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Reproducibility of 24-h heart rate variability in children
Abstract
Background Over the last decades, time domain heart rate (HR) variability analysis has been explored in different pediatric clinical settings to obtain information on the cardiac autonomic tone. However, the consistency over time of 24 h time domain HRV measurements in children is not well-known. Methods We investigated the reproducibility of 24 h HRV time-domain indices (1 day apart), from 39 healthy children (9.5 ± 5.3 years, 56.4% girls). The parameters analysed included: standard deviation of all the adjacent NN intervals, standard deviation of the averages of NN intervals (the intervals between normal R-peaks) in all 5-min segments, and square root of the mean of the sum of the squares of the differences between adjacent NN intervals, uncorrected and corrected for HR. Reproducibility between two 24-h ECG recordings was evaluated by intraclass correlation coefficients, standard error of measurement, coefficients of variation and Bland-Altman plots. Results For the analyzed time-domain indices, standard deviation of all the adjacent NN intervals corrected for HR showed best reproducibility with the highest intraclass correlation coefficient (0.987), the lowest coefficients of variation (5.5%) and the best level of agreement between two recordings as assessed by Bland-Altman plots. Conclusions Our results indicate that the standard deviation of all the adjacent NN intervals corrected for the HR parameter obtained from 24-h ambulatory recordings in children is consistent and…
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“there are inconsistencies regarding the reproducibility of HRV measures in a variety of unrelated populations (64–66).”
From Alterations in Heart Rate Variability Associated With Irritable Bowel Syndrome or Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis (2021) · cites this paper as [65]
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Sadowski, A., Dunlap, C., Lacombe, A., & Hanes, D. (2021) · Clinical and Translational Gastroenterology · doi:10.14309/ctg.0000000000000275 · Cited by 45
Metadata
- Authors
- Bjelakovic, B., Ilic, D., Lukic, S., Vukomanovic, V., Zarko, C., Stankovic, Z., & Marko, J.
- Affiliations
- University of Nis (RS)
- University of Belgrade (RS)
- Corresponding author
- Bjelakovic, Bojko
- Venue
- Clinical Autonomic Research
- Published
- 2017-06-30
- Volume
- 27
- Issue
- 4
- Pages
- 273-278
- ISSN
- 0959-9851 (ISSN-L)
- 1619-1560
- OpenAlex
- W2734039738
- Cited by
- 7
- References
- 1
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2020: 2 · 2019: 1 · 2018: 1
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Autonomic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Keywords
- heart rate variability, reproducibility, 24-hour Holter monitoring, time-domain HRV, heart rate correction, cardiac autonomic tone, children, healthy children
- MeSH terms
- Adolescent, Aging, Autonomic Nervous System, Child, Child, Preschool, Electrocardiography, Female, Heart Rate, Humans, Infant, Male, Reference Values, Reproducibility of Results, Electrocardiography, Ambulatory, Healthy Volunteers
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