Summary:
Disorders of food intake belong to serious medical diseases at the child and adolescent
age. The most prominent symptom is changed body mass – obesity or malnutrition
(e.g. in mental anorexia), which influence almost all physiological functions of the organism
including activity of autonomic nervous system. At the present time there are
few papers dealing with the problem of mental anorexia and changes in autonomic nervous
system. Bradycardia with increased parasympathetic activity is a typical finding
in mental anorexia and may decrease significantly or even abnormally after some time.
The conclusions concerning the evaluation of sympathetic activity are not unambiguous.
The determination of changes in the activity of sympathetic and parasympathetic
part of autonomic nervous system presently employs linear and nonlinear methods for
analysis of variability in heart rate and blood pressure as well as the examination by
cardiovascular tests. It is also for the increasing rate and severity of food intake disorders
at the child and adolescent age that monitoring of the changes in autonomic nervous
activity should be continued and the effects of therapy and therapeutic procedures
should be investigated.
Key words:
autonomic nervous system,mental anorexia, heart rate variability, blood
pressure variability, cardiovascular system reactivity
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