Inter and Intra-Rater Reliability of Short-Term Measurement of Heart Rate Variability on Rest in Diabetic Type 2 Patients

Bassi, Daniela; Santos‐de‐Araújo, Aldair Darlan; Camargo, Paula Rezende; Dibai‐Filho, Almir Vieira; Fonseca, Moyrane Abreu da; Mendes, Renata Gonçalves; Borghi‐Silva, Audrey

doi:10.1007/s10916-018-1101-8

Cited by 38 publications

(39 citation statements)

References 30 publications

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“…Farah et al 15 found that the inter-researcher reproducibility was lower than the intra-researcher reproducibility in 27 healthy adolescents and concluded that the same researcher should perform the HRV data signal processing of short-term recordings 15 . In the same way, Bassi et al reported similar results to the obtained by Farah et al 15 in a cohort of 44 middle-aged adults with type 2 diabetes 16 . However, little is known about how much the observers' decisions influence HRV parameters measured with heart rate monitors (e.g., Polar) in different age-range populations including a relatively larger sample size than in the previous studies 15,16 .…”

Section: Sdnnsupporting

confidence: 76%

“…To our knowledge, only two previous studies have tested either the inter-or intra-researcher reproducibility of the selected R-R interval period using the Kubios software 15,16 . Farah et al 15 found that the inter-researcher reproducibility was lower than the intra-researcher reproducibility in 27 healthy adolescents and concluded that the same researcher should perform the HRV data signal processing of short-term recordings 15 .…”

Section: Sdnnmentioning

confidence: 99%

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Inter- and intra-researcher reproducibility of heart rate variability parameters in three human cohorts

Plaza‐Florido

Alcantara

Migueles

et al. 2020

Sci Rep

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Heart rate variability (HRV) is a valid and non-invasive indicator of cardiac autonomic nervous system functioning. Short-term HRV recordings (e.g., 10 min long) produce data that usually is manually processed. Researcher subjective decision-making on data processing could produce inter- or intra-researcher differences whose magnitude has not been previously quantified in three independent human cohorts. This study examines the inter- and intra-researcher reproducibility of HRV parameters (i.e., the influence of R–R interval selection by different researchers and by the same researcher in different moments on the quantification of HRV parameters, respectively) derived from short-term recordings in a cohort of children with overweight/obesity, young adults and middle-age adults. Participants were recruited from 3 different studies: 107 children (10.03 ± 1.13 years, 58% male), 132 young adults (22.22 ± 2.20 years, 33% males) and 73 middle-aged adults (53.62 ± 5.18 years, 48% males). HRV was measured using a Polar RS800CX heart rate monitor. The intraclass correlation coefficient (ICC) ranged from 0.703 to 0.989 and from 0.950 to 0.998 for inter-and intra-researcher reproducibility, respectively. Limits of agreement for HRV parameters were higher for the inter-researcher processing compared with the intra-researcher processing. On average, the intra-researcher differences were 31%, 62%, and 80% smaller than the inter-researchers differences based on Coefficient of Variation in children, young and middle-aged adults, respectively. Our study provides the quantification of the inter-researcher and intra-researcher differences in three independent human cohorts, which could elicit some clinical relevant differences for HRV parameters. Based on our findings, we recommend the HRV data signal processing to be performed always by the same trained researcher and we postulate a development of algorithms for an automatic ECG selection.

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Section: Sdnnsupporting

confidence: 76%

Section: Sdnnmentioning

confidence: 99%

Inter- and intra-researcher reproducibility of heart rate variability parameters in three human cohorts

Plaza‐Florido

Alcantara

Migueles

et al. 2020

Sci Rep

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“…Cronbach’s α was used to evaluate internal consistency, considering values between 0.70 and 0.95 to indicate good internal consistency [ 12 ]. Test–retest reliability for the seven days interval was assessed with intraclass correlation coefficient (ICC), standard error of measurement (SEM), and the minimal detectable change (MDC) [ 21 ]. We used the following formula to calculate the SEM: standard deviation x √(1−ICC).…”

Section: Methodsmentioning

confidence: 99%

“…For the interpretation of the ICC value, the Fleiss study classification was used: for values below 0.40, the reliability was considered low; between 0.40 and 0.75, moderate; between 0.75 and 0.90, substantial; and greater than 0.90, excellent [ 22 ]. For the construct validity, we hypothesized a magnitude of correlation greater than 0.50 (similar construct) with the original NDI, between 0.30–0.50 with the functional capacity domain of the SF-36 (related but different constructs), and less than 0.30 with the others research instruments (unrelated constructs) [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

The Short-Form Neck Disability index has adequate measurement properties in chronic neck pain patients

et al. 2021

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Objectives To assess test–retest reliability, internal consistency, construct validity, and the presence of ceiling and floor effects in the Brazilian version of the Short-Form Neck Disability Index (SF-NDI) in patients with chronic neck pain. Methods One hundred and fifty-six patients answered the Numerical Pain Rating Scale (NPRS), Short-Form Neck Disability Index (SF-NDI), Tampa Scale of Kinesiophobia (TKS), Pain Catastrophizing Scale (PCS), and the 36-Item Short-Form Health Survey questionnaire (SF-36). Another sample ( n = 51) filled the SF-NDI at two different times, and test–retest reliability was measured using the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimum detectable change (MDC). The internal consistency of the SF-NDI was analyzed by Cronbach's alpha. To determine construct validity, Spearman's correlation coefficient was used to determine the magnitude of the correlation between the score of the SF-NDI and other measurement instruments: NPRS, TKS, PCS, SF-36, and original NDI. Results SF-NDI presented substantial reliability (ICC = 0.844) and adequate internal consistency (Cronbach's alpha = 0.778). We observed significant values and with a correlation magnitude greater than 0.80 for the SF-NDI with the original NDI, between 0.30 and 0.50 for the correlations with TKS, and the functional capacity and pain domains of the SF-36, and less than 0.30 with the other study instruments. No participant reached the maximum score. Ceiling and floor effects were not observed. Conclusions SF-NDI with 5 items has adequate measurement properties in Brazilian chronic neck pain patients. Supplementary Information The online version contains supplementary material available at 10.1007/s00586-021-07019-4.

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“…Além do ECG, o registro dos impulsos elétricos cardíacos pode ser feito por meio de dispositivos portáteis, tais como os cardiofrequencímetros, que são uma alternativa prática, com menor custo que o ECG e possibilitam a mensuração dos intervalos RR tanto na área científica como na prática clínica (Bassi et al, 2018;Caminal et al, 2018), porém para evitar erros nas interpretações clínicas dos parâmetros derivados da VFC, a validade e a reprodutibilidade dos dispositivos portáteis devem ser avaliadas (Plaza-Florido et al, 2021). Sendo assim, o presente estudo teve como objetivo revisar evidências científicas sobre a validade de cardiofrequencímetros para a mensuração da VFC na condição de repouso em diferentes populações.…”

Section: Introductionunclassified

Utilização de cardiofrequencímetros para mensuração da Variabilidade da Frequência Cardíaca no repouso: uma revisão de literatura

Castro

Lima

Costa

et al. 2021

RSD

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A Variabilidade da Frequência Cardíaca (VFC) é um método não-invasivo utilizado para estimar o controle autonômico cardíaco que pode ser mensurada através do eletrocardiograma (ECG), método padrão-ouro. Dispositivos portáteis que tragam maior praticidade e com menor custo que o ECG, como os cardiofrequencímetros, são uma alternativa mais conveniente para a mensuração da VFC na prática clínica, porém é necessário que seus resultados sejam validados em diferentes populações. Objetivo: Analisar os estudos realizados sobre a validade dos cardiofrequencímetros em comparação com o ECG para mensuração da VFC no repouso em diferentes populações. Metodologia: Trata-se de uma revisão de literatura onde foram utilizados estudos publicados na base de dados do Pubmed e Scielo, sem limite inferior da data de publicação até o ano de 2021. Foram utilizados os seguintes descritores nos idiomas inglês e português: "heart rate variability" ou "cardiac autonomic control" ou "Electrocardiography" ou "Heart Rate", sendo associados aos termos “heart rate monitor” e "reproducibility" ou “validity” ou “agreement”. Resultados e discussão: Foram encontrados 15 estudos que avaliaram a validade de diferentes modelos de cardiofrequencímetros para a mensuração da VFC no repouso, em comparação com o ECG, em diferentes populações (adultos saudáveis, atletas, idosos, crianças, adolescentes obesos, indivíduos com lesão medular e idosos), assim como sua confiabilidade no teste-reteste de alguns dispositivos. Conclusão: Os estudos demonstraram que os diferentes modelos de cardiofrequencímetro podem ser utilizados como uma alternativa ao ECG para a mensuração da VFC, mesmo em diferentes populações.

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Inter and Intra-Rater Reliability of Short-Term Measurement of Heart Rate Variability on Rest in Diabetic Type 2 Patients

Cited by 38 publications

References 30 publications

Inter- and intra-researcher reproducibility of heart rate variability parameters in three human cohorts

Inter- and intra-researcher reproducibility of heart rate variability parameters in three human cohorts

The Short-Form Neck Disability index has adequate measurement properties in chronic neck pain patients

Utilização de cardiofrequencímetros para mensuração da Variabilidade da Frequência Cardíaca no repouso: uma revisão de literatura

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