Evidence map›Paper›PMID 40495293›Full record

ArticlePhysiological reports2025

Sex and age differences in the association between heart rate variability and cardiac chronotropy: A replication-extension study.

Luca Carnevali, Darcianne K Watanabe, Margherita Barbetti, Suzi Hong, DeWayne P Williams, Jordan Kohn, Julian Koenig, Julian F Thayer

Abstract read
In one paragraph

Article in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

8 authors.

Luca CarnevaliDepartment of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy.ORCID 0000-0001-9053-7976
Darcianne K WatanabeSchool of Social Ecology, c/o Department of Psychological Science, University of California Irvine, 4201 Social and Behavioral Sciences Gateway, Irvine, California, USA.ORCID 0000-0003-2296-6079
Margherita BarbettiDepartment of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy.
Suzi HongHerbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, California, USA.
DeWayne P WilliamsDepartment of Psychological Science, University of California Irvine, 4201 Social and Behavioral Sciences Gateway, Irvine, California, USA.ORCID 0000-0002-1381-077X
Jordan KohnDepartment of Psychological Science, University of California Irvine, 4201 Social and Behavioral Sciences Gateway, Irvine, California, USA.
Julian KoenigDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine, University of Cologne, and University Hospital Cologne, Cologne, Germany.
Julian F ThayerDepartment of Psychological Science, University of California Irvine, 4201 Social and Behavioral Sciences Gateway, Irvine, California, USA.ORCID 0000-0001-9385-3421

Funding

Autonomic and Immuno-vascular Mechanisms of Antihypertensive Effects of TaichiR01HL126056 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HONG, SUZI, REDWINE, LAURA S · 2015 to 2019
$3.6M
Multisystem risk profile of older adults to predict cognitive function and impairmentR03AG063328 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HONG, SUZI · 2019 to 2021
$472k
National Science Foundation Graduate Research Fellowship Program DGE-1839285NHLBI NIH HHS R01HL126056NIA NIH HHS R03AG063328
6 · The paper itself

Abstract

Using heart rate variability (vmHRV) as a proxy of cardiac vagal modulation, previous studies have hinted at sex differences in the vagal control of cardiac chronotropy in young adults, but little is known in older individuals. The current study aimed at investigating for the first time the moderating role of both sex and age in the relationship between vmHRV and cardiac chronotropy in younger (n = 106, mean age: 19.9 (3.5) years) and older (n = 109, mean age: 72.8 (2.6) years) individuals. Further, we explored the effects of hormone replacement therapy on such association in a sub-sample of post-menopausal women (n = 17). Resting measures of the average inter-beat interval (IBI, as index of cardiac chronotropy) and vmHRV were collected. The results indicate (i) stronger associations between vmHRV and IBI in young adults and post-menopausal women compared to age-matched men, (ii) a weaker or no association in older women and men, respectively, and (iii) no effects of hormone replacement therapy in post-menopausal women. This study provides evidence of sex and age differences in the association between vmHRV and cardiac chronotropy, offering novel insight into vagal mechanisms of cardiac chronotropic control that may inform our understanding of sex- and age-related vulnerability to negative health outcomes.

Indexed as

AgingHeartHeart RateAdultAgedAge FactorsFemaleHumansMaleMiddle AgedPostmenopauseSex CharacteristicsSex FactorsVagus NerveYoung Adultagingheart rate variabilityhormone replacement therapysex differences

Identifiers

PMID40495293
PMCPMC12151891

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Registered trials

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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.