Heart rate variability in patients with insomnia disorder: a systematic review and meta-analysis

被引:2
作者
Zhao, Wen [1 ]
Jiang, Binghu [2 ]
机构
[1] Tianjin Med Univ, Nankai Univ, Tianjin Cent Hosp 4, Cent Clin Coll 4,Cent Hosp 4,Dept Cardiol, Tianjin 300140, Peoples R China
[2] Nanchong Cent Hosp, Clin Med Coll 2, North Sichuan Med Coll, Dept Radiol, 97 Renmin South Rd, Nanchong 637000, Sichuan, Peoples R China
关键词
Heart rate variability; HRV; Insomnia disorder; R_equivalent; SLEEP; R(EQUIVALENT);
D O I
10.1007/s11325-022-02720-0
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Though logical inference based on small studies suggests that patients with insomnia have a blunted heart rate variability (HRV), this condition not been clearly shown. This meta-analysis aimed to determine whether or not HRV was impaired in patients with insomnia. Materials and methods We conducted a comprehensive literature search for studies that examined the association of HRV with insomnia disorder. HRV measures were extracted using the SDNN (time-domain measure, i.e., standard deviation of all NN intervals,) or the HF-norm (frequency-domain measure, i.e., high-frequency power normalized using total power). The effect size estimates of R_equivalent obtained from p values and sample size were synthesized. Results We identified 17 studies with 921 participants. The pooled R_equivalent was 0.19 with 95% CI of 0.12 and 0.25 (p < 0.001), and there was no significant heterogeneity (I-2 = 0.0%, p = 0.809). A p value of 0.075 corresponding to the R_equivalent of 0.19 was obtained, suggesting that blunted HRV was not significant in patients with insomnia disorder. Conclusion The current evidence did not confirm that HRV was reliably impaired in patients with insomnia disorder. Prospective studies using standard HRV measures are needed to clarify the HRV dynamics in different insomnia subtypes.
引用
收藏
页码:1309 / 1313
页数:5
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