SynthesisInternational journal of environmental research and public health2021
Heart Rate Variability-Guided Training for Enhancing Cardiac-Vagal Modulation, Aerobic Fitness, and Endurance Performance: A Methodological Systematic Review with Meta-Analysis.
Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06919237 (Chronic Adaptations in Cardiovagal Modulation and Cardiorespiratory Fitness in Patients With Coronary Artery Disease to a 12-week Heart Rate Variability-guided Training vs Traditional Aerobic Prescription Program), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled 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.
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.
Chronic Adaptations in Cardiovagal Modulation and Cardiorespiratory Fitness in Patients With Coronary Artery Disease to a 12-week Heart Rate Variability-guided Training vs Traditional Aerobic Prescription Program: Study Protocol for a Randomized Controlled Trial
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Pickleball and mental health in adults: A systematic review.Frontiers in psychology · 2023Pooled it
- Effects of Individualized High-Intensity Online Concurrent Exercise Guided by Autonomic Modulation on the Mental Health and Quality of Life of Breast Cancer Survivors.Psycho-oncology · 2025Trial
- HRV-guided training vs traditional HIIT training in cardiac rehabilitation: a randomized controlled trial.GeroScience · 2024Trial
- Effect of resistance training on heart rate variability of anxious female college students.Frontiers in public health · 2022Trial
- Pulse Rate Variability Is Not the Same as Heart Rate Variability: Implications for Sports Performance and Injury Prevention.Sports medicine - open · 2026Article
- Impact of an Overload Period on Heart Rate Variability, Sleep Quality, Motivation, and Performance in High-level Swimmers: Use of Explainable Artificial Intelligence (XAI) to Assess Training Load Variations.Sports medicine (Auckland, N.Z.) · 2026Article
- Acute Effects of Intermittent High-Intensity Exercise on Cardiac Autonomic Regulation in Male Non-Elite Badminton Players: A Multi-Point Time Series Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Heart rate variability-guided endurance training: evaluating strengths, weaknesses, opportunities, and threats for load prescription and adjustment.Frontiers in sports and active living · 2026Article
- Associations between echocardiographic parameters and aerobic performance in young athletes.PeerJ · 2026Article
- Exercise, vagal regulation, and inflammatory symptom clusters in breast cancer survivors: a structured mini-review and hypothesis-generating framework.Frontiers in psychology · 2026Review
- Changes in saliva composition during different training phases in professional football players.Frontiers in dental medicine · 2026Article
- Developing negative split pacing in endurance athletes: practical guidelines and training models.Frontiers in physiology · 2026Review
- Resting HRV Sample Entropy Predicts the Magnitude of Post-Exercise Vagal Withdrawal in Young Adults.Medicina (Kaunas, Lithuania) · 2025Article
- Overtraining Syndrome (OTS) in Three Endurance Athletes and Roads to Recovery.BMJ case reports · 2025Article
- Heart Rate Variability Measurements Across the Menstrual Cycle and Oral Contraceptive Phases in Two Olympian Female Swimmers: A Case Report.Sports (Basel, Switzerland) · 2025Article
- The Importance of Including Psychophysiological Methods in Psychotherapy.Applied psychophysiology and biofeedback · 2025Review
- The 4Rs Framework of Sports Nutrition: An Update with Recommendations to Evaluate Allostatic Load in Athletes.Life (Basel, Switzerland) · 2025Review
- The Effect of Transcranial Direct Current Stimulation on Basketball Performance-A Scoping Review.Journal of clinical medicine · 2025Review
- Acute Effects of Rest Redistribution Training on Physical and Physiological Responses in Anxious Female College Students.Life (Basel, Switzerland) · 2025Article
- Delayed Effects of Different Velocity Loss-Based Resistance Training on Autonomic Regulation, Sleep Quality and Muscle Soreness.Journal of human kinetics · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis systematic review with meta-analysis was conducted to establish whether heart rate variability (HRV)-guided training enhances cardiac-vagal modulation, aerobic fitness, or endurance performance to a greater extent than predefined training while accounting for methodological factors.
methodsWe searched Web of Science Core Collection, Pubmed, and Embase databases up to October 2020. A random-effects model of standardized mean difference (SMD) was estimated for each outcome measure. Chi-square and the I
resultsAccounting for methodological factors, HRV-guided training was superior for enhancing vagal-related HRV indices (SMD
conclusionBest methodological practices pertaining to HRV index selection, recording position, and approaches for establishing baseline reference values and daily changes (i.e., fixed or rolling HRV averages) require further study. HRV-guided training may be more effective than predefined training for maintaining and improving vagal-mediated HRV, with less likelihood of negative responses. However, if HRV-guided training is superior to predefined training for producing group-level improvements in fitness and performance, current data suggest it is only by a small margin.
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What OpenQuestion holds
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.