Evidence map›Paper›PMID 41553708›Full record

SynthesisNeurogastroenterology and motility2026

Wearable-Based Monitoring of Autonomic and Gastrointestinal Function in Disorders of Gut-Brain Interaction: A Systematic Review and Meta-Analyses.

Fleur Veldman, Michelle Bosman, Ali Rezaie, Sarvee Moosavi, Daniel Keszthelyi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Neurogastroenterology and motility, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Fleur VeldmanDepartment of Gastroenterology-Hepatology, NUTRIM Research Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.ORCID https://orcid.org/0009-0003-3925-3523
Michelle BosmanDepartment of Gastroenterology-Hepatology, NUTRIM Research Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0002-2040-2520
Ali RezaieGI Motility Program, Division of Gastroenterology, Department of Medicine, Cedars-Sinai, Los Angeles, California, USA.ORCID https://orcid.org/0000-0002-0106-372X
Sarvee MoosaviNeurogastroenterology & GI Motility, Department of Gastroenterology, University of British Columbia, Vancouver, Canada.ORCID https://orcid.org/0000-0001-7960-6555
Daniel KeszthelyiDepartment of Gastroenterology-Hepatology, NUTRIM Research Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0001-9856-9980

Funding

Horizon Europe Grant ERC-2022-STG RESILIENCE 101075884
6 · The paper itself

Abstract

backgroundAutonomic nervous system (ANS) activity is implicated in the pathogenesis of disorders of gut-brain interaction (DGBI). Technological advances enable more accurate investigation of ANS function.

aimThis study aimed to evaluate the clinical utility of wearable devices in monitoring autonomic and gastrointestinal (GI) function in DGBI.

methodsA systematic search identified studies in adults with DGBI using wearables to assess heart rate variability (HRV), sleep, skin conductance, or gastric myoelectric activity as clinical readouts for ANS and GI function. The review provides an overview of available devices, while the meta-analysis evaluates consistency in detecting differences between DGBI and healthy controls (HCs). Associations between autonomic function and GI symptom severity were explored. Methodological quality was assessed using the Cochrane risk of bias tool and ROBINS-I. Meta-analyses used random-effects models with standardized mean differences (SMDs).

resultsThirty-six studies (3 RCTs, 33 observational) involving 3986 DGBI patients were included (HRV: n = 16, sleep: n = 7, gastric myoelectric activity: n = 14, skin conductance: n = 0). Meta-analyses showed lower Root Mean Square of Successive Differences (SMD = -0.503, SE 0.189, 95% CI [-0.873, -0.132]) and percentage of successive RR intervals differing by > 50 ms (SMD = -0.430, SE 0.176, 95% CI [-0.775, -0.085]), reflecting HRV alterations in DGBI versus HCs. No consistent differences were found for other metrics, except normal gastric slow waves (SMD = -0.722, SE 0.216, 95% CI [-1.146, -0.298]). Heterogeneous ANS-symptom associations precluded definitive conclusions.

conclusionsWearables show potential for detecting altered ANS and GI function in DGBI, particularly via HRV. Result variability highlights need for further research to confirm accuracy and clinical utility.

Indexed as

Autonomic Nervous SystemBrain-Gut AxisGastrointestinal DiseasesGastrointestinal TractWearable Electronic DevicesGalvanic Skin ResponseHeart RateHumansautonomic dysfunctiondisorders of gut‐brain interactiongut‐brain axismeta‐analysiswearable electronic devices

Identifiers

PMID41553708
PMCPMC12815003

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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.