Effects of stress management interventions on heart rate variability in adults with cardiovascular disease: a systematic review and meta-analysis.

Meta-analysis was used to investigate the potential benefits of stress management interventions (SMIs) on vagally-mediated heart rate variability (HRV) in adults with cardiovascular disease. Electronic bibliographic databases were searched through August 2022. Randomized controlled trials and quasi-...

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Publicado en:Journal of Behavioral Medicine Vol. 47; no. 3; pp. 374 - 389
Autores principales: Gathright, Emily C., Hughes, Joel W., Sun, Shufang, Storlazzi, Laurie E., DeCosta, Julie, Balletto, Brittany L., Carey, Michael P., Scott-Sheldon, Lori A. J., Salmoirago-Blotcher, Elena
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
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        10.1007/s10865-024-00468-4
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        atl: Effects of stress management interventions on heart rate variability in adults with cardiovascular disease: a systematic review and meta-analysis.
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        au:
          Gathright, Emily C.
          Hughes, Joel W.
          Sun, Shufang
          Storlazzi, Laurie E.
          DeCosta, Julie
          Balletto, Brittany L.
          Carey, Michael P.
          Scott-Sheldon, Lori A. J.
          Salmoirago-Blotcher, Elena
        affil: https://ror.org/053exzj86 Center for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, 02906, Providence, RI, USA
      sug:
        subj:
          Stress Management
          Heart Rate Variability In Adulthood
          Cardiovascular Diseases Psychosocial Factors
          Cardiovascular Diseases Prevention and Control
          Treatment Outcomes
          Human
          Systematic Review
          Meta Analysis
          Adult
          Descriptive Statistics
          Male
          Female
          White Persons
          Confidence Intervals
          Biofeedback
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Meta-analysis was used to investigate the potential benefits of stress management interventions (SMIs) on vagally-mediated heart rate variability (HRV) in adults with cardiovascular disease. Electronic bibliographic databases were searched through August 2022. Randomized controlled trials and quasi-experimental studies assessing effects of SMIs on HRV were included. Methodological quality was assessed with a standardized checklist. A pooled effect size was calculated for vagally-mediated HRV indices (standard deviation of normal-to-normal intervals, root mean square of the successive differences, and high frequency power) using random effects models. Fourteen studies (1202 participants, Mage: 59 ± 6.25 years; 25% ± 16% women; 61% ± 22% White) were included. Ten studies (11 effects) reported short-term HRV assessment; a small between-group difference emerged for vagally-mediated HRV (d+ =.27, 95% confidence interval [CI] 0.01–0.52, k = 11). Most interventions examined biofeedback; these studies yielded a small between-group difference on vagally-mediated HRV (d+ = 0.31, 95% CI 0.09–0.53, k = 7, Q [6] = 3.82, p =.70, I2 = 11%). This is the first systematic examination of the effect of SMIs on HRV in adults with CVD. Findings suggest a small effect of SMIs on vagally-mediated HRV, with biofeedback likely driving the effect. More research is required to fully understand whether this benefit on vagally-mediated HRV applies to other SMIs.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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