Evidence map›Paper›PMID 38925684›Full record

ArticleBMJ open2024

Heart rate vARiability and physical activity in inpatient treatMent of burnOut and DepressIon (HARMODI): protocol of a cross-sectional study with up to 8-week follow up.

Wiebke Turner, Annette Brühl, Heinz Böker, Beate Schulze, Katja Marschall, Roberto La Marca, Michael Pfaff, Thomas Russmann, Arno Schmidt-Trucksäss

2 registry-linked trialsAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05874856 unknown statusnot on this map

Heart Rate Variability, Physical Activity and Exhaustion in the Inpatient Treatment of Stress-Related Disorders

TypeobservationalSponsorArno Schmidt-TrucksässRan2023 to 2024Enrolled153ConditionsDepression, Burnout, Stress Related DisorderArmsHeart rate variability, blood pressure and pulse wave velocity, Assessment of cognitive function, balance, strength and cardiorespiratory fitness, Monitoring of physical activity and sleep, Monitoring of self-rated exhaustion, mood and tension
NCT07757997 recruitingnot on this mapstarted 2026, after this paper: background citation

Health and Work Ability Following Inpatient Treatment for Stress-related Disorders - Follow-up Study of the HARMODI Cohort

TypeobservationalSponsorClinica Holistica EngiadinaRan2026 to 2026Enrolled143ConditionsDepression - Major Depressive Disorder, Adjustment Disorder, Burnout Syndrome
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Wiebke TurnerDivision of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.ORCID 0009-0003-1772-4646
Annette BrühlDepartment of Psychiatry, University Psychiatric Clinics Basel, Basel, Switzerland.
Heinz BökerDepartment of Psychiatric Research, Psychiatric University Hospital Zurich, Zurich, Switzerland.
Beate SchulzeSchulze Resource Consulting, Genève, Switzerland.
Katja MarschallBewegung ist Leben, Klosters, Switzerland.
Roberto La MarcaClinica Holistica Engiadina SA, Susch, Switzerland.
Michael PfaffMedical Practice Seegarten, Zürich, Switzerland.
Thomas RussmannClinica Holistica Engiadina SA, Susch, Switzerland.
Arno Schmidt-TrucksässDivision of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland arno.schmidt-trucksaess@unibas.ch.ORCID 0000-0002-4662-3911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic stress can cause an imbalance within the autonomic nervous system, thereby affecting cardiovascular and mental health. Physical activity (PA) may have a positive effect on the autonomic nervous system and stress-related disorders, such as depression and burnout. Heart rate variability (HRV) is a non-invasive marker of the autonomic nervous system. However, limited and inconsistent data exist on the exact relationship between HRV, PA and depression and burnout symptoms. The HARMODI study aims to explore whether HRV is a feasible marker of depression and burnout symptoms and aims to evaluate the role of PA in the treatment of stress-related disorders. METHODS AND ANALYSES: This is an observational study with a cross-sectional up to 8 week follow-up study design. A total of 153 patients, undergoing psychiatric inpatient treatment with burnout syndrome (Z73) and depressive episode (F32 or F33) or adjustment disorder (F43.2), will be recruited. Data on depression and burnout symptoms, HRV recordings (24-hour, supine, standing and exercise stress test), cognitive function, cardiorespiratory fitness, cardiovascular health, balance and strength will be collected at baseline (T1) and after up to 8 weeks (T2). Continuous data on PA and Ecological Momentary Assessments of exhaustion, mood and tension will be monitored daily throughout inpatient treatment. Multiple regression models, adjusted for potential confounders, will assess the association between HRV as the primary outcome, PA and depression and burnout severity score. ETHICS AND DISSEMINATION: The protocol has been approved by Swiss Ethics Committee, Cantonal Ethics Committee Zürich. Results of HARMODI will be disseminated through peer-reviewed journals and conference presentations. TRIAL REGISTRATION NUMBER: NCT05874856.

Indexed as

DepressionExerciseHeart RateAdultAutonomic Nervous SystemBurnout, PsychologicalCross-Sectional StudiesFemaleFollow-Up StudiesHumansInpatientsMaleMiddle AgedObservational Studies as TopicBurnoutDepression & mood disordersExercise TestPSYCHIATRY

Identifiers

PMID38925684
PMCPMC11202726

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.