Sex-related differences in the development of fetal heart rate dynamics
DC Field | Value | Language |
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dc.contributor.author | Kim, Kyu Nam | - |
dc.contributor.author | Park, Young-Sun | - |
dc.contributor.author | Hoh, Jeong-Kyu | - |
dc.date.accessioned | 2022-07-15T18:30:57Z | - |
dc.date.available | 2022-07-15T18:30:57Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2016-02 | - |
dc.identifier.issn | 0378-3782 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/155174 | - |
dc.description.abstract | Background: Despite previous efforts to explain the general advantages of female fetuses over males regarding health, sex-related differences in the dynamics or complexity of fetal heart rate (FHR) variability and FHR maturation patterns have not yet been identified. Aim: To make linear and nonlinear comparisons of antepartum FHR indices, dynamics, complexity, and reactivity to the non-stress test (NST) and vibroacoustic-stimulation test (VAST) in male and female fetuses. Study design: A total of 3835 singleton term deliveries without maternal and fetal complications were divided into female (n = 1849) and male (n = 1986) groups, and subjected to comparison and analyses. Subjects: Linear FHR indices, approximate entropy (ApEn), sample entropy (SampEn), short-term/long-term exponents (alpha 1/alpha 2), correlation dimension (CD), NST and VAST criteria, and modified nonlinear reactive criteria (MNRC) were used to evaluate outcomes. Results: ApEn was consistently higher in female fetuses than in male ones. ApEn in female fetuses was maximal at 29-30 gestational weeks, while the increase in ApEn was delayed in male fetuses but more rapid, reaching its peak at 31-32 gestational weeks. In both sexes, CD increased up to term, and alpha 2 rapidly decreased up to 31-32 weeks in an analogous manner. The two sexes differed significantly in response to VAST at <31 gestational weeks and there was a structural difference in reactive patterns under MNRC. Conclusions: Female fetuses exhibit greater heart rate dynamics in early gestational periods, suggesting that their cardiovascular system matures earlier than that of males. Male fetuses undergo a compensatory period of rapid change to catch up with females at term. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.title | Sex-related differences in the development of fetal heart rate dynamics | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Kyu Nam | - |
dc.contributor.affiliatedAuthor | Park, Young-Sun | - |
dc.contributor.affiliatedAuthor | Hoh, Jeong-Kyu | - |
dc.identifier.doi | 10.1016/j.earlhumdev.2015.12.005 | - |
dc.identifier.scopusid | 2-s2.0-84959181002 | - |
dc.identifier.wosid | 000370089400008 | - |
dc.identifier.bibliographicCitation | EARLY HUMAN DEVELOPMENT, v.93, pp.47 - 55 | - |
dc.relation.isPartOf | EARLY HUMAN DEVELOPMENT | - |
dc.citation.title | EARLY HUMAN DEVELOPMENT | - |
dc.citation.volume | 93 | - |
dc.citation.startPage | 47 | - |
dc.citation.endPage | 55 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Obstetrics & Gynecology | - |
dc.relation.journalResearchArea | Pediatrics | - |
dc.relation.journalWebOfScienceCategory | Obstetrics & Gynecology | - |
dc.relation.journalWebOfScienceCategory | Pediatrics | - |
dc.subject.keywordPlus | GROWTH-RESTRICTED FETUSES | - |
dc.subject.keywordPlus | GESTATIONAL-AGE | - |
dc.subject.keywordPlus | RATE-VARIABILITY | - |
dc.subject.keywordPlus | PRETERM BIRTH | - |
dc.subject.keywordPlus | RATE PATTERNS | - |
dc.subject.keywordPlus | APPROXIMATE ENTROPY | - |
dc.subject.keywordPlus | RATE RESPONSE | - |
dc.subject.keywordPlus | GENDER | - |
dc.subject.keywordPlus | INFANTS | - |
dc.subject.keywordPlus | WEIGHT | - |
dc.subject.keywordAuthor | Approximate entropy | - |
dc.subject.keywordAuthor | Computerized fetal monitoring | - |
dc.subject.keywordAuthor | Correlation dimension | - |
dc.subject.keywordAuthor | Fetal heart rate | - |
dc.subject.keywordAuthor | Female | - |
dc.subject.keywordAuthor | Male | - |
dc.subject.keywordAuthor | Non-stress test | - |
dc.subject.keywordAuthor | Vibroacoustic stimulation test | - |
dc.subject.keywordAuthor | Modified nonlinear reactive criteria | - |
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