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March 1, 2021PLoS ONE36 citationsOpen Access

Phasic heart rate variability and the association with cognitive performance: A cross-sectional study in a healthy population setting

KHKathrin HilgarterKSKarin Schmid‐ZalaudekRCRegina Csanády-Leitner

Key Result

Higher phasic heart rate variability (SDNN) during the anticipation phase of acute psychological stress was significantly associated with better verbal episodic memory performance.

Study Design

Type

Cross-Sectional (n=114)

Multicenter

No

Structured PICO

Is phasic heart rate variability associated with cognitive performance in a healthy population?

P
Population
114 healthy individuals (40 males, 74 females) aged 20 to 70 years, mean age 36.8. Key inclusion: no existing cardiovascular disease, no chronic disease, no psychological disorder, no history of addiction, no cardiovascular prescription medication usage, no competitive athletes, no existing pregnancy, and BMI < 35 kg/m2.
I
Intervention
High cognitive performance group (classified by median split of California Verbal Learning Task II variables)
C
Comparator
Low cognitive performance group (classified by median split of California Verbal Learning Task II variables)
O
Outcome
Phasic heart rate variability (SDNN, RMSSD, LF, HF, LF/HF ratio) across rest, anticipatory, stress, and recovery periodssurrogate

Reduced heart rate variability is associated with lower cognitive function in healthy individuals, suggesting it may serve as an early indicator of sympathovagal disbalance before disease manifestation.

Main Result

Effect estimate: η2 = 0.03

p-value: p=0.035

Limitations

  • Use of self-reported information to screen for a relatively healthy population cannot guarantee absence of underlying diseases
  • Generalizability is limited due to the healthy population setting
  • Heterogenic and small sample size
  • HRV indices like SDNN depend on the length of the recordings, restricting comparability with other studies
  • Females and younger adults are predominant in the study compared to males or older adults

Abstract

INTRODUCTION: Sympathovagal balance measured by heart rate variability is a core component of psychophysiological research. Through the close link of physiological and psychological aspects, often a reduced heart rate variability is associated with impaired cognitive function. A better understanding of the associations between cognitive and cardiovascular dysfunctions is necessary to prevent the manifestation of diseases. Therefore, this study investigated phasic heart rate variability using rest, anticipatory, stress, and recovery periods and the association with high and low cognitive performance in a generally healthy population setting. METHODS: 114 healthy individuals (40 males, 74 females) aged 20 to 70 participated in the cross-sectional study. The heart rate variability based on standard deviation of NN intervals (SDNN), and the root means square of successive differences (RMSSD), low frequency (LF), high frequency (HF) and LF/HF ratio and its association with high and low cognitive performance measured by the California Verbal Learning Task II were examined. RESULTS: The results of this study indicate that the paradigm was successful in producing stress and showed a significant association between phasic heart rate variability (SDNN) and verbal episodic memory performance, irrespective of age and sex. DISCUSSION: The results of this study suggest that a reduced heart rate variability is associated with reduced cognitive function regardless of age and sex and seem to be an early indicator of sympathovagal disbalance. CONCLUSION: This leads to the conclusion that differences between high and low cognitive performance might show differences in heart rate variability at an early stage, where no diseases are yet manifest.

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Cite This Study

Hilgarter et al. (2021) conducted a cross-sectional in Healthy individuals (n=114). Phasic heart rate variability assessment (rest, anticipation, stress, recovery) vs. High vs. low cognitive performance was evaluated on Interaction between period and cognitive performance (T1) for SDNN (η2 = 0.03, p=0.035). Higher phasic heart rate variability (SDNN) during the anticipation phase of acute psychological stress was significantly associated with better verbal episodic memory performance.

synapsesocial.com/papers/6a162c10599ca9964c8e90b1https://doi.org/10.1371/journal.pone.0246968
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