Evidence map›Paper›PMID 41392249›Full record

ArticleBiomedical engineering online2025

Resting heart rate variability as a predictor of exercise response in mild post-COVID: insights from a six-minute step test.

Aldair Darlan Santos-de-Araújo, Daniela Bassi-Dibai, Nelson Francisco Serrão Júnior, Bárbara Rocha de Oliveira Garcia, Renan Shida Marinho, Paula Angélica Ricci, Shane A Phillips, Audrey Borghi-Silva

Abstract read
In one paragraph

Article in Biomedical engineering online, 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

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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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Aldair Darlan Santos-de-AraújoDepartment of Physical Therapy, Cardiopulmonary Physical Therapy Laboratory, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Daniela Bassi-DibaiDepartment of Dentistry, CEUMA University, São Luís, MA, Brazil.
Nelson Francisco Serrão JúniorDepartment of Physical Therapy, Cardiopulmonary Physical Therapy Laboratory, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Bárbara Rocha de Oliveira GarciaDepartment of Physical Therapy, Cardiopulmonary Physical Therapy Laboratory, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Renan Shida MarinhoDepartment of Physical Therapy, Cardiopulmonary Physical Therapy Laboratory, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Paula Angélica RicciDepartment of Physical Therapy, Cardiopulmonary Physical Therapy Laboratory, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Shane A PhillipsDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois Chicago, Chicago, IL, USA.
Audrey Borghi-SilvaDepartment of Physical Therapy, Cardiopulmonary Physical Therapy Laboratory, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil. audrey@ufscar.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 may impair autonomic and cardiorespiratory function, even in mild cases, resulting in reduced heart rate variability (HRV) and diminished functional capacity. Given their shared regulatory pathways, resting HRV may serve as a non-invasive predictor of oxygen uptake (V̇O

objectiveTo investigate whether resting short-term HRV can predict V̇O

methodsIn this cross-sectional study, adults recovering from mild COVID underwent assessment of autonomic modulation via short-term HRV and cardiorespiratory response during 6MST. HRV was recorded under standardized resting conditions. Gas exchange was measured throughout the 6MST. Spearman correlation and multiple linear regression analyses were performed to test associations between HRV parameters and V̇O₂ expressed in milliliters per kilogram per minute (mL·kg

resultsData from 45 participants were analyzed. Several HRV variables demonstrated statistically significant correlations with V̇O₂ and were therefore included in the simple linear regression analysis: SDNN (ms) (rho = 0.587), RMSSD (ms) (rho = 0.430), RR Tri (rho = 0.594), TINN (rho = 0.596), SD1 (ms) (rho = 0.431), SD2 (ms) (rho = 0.609), ApEn (rho = - 0.388), and DFA α2 (rho = - 0.404). Multiple linear regression showed that SD2 (ms) and sex were significant predictors of V̇O₂ (mL·kg

conclusionSeveral HRV parameters were significantly correlated with V̇O₂, indicating associations between cardiac autonomic modulation and aerobic performance. Among these, SD2 together with sex, emerged as significant predictors of VO₂ at the peak of the 6MST. Future studies will be needed to combine HRV indices with clinical outcomes in order to determine the mechanisms of V̇O₂ variability in post-COVID populations.

Indexed as

COVID-19ExerciseExercise TestHeart RateRestAdultCross-Sectional StudiesFemaleHumansLinear ModelsMaleMiddle AgedOxygen ConsumptionSARS-CoV-2Time FactorsCOVID-19Functional capacityHeart rate variabilitySix-minute step test

Identifiers

PMID41392249
PMCPMC12822030

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.