Key result
Application of different Kubios filters for threshold-based artefact correction significantly impacted HRV derived parameters in both time and frequency domains across all cohorts (p<0.001).
Why the study?
Heart rate variability recordings often show artefacts, and the impact of different threshold-based artefact correction filters in Kubios software on HRV quantification required evaluation.
Does the level of threshold-based artefact correction (Kubios filters) impact the quantification of heart rate variability parameters in short-term recordings?
Observational (n=312)
Does the level of threshold-based artefact correction (Kubios filters) impact the quantification of heart rate variability parameters in short-term recordings?
p-value: p=<0.001
The choice of artefact correction filter in Kubios software significantly impacts the quantification of heart rate variability parameters, highlighting the need for standardized methodological reporting.
Different Kubios artefact filters may substantially alter short-term HRV metrics; leaves open the need for standardized correction protocols in research reporting.
Heart rate variability (HRV) is a non-invasive indicator of autonomic nervous system function. HRV recordings show artefacts due to technical and/or biological issues. The Kubios software is one of the most used software to process HRV recordings, offering different levels of threshold-based artefact correction (i.e., Kubios filters). The aim of the study was to analyze the impact of different Kubios filters on the quantification of HRV derived parameters from short-term recordings in three independent human cohorts. A total of 312 participants were included: 107 children with overweight/obesity (10.0 ± 1.1 years, 58% men), 132 young adults (22.2 ± 2.2 years, 33% men) and 73 middle-aged adults (53.6 ± 5.2 years, 48% men). HRV was assessed using a heart rate monitor during 10–15 min, and the Kubios software was used for HRV data processing using all the Kubios filters available (i.e., 6). Repeated-measures analysis of variance indicated significant differences in HRV derived parameters in the time-domain (all p < 0.001) across the Kubios filters in all cohorts, moreover similar results were observed in the frequency-domain. When comparing two extreme Kubios filters, these statistical differences could be clinically relevant, e.g. more than 10 ms in the standard deviation of all normal R-R intervals (SDNN). In conclusion, the results of the present study suggest that the application of different Kubios filters had a significant impact on HRV derived parameters obtained from short-term recordings in both time and frequency-domains.
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Alcántara et al. (2020) conducted an observational in Healthy and overweight/obese individuals (n=312). Different levels of threshold-based artefact correction (Kubios filters) vs. Comparison across 6 available Kubios filters was evaluated on HRV derived parameters in the time-domain and frequency-domain (p=<0.001). Application of different Kubios filters for threshold-based artefact correction significantly impacted HRV derived parameters in both time and frequency domains across all cohorts (p<0.001).
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