PMID- 35835890 OWN - NLM STAT- MEDLINE DCOM- 20220914 LR - 20221120 IS - 1435-1463 (Electronic) IS - 0300-9564 (Linking) VI - 129 IP - 10 DP - 2022 Oct TI - Wearable sensor device-based detection of decreased heart rate variability in Parkinson's disease. PG - 1299-1306 LID - 10.1007/s00702-022-02528-y [doi] AB - The evidence that heart rate variability (HRV) decreases during early Parkinson's disease (PD) largely depends on electrocardiogram data. In this study, we examined HRV in PD using wearable sensors and assessed various evaluation methods for detecting disease-related alterations. We evaluated 27 patients with PD and 23 disease controls. The wearable sensors POLAR V800 HR and POLAR H10 were used for the HRV measurements. The participants wore the two sensors for approximately 24 h, and long-term HRV data were acquired. We analyzed the standard deviation of normal R-R intervals (SDNN) and coefficient of variation of R-R intervals (CVRR) for every 100 consecutive beats. Focusing on the fluctuation of SDNN and CVRR, we extracted the minimum, first decile, first quartile, and median values of SDNN and CVRR. The area under the receiver operating characteristic curve (AUC) for each HRV parameter was calculated to differentiate PD from the disease controls. The minimum values of SDNN and CVRR had the highest AUC (SDNN: AUC 0.90, 95% confidence interval [CI] 0.78-0.96; CVRR: AUC 0.90, CI 0.76-0.96) among the evaluation methods tested. The minimum values of SDNN and CVRR were significantly decreased in PD (SDNN: 9.5 +/- 4.0 ms vs. 4.4 +/- 2.0 ms, p < 0.0001; CVRR: 1.15 +/- 0.33% vs. 0.65 +/- 0.24%, p < 0.0001). We detected decreased HRV in PD using wearable sensors. Analyzing the minimum values of the HRV parameter in long-term recordings appears to be appropriate for detecting the decrease in HRV in PD. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature. FAU - Suzuki, Masashi AU - Suzuki M AD - Department of Neurology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, Nagoya, 466-8550, Japan. AD - Department of Clinical Laboratory, Nagoya University Hospital, Nagoya, Japan. FAU - Nakamura, Tomohiko AU - Nakamura T AD - Department of Neurology, Hamamatsu University School of Medicine, Hamamatsu, Japan. FAU - Hirayama, Masaaki AU - Hirayama M AD - Department of Pathophysiological Laboratory Science, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Ueda, Masamichi AU - Ueda M AD - Department of Neurology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, Nagoya, 466-8550, Japan. FAU - Hatanaka, Mai AU - Hatanaka M AD - Department of Neurology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, Nagoya, 466-8550, Japan. FAU - Harada, Yumiko AU - Harada Y AD - Department of Neurology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, Nagoya, 466-8550, Japan. AD - Public Health Informatics Unit, Department of Neurology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan. FAU - Nakatochi, Masahiro AU - Nakatochi M AD - Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Nakatsubo, Daisuke AU - Nakatsubo D AD - Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. AD - Focused Ultrasound Therapy Center, Nagoya Kyoritsu Hospital, Nagoya, Japan. FAU - Maesawa, Satoshi AU - Maesawa S AD - Focused Ultrasound Therapy Center, Nagoya Kyoritsu Hospital, Nagoya, Japan. AD - Brain and Mind Research Center, Nagoya University, Nagoya, Japan. FAU - Saito, Ryuta AU - Saito R AD - Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Fujiwara, Koichi AU - Fujiwara K AD - Department of Material Process Engineering, Nagoya University, Nagoya, Japan. FAU - Katsuno, Masahisa AU - Katsuno M AUID- ORCID: 0000-0001-9453-9311 AD - Department of Neurology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, Nagoya, 466-8550, Japan. ka2no@med.nagoya-u.ac.jp. AD - Department of Clinical Research Education, Nagoya University Graduate School of Medicine, Nagoya, Japan. ka2no@med.nagoya-u.ac.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220714 PL - Austria TA - J Neural Transm (Vienna) JT - Journal of neural transmission (Vienna, Austria : 1996) JID - 9702341 SB - IM MH - Electrocardiography MH - Heart Rate/physiology MH - Humans MH - *Parkinson Disease/diagnosis MH - *Wearable Electronic Devices OTO - NOTNLM OT - Autonomic dysfunction OT - Autonomic nervous system OT - Heart rate variability OT - Parkinson's disease OT - Wearable sensor device EDAT- 2022/07/15 06:00 MHDA- 2022/09/15 06:00 CRDT- 2022/07/14 23:24 PHST- 2022/05/06 00:00 [received] PHST- 2022/07/05 00:00 [accepted] PHST- 2022/07/15 06:00 [pubmed] PHST- 2022/09/15 06:00 [medline] PHST- 2022/07/14 23:24 [entrez] AID - 10.1007/s00702-022-02528-y [pii] AID - 10.1007/s00702-022-02528-y [doi] PST - ppublish SO - J Neural Transm (Vienna). 2022 Oct;129(10):1299-1306. doi: 10.1007/s00702-022-02528-y. Epub 2022 Jul 14.