Evidence mapPaperPMID 40474778Full record

ArticlePhysiological reports2025

Higher hemoglobin levels are associated with adverse heart rate variability in a middle-aged birth cohort.

Samuli Sakko, Mikko P Tulppo, Peppi Koivunen, Joona Tapio

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 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

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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
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4 · The record

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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

4 authors.

Samuli SakkoResearch Unit of Extracellular Matrix and Hypoxia, Biocenter Oulu and Faculty of Biochemistry and Molecular Medicine, University of Oulu, Oulu, Finland.
Mikko P TulppoResearch Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0001-5598-9109
Peppi KoivunenResearch Unit of Extracellular Matrix and Hypoxia, Biocenter Oulu and Faculty of Biochemistry and Molecular Medicine, University of Oulu, Oulu, Finland.
Joona TapioResearch Unit of Extracellular Matrix and Hypoxia, Biocenter Oulu and Faculty of Biochemistry and Molecular Medicine, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0002-9267-1586

Funding

Academy of Finland (AKA) 339900Jane ja Aatos Erkon Säätiö (J&AE)Sigrid Juséliuksen Säätiö (Sigrid Jusélius Stiftelse)Suomen Lääketieteen Säätiö (Finnish Medical Foundation)
6 · The paper itself

Abstract

High hemoglobin (Hb) levels within normal variation range are considered beneficial. However, lower Hb levels within normal variation range are associated with healthier cardiovascular traits. Heart rate variability (HRV) and baroreflex sensitivity (BRS) are dysregulated in cardiovascular diseases (CVDs). We have shown in a hypertensive cohort that higher Hb levels are associated with impaired HRV and BRS. As CVDs are exacerbated by aging, conditions like hypertension and factors such as smoking, further studies on the association of Hb levels and HRV and BRS on younger and healthier populations are required for the generalization of these associations. The aims were to cross-sectionally study the association of Hb levels with HRV and BRS in the Northern Finland Birth Cohort 1966 (NFBC1966) at 46 years (n = 5342) and to evaluate confounding factors, such as smoking, on these associations. Higher Hb levels within normal variation range were associated with adverse time-domain measures, including elevated heart rate (HR). Hb levels were negatively associated with high-frequency (HF) power and positively with the low frequency (LF) to HF ratio (LF/HF). These associations were influenced by sex, metabolic parameters, and smoking but were observed regardless of these factors. For BRS, adjusting for metabolic covariates nullified the association with Hb levels.

Indexed as

BaroreflexHeart RateHemoglobinsBirth CohortCohort StudiesCross-Sectional StudiesFemaleFinlandHumansMaleMiddle AgedHemoglobinsbaroreflexcardiovascular diseaseheart rate variabilityhemoglobinsmoking

Identifiers

PMID40474778
PMCPMC12141927

What Socratic holds

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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 Socratic graph.