.08 - Pediatrics. Ivanovo, 23 p. (in Rus.)

Avetisov, E.S. (2002). Myopia. Moscow : Medicine, 285 с. (in Rus.)

Poryadin, G.V. Boginskaya, O.A. Obrubov, S.A. et al. (2013). Characteristics of the autonomic nervous system state in children with myopia associated with undifferentiated connective tissue dysplasia. Patologicheskaya fiziologiya i eksperimentalnaya terapiya [Patol Fiziol Eksp Ter], 3, 27-31. (in Rus.)

Yanov, A.Yu., Prokhorov, A.V. (2014). Functional state of the autonomic nervous system in children with varying degrees of myopia. World Applied Sciences Journal, 29 (5), 671-674. doi: 10.5829/idosi.wasj.2014.29.05.13898

Redka, I.V. (2011). Functional state of the cardiorespiratory system of children with low vision : Monograph. - Kherson: Publishing house "Aylant", 171. (in Ukr.)

Kokoreva, E.G. (2003). Age characteristics of the regulation of heart rate in preschool and primary school children with visual impairment. Vestnik Yuzhno-Uralskogo gosudarstvennogo universiteta: Obrazovanie, zdravoohranenie, fizkultura i sport [Bulletin of the South Ural State University: Education, Health, Physical Education and Sports], № 5 (б), 99–102. (in Rus.)

Baevsky, R.M., Ivanov, G.G., Chireykin, L.V. et al. (2001). Analysis of heart rate variability using different electrocardiographic systems (guidelines). Vestnik aritmologii [Bulletin arrhythmology], 24, 65–87. (in Rus.).

Mayorov, O. Yu. (1990). Some methodical and methodological approaches to the mathematical analysis of heart rate in an emotionally intense activity and emotional stress. In: Health diagnostics. Voronezh, 142–143 (in Rus.).

Beauchaine, T.P. (2001). Vagal tone, development, and Gray’s motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214. doi: 10.1017/S0954579401002012

Brosschot, J.F., Van Dijk, E., Thayer, J.F. (2007). Daily worry is related to low heart rate variability during waking and the subsequent nocturnal sleep period. Int J Psychophysiol, 63, 39–47. doi: 10.1016/j.ijpsycho.2006.07.016

Oveis, C., Cohen, A.B., Gruber, J. et al. (2009). Resting respiratory sinus arrhythmia is associated with tonic positive emotionality. Emotion, 9, 265–270. doi: 10.1017/S0954579401002012

Hansen, A.L., Johnsen, B.H., Thayer, J.F. (2003). Vagal influence on working memory and attention. International Journal of Psychophysiology, 48, 263–274. doi:10.1016/S0167-8760(03)00073-4

Thayer, J.F., Lane R.D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. J. Affective Disorders, 61, 201–216. doi: 10.1016/S0165-0327(00)00338-4

Berntson GG, Cacioppo JT, Quigley KS (1991) Autonomic determinism: the modes of autonomic control, the doctrine of autonomic space, and the laws of autonomic constraint. Psychol Rev, 98, 459–487. doi:10.1037/0033-295X.98.4.459.

Baevsky, R.M., Berseneva, A.P. (1997). Evaluation of the adaptive capacity of the organism and the risk of developing diseases: monograph. Moscow: Medicine, 235.

Full Text: PDF


  • There are currently no refbacks.
2014 2 36
2015 2 19
2016 1 2
2017 1 2
2018 1 2
2019 1  



Journal Content