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13-03-2024

Effects of stress management interventions on heart rate variability in adults with cardiovascular disease: a systematic review and meta-analysis

Auteurs: Emily C. Gathright, Joel W. Hughes, Shufang Sun, Laurie E. Storlazzi, Julie DeCosta, Brittany L. Balletto, Michael P. Carey, Lori A. J. Scott-Sheldon, Elena Salmoirago-Blotcher

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2024

Abstract

Meta-analysis was used to investigate the potential benefits of stress management interventions (SMIs) on vagally-mediated heart rate variability (HRV) in adults with cardiovascular disease. Electronic bibliographic databases were searched through August 2022. Randomized controlled trials and quasi-experimental studies assessing effects of SMIs on HRV were included. Methodological quality was assessed with a standardized checklist. A pooled effect size was calculated for vagally-mediated HRV indices (standard deviation of normal-to-normal intervals, root mean square of the successive differences, and high frequency power) using random effects models. Fourteen studies (1202 participants, M_age: 59 ± 6.25 years; 25% ± 16% women; 61% ± 22% White) were included. Ten studies (11 effects) reported short-term HRV assessment; a small between-group difference emerged for vagally-mediated HRV (d+ = .27, 95% confidence interval [CI] 0.01–0.52, k = 11). Most interventions examined biofeedback; these studies yielded a small between-group difference on vagally-mediated HRV (d+ = 0.31, 95% CI 0.09–0.53, k = 7, Q [6] = 3.82, p = .70, I² = 11%). This is the first systematic examination of the effect of SMIs on HRV in adults with CVD. Findings suggest a small effect of SMIs on vagally-mediated HRV, with biofeedback likely driving the effect. More research is required to fully understand whether this benefit on vagally-mediated HRV applies to other SMIs.

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Titel: Effects of stress management interventions on heart rate variability in adults with cardiovascular disease: a systematic review and meta-analysis
Auteurs: Emily C. Gathright
Joel W. Hughes
Shufang Sun
Laurie E. Storlazzi
Julie DeCosta
Brittany L. Balletto
Michael P. Carey
Lori A. J. Scott-Sheldon
Elena Salmoirago-Blotcher
Publicatiedatum: 13-03-2024
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2024
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-024-00468-4

Bohn Stafleu van Loghum

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Abstract

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