Evidence map›Paper›PMID 36894565›Full record

ArticleScientific reports2023

Modulating heart rate oscillation affects plasma amyloid beta and tau levels in younger and older adults.

Jungwon Min, Jeremy Rouanet, Alessandra Cadete Martini, Kaoru Nashiro, Hyun Joo Yoo, Shai Porat, Christine Cho, Junxiang Wan, Steve W Cole, Elizabeth Head and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03458910 (Why Does Heart Rate Variability Matter for Emotion Regulation), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03458910 naterminatednot on this map

Why Does Heart Rate Variability Matter for Emotion Regulation

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2018 to 2020Enrolled193ConditionsHeart Rate VariabilityArmsHRV training
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Testing effects of paced breathing on plasma Aβ and brain perivascular spaces.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2026
    Trial
  4. Trial
  5. "Brain-IT": Exergame training with biofeedback breathing in neurocognitive disorders.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Trial
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Autonomic dysfunction in neurodegenerative disease.Nature reviews. Neuroscience · 2025
    Review
  12. Article
  13. Early detection of Alzheimer's disease using the MEMORIES mnemonic.Chronic diseases and translational medicine · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors.

Jungwon MinUniversity of Southern California, Los Angeles, CA, USA.
Jeremy RouanetUniversity of California, Irvine, Irvine, CA, USA.
Alessandra Cadete MartiniUniversity of California, Irvine, Irvine, CA, USA.
Kaoru NashiroUniversity of Southern California, Los Angeles, CA, USA.
Hyun Joo YooUniversity of Southern California, Los Angeles, CA, USA.
Shai PoratUniversity of Southern California, Los Angeles, CA, USA.
Christine ChoUniversity of Southern California, Los Angeles, CA, USA.
Junxiang WanUniversity of Southern California, Los Angeles, CA, USA.
Steve W ColeUniversity of California, Los Angeles, Los Angeles, CA, USA.
Elizabeth HeadUniversity of California, Irvine, Irvine, CA, USA.
Daniel A NationUniversity of California, Irvine, Irvine, CA, USA.
Julian F ThayerUniversity of California, Irvine, Irvine, CA, USA.
Mara MatherUniversity of Southern California, Los Angeles, CA, USA. mara.mather@usc.edu.

Funding

USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
Effects of Resonance-Frequency Breathing on Preclinical Alzheimer’s Disease Biomarkers and CognitionR01AG080652 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Daniel A Nation · 2023 to 2026
$3.9M
Why Does Heart Rate Variability Matter for Emotion RegulationR01AG057184 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MATHER, MARA · 2017 to 2021
$2.1M
NIA NIH HHS P30 AG066530NIA NIH HHS R01 AG057184NIA NIH HHS R01 AG080652NIH HHS R01AG057184
6 · The paper itself

Abstract

Slow paced breathing via heart rate variability (HRV) biofeedback stimulates vagus-nerve pathways that counter noradrenergic stress and arousal pathways that can influence production and clearance of Alzheimer's disease (AD)-related proteins. Thus, we examined whether HRV biofeedback intervention affects plasma Αβ40, Αβ42, total tau (tTau), and phosphorylated tau-181 (pTau-181) levels. We randomized healthy adults (N = 108) to use slow-paced breathing with HRV biofeedback to increase heart rate oscillations (Osc+) or to use personalized strategies with HRV biofeedback to decrease heart rate oscillations (Osc-). They practiced 20-40 min daily. Four weeks of practicing the Osc+ and Osc- conditions produced large effect size differences in change in plasma Aβ40 and Aβ42 levels. The Osc+ condition decreased plasma Αβ while the Osc- condition increased Αβ. Decreases in Αβ were associated with decreases in gene transcription indicators of β-adrenergic signaling, linking effects to the noradrenergic system. There were also opposing effects of the Osc+ and Osc- interventions on tTau for younger adults and pTau-181 for older adults. These results provide novel data supporting a causal role of autonomic activity in modulating plasma AD-related biomarkers.Trial registration: NCT03458910 (ClinicalTrials.gov); first posted on 03/08/2018.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAgedAutonomic Nervous SystemBiomarkersHeart RateHumanstau ProteinsVagus NerveAmyloid beta-PeptidesBiomarkerstau Proteins

Identifiers

PMID36894565
PMCPMC9998394

What OpenQuestion holds

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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.