Cited by 10Neural dynamics and brain functionEEG and Brain-Computer InterfacesHeart Rate Variability and Autonomic Control

Electroencephalographic Biomarkers of Relaxation: A Systematic Review and Meta-analysis

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Sugimoto, Kairi, Kurashiki, Hideaki, Xu, Yuting, Takemi, Mitsuaki, Amano, Kaoru·2026·Journal of Cognitive Neuroscience

Published version of a preprint

Abstract

Alpha oscillations (8–13 Hz), which are prominent in human EEG, have long been considered a neural marker of relaxation. However, the extent to which different frequency bands and electrode positions of the EEG reflect relaxation remains unclear. This systematic review and meta-analysis assessed the associations between EEG components and concurrently measured the reference indices of relaxation in healthy adults. A comprehensive database search and screening employing preset criteria identified 54 studies that involve 2569 participants published from January 1940 to March 2025 for qualitative synthesis. These studies utilized various reference relaxation measures, such as electrocardiographic (ECG) indices associated with parasympathetic nervous system activity and introspective indices obtained through questionnaires. Risks of bias were assessed based on the risk of bias assessment tool for nonrandomized studies. A meta-analysis of 31 studies employing a random-effects model revealed positive correlations between relaxation indices and the power of alpha oscillations in three specific combinations of EEG channel regions and reference index types: frontal channels with all reference indices, central channels with ECG-related indices, and occipital channels with questionnaire-based indices. No significant correlations were observed between relaxation indices and other EEG frequencies or channels. These findings indicate that alpha oscillations in different scalp regions may represent distinct aspects of the relaxation response based on the type of reference measure used.

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Authors
Sugimoto, K., Kurashiki, H., Xu, Y., Takemi, M., & Amano, K.
Affiliations
  • Waseda University (JP)
  • Keio University (JP)
  • The University of Tokyo (JP)
Corresponding author
Amano, Kaoru
Venue
Journal of Cognitive Neuroscience
Publisher
MIT Press
Published
2026
Volume
38
Issue
3
Pages
598-628
ISSN
  • 0898-929X (ISSN-L)
  • 1530-8898
OpenAlex
W4414909548
Cited by
10
References
23
Citations by year
2026: 6 · 2025: 2 · 2024: 1 · 2023: 1
FWCI
1.33
Type
journal article
Language
en
Open access
Locations
  • Journal of Cognitive Neuroscience (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
  • PubMed (publishedVersion)
Funders
Moonshot Research and Development Program (JPMJMS2012)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
  • Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Keywords
relaxation, alpha oscillations, EEG biomarkers, parasympathetic activity, electrocardiographic indices, frontal EEG channels, EEG frequency bands, relaxation response
MeSH terms
Alpha Rhythm, Electroencephalography, Humans, Relaxation, Biomarkers

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