Transition of Human Heart Rate Variability and Body Acceleration during the COVID-19 Pandemic Observed from Holter Electrocardiogram Big Data

Q: What are the key findings of this study?

The COVID-19 pandemic was associated with a significant decrease in heart rate variability in both younger and elderly groups compared to pre-pandemic levels (P<0.01).

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Healthy individuals and patients undergoing Holter monitoring (n=22528). Intervention: COVID-19 pandemic vs. Before COVID-19 pandemic (2019). Primary outcome: Heart rate variability (HRV) (p=<0.01).

Yutaka Yoshida; Emi Yuda

doi:10.5057/ijae.ijae-d-23-00022

January 1, 2024International Journal of Affective EngineeringOpen Access

Transition of Human Heart Rate Variability and Body Acceleration during the COVID-19 Pandemic Observed from Holter Electrocardiogram Big Data

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Key result

COVID-19 pandemic linked to decreased HRV in younger and elderly groups vs pre-pandemic levels.

P<0.01
n=22,528

Why the study?

To investigate changes in heart rate variability and body acceleration in younger and elderly groups during the COVID-19 pandemic using Holter electrocardiogram big data.

Does the COVID-19 pandemic environment affect heart rate variability and body acceleration in younger and elderly populations?

Study Design

Type

Observational (n=22,528)

Structured PICO

Does the COVID-19 pandemic environment affect heart rate variability and body acceleration in younger and elderly populations?

P

Population

22,528 individuals (younger adults around 22 years and older adults around 72 years) undergoing 24-hour Holter monitoring, analyzed to compare heart rate variability and body acceleration before and during the COVID-19 pandemic.

E

Exposure

COVID-19 pandemic period (2020 and 2021)

C

Comparator

Pre-COVID-19 pandemic period (2019)

O

Outcome

Changes in heart rate variability (HRV) indices (SDRR, ULF, VLF, LF, HF, LF/HF, HFF) and body acceleration (BA)surrogate

Main Result

p-value: p=<0.01

Limitations

Not a longitudinal follow-up of the same individuals over the 3-year period.
Inability to isolate specific factors (e.g., mental stress vs. mask usage) causing HRV changes due to unmeasured confounders like region, occupation, and lifestyle.
Analysis restricted to only younger (20s) and elderly (70s) groups, excluding middle-aged populations.
Need for further analysis of data from 2021 onwards to fully understand long-term pandemic effects.
Not a follow-up survey of the same individuals over 3 years
Difficult to verify the exact factors (e.g., mental stress, mask wearing) causing HRV changes from these results
Only compared younger (20s) and elderly (70s) groups, excluding other age groups and gender differences

Implication

The COVID-19 pandemic was associated with a significant decrease in heart rate variability in both younger and elderly populations, potentially reflecting increased mental stress and lifestyle changes.

Abstract

In this paper, we used ALLSTAR big data to investigate changes in Heart rate variability(HRV) and body acceleration(BA) in younger (20s) and elderly groups (70s) during the COVID-19 pandemic. Compared to before (2019) and during (2020, 2021) the COVID-19 pandemic, significant decrease in HRV was observed in both the younger and the elderly groups (P<0.01). BA in the younger groups decreased significantly in 2020 compared to 2019, and no significant difference was observed in the elderly group. Mental stress due to the COVID-19 pandemic is thought to be one of the factors contributing to the decrease in HRV. In the elderly group, respiratory frequency was faster in 2020 than in 2019 (P<0.01) and slower in 2021 than in 2020 (P<0.01). It is thought that the respiratory frequency is changing due to the mask life.

Discussion

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Cite This Study

Yoshida et al. (2024) conducted an observational in Healthy individuals and patients undergoing Holter monitoring (n=22,528). COVID-19 pandemic vs. Before COVID-19 pandemic (2019) was evaluated on Heart rate variability (HRV) (p=<0.01). The COVID-19 pandemic was associated with a significant decrease in heart rate variability in both younger and elderly groups compared to pre-pandemic levels (P<0.01).

synapsesocial.com/papers/6a4d93dc6c3ae3769c077c01 https://doi.org/10.5057/ijae.ijae-d-23-00022

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Transition of Human Heart Rate Variability and Body Acceleration during the COVID-19 Pandemic Observed from Holter Electrocardiogram Big Data

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

Transition of Human Heart Rate Variability and Body Acceleration during the COVID-19 Pandemic Observed from Holter Electrocardiogram Big Data

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

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