Evidence map›Paper›PMID 34883203›Full record

SynthesisAgeing research reviews2022

Heart rate variability in relation to cognition and behavior in neurodegenerative diseases: A systematic review and meta-analysis.

Kathy Y Liu, Thomas Elliott, Melanie Knowles, Robert Howard

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Ageing research reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
8.6field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
  2. Heart Meets Brain: Insights into Neurocardiac Pathophysiology.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  3. Relationship between cerebral white matter hyperintensities and autonomic function in older individuals with cerebral small vessel disease.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
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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

4 authors at 2 institutions in 1 country.

Kathy Y LiuDivision of Psychiatry, University College London, 149 Tottenham Court Road, London W1T 7NF, UK. Electronic address: kathy.liu@ucl.ac.uk.
Thomas ElliottCamden & Islington NHS Foundation Trust, 4 St Pancras Way, London NW1 0PE, UK.
Melanie KnowlesCamden & Islington NHS Foundation Trust, 4 St Pancras Way, London NW1 0PE, UK.
Robert HowardDivision of Psychiatry, University College London, 149 Tottenham Court Road, London W1T 7NF, UK.
Camden and Islington NHS Foundation Trust · GBUniversity College London · GB

Funding

Department of HealthMedical Research Council MR/S021418/1
6 · The paper itself

Abstract

Neurodegenerative diseases, which frequently present with neuropsychiatric symptoms related to prefrontal cortical dysfunction, can alter the integrity of the neural networks involved in central autonomic nervous system regulation, which is proposed to be indexed by heart rate variability (HRV). We systematically reviewed the characteristics, methodology and outcomes of 27 studies of HRV in relation to measures of cognition and behavior in neurodegenerative conditions, and assessed the strength of this relationship, cross-sectionally, across 18 studies. A significant, moderate effect was observed (r = 0.25), such that higher HRV was related to better cognitive and behavioral scores, which was not influenced by mean age or cognitive status. There was no evidence of small-study effects but we could not rule out publication bias, and other factors may have contributed to heterogeneity between studies. Our findings support the proposal that HRV may be a marker of self-regulatory processes in neurodegenerative conditions, and further research on this association is needed in relation to neuropsychiatric symptoms and alongside neuroimaging methods.

Indexed as

Neurodegenerative DiseasesAutonomic Nervous SystemCognitionHeart RateHumansNeuroimagingDementiaHeart rate variabilityNeurodegenerative diseases

Identifiers

PMID34883203
PMCPMC8783051
OpenAlexW4200070350

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.