Evidence map›Paper›PMID 40285306›Full record

Observational studySensors (Basel, Switzerland)2025

Combined Proxies for Heart Rate Variability as a Global Tool to Assess and Monitor Autonomic Dysregulation in Fibromyalgia and Disease-Related Impairments.

Emanuella Ladisa, Chiara Abbatantuono, Elena Ammendola, Giusy Tancredi, Marianna Delussi, Giulia Paparella, Livio Clemente, Annalisa Di Dio, Antonio Federici, Marina de Tommaso

Abstract readObservational Study
In one paragraph

Observational study in Sensors (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

10 authors.

Emanuella LadisaNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.
Chiara AbbatantuonoNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.
Elena AmmendolaNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.
Giusy TancrediNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.
Marianna DelussiDepartment of Education, Psychology, Communication (For.Psi.Com.), University of Bari Aldo Moro (IT), 70124 Bari, Italy.ORCID 0000-0002-5888-3024
Giulia PaparellaNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.
Livio ClementeNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.ORCID 0000-0001-5463-0460
Annalisa Di DioNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.
Antonio FedericiSchool of Medicine, Biomedical Sciences and Human Oncology, University of Bari Aldo Moro (IT), 70124 Bari, Italy.
Marina de TommasoNeurophysiopathology Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro (IT), 70124 Bari, Italy.ORCID 0000-0001-6567-5373

Funding

Ministry of University and Research (MUR), National Recovery and Resilience Plan (NRRP), project MNESYS (PE0000006) - A Multiscale integrated approach to the study of the nervous system in health and disease (DN. 1553, 11.10.2022). (PE0000006)
6 · The paper itself

Abstract

backgroundHeart rate variability (HRV) provides both linear and nonlinear autonomic proxies that can be informative of health status in fibromyalgia (FM), where sympatho-vagal abnormalities are common. This retrospective observational study aims to: 1. detect differences in correlation dimension (D2) between FM patients and healthy controls (HCs); 2. correlate D2 with standard HRV parameters; 3. correlate the degree of HRV changes using a global composite parameter called HRV grade, derived from three linear indices (SDNN = intervals between normal sinus beats; RMSSD = mean square of successive differences; total power), with FM clinical outcomes; 4. correlate all linear and nonlinear HRV parameters with clinical variables in patients.

methodsN = 85 patients were considered for the analysis and compared to 35 healthy subjects. According to standard diagnostic protocol, they underwent a systematic HRV protocol with a 5-min paced breathing task. Disease duration, pain intensity, mood, sleep, fatigue, and quality of life were assessed. Non-parametric tests for independent samples and pairwise correlations were performed using JMP (all

resultsMann-Whitney U found a significant difference in D2 values between FM patients and HCs (

conclusionCombining different HRV measurements may help understand the correlates of autonomic dysregulation in FM. Specifically, clinical protocols could benefit from the inclusion and validation of D2 and HRV parameters to target FM severity and related dysautonomia.

Indexed as

Autonomic Nervous SystemFibromyalgiaHeart RateAdultFemaleHumansMaleMiddle AgedMonitoring, PhysiologicQuality of LifeRetrospective Studiesautonomic impairmentcorrelation dimension (D2)fibromyalgiaheart rate variability (HRV)

Identifiers

PMID40285306
PMCPMC12031131

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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.