ArticlePsychosomatic medicine
The Association of Cigarette Smoking With High-Frequency Heart Rate Variability: An Ecological Momentary Assessment Study.
Article in Psychosomatic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07067151 (Use of Noninvasive Wearables Biomonitoring to Detect Pre-Smoking, Smoking, And Post-Smoking Stages), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Use of Noninvasive Wearables Biomonitoring to Detect Pre-Smoking, Smoking, And Post-Smoking Stages: An Observational Laboratory Study
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Wearable Devices to Diagnose and Monitor the Progression of COVID-19 Through Heart Rate Variability Measurement: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2023Pooled it
- Comparative effects of electronic and traditional cigarette use on pulmonary function, autonomic regulation, and exercise capacity in young adults.Irish journal of medical science · 2026Article
- Article
- Parasympathetic decreases immediately following self-reported cannabis smoking among adults living with cannabis use disorder.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2025Article
- Relative importance of temporal and location features in predicting smoking events.NPJ digital medicine · 2025Article
- Heart Rate Variability (HRV) in Patients with Sleep Apnea and COPD: A Comprehensive Analysis.Journal of clinical medicine · 2025Review
- Gritty Heart: Improved Heart Rate Variability Markers of Adaptive Physiological Response in Grit.Psychophysiology · 2025Article
- Exploring the relationship between sleep patterns, alcohol and other substances consumption in young adults: Insights from wearables and Mobile surveys in the National Consortium on alcohol and NeuroDevelopment in adolescence (NCANDA) cohort.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2025Article
- Changes in heart rate variability during an eHealth behavior change intervention program in patients with cardiovascular disease.International journal of cardiology. Heart & vasculature · 2024Article
- Protocol for a randomized controlled trial comparing phone-based prenatal mindfulness training to usual care for pregnant people at risk for hypertensive disorders of pregnancy.Contemporary clinical trials · 2024Article
- Phenotyping the autonomic nervous system in pregnancy using remote sensors: potential for complication prediction.Frontiers in physiology · 2023Article
- Ultrasound evaluation of vagus nerve cross-sectional area in a community-dwelling elderly Japanese cohort.PloS one · 2023Article
- Sleep Quality Associated with Habitual Physical Activity Level and Autonomic Nervous System of Smokers.Arquivos brasileiros de cardiologia · 2021Article
- Phasic heart rate variability and the association with cognitive performance: A cross-sectional study in a healthy population setting.PloS one · 2021Article
- Analysis of Heart Rate Variability and Implication of Different Factors on Heart Rate Variability.Current cardiology reviews · 2021Review
- Theoretical implications and clinical support for heart rate variability biofeedback for substance use disorders.Current opinion in psychology · 2019Review
- The Association of Autonomic Nervous System Function With Ischemic Stroke, and Treatment Strategies.Frontiers in neurology · 2019Review
- Potential benefits of integrating ecological momentary assessment data into mHealth care systems.BioPsychoSocial medicine · 2019Review
- The Vagus Nerve Can Predict and Possibly Modulate Non-Communicable Chronic Diseases: Introducing a Neuroimmunological Paradigm to Public Health.Journal of clinical medicine · 2018Article
- Combining ecological momentary assessment with objective, ambulatory measures of behavior and physiology in substance-use research.Addictive behaviors · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectiveEvidence from both laboratory and observational studies suggests that acute and chronic smoking leads to reduced high-frequency heart rate variability (HF-HRV), a measure of cardiac vagal regulation. We used ecological momentary assessment (EMA) to study the effect of smoking on concurrent HF-HRV in a trial measuring the effects of hostility reduction and compared 24-hour HF-HRV in smokers and nonsmokers.
methodAmbulatory electrocardiogram data were collected before randomization from 149 healthy individuals with high hostility levels (20-45 years, body mass index ≤ 32 kg/m) and paired with concurrent EMA ratings of smoking and physical position during waking hours. A multilevel mixed model was estimated associating ln(HF-HRV) from smoking status (between-person factor) and person-centered momentary smoking (within-person factor, treated as a random effect), adjusting for momentary physical position, medication use, and consumption of alcohol and caffeine.
resultsThirty-five smokers and 114 nonsmokers provided both EMA and HF-HRV data. Within smokers, ln HF-HRV was reduced by 0.31 millisecond (p = .04) when participants reported having recently smoked cigarettes, compared with when they had not. The 24-hour HF-HRV was significantly lower in smokers (M [SD] = 5.24 [0.14] milliseconds) than nonsmokers (5.63 ± 0.07 milliseconds, p = .01).
conclusionsIn healthy smokers with high hostility levels used as their own controls during daily living, smoking acutely reduced HF-HRV. HF-HRV was also reduced in smokers as compared with nonsmokers. Although limited by a small sample of individuals with high hostility levels, these findings nonetheless provide additional evidence that cardiac vagal regulation is lowered by cigarette smoking, which may be one of the numerous pathophysiological effects of smoking.
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Registered trials
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.