Key result
Highly arousing evening video gaming blunts vagally-mediated HRV increases during sleep versus watching nature films.
Why the study?
The impact of highly arousing evening video gaming compared with passive digital media consumption on vagally-mediated heart rate variability and heart rate during subsequent sleep in healthy young men remained unclear.
Does 120 minutes of highly arousing evening video gaming reduce vagally-mediated heart rate variability during subsequent sleep compared to passive media consumption in healthy male habitual gamers?
RCT (n=31)
Randomized, counterbalanced within-subject design
No
Does 120 minutes of highly arousing evening video gaming reduce vagally-mediated heart rate variability during subsequent sleep compared to passive media consumption in healthy male habitual gamers?
Effect estimate: R2m 0.051
p-value: p=0.04
Highly arousing evening video gaming impedes parasympathetic recovery during subsequent sleep compared to passive media consumption, as evidenced by blunted increases in vagally-mediated heart rate variability.
Encourages caution with arousing pre-sleep gaming for autonomic recovery; extends RCT evidence on behavioral influences on nocturnal vmHRV.
This study examines the impact of highly arousing video gaming compared to passive digital media consumption on vagally-mediated heart rate variability (vmHRV) and heart rate (HR) during subsequent sleep in healthy young men. Using a randomized, counterbalanced within-subject design, 31 habitual gamers (mean age: 23 years; BMI: 25.68; gaming experience: 8.69 years; daily gaming time: 1.96 h) alternated between two conditions: 120 min of evening video gaming or watching a nature film of equivalent duration, on two consecutive days per condition. Electrocardiogram (ECG) data collected during sleep revealed that while both conditions were associated with an increase in vmHRV, indicative of parasympathetic recovery, this increase was significantly greater following the film condition (RMSSD: t(446.1) = 2.05, p = 0.04; HF-HRV: t(446.1) = 2.00, p = 0.05). The marginal R 2 values (RMSSD: 0.051, HF-HRV: 0.042) indicate that while the effect is present, it is moderate. No significant differences in HR were detected between conditions, supporting the idea that vmHRV is a more sensitive marker of autonomic modulation than HR. These findings underscore the potential of evening digital activity to modulate autonomic recovery processes. Specifically, highly stimulating gaming may impede parasympathetic activation, compared to the restorative effects of passive media consumption. This study contributes to the understanding of physiological responses to digital engagement and highlights the importance of mindful pre-sleep activities.
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Alesi et al. (2025) conducted an RCT in Healthy habitual gamers (n=31). Highly arousing video gaming vs. Watching a nature film was evaluated on Vagally-mediated heart rate variability (RMSSD) during sleep (R2m 0.051, p=0.04). Highly arousing evening video gaming resulted in a significantly smaller increase in vagally-mediated heart rate variability during subsequent sleep compared to watching a nature film.
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