Evidence map›Paper›PMID 35677598›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Continuous monitoring with wearables in multiple sclerosis reveals an association of cardiac autonomic dysfunction with disease severity.

Marc Hilty, Pietro Oldrati, Liliana Barrios, Tamara Müller, Claudia Blumer, Magdalena Foege, Phrt Consortium, Christian Holz, Andreas Lutterotti

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Chest-Based Wearables and Individualized Distributions for Assessing Postural Sway in Persons With Multiple Sclerosis.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2023
    Article
  9. 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 2 institutions in 1 country.

Marc HiltyUniversity and University Hospital of Zürich, Department of Neurology, Zürich, 8091, Switzerland.ORCID https://orcid.org/0000-0002-8454-531X
Pietro OldratiUniversity and University Hospital of Zürich, Department of Neurology, Zürich, 8091, Switzerland.ORCID https://orcid.org/0000-0001-5551-4306
Liliana BarriosETH Zürich, Department of Computer Science, Zürich, 8092, Switzerland.ORCID https://orcid.org/0000-0002-4953-5335
Tamara MüllerUniversity and University Hospital of Zürich, Department of Neurology, Zürich, 8091, Switzerland.
Claudia BlumerUniversity and University Hospital of Zürich, Department of Neurology, Zürich, 8091, Switzerland.
Magdalena FoegeUniversity and University Hospital of Zürich, Department of Neurology, Zürich, 8091, Switzerland.
Phrt Consortium
Christian HolzETH Zürich, Department of Computer Science, Zürich, 8092, Switzerland.
Andreas LutterottiUniversity and University Hospital of Zürich, Department of Neurology, Zürich, 8091, Switzerland.
University Hospital of Zurich · CHETH Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dysfunction of the autonomic nervous system is common in multiple sclerosis patients, and probably present years before diagnosis, but its role in the disease is poorly understood. Objectives: To study the autonomic nervous system in patients with multiple sclerosis using cardiac autonomic regulation measured with a wearable. Methods: In a two-week study, we present a method to standardize the measurement of heart rate variability using a wearable sensor that allows the investigation of circadian trends. Using this method, we investigate the relationship of cardiac autonomic dysfunction with clinical hallmarks and subjective burden of fatigue and autonomic symptoms. Results: In 55 patients with multiple sclerosis and 24 healthy age- and gender-matched controls, we assessed the cumulative circadian heart-rate variability trend of two weeks. The trend analysis revealed an effect of inflammation ( Conclusions: Trend-based heart rate variability measured with a wearable provides the opportunity for unobtrusive long-term assessment of autonomic functions in patients with multiple sclerosis. It revealed a general dysregulation in patients with multiple sclerosis.

Indexed as

autonomic nervous systemcardiac autonomic dysfunctionheart rate variabilitymultiple sclerosisprogressivewearable

Identifiers

PMID35677598
PMCPMC9168869
OpenAlexW4281704947

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.