Key result
Sex and age moderate heart rate variability's link to chronotropy, with associations strongest in women.
Why the study?
Previous studies suggested sex differences in vagal control of cardiac chronotropy in young adults, but little is known regarding these differences in older individuals.
Cross-Sectional (n=215)
Yes
These findings reveal significant age and sex differences in vagal mechanisms of cardiac chronotropic control, highlighting a pronounced loss of vagal chronotropic regulation in aging men that may inform sex-specific cardiovascular vulnerabilities.
Sex- and age-specific HRV-chronotropy links should not yet alter practice; leaves open their prognostic value in longitudinal studies.
Using heart rate variability (vmHRV) as a proxy of cardiac vagal modulation, previous studies have hinted at sex differences in the vagal control of cardiac chronotropy in young adults, but little is known in older individuals. The current study aimed at investigating for the first time the moderating role of both sex and age in the relationship between vmHRV and cardiac chronotropy in younger (n = 106, mean age: 19.9 (3.5) years) and older (n = 109, mean age: 72.8 (2.6) years) individuals. Further, we explored the effects of hormone replacement therapy on such association in a sub-sample of post-menopausal women (n = 17). Resting measures of the average inter-beat interval (IBI, as index of cardiac chronotropy) and vmHRV were collected. The results indicate (i) stronger associations between vmHRV and IBI in young adults and post-menopausal women compared to age-matched men, (ii) a weaker or no association in older women and men, respectively, and (iii) no effects of hormone replacement therapy in post-menopausal women. This study provides evidence of sex and age differences in the association between vmHRV and cardiac chronotropy, offering novel insight into vagal mechanisms of cardiac chronotropic control that may inform our understanding of sex- and age-related vulnerability to negative health outcomes.
No takes yet. Share an insight, caveat, or question.
Carnevali et al. (2025) conducted a cross-sectional in Healthy younger adults and older adults with managed hypertension (n=215). Heart rate variability (vmHRV) indexed by RMSSD was evaluated on Moderating effect of sex on the association between lnRMSSD and inter-beat interval in older adults (B = 146.5, 95% CI 48.6-244.4, p=0.004). Sex and age significantly moderated the relationship between heart rate variability and cardiac chronotropy, demonstrating a stronger association in young and post-menopausal women compared to age-matched men, and a loss of this association in older men.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: