Heart Rate Variability in Individuals with Down Syndrome: A Scoping Review with Methodological Considerations

Jakub S. Gąsior (), Antonio Roberto Zamunér, Margaret Madeyska, Anna Tomik, Cezary Niszczota, Craig A. Williams and Bożena Werner
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Jakub S. Gąsior: Department of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw, 02-091 Warsaw, Poland
Antonio Roberto Zamunér: Departamento de Kinesiología, Universidad Católica del Maule, Talca 3480112, Chile
Margaret Madeyska: Pediatric Cardiology and General Pediatrics Clinic, Jan Polikarp Brudziński Pediatric Hospital, 02-091 Warsaw, Poland
Anna Tomik: Faculty of Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland
Cezary Niszczota: Pediatric Cardiology and General Pediatrics Clinic, Jan Polikarp Brudziński Pediatric Hospital, 02-091 Warsaw, Poland
Craig A. Williams: Children’s Health & Exercise Research Centre, Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter EX1 2LU, UK
Bożena Werner: Department of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw, 02-091 Warsaw, Poland

IJERPH, 2023, vol. 20, issue 2, 1-23

Abstract: Individuals with Down syndrome (DS) present similar heart rate variability (HRV) parameters at rest but different responses to selected movement maneuvers in comparison to individuals without DS, which indicates reduced vagal regulation. The present study undertakes a scoping review of research on HRV in individuals with DS, with special attention paid to the compliance of the studies with standards and methodological paper guidelines for HRV assessment and interpretation. A review was performed using PubMed, Web of Science and CINAHL databases to search for English language publications from 1996 to 2020 with the MESH terms “heart rate variability” and “down syndrome”, with the additional inclusion criteria of including only human participants and empirical investigations. From 74 studies, 15 were included in the review. None of the reviewed studies met the recommendations laid out by the standards and guidelines for providing the acquisition of RR intervals and necessary details on HRV analysis. Since authors publishing papers on this research topic do not adhere to the prescribed standards and guidelines when constructing the methodology, results of the research papers on the topic are not directly comparable. Authors need to design the study methodology more robustly by following the aforementioned standards, guidelines and recommendations.

Keywords: Down syndrome; heart rate variability; cardiac autonomic dysfunction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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