BMC Digital Health,
Journal Year:
2023,
Volume and Issue:
1(1)
Published: Oct. 12, 2023
Abstract
Background
Heart
rate
variability
biofeedback
(HRV-BF)
can
be
used
for
stress
management.
Recent
feasibility
studies
suggest
that
delivering
HRV-BF
in
virtual
reality
(VR)
is
associated
with
better
user
experience
(UX)
and
might
yield
more
beneficial
changes
HRV
than
two-dimensional
screens.
The
effectiveness
of
a
VR-supported
intervention
program
has,
however,
not
been
investigated
yet.
Methods
In
this
study,
87
healthy
women
men
were
assigned
to
(INT;
$$n=44$$
n=44
)
or
wait-list
control
(WLC;
$$n=43$$
43
group.
INT
came
the
lab
four
weekly
sessions
VR
using
head-mounted
display.
Between
sessions,
participants
asked
perform
breathing
exercises
without
supported
by
mobile
application.
Stress-related
psychological
psychophysiological
outcomes
assessed
pre-
post-intervention
at
follow-up
weeks
after
both
groups.
A
psychosocial
test
was
conducted
investigate
reactivity.
UX
each
session
INT.
Results
Analysis
revealed
LF
increased
significantly
from
post-,
whereas
pNN50
chronic
decreased
pre-intervention
compared
WLC.
Anxiety
mental
fatigue
significantly,
while
mindfulness
health-related
quality
life
post-
WLC
(all
small
effects).
two
groups
did
differ
their
reactivity
post-intervention.
As
INT,
degree
feeling
autonomous
concerning
technology
adoption
over
time.
Competence,
involvement,
immersion,
first
last
session,
hedonic
motivation
peaked
second
then
gradually
returned
first-session
levels.
Conclusions
This
program,
technology,
able
improve
indicators
stress-related
symptoms
achieved
good
very
UX.
Future
should
potential
placebo
effects
emphasize
higher
degrees
personalization
adaptability
increase
autonomy
and,
thereby,
long-term
health
well-being.
These
findings
may
serve
as
step
towards
future
applications
cutting-edge,
increasingly
accessible
technologies,
such
wearables,
VR,
smartphones,
service
healthcare.
Trial
registration
study
registered
retrospectively
clinical
trial
on
ISRCTN
registry
(ISRCTN11331226,
26
May
2023).
Neuroscience & Biobehavioral Reviews,
Journal Year:
2024,
Volume and Issue:
157, P. 105542 - 105542
Published: Jan. 11, 2024
Coordinated
interactions
between
the
central
and
autonomic
nervous
systems
are
crucial
for
survival
due
to
inherent
propensity
human
behavior
make
errors.
In
our
ever-changing
environment,
when
individuals
mistakes,
these
errors
can
have
life-threatening
consequences.
response
errors,
specific
reactions
occur
in
both
brain
activity
heart
rate
detect
correct
Specifically,
there
two
brain-related
indicators
of
error
detection
awareness
known
as
error-related
negativity
positivity.
Conversely,
cardiac
deceleration
denotes
a
momentary
slowing
following
an
error,
signaling
response.
However,
what
is
connection
during
processing?
this
review,
we
discuss
functional
neuroanatomical
connections
markers
processing,
exploring
experimental
conditions
which
they
covary.
Given
current
limitations
available
data,
future
research
will
continue
investigate
neurobiological
factors
governing
brain-heart
interaction,
aiming
utilize
them
combined
assessing
cognitive
control
healthy
pathological
conditions.
Journal of Clinical Medicine,
Journal Year:
2023,
Volume and Issue:
12(3), P. 1016 - 1016
Published: Jan. 28, 2023
Direct
and
indirect
links
between
brain
regions
cardiac
function
have
been
reported.
We
performed
a
systematic
literature
review
to
summarize
current
knowledge
regarding
the
associations
of
heart
rate
variability
(HRV)
region
morphology,
activity
connectivity
involved
in
autonomic
control
at
rest
healthy
subjects.
Both
positive
negative
correlations
cortical
thickness
gray
matter
volumes
structures
with
HRV
were
observed.
The
strongest
found
for
cluster
located
within
cingulate
cortex.
A
decline
HRV,
as
well
increasing
age,
especially
orbitofrontal
cortex
noted.
When
region-specific
examined,
correlated
most
strongly
insula,
cortex,
frontal
prefrontal
cortices,
hippocampus,
thalamus,
striatum
amygdala.
Furthermore,
significant
correlations,
largely
positive,
(in
amygdala,
cortex)
Notably,
right-sided
neural
may
be
preferentially
control.
However,
evidence
left
hemispheric
vagal
has
also
Our
findings
provide
support
premise
that
are
interconnected
by
both
structural
functional
networks
indicate
complex
multi-level
interactions.
Further
studies
brain-heart
promise
yield
insights
into
their
relationship
health
disease.
Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(1), P. 280 - 280
Published: Jan. 4, 2024
Background:
Heart
rate
variability
(HRV)
is
a
reliable
and
convenient
method
to
assess
autonomic
function.
Cross-sectional
studies
have
established
link
between
HRV
cognition.
Longitudinal
are
an
emerging
area
of
research
with
important
clinical
implications
in
terms
the
predictive
value
for
future
cognition
potential
causal
relationship
However,
they
not
yet
been
objective
systematic
review.
Therefore,
aim
this
review
was
investigate
association
longitudinal
studies.
Methods:
The
conducted
according
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
(PRISMA)
guidelines.
Embase,
PsycINFO
PubMed
databases
were
searched
from
earliest
available
date
26
June
2023.
Studies
included
if
involved
adult
human
subjects
evaluated
risk
bias
assessed
Newcastle–Ottawa
Scale
Cohort
Studies.
results
presented
narratively.
Results:
Of
14,359
records
screened,
12
review,
total
24,390
participants.
Two
thirds
published
2020
onwards.
All
found
There
consistent
higher
parasympathetic
nervous
system
(PNS)
activity
better
cognition,
some
sympathetic
worse
Also,
PNS
persistently
predicted
executive
functioning,
while
data
on
episodic
memory
language
more
scant
and/or
controversial.
Conclusions:
Our
support
role
as
biomarker
and,
potentially,
therapeutic
target
improve
They
will
need
confirmation
by
further,
comprehensive
also
including
unequivocal
non-HRV
measures
meta-analyses.
NeuroImage,
Journal Year:
2025,
Volume and Issue:
306, P. 121000 - 121000
Published: Jan. 1, 2025
Cardiorespiratory
signals
have
long
been
treated
as
"noise"
in
functional
magnetic
resonance
imaging
(fMRI)
research,
with
the
goal
of
minimizing
their
impact
to
isolate
neural
activity.
However,
there
is
a
growing
recognition
that
these
signals,
once
seen
confounding
variables,
provide
valuable
insights
into
brain
function
and
overall
health.
This
shift
reflects
dynamic
interaction
between
cardiovascular,
respiratory,
systems,
which
together
support
In
this
review,
we
explore
role
cardiorespiratory
dynamics-such
heart
rate
variability
(HRV),
respiratory
sinus
arrhythmia
(RSA),
changes
blood
flow,
oxygenation,
carbon
dioxide
levels-embedded
within
fMRI
signals.
These
physiological
reflect
critical
aspects
neurovascular
coupling
are
influenced
by
factors
such
stress,
breathing
patterns,
age-related
changes.
We
also
discuss
complexities
distinguishing
from
neuronal
activity
data,
given
significant
contribution
signal
interactions
cerebrospinal
fluid
(CSF).
Recognizing
influence
dynamics
crucial
for
improving
interpretation
shedding
light
on
heart-brain
respiratory-brain
connections,
enhancing
our
understanding
circulation,
oxygen
delivery,
waste
elimination
brain.
Perceptual and Motor Skills,
Journal Year:
2024,
Volume and Issue:
131(5), P. 1664 - 1686
Published: Aug. 16, 2024
Our
aim
in
this
study
was
to
test
the
effect
of
10
sessions
biofeedback
(BFB)
on
physiological,
psychological,
and
cognitive
functioning
international
tennis
players.
In
randomized
controlled
trial,
we
recruited
16
players
(11
male,
5
female;
M
age
=
17.31,
SD
0.87
years),
who
were
randomly
assigned
either
an
intervention
group
(IG;
n
8)
or
a
control
(CG;
8).
Those
IG
received
multimodal
BFB
over
four
weeks,
while
those
CG
no
intervention.
We
assessed
parameters
before
after
found
positive
for
skin
temperature,
state
anxiety,
performance
versus
CG.
provide
preliminary
data
that
improved
functions
reduced
anxiety
symptoms
Future
investigators
should
consider
increasing
sample
size,
incorporating
active
CG,
studying
these
effects
across
diverse
athletic
disciplines.
Frontiers in Cardiovascular Medicine,
Journal Year:
2023,
Volume and Issue:
10
Published: June 20, 2023
Atrial
fibrillation
(AF)
is
the
most
common
form
of
cardiac
arrhythmia,
affecting
2%-3%
world's
population.
Mental
and
emotional
stress,
as
well
some
mental
health
conditions
(e.g.,
depression)
have
been
shown
to
significantly
impact
heart
suggested
act
both
independent
risk
factors
triggers
in
onset
AF.
In
this
paper,
we
review
current
literature
examine
role
that
stress
AF
summarise
knowledge
on
interaction
between
brain
heart,
cortical
subcortical
pathways
involved
response
stress.
Review
evidence
suggests
negatively
affect
system,
potentially
increasing
for
developing
and/or
triggering
Further
studies
are
required
further
understand
sub-cortical
structures
how
these
interact
with
which
may
help
defining
new
strategies
interventions
prevent
development
of,
improve
management
Clinical Journal of Pain,
Journal Year:
2023,
Volume and Issue:
39(6), P. 286 - 296
Published: April 6, 2023
To
determine
if
the
frequent
use
of
a
combined
biofeedback-virtual
reality
device
improves
headache-related
outcomes
in
chronic
migraine.In
this
randomized,
controlled
pilot
study,
50
adults
with
migraine
were
randomized
to
experimental
group
(frequent
heart
rate
variability
plus
standard
medical
care;
n=25)
or
wait-list
control
(standard
care
alone;
n=25).
The
primary
outcome
was
reduction
mean
monthly
headache
days
between
groups
at
12
weeks.
Secondary
included
change
acute
analgesic
frequency,
depression,
migraine-related
disability,
stress,
insomnia,
and
catastrophizing
Tertiary
device-related
user
experience
measures.A
statistically
significant
not
demonstrated
However,
decreases
frequency
total
per
month
(65%
decrease
versus
35%
group,
P
<0.01)
depression
score
(35%
0.5%
increase
group;
<0.05)
shown
At
study
completion,
more
than
50%
participants
reported
satisfaction
on
5-level
Likert
scale.Frequent
portable
associated
individuals
migraine.
This
platform
holds
promise
as
an
add-on
treatment
for
migraine,
especially
aiming
interested
nonmedication
approaches.