Evidence map›Paper›PMID 27039097›Full record

ArticleSleep & breathing = Schlaf & Atmung2016

Scaling exponent values as an ordinary function of the ratio of very low frequency to high frequency powers in heart rate variability over various sleep stages.

Ren-Jing Huang, Ching-Hsiang Lai, Shin-Da Lee, Wei-Che Wang, Ling-Hui Tseng, Yu-Pin Chen, Shen-Wen Chang, Ai-Hui Chung, Hua Ting

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. [Effect of Objective Daytime Sleepiness on Heart Rate Variability in Patients With Obstructive Sleep Apnea].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    Article
  2. Article
  3. [Novel type of unperturbed sleep monitoring scheme under pillow based on hidden Markov model].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2018
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Ren-Jing HuangDepartment of Medical Image and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan.
Ching-Hsiang LaiDepartment of Applied Information Sciences, Chung Shan Medical University, Taichung, Taiwan.
Shin-Da LeeDepartment of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung, Taiwan.
Wei-Che WangDepartment of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, 110, Sec. 1, Jianguo N. Rd, Taichung, 40201, Taiwan.
Ling-Hui TsengDepartment of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, 110, Sec. 1, Jianguo N. Rd, Taichung, 40201, Taiwan.
Yu-Pin ChenDepartment of Medical Image and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan.
Shen-Wen ChangSleep Medicine Center, Chung Shan Medical University Hospital, 110, Sec. 1, Jianguo N. Rd, Taichung, 40201, Taiwan.
Ai-Hui ChungSleep Medicine Center, Chung Shan Medical University Hospital, 110, Sec. 1, Jianguo N. Rd, Taichung, 40201, Taiwan.
Hua TingDepartment of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, 110, Sec. 1, Jianguo N. Rd, Taichung, 40201, Taiwan. huating@csmu.edu.tw.
Chung Shan Medical University Hospital · TWChung Shan Medical University · TWAsia University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the physiological meanings of the detrended fluctuation analysis (DFA) slope α and its relationship to spectral measures in heart rate variability, this study investigated changes of α and its corresponding spectral measures over various night-sleep stages.

methodsThe overall DFA α and natural-logarithm-transformed power values of the spectral parameters ln[high-frequency (HF)], ln[low-frequency (LF)], and ln[very-low-frequency (VLF)], and their relationship from one 5-min proper electrocardiography segment in each of pre-sleep-wakefulness (AWK), non-rapid eye movement stage 2 (N2), slow-wave (N3), the first and the latest rapid-eye movement sleep (REM1, and REM2), were computed in 93 otherwise healthy males (44.1 ± 7.7 years.) with wide-ranged apnea-hypopnea, periodic-limb movement and arousal indices (19.0 ± 20.9, 4.7 ± 9.9, and 10.7 ± 18.2 h, respectively).

resultsWhile ln(HF) dipped from AWK, N2, and N3 to REM1 then rebounded to the origin level at REM2, ln(VLF) dipped from AWK to N2, N3 trough, and then surged to levels surpassing AWKs and N2s at REM1 and REM2. ln(LF/HF), ln(VLF/HF), and α dipped from AWK and N2 to N3 trough, surged to levels surpassing AWKs, and N2s at REM1 then became attenuated at REM2. By general linear modeling, the relationship between α and the corresponding spectral values can be seen over various stages as α = b 0 + 0.147 × ln(VLF/HF) (R (2) = 0.766), regardless of age and sleep-sympathoexcitatory episodes.

conclusionThe REM sleep attenuations appeared in ln(HF) and its derivatives, such as ln(LF/HF), ln(VLF/HF), and the overall DFA slope α values. The quantitative function of ln(VLF/HF) describes the α values constantly for overnight sleep stages, and it is not affected by age, LF, PLM, and AHI. Our findings therefore suggest that in sleep studies with spectral HRV measures, ln(VLF/HF) as a surrogate of the overall DFA slope α should be calculated at the same time.

Indexed as

ElectrocardiographyPolysomnographySignal Processing, Computer-AssistedAdultAutonomic Nervous SystemBody Temperature RegulationHeart RateHumansMaleMiddle AgedSleep Apnea, ObstructiveSleep StagesStatistics as TopicSympathetic Nervous SystemVagus NerveAutonomic nervous systemPeriodic limb movementSleep apneaThermoregulationVagus nerve

Identifiers

PMID27039097
OpenAlexW2324973422

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.