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Comparison of Root Mean Square of Successive Differences (RMSSD) Among Adolescent Smokers and Nonsmokers in Yogyakarta

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Smoking induced the Autonomic Nervous System (ANS) imbalance and hyperactivity. Therefore it influences the level Root Mean Square of Successive Differences (RMSSD). RMSSD interpretation describes parasympathetic activation by variation one beat to beat. Chronic smokers have lower RMSSD than nonsmokers so they have high risk for cardiac sudden death than nonsmokers by lower RMSSD. Adolescent have higher risk of smoking habits. Therefore, they have higher risk for Non Communicable Disease (NCD) in the future. The objective of this study was to know the Comparison of Root Mean Square of Successive Differences (RMSSD) among adolescent smokers and nonsmokers in Yogyakarta. Twenty-nine adolescent whose ages ranged from 18–24 years old, served as the participant for this study, nonsmokers and smokers. They were dividing into 2 groups, twenty nonsmokers and nine smokers. The participant were instructed that the last meal is 2 hours before executed; to abstain from consuming tea, alcohol and caffeine; and no heavy physical activity in the last 2 hours. They must be in relaxing condition. First, they must sit in quite room before executed. Each participant sat with head no more than 15 degree, feet placed on the back. They can close their eyes. After the participant ready, they were recorded for 5 minutes by ECG. Then, RMSSD level was counted by the formula. Result for this study was there are significant differences of the level RMSSD between adolescent nonsmokers and smokers with p value 0.04 (p < 0.05). The Mean and Deviation Standard of RMSSD level of adolescent nonsmokers and smokers are 60.89 ± 15.34 and 58.54 ± 4.86. The levels RMSSD of adolescent smokers lower than nonsmokers.
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Keywords: Adolescent Nonsmoker; Adolescent Smokers; RMSSD

Document Type: Research Article

Affiliations: Basic Nursing Department, School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia

Publication date: December 1, 2017

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