Evidence map›Paper›PMID 40630388›Full record

ArticleFrontiers in physiology2025

Utility of nonlinear analysis of heart rate variability in early detection of metabolic syndrome.

José Alberto Zamora-Justo, Myriam Campos-Aguilar, María Del Carmen Beas-Jara, Pedro Galván-Fernández, Alberto Ponciano-Gómez, Santiago Cristóbal Sigrist-Flores, Rafael Jiménez-Flores, Alejandro Muñoz-Diosdado

Abstract read
In one paragraph

Article in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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.

José Alberto Zamora-Justo *Unidad Profesional Interdisciplinaria de Biotecnología del Instituto Politécnico Nacional, Mexico City, Mexico.
Myriam Campos-Aguilar *Laboratorio de Inmunología, Unidad de Morfología y Función (UMF), Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Mexico.
María Del Carmen Beas-JaraLaboratorio de Fisiología del Esfuerzo (GIN), Unidad Interdisciplinaria de Investigación en Ciencias de la Salud y Educación (UIICSE), Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Mexico.
Pedro Galván-FernándezLaboratorio de Fisiología del Esfuerzo (GIN), Unidad Interdisciplinaria de Investigación en Ciencias de la Salud y Educación (UIICSE), Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Mexico.
Alberto Ponciano-GómezLaboratorio de Inmunología, Unidad de Morfología y Función (UMF), Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Mexico.
Santiago Cristóbal Sigrist-FloresLaboratorio de Inmunología, Unidad de Morfología y Función (UMF), Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Mexico.
Rafael Jiménez-FloresLaboratorio de Inmunología, Unidad de Morfología y Función (UMF), Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Mexico.
Alejandro Muñoz-DiosdadoUnidad Profesional Interdisciplinaria de Biotecnología del Instituto Politécnico Nacional, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Metabolic syndrome (MetS) is a clinical condition characterized by multiple risk factors that significantly increase the likelihood of developing cardiovascular diseases and type 2 diabetes. Traditional markers, such as body mass index (BMI) and waist circumference, often fail to detect early metabolic dysfunctions. Methods: This study evaluated nonlinear characteristics of heart rate variability (HRV) series, including sample entropy (SampEn), multifractal spectrum parameters, and detrended fluctuation analysis (DFA). A total of 278 participants were classified into three groups: no metabolic alterations, one or two alterations, and MetS (defined as three or more alterations based on ATP III criteria). HRV data were recorded at three time points: rest, exercise, and recovery. Results: Participants with MetS showed significantly lower SampEn and DFA values at rest compared to those without alterations, indicating reduced signal complexity. Moreover, a decrease in SampEn was observed in individuals with one or two metabolic alterations, suggesting that autonomic dysfunction may begin in the early stages of metabolic risk. Discussion: These findings support the integration of nonlinear HRV analysis with traditional methods to improve the early detection and management of metabolic syndrome. The progressive reduction in heart rate signal complexity may serve as a sensitive marker of early autonomic dysfunction in metabolic deterioration.

Indexed as

autonomic dysfunctiondetrended fluctuation analysisheart rate variability time seriesnonlinear dynamic techniquessample entropy

Identifiers

PMID40630388
PMCPMC12234528

What Socratic holds

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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 Socratic graph.