The reliability of short-term measurements of heart rate variability
Abstract
Short-term assessment of heart rate variability (HRV) is a non-invasive technique to examine ANS function. Within the literature, HRV is commonly referred to as a reliable measurement technique. The aim of this review was to assess the accuracy of this description based upon a comprehensive review of the available data concerning reliability of short-term HRV measures. Reviewing only studies using appropriate statistical analyses, it was determined that reliability coefficients for HRV measures were highly varied. Coefficients of variation ranged from 100%. Similar variation was found in studies using the intraclass correlation coefficient values, and limits of agreement. Reliability coefficients reported displayed some distinct patterns. Firstly, where measurements were made during interventions such as tilt or pharmacological stimulation, reliability was poorer than when HRV was measured at rest. Secondly, clinical populations displayed poorer reliability than healthy subjects. There was little effect of test-retest duration on reliability and although no single HRV measurement appeared less reliable than another, there was evidence that optimal data collection conditions for specific frequency domain measures exist. Describing HRV as a reliable measurement technique appears to be a gross oversimplification, as results of reliability studies are heterogeneous, and dependent on a number of factors. Further studies are required, particularly in clinical populations to assess…
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There are inconsistencies regarding the reproducibility of HRV measures in a variety of unrelated populations.
“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 [64]
Cites
The Measurement of Observer Agreement for Categorical Data
Landis, J. R., & Koch, G. G. (1977) · Biometrics · doi:10.2307/2529310 · Cited by 81,148 · see citing works
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965 · see citing works
Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use
Electrophysiology, T. F. O. T. E. S. O. C. T. N. A. (1996) · Circulation · doi:10.1161/01.cir.93.5.1043 · Cited by 17,159 · see citing works
Beckett, A. H., Rowland, M., & TURNER, P. (1965) · The Lancet · doi:10.1016/s0140-6736(65)91037-8 · Cited by 16,917 · see citing works
Heart rate variability: Standards of measurement, physiological interpretation, and clinical use
Malik, M., Bigger, J. T., Camm, A. J., Kleiger, R. E., Malliani, A., Moss, A. J., & Schwartz, P. J. (1996) · European Heart Journal · doi:10.1093/oxfordjournals.eurheartj.a014868 · Cited by 15,289 · see citing works
Methods of Meta-Analysis: Correcting Error and Bias in Research Findings
Schmidt, F. L., & Hunter, J. E. (2015) · doi:10.4135/9781483398105 · Cited by 5,542 · see citing works
Akselrod, S., Gordon, D., Ubel, F. A., Shannon, D. C., Berger, A. C., & Cohen, R. J. (1981) · Science · doi:10.1126/science.6166045 · Cited by 5,079 · see citing works
Measures of Reliability in Sports Medicine and Science
Hopkins, W. G. (2000) · Sports Medicine · doi:10.2165/00007256-200030010-00001 · Cited by 4,635 · see citing works
Pagani, M., Lombardi, F., Guzzetti, S., Rimoldi, O., Furlan, R., Pizzinelli, P., Sandrone, G., Malfatto, G., Dell'Orto, S., & Piccaluga, E. (1986) · Circulation Research · doi:10.1161/01.res.59.2.178 · Cited by 4,130 · see citing works
Kleiger, R. E., Miller, J. P., Bigger, J. T., & Moss, A. J. (1987) · The American Journal of Cardiology · doi:10.1016/0002-9149(87)90795-8 · Cited by 3,995 · see citing works
Atkinson, G., & Nevill, A. M. (1998) · Sports Medicine · doi:10.2165/00007256-199826040-00002 · Cited by 3,817 · see citing works
Methods of Meta-Analysis: Correcting Error and Bias in Research Findings.
Raudenbush, S. W., Hunter, J. E., & Schmidt, F. L. (1991) · Journal of the American Statistical Association · doi:10.2307/2289738 · Cited by 2,363 · see citing works
Impact of Reduced Heart Rate Variability on Risk for Cardiac Events: The Framingham Heart Study
Tsuji, H., Larson, M. G., Venditti, F. J., Manders, E. S., Evans, J. C., Feldman, C. L., & Levy, D. (1996) · Circulation · doi:10.1161/01.cir.94.11.2850 · Cited by 1,762 · see citing works
Nolan, J., Batin, P. D., Andrews, R., Lindsay, S. J., Brooksby, P., Mullen, M., Baig, W., Flapan, A. D., Cowley, A., Prescott, R. J., et al. (1998) · Circulation · doi:10.1161/01.cir.98.15.1510 · Cited by 1,179 · see citing works
Reduced heart rate variability and mortality risk in an elderly cohort. The Framingham Heart Study
Tsuji, H., Venditti, F. J., Manders, E. S., Evans, J. C., Larson, M. G., Feldman, C. L., & Levy, D. (1994) · Circulation · doi:10.1161/01.cir.90.2.878 · Cited by 1,114 · see citing works
Montano, N., Ruscone, T. G., Porta, A., Lombardi, F., Pagani, M., & Malliani, A. (1994) · Circulation · doi:10.1161/01.cir.90.4.1826 · Cited by 1,108 · see citing works
Heart Rate Variability in Athletes
AUBERT, A. E., Seps, B., & Beckers, F. (2003) · Sports Medicine · doi:10.2165/00007256-200333120-00003 · Cited by 922 · see citing works
A critical discussion of intraclass correlation coefficients
Müller, R. M., & Buttner, P. G. (1994) · Statistics in Medicine · doi:10.1002/sim.4780132310 · Cited by 723 · see citing works
Saul, J. P., Arai, Y., Berger, R. D., Lilly, L. S., Colucci, W. S., & Cohen, R. J. (1988) · The American Journal of Cardiology · doi:10.1016/0002-9149(88)91172-1 · Cited by 706 · see citing works
Effect of Endurance Exercise on Autonomic Control of Heart Rate
Carter, J. B., Banister, E. W., & Blaber, A. P. (2003) · Sports Medicine · doi:10.2165/00007256-200333010-00003 · Cited by 556 · see citing works
Statistical evaluation of agreement between two methods for measuring a quantitative variable
Lee, J., Koh, D. S. Q., & Ong, C. N. (1989) · Computers in Biology and Medicine · doi:10.1016/0010-4825(89)90036-x · Cited by 473 · see citing works
Bigger, J. T., Fleiss, J. L., Steinman, R. C., Rolnitzky, L. M., Schneider, W., & Stein, P. K. (1995) · Circulation · doi:10.1161/01.cir.91.7.1936 · Cited by 443 · see citing works
Absence of Low-Frequency Variability of Sympathetic Nerve Activity in Severe Heart Failure
van de Borne, P., Montano, N., Pagani, M., Oren, R. M., & Somers, V. K. (1997) · Circulation · doi:10.1161/01.cir.95.6.1449 · Cited by 376 · see citing works
Coarse-graining spectral analysis: new method for studying heart rate variability
Yamamoto, Y., & Hughson, R. L. (1991) · Journal of Applied Physiology · doi:10.1152/jappl.1991.71.3.1143 · Cited by 357 · see citing works
Decreased spontaneous heart rate variability in congestive heart failure
Casolo, G., Balli, E., Taddei, T., Amuhasi, J., & Gori, C. (1989) · The American Journal of Cardiology · doi:10.1016/0002-9149(89)90871-0 · Cited by 344 · see citing works
Bigger, J. T., Fleiss, J. L., Rolnitzky, L. M., & Steinman, R. C. (1993) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(93)90106-b · Cited by 335 · see citing works
Sinnreich, R., Kark, J. D., Friedlander, Y., Sapoznikov, D., & Luria, M. (1998) · Heart · doi:10.1136/hrt.80.2.156 · Cited by 292 · see citing works
Measurement concepts in physical education and exercise science
(1989) · Choice Reviews Online · doi:10.5860/choice.27-0362 · Cited by 267 · see citing works
Wavelet transform to quantify heart rate variability and to assess its instantaneous changes
Pichot, V., Gaspoz, J., Molliex, S. B., Antoniadis, A., Busso, T., Roche, F., Costes, F., Quintin, L., Lacour, J.-R., & Barthélemy, J. (1999) · Journal of Applied Physiology · doi:10.1152/jappl.1999.86.3.1081 · Cited by 239 · see citing works
Effects of aerobic training on heart rate dynamics in sedentary subjects
Tulppo, M. P., Hautala, A. J., Mäkikallio, T. H., Laukkanen, R. M. T., Nissilä, S., Hughson, R. L., & Huikuri, H. V. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00751.2002 · Cited by 237 · see citing works
Heart-Rate Variability and Cardiac Autonomic Function in Diabetes
Malpas, S. C., & Tj, M. (1990) · Diabetes · doi:10.2337/diab.39.10.1177 · Cited by 223 · see citing works
Ewing, D. J., Neilson, J. M. M., Shapiro, C. M., Stewart, J. A., & Reid, W. (1991) · Heart · doi:10.1136/hrt.65.5.239 · Cited by 217 · see citing works
The Effect of Age and Gender on Heart Rate Variability after Endurance Training
Carter, J. B., Banister, E. W., & Blaber, A. P. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000079046.01763.8f · Cited by 167 · see citing works
Pitzalis, M. V. (1996) · Cardiovascular Research · doi:10.1016/0008-6363(96)00086-7 · Cited by 162 · see citing works
Resting heart rate variability in men varying in habitual physical activity
Melanson, E. L. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200011000-00012 · Cited by 135 · see citing works
Salo, M., Huikuri, H. V., & Seppänen, T. (2001) · Annals of Noninvasive Electrocardiology · doi:10.1111/j.1542-474x.2001.tb00080.x · Cited by 134 · see citing works
Effect of athletic training on heart rate variability
Sacknoff, D. M., Gleim, G. W., Stachenfeld, N. S., & Coplan, N. L. (1994) · American Heart Journal · doi:10.1016/0002-8703(94)90046-9 · Cited by 128 · see citing works
Heart rate variability - a therapeutic target?
Routledge, H., Chowdhary, S., & Townend, J. (2002) · Journal of Clinical Pharmacy and Therapeutics · doi:10.1046/j.1365-2710.2002.00404.x · Cited by 120 · see citing works
Aerobic training and cardiovascular responses at rest and during exercise in older men and women
Perini, R., Fisher, N. M., Veicsteinas, A., & Pendergast, D. R. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200204000-00022 · Cited by 118 · see citing works
Assessment of the primary effect of aging on heart rate variability in humans
Fukusaki, C., Kawakubo, K., & Yamamoto, Y. (2000) · Clinical Autonomic Research · doi:10.1007/bf02278016 · Cited by 112 · see citing works
(1998) · The MIT Press eBooks · doi:10.7551/mitpress/3348.003.0009 · Cited by 89 · see citing works
Determinants of Short-Period Heart Rate Variability in the General Population
Kuch, B., Hense, H. W., Sinnreich, R., Kark, J. D., von Eckardstein, A., Sapoznikov, D., & Bolte, H.-D. (2001) · Cardiology · doi:10.1159/000047359 · Cited by 86 · see citing works
Stability of index of heart rate variability in patients with congestive heart failure
Stein, P. K., Rich, M. W., Rottman, J. N., & Kleiger, R. E. (1995) · American Heart Journal · doi:10.1016/0002-8703(95)90119-1 · Cited by 84 · see citing works
Short-term heart rate variability in young athletes.
Aubert, A., Beckers, F., & Ramaekers, D. (2001) · PubMed · Cited by 81 · see citing works
Boven, A. J. V., Jukema, J. W., Haaksma, J., Zwinderman, A. H., Crijns, H. J. G. M., & Lie, K. I. (1998) · American Heart Journal · doi:10.1016/s0002-8703(98)70269-8 · Cited by 73 · see citing works
Intraindividual Reproducibility of Heart Rate Variability
HOHNLOSER, S. H., Klingenheben, T., Zabel, M., Schröder, F., & Just, H. M. (1992) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1992.tb03049.x · Cited by 71 · see citing works
Nolan, J., Flapan, A. D., Goodfield, N. E. R., Prescott, R. J., Bloomfield, P. M., Neilson, J. M. M., & Ewing, D. J. (1996) · The American Journal of Cardiology · doi:10.1016/s0002-9149(96)90587-1 · Cited by 69 · see citing works
Ziegler, D., Piolot, R., Straßburger, K., Lambeck, H., & Dannehl, K. (1999) · Hormone and Metabolic Research · doi:10.1055/s-2007-978819 · Cited by 68 · see citing works
Forslund, L., Björkander, I., Ericson, M. O., Held, C., Kahan, T., Rehnqvist, N., & Hjemdahl, P. (2002) · Heart · doi:10.1136/heart.87.5.415 · Cited by 67 · see citing works
Lanza, G. A., Pedrotti, P., Rebuzzi, A. G., Pasceri, V., Quaranta, G., & Maseri, A. (1997) · The American Journal of Cardiology · doi:10.1016/s0002-9149(97)00343-3 · Cited by 61 · see citing works
Leicht, A. S., Allen, G. D., & Hoey, A. J. (2003) · Canadian Journal of Applied Physiology · doi:10.1139/h03-033 · Cited by 59 · see citing works
Burger, A. J., Charlamb, M. J., Weinrauch, L. A., & D’Elia, J. A. (1997) · The American Journal of Cardiology · doi:10.1016/s0002-9149(97)00639-5 · Cited by 57 · see citing works
Reproducibility of Resting Heart Rate Variability With Short Sampling Periods
Marks, B. L., & Lightfoot, J. T. (1999) · Canadian Journal of Applied Physiology · doi:10.1139/h99-026 · Cited by 53 · see citing works
LORD, S. W., SENIOR, R. R., Das, M., Whittam, A. M., Murray, A., & McComb, J. M. (2001) · Clinical Science · doi:10.1042/cs20000111 · Cited by 52 · see citing works
Jáuregui‐Renaud, K., Hermosillo, A. G., Márquez, M. F., Ramos-Aguilar, F., Goribar, M. H., & Cárdenas, M. (2001) · Archives of Medical Research · doi:10.1016/s0188-4409(00)00255-1 · Cited by 51 · see citing works
Freed, L. A., Steín, K. M., Gordon, M., Urban, M., & Kligfield, P. (1994) · The American Journal of Cardiology · doi:10.1016/0002-9149(94)90604-1 · Cited by 46 · see citing works
Scalvini, S., Volterrani, M., Zanelli, E., Pagani, M., MAZZUERO, G., Coats, A. J. S., & Giordano, A. (1998) · International Journal of Cardiology · doi:10.1016/s0167-5273(98)00252-6 · Cited by 45 · see citing works
Weber, F. (1999) · European Heart Journal · doi:10.1053/euhj.1998.1272 · Cited by 38 · see citing works
LORD, S. W., SENIOR, R. R., Das, M., Whittam, A. M., Murray, A., & McComb, J. M. (2000) · Clinical Science · doi:10.1042/cs1000043 · Cited by 36 · see citing works
Gerin, W., Rosofsky, M., Pieper, C. F., & Pickering, T. G. (1993) · Journal of Hypertension · doi:10.1097/00004872-199310000-00018 · Cited by 35 · see citing works
Day‐to‐day variability of cardiac autonomic regulation parameters in normal subjects
Töyry, J. P., Mäntysaari, M., Hartikainen, J. E. K., & Länsimies, E. (1995) · Clinical Physiology · doi:10.1111/j.1475-097x.1995.tb00428.x · Cited by 34 · see citing works
Reproducibility of Heart Rate Variability Measures in Patients with Chronic Heart Failure
Ponikowski, P. P., Piepoli, M. F., Amadi, A. A., Chua, T. P., Harrington, D., Volterrani, M., Colombo, R., MAZZUERO, G., Giordano, A., & Coats, A. J. S. (1996) · Clinical Science · doi:10.1042/cs0910391 · Cited by 33 · see citing works
Furlan, R., Dell’Orto, S., Crivellaro, W., Pizzinelli, P., Cerutti, S., Lombardi, F., Pagani, M., & Malliani, A. (1987) · Journal of Hypertension · Cited by 28 · see citing works
Konrady, A. O., Rudomanov, O. G., Oi, Y., & Shlyakhto, E. V. (2001) · PubMed · Cited by 26 · see citing works
Dionne, I. J., WHITE, M., & Tremblay, A. (2002) · Physiology & Behavior · doi:10.1016/s0031-9384(02)00638-8 · Cited by 26 · see citing works
Cloarec-Blanchard, L., Funck‐Brentano, C., Lipski, M., Jaillon, P., & Macquin‐Mavier, I. (1997) · Clinical Science · doi:10.1042/cs0930021 · Cited by 26 · see citing works
Salo, Voipio‐Pulkki, Jalonen, Helenius, Viikari, & Kantola (1999) · Clinical Physiology · doi:10.1046/j.1365-2281.1999.00165.x · Cited by 21 · see citing works
Piepoli, M. F., Radaelli, A., Ponikowski, P. P., Adamopoulos, S. N., Bernardi, L., Sleight, P., & Coats, A. J. S. (1996) · Clinical Science · doi:10.1042/cs0910087supp · Cited by 20 · see citing works
Reproducibility of beat-by-beat blood pressure and heart rate variability
Parati, G., Omboni, S., Villani, A., Glavina, F., Castiglioni, P., Rienzo, M. D., & Mancia, G. (2001) · Blood Pressure Monitoring · doi:10.1097/00126097-200108000-00011 · Cited by 17 · see citing works
Vardas, P. E., KOGHIADAKIS, G., Orfanakis, A. E., KALAITZAKIS, M., & MANIOS, E. (1994) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1994.tb03827.x · Cited by 15 · see citing works
Bootsma, M., Swenne, C. A., & Bruschke, A. V. G. (1996) · Clinical Cardiology · doi:10.1002/clc.4960190112 · Cited by 13 · see citing works
Evaluating agreement between two methods for measuring the same quantity: A response
Lee, J. (1992) · Computers in Biology and Medicine · doi:10.1016/0010-4825(92)90025-i · Cited by 10 · see citing works
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Goldberger, J. J., Cain, M. E., Hohnloser, S. H., Kadish, A. H., Knight, B. P., Lauer, M. S., Maron, B. J., Page, R. L., Passman, R. S., Siscovick, D., et al. (2008) · Circulation · doi:10.1161/circulationaha.107.189375 · Cited by 1,450 · see citing works
Monitoring training status with HR measures: do all roads lead to Rome?
Buchheit, M. (2014) · Frontiers in Physiology · doi:10.3389/fphys.2014.00073 · Cited by 909 · see citing works
NUNAN, D., SANDERCOCK, G. R. H., & BRODIE, D. A. (2010) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2010.02841.x · Cited by 874 · see citing works
Self-citationAlvares, G. A., Quintana, D. S., Hickie, I. B., & Guastella, A. J. (2016) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.140217 · Cited by 503 · see citing works
Goldberger, J. J., CAIN, M. E., Hohnloser, S. H., Kadish, A. H., Knight, B. P., Lauer, M. S., Maron, B. J., Page, R. L., PASSMAN, R. S., Siscovick, D. S., et al. (2008) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2008.05.003 · Cited by 429 · see citing works
Ultra short term analysis of heart rate variability for monitoring mental stress in mobile settings.
Salahuddin, L., Cho, J., Jeong, M. G., & Kim, D. (2007) · 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society · doi:10.1109/iembs.2007.4353378 · Cited by 374 · see citing works
Monitoring endurance running performance using cardiac parasympathetic function
Buchheit, M., Chivot, A., Parouty, J., Mercier, D., Haddad, H. A., Laursen, P. B., & Ahmaidi, S. (2009) · European Journal of Applied Physiology · doi:10.1007/s00421-009-1317-x · Cited by 269 · see citing works
Heart rate variability measures: a fresh look at reliability
Pinna, G. D., Maestri, R., Toruński, A., Daniłowicz‐Szymanowicz, L., Szwoch, M., Rovere, M. T. L., & Raczak, G. (2007) · Clinical Science · doi:10.1042/cs20070055 · Cited by 262 · see citing works
Power Spectral Density Analysis of Electrodermal Activity for Sympathetic Function Assessment
Posada-Quintero, H. F., Florian, J. P., Orjuela-Cañón, Á. D., Aljama-Corrales, T., Charleston-Villalobos, S., & Chon, K. H. (2016) · Annals of Biomedical Engineering · doi:10.1007/s10439-016-1606-6 · Cited by 230 · see citing works
Is heart rate a convenient tool to monitor over-reaching? A systematic review of the literature
Bosquet, L., Merkari, S., Arvisais, D., & AUBERT, A. E. (2008) · British Journal of Sports Medicine · doi:10.1136/bjsm.2007.042200 · Cited by 203 · see citing works
Kemp, A. H., Brunoni, A. R., Santos, I. S., Nunes, M. A., Dantas, E. M., Carvalho de Figueiredo, R., Pereira, A. C., Ribeiro, A. L. P., Mill, J. G., Andreão, R. V., et al. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.13121605 · Cited by 189 · see citing works
Stability of heart rate variability indices reflecting parasympathetic activity.
Bertsch, K., Hagemann, D., Naumann, E., Schächinger, H., & Schulz, A. (2012) · Psychophysiology · doi:10.1111/j.1469-8986.2011.01341.x · Cited by 185 · see citing works
A longitudinal study in youth of heart rate variability at rest and in response to stress
Li, Z., Snieder, H., Su, S., Ding, X., Thayer, J. F., Treiber, F. A., & Wang, X. (2009) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2009.03.002 · Cited by 173 · see citing works
Mental Workload Alters Heart Rate Variability, Lowering Non-linear Dynamics
Delliaux, S., Delaforge, A., Deharo, J., & Chaumet, G. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00565 · Cited by 172 · see citing works
Heffernan, K. S., Fahs, C. A., Shinsako, K. K., Jae, S. Y., & Fernhall, B. (2007) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00648.2007 · Cited by 142 · see citing works
Orsila, R., Virtanen, M., Luukkaala, T. H., Tarvainen, M. P., Karjalainen, P. A., Viik, J., Savinainen, M., & Nygård, C. (2008) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2008.11076767 · Cited by 125 · see citing works
Age and Ethnicity Differences in Short-Term Heart-Rate Variability
Choi, J., Hong, S., Nelesen, R. A., Bardwell, W. A., Natarajan, L., Schubert, C., & Dimsdale, J. E. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000221378.09239.6a · Cited by 123 · see citing works
Heathers, J. A. J. (2013) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2013.05.017 · Cited by 122 · see citing works
Tak, L. M., Riese, H., de Bock, G. H., Andiappan, M., Kok, I. C., & Rosmalen, J. G. M. (2009) · Biological Psychology · doi:10.1016/j.biopsycho.2009.05.002 · Cited by 122 · see citing works
Health and Aging: Development of The Irish Longitudinal Study on Ageing Health Assessment
Cronin, H., O’Regan, C. M., Finucane, C., Kearney, P. M., & Kenny, R. A. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12197 · Cited by 119 · see citing works
Frewen, J., Finucane, C., Savva, G. M., Boyle, G., Coen, R. F., & Kenny, R. A. (2013) · Clinical Autonomic Research · doi:10.1007/s10286-013-0214-x · Cited by 119 · see citing works
Prinsloo, G. E., Rauch, L., & Derman, W. E. (2014) · The Physician and Sportsmedicine · doi:10.3810/psm.2014.05.2061 · Cited by 141 · see citing works
Posada-Quintero, H. F., Florian, J. P., Orjuela-Cañón, Á. D., & Chon, K. H. (2016) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00180.2016 · Cited by 122 · see citing works
van Zyl, L. T., Hasegawa, T., & Nagata, K. (2008) · BioPsychoSocial Medicine · doi:10.1186/1751-0759-2-12 · Cited by 118 · see citing works
Mukherjee, S., Yadav, R., Yung, I., Zajdel, D. P., & Oken, B. (2011) · Clinical Neurophysiology · doi:10.1016/j.clinph.2011.02.032 · Cited by 117 · see citing works
Flatt, A. A., & Esco, M. R. (2013) · Journal of Human Kinetics · doi:10.2478/hukin-2013-0071 · Cited by 115 · see citing works
SDNN/RMSSD as a Surrogate for LF/HF: A Revised Investigation
Wang, H., & Huang, S. (2012) · Modelling and Simulation in Engineering · doi:10.1155/2012/931943 · Cited by 114 · see citing works
Dysfunction of stress responsive systems as a risk factor for functional somatic syndromes
Tak, L. M., & Rosmalen, J. G. M. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.12.004 · Cited by 112 · see citing works
Mazurak, N., Enck, P., Muth, E. R., Teufel, M., & Zipfel, S. (2010) · European Eating Disorders Review · doi:10.1002/erv.1081 · Cited by 110 · see citing works
Heart rate variability measure in breast cancer patients and survivors: A systematic review
Arab, C., Dias, D. P. M., Barbosa, R. T. D. A., de Carvalho, T. D., Valenti, V. E., Crocetta, T. B., Ferreira, M., de Abreu, L. C., & Ferreira, C. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.02.018 · Cited by 106 · see citing works
Short-term stability of resting heart rate variability: influence of position and gender.
Young, F. L. S., & Leicht, A. S. (2011) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h10-103 · Cited by 105 · see citing works
Heart rate variability in rodents: uses and caveats in toxicological studies
Rowan, W. H., Campen, M. J., Wichers, L. B., & Watkinson, W. P. (2007) · Cardiovascular Toxicology · doi:10.1007/s12012-007-0004-6 · Cited by 101 · see citing works
Heart rate variability in the irritable bowel syndrome: A review of the literature
Mazurak, N., Seredyuk, N., Sauer, H., Teufel, M., & Enck, P. (2012) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2011.01866.x · Cited by 102 · see citing works
Alcántara, J. M. A., Plaza‐Florido, A., Amaro‐Gahete, F. J., Acosta, F. M., Migueles, J. H., Molina‐García, P., Sacha, J., Sánchez‐Delgado, G., & Martínez‐Téllez, B. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9020325 · Cited by 97 · see citing works
Gąsior, J. S., Sacha, J., Jelen, P., Zieliński, J., & Przybylski, J. (2016) · Frontiers in Physiology · doi:10.3389/fphys.2016.00356 · Cited by 97 · see citing works
Goldberger, J. J., CAIN, M. E., Hohnloser, S. H., Kadish, A. H., Knight, B. P., Lauer, M. S., Maron, B. J., Page, R. L., PASSMAN, R. S., Siscovick, D. S., et al. (2008) · Heart Rhythm · doi:10.1016/j.hrthm.2008.05.031 · Cited by 93 · see citing works
Guijt, A. M., Sluiter, J. K., & Frings‐Dresen, M. H. W. (2006) · Archives of Medical Research · doi:10.1016/j.arcmed.2006.07.009 · Cited by 86 · see citing works
Ellis, R. J., Zhu, B., Koenig, J., Thayer, J. F., & Wang, Y. (2015) · Physiological Measurement · doi:10.1088/0967-3334/36/9/1827 · Cited by 85 · see citing works
Effect of Chiropractic Care on Heart Rate Variability and Pain in a Multisite Clinical Study
Zhang, J., Dean, D., Nosco, D., Strathopulos, D., & Floros, M. (2006) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2006.03.010 · Cited by 80 · see citing works
Heffernan, K. S., Jae, S. Y., Vieira‐Potter, V. J., Iwamoto, G. A., Wilund, K. R., Woods, J. A., & Fernhall, B. (2009) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.90936.2008 · Cited by 78 · see citing works
Short-term heart rate variability in healthy young adults
Koskinen, T., Kähönen, M. A. P., Jula, A., Laitinen, T. P., Keltikangas‐Järvinen, L., Viikari, J. S. A., Välimäki, I. A. T., & Raitakari, O. T. (2008) · Autonomic Neuroscience · doi:10.1016/j.autneu.2008.10.011 · Cited by 79 · see citing works
Bioharness(™) Multivariable Monitoring Device: Part. II: Reliability.
Johnstone, J., Ford, P. A., Hughes, G., Watson, T., & Garrett, A. T. (2012) · Europe PMC (PubMed Central) · Cited by 78 · see citing works
Heart rate variability in critical care medicine: a systematic review
Karmali, S. N., Sciusco, A., May, S. M., & Ackland, G. L. (2017) · Intensive Care Medicine Experimental · doi:10.1186/s40635-017-0146-1 · Cited by 78 · see citing works
Fractal properties of human heart period variability: physiological and methodological implications
Tan, C. O., Cohen, M. A., Eckberg, D. L., & Taylor, J. A. (2009) · The Journal of Physiology · doi:10.1113/jphysiol.2009.169219 · Cited by 77 · see citing works
Tekin, G., Tekin, A., Kılıçarslan, E. B., Haydardedeoğlu, B., Katırcıbaşı, T., Koçum, T., Erol, T., Çölkesen, Y., Sezgin, A. T., & Müderrisoğlu, H. (2007) · International Journal of Cardiology · doi:10.1016/j.ijcard.2007.08.037 · Cited by 75 · see citing works
Two‐week test–retest reliability of the P olar® RS 800 CX ™ to record heart rate variability
Williams, D. P., Jarczok, M. N., Ellis, R. J., Hillecke, T. K., Thayer, J. F., & Koenig, J. (2016) · Clinical Physiology and Functional Imaging · doi:10.1111/cpf.12321 · Cited by 73 · see citing works
Besson, C., Baggish, A. L., Monteventi, P., Schmitt, L., Stucky, F., & Grémeaux, V. (2025) · Scientific Reports · doi:10.1038/s41598-025-89892-3 · Cited by 74 · see citing works
Liu, Q., Wang, E. M., Yan, X. J., & Chen, S. L. (2013) · Journal of Digestive Diseases · doi:10.1111/1751-2980.12092 · Cited by 69 · see citing works
Is aerobic endurance a determinant of cardiac autonomic regulation?
Bosquet, L., Gamelin, F.-X., & Berthoin, S. (2007) · European Journal of Applied Physiology · doi:10.1007/s00421-007-0438-3 · Cited by 68 · see citing works
Aerobic Exercise for Sport-related Concussion: A Systematic Review and Meta-analysis
Langevin, P., Frémont, P., Fait, P. E., Dubé, M.-O., Bertrand-Charette, M., & Roy, J. (2020) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002402 · Cited by 67 · see citing works
Five-minute heart rate variability can predict obstructive angiographic coronary disease
Kotecha, D., New, G., Flather, M. D., Eccleston, D., Pepper, J., & Krum, H. (2012) · Heart · doi:10.1136/heartjnl-2011-300033 · Cited by 63 · see citing works
Heart rate variability: Evaluating a potential biomarker of anxiety disorders
Tomasi, J., Zai, C. C. H., Pouget, J. G., Tiwari, A. K., & Kennedy, J. L. (2023) · Psychophysiology · doi:10.1111/psyp.14481 · Cited by 66 · see citing works
DeBeck, L. D., Petersen, S. R., Jones, K. E., & Stickland, M. K. (2010) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00246.2009 · Cited by 62 · see citing works
Mali, B. Č., Gorjup, V., Edhemović, I., Brecelj, E., Čemažar, M., Serša, G., Stražišar, B., Miklavčič, D., & Jarm, T. (2015) · BioMedical Engineering OnLine · doi:10.1186/1475-925x-14-s3-s5 · Cited by 61 · see citing works
Reliability of heart rate measures used to assess post‐exercise parasympathetic reactivation
Dupuy, O., Mekary, S., Berryman, N., Bherer, L., Audiffren, M. F., & Bosquet, L. (2012) · Clinical Physiology and Functional Imaging · doi:10.1111/j.1475-097x.2012.01125.x · Cited by 59 · see citing works
Intra-day and inter-day reliability of heart rate variability measurement
Cipryan, L., & Litschmannová, M. (2012) · Journal of Sports Sciences · doi:10.1080/02640414.2012.721931 · Cited by 58 · see citing works
Autonomic dysfunction: a link between depression and cardiovascular mortality? The FINE Study
Kamphuis, M. H., Geerlings, M. I., Dekker, J. M., Giampaoli, S., Nissinen, A., Grobbee, D. E., & Kromhout, D. (2007) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e32829c7d0c · Cited by 55 · see citing works
Shin, J. H., Hwang, S. H., Chang, M. H., & Park, K. S. (2011) · Physiological Measurement · doi:10.1088/0967-3334/32/8/015 · Cited by 55 · see citing works
Autonomic Nervous System Responses to Concussion: Arterial Pulse Contour Analysis
Fountaine, M. F. L., Toda, M., Testa, A. J., & Hill-Lombardi, V. (2016) · Frontiers in Neurology · doi:10.3389/fneur.2016.00013 · Cited by 53 · see citing works
Revisiting the potential of time-domain indexes in short-term HRV analysis
Balocchi, R., Cantini, F., Varanini, M., Raimondi, G., Legramante, J. M., & Macerata, A. (2006) · Biomedizinische Technik/Biomedical Engineering · doi:10.1515/bmt.2006.034 · Cited by 52 · see citing works
Heart rate variability before and after cycle exercise in relation to different body positions.
Barak, O. F., Jakovljević, D. G., Popadić-Gaćeša, J., Ovcin, Z., Brodie, D. A., & Grujic, N. G. (2010) · Europe PMC (PubMed Central) · Cited by 49 · see citing works
Self-citationPosada-Quintero, H. F., Dimitrov, T., Moutran, A., Park, S., & Chon, K. H. (2019) · IEEE Access · doi:10.1109/access.2019.2899485 · Cited by 51 · see citing works
Bathula, R., Hughes, A. D., Panerai, R. B., Potter, J. F., Thom, S., Francis, D. P., Shore, A. C., Kooner, J. S., & Chaturvedi, N. (2010) · Diabetologia · doi:10.1007/s00125-010-1818-5 · Cited by 46 · see citing works
Reproducibility of heart rate variability and baroreflex sensitivity measurements in children
Dietrich, A., Rosmalen, J. G. M., Althaus, M., van Roon, A. M., Mulder, L. J. M., Minderaa, R. B., Oldehinkel, A. J., & Riese, H. (2010) · Biological Psychology · doi:10.1016/j.biopsycho.2010.05.005 · Cited by 45 · see citing works
Dantas, E. M., Gonçalves, C. P., Silva, A., Rodrigues, S. L., Ramos, M. S., Andreão, R. V., Pimentel, E. B., Lunz, W., & Mill, J. G. (2010) · Brazilian Journal of Medical and Biological Research · doi:10.1590/s0100-879x2010007500101 · Cited by 45 · see citing works
Plaza-Florido, A., Alcantara, J. M. A., Migueles, J. H., Amaro-Gahete, F. J., Acosta, F. M., Mora-Gonzalez, J., Sacha, J., & Ortega, F. B. (2020) · Scientific Reports · doi:10.1038/s41598-020-68197-7 · Cited by 44 · see citing works
Heart rate, heart rate variability and behaviour of horses during air transport
Munsters, C., de Gooijer, J., van den Broek, J., & van Oldruitenborgh-Oosterbaan, M. M. S. (2012) · Veterinary Record · doi:10.1136/vr.100952 · Cited by 44 · see citing works
Prediction of intrinsic and extraneous cognitive load with oculometric and biometric indicators
Ekin, M., Krejtz, K., Duarte, C., Duchowski, A. T., & Krejtz, I. (2025) · Scientific Reports · doi:10.1038/s41598-025-89336-y · Cited by 44 · see citing works
Short-term heart rate variability in resting conditions: methodological considerations
Plaza‐Florido, A., Sacha, J., & Alcántara, J. M. A. (2021) · Kardiologia Polska · doi:10.33963/kp.a2021.0054 · Cited by 43 · see citing works
Measurement fidelity of heart rate variability signal processing: The devil is in the details
Jarrin, D. C., McGrath, J. J., Giovanniello, S., Poirier, P., & Lambert, M. A. (2012) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2012.07.004 · Cited by 43 · see citing works
Stress Reactivity in Chronic Tinnitus
Betz, L. T., Mühlberger, A., Langguth, B., & Schecklmann, M. (2017) · Scientific Reports · doi:10.1038/srep41521 · Cited by 39 · see citing works
Maestri, R., Raczak, G., Daniłowicz‐Szymanowicz, L., Toruński, A., Sukiennik, A., Kubica, J., Rovere, M. T. L., & Pinna, G. D. (2009) · Clinical Science · doi:10.1042/cs20090183 · Cited by 39 · see citing works
Sadowski, A., Dunlap, C., Lacombe, A., & Hanes, D. (2021) · Clinical and Translational Gastroenterology · doi:10.14309/ctg.0000000000000275 · Cited by 38 · see citing works
Reliability of heart rate variability in patients with Type 2 diabetes mellitus
Sacre, J. W., Jellis, C. L., Marwick, T. H., & Coombes, J. S. (2011) · Diabetic Medicine · doi:10.1111/j.1464-5491.2011.03557.x · Cited by 37 · see citing works
Elovainio, M. J., Merjonen, P., Pulkki-Råbäck, L., Mika Kivimaki, B., Jokela, M. M., Mattson, N., Koskinen, T., Viikari, J. S. A., Raitakari, O. T., & Keltikangas‐Järvinen, L. (2011) · Biological Psychology · doi:10.1016/j.biopsycho.2011.03.002 · Cited by 37 · see citing works
Chua, E. C.-P., Yeo, S. C., Lee, I. T.-G., Tan, L.-C., Lau, P., Tan, S. S., Mien, I. H., & Gooley, J. J. (2014) · Physiological Reports · doi:10.14814/phy2.12129 · Cited by 37 · see citing works
Vasconcellos, F. V. D. A., Seabra, A., da Cunha, F. A., Montenegro, R. A., Bouskela, E., & Farinatti, P. (2015) · Blood Pressure Monitoring · doi:10.1097/mbp.0000000000000143 · Cited by 38 · see citing works
Test-Retest Reliability of Pediatric Heart Rate Variability
Weiner, O. M., & McGrath, J. J. (2016) · Journal of Psychophysiology · doi:10.1027/0269-8803/a000161 · Cited by 39 · see citing works
Tomasi, J., Zai, C. C. H., Zai, G. C., Herbert, D., Richter, M. A., Mohiuddin, A. G., Tiwari, A. K., & Kennedy, J. L. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.01.137 · Cited by 37 · see citing works
Normative values, reliability and sample size estimates in heart rate variability
SANDERCOCK, G. R. H. (2007) · Clinical Science · doi:10.1042/cs20070137 · Cited by 37 · see citing works
Self-citationShort- and long-term reliability of heart rate variability indices during repetitive low-force work
Hallman, D., Srinivasan, D., & Mathiassen, S. E. (2014) · European Journal of Applied Physiology · doi:10.1007/s00421-014-3066-8 · Cited by 36 · see citing works
Picchiottino, M., Honoré, M., Leboeuf‐Yde, C., Gagey, O., Cottin, F., & Hallman, D. (2020) · Chiropractic & Manual Therapies · doi:10.1186/s12998-019-0293-4 · Cited by 37 · see citing works
Reliability of short-term measurements of heart rate variability: Findings from a longitudinal study
Uhlig, S., Meylan, A., & Rudolph, U. (2020) · Biological Psychology · doi:10.1016/j.biopsycho.2020.107905 · Cited by 36 · see citing works
Cui, X., Tian, L., Li, Z., Ren, Z., Zha, K., Wei, X., & Peng, C. (2020) · Entropy · doi:10.3390/e22111302 · Cited by 35 · see citing works
Abellán‐Aynés, O., Manonelles, P., & Alacid, F. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18115934 · Cited by 34 · see citing works
Rickards, C. A., Ryan, K. L., & Convertino, V. A. (2009) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-009-9210-z · Cited by 32 · see citing works
Dourado, V. Z., & Guerra, R. L. F. (2013) · Brazilian Journal of Medical and Biological Research · doi:10.1590/1414-431x20122376 · Cited by 31 · see citing works
Berger, M., Raffin, J., Pichot, V., Hupin, D., Garet, M., Labeix, P., Costes, F., Barthélemy, J., & Roche, F. (2019) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.13447 · Cited by 31 · see citing works
Leicht, A. S., & Allen, G. D. (2008) · Brazilian Journal of Medical and Biological Research · doi:10.1590/s0100-879x2008000700013 · Cited by 30 · see citing works
Karavirta, L., Costa, M. D., Goldberger, A. L., Tulppo, M. P., Laaksonen, D. E., Nyman, K., Keskitalo, M., HÄKKINEN, A. H., & Häkkinen, K. (2013) · PLoS ONE · doi:10.1371/journal.pone.0072664 · Cited by 30 · see citing works
Kemp, A. H., López, S. R., Passos, V. M. D. A., Bittencourt, M. S., Dantas, E. M., Mill, J. G., Ribeiro, A. L. P., Thayer, J. F., Benseñor, I. M., & Lotufo, P. A. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2016.04.006 · Cited by 30 · see citing works
ECG-Based Semi-Supervised Anomaly Detection for Early Detection and Monitoring of Epileptic Seizures
Karasmanoglou, A., Antonakakis, M., & Zervakis, M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20065000 · Cited by 30 · see citing works
Inter- and Intra-Individual Variations of Heart Rate Variability in Japanese Males
Kobayashi, H. (2007) · Journal of PHYSIOLOGICAL ANTHROPOLOGY · doi:10.2114/jpa2.26.173 · Cited by 30 · see citing works
da Cruz, C. J. G., Porto, L. G. G., Rolim, P. D. S., Pires, D. D. S., Garcia, G. L., & Molina, G. E. (2019) · Clinics · doi:10.6061/clinics/2019/e806 · Cited by 29 · see citing works
Frailty and heart response to physical activity
Toosizadeh, N., Ehsani, H., Parthasarathy, S., Carpenter, B., Ruberto, K., Mohler, J. M., & Parvaneh, S. (2020) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2020.104323 · Cited by 29 · see citing works
Autonomic dysfunction in women with polycystic ovary syndrome.
Hashim, Z. H., Hamdan, F. B., & Al-Salihi, A. R. (2015) · Europe PMC (PubMed Central) · Cited by 29 · see citing works
Salahuddin, L. B., Jeong, M. G., & Kim, D. (2007) · IEEE International Conference on e-Health Networking, Applications and Services (Healthcom) · doi:10.1109/health.2007.381639 · Cited by 29 · see citing works
Hu, X., Sgherza, T. R., Nothrup, J. B., Fresco, D. M., Naragon‐Gainey, K., & Bylsma, L. M. (2024) · Behavior Research Methods · doi:10.3758/s13428-024-02387-3 · Cited by 29 · see citing works
Gronwald, T., Schaffarczyk, M., & Hoos, O. (2024) · European Journal of Applied Physiology · doi:10.1007/s00421-024-05601-4 · Cited by 29 · see citing works
A Comparative Approach to ECG Feature Extraction Methods
Molaei-Vaneghi, F., Oladazimi, M., Shiman, F., Kordi, A., Safari, M. J., & Ibrahim, F. (2012) · International Conference on Intelligent Systems, Modelling and Simulation · doi:10.1109/isms.2012.35 · Cited by 28 · see citing works
- Authors
- Sandercock, G. R. H., Bromley, P. D., & Brodie, D. A.
- Corresponding author
- Sandercock, Gavin R.H.
- Venue
- International Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2005-09
- Volume
- 103
- Issue
- 3
- Pages
- 238-247
- ISSN
- 0167-5273 (ISSN-L)
- OpenAlex
- W2072450200
- Cited by
- 307
- References
- 72
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 18 · 2023: 13 · 2022: 11 · 2021: 15 · 2020: 29 · 2019: 13 · 2018: 11 · 2017: 13 · 2016: 24 · 2015: 12 · 2014: 14 · 2013: 19 · 2012: 22
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
- Keywords
- heart rate variability, measurement reliability, autonomic function, intraclass correlation coefficient, limits of agreement, test-retest reliability, clinical populations, healthy volunteers, sample size determination
- MeSH terms
- Heart Rate, Humans, Reproducibility of Results
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