Meta-Analysis and Systematic Review of Resting-State High-Frequency 					Heart Rate Variability in Binge-Eating Disorder

Christensen, Kara A.; Feeling, Nicole R.; Rienecke, Renee D.

doi:10.1027/0269-8803/a000307

Cited by 2 publications

(2 citation statements)

References 75 publications

(145 reference statements)

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“…Jenkins et al (2021) reported increased parasympathetic and decreased sympathetic activity in AN as measured by HRV, EDA, and other PP (46 studies; N = 934). Three reviews found inconsistent results (HRV in BN [Peschel et al, 2016;17 studies;N = 1441], PP in acute stress in Binge eating disorder (BED) [Naish et al, 2019;14 studies], and HRV in BED [Christensen et al, 2023;6 studies;N = 153]). Burmester et al (2021) found no response in AN and increased aversive physiological responses to food stimuli in BN/BED (29 studies).…”

Section: Prior Reviewsmentioning

confidence: 99%

Momentary physiological indices related to eating disorders: A systematic and methodological review

Ralph‐Nearman,

Osborn,

Chang

et al. 2024

Euro Eating Disorders Rev

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Eating disorders (ED) are serious psychiatric illnesses, with no everyday support to intervene on the high rates of relapse. Understanding physiological indices that can be measured by wearable sensor technologies may provide new momentary interventions for individuals with ED. This systematic review, searching large databases, synthesises studies investigating peripheral physiological (PP) indices commonly included in wearable wristbands (heart rate [HR], heart rate variability [HRV], electrodermal activity [EDA], peripheral skin temperature [PST], and acceleration) in ED. Inclusion criteria included: (a) full peer‐reviewed empirical articles in English; (b) human participants with active ED; and (c) containing one of five wearable physiological measures. Kmet risk of bias was assessed. Ninety‐four studies were included (Anorexia nervosa [AN; N = 4418], bulimia nervosa [BN; N = 916], binge eating disorder [BED; N = 1604], other specified feeding and eating disorders [OSFED; N = 424], and transdiagnostic [N = 47]). Participants with AN displayed lower HR and EDA and higher HRV compared to healthy individuals. Those with BN showed higher HRV, and lower EDA and PST compared to healthy individuals. Other ED and Transdiagnostic samples showed mixed results. PP differences are indicated through various assessments in ED, which may suggest diagnostic associations, although more studies are needed to validate observed patterns. Results suggest important therapeutic potential for PP in ED, and larger studies including diverse participants and diagnostic groups are needed to fully uncover their role in ED.

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Section: Prior Reviewsmentioning

confidence: 99%

Momentary physiological indices related to eating disorders: A systematic and methodological review

Ralph‐Nearman,

Osborn,

Chang

et al. 2024

Euro Eating Disorders Rev

View full text Add to dashboard Cite

show abstract

“…Other studies have investigated HRV and autonomic function in BED given their potential as risk markers for cardiac events. Meta-analysis of this data found no difference in resting state HRV between individuals with and without BED [ 70 ].…”

Section: Cardiovascular Complications In Other Eating Disorders: Buli...mentioning

confidence: 99%

Assessment and management of cardiovascular complications in eating disorders

2023

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Background Eating disorders (EDs) are serious conditions predominantly affecting adolescents and young adults (AYAs) and pose a considerable threat to their health and wellbeing. Much of this increased morbidity and mortality is linked to medical compromise, especially cardiovascular abnormalities. Rates of presentation to both community and inpatient medical settings have increased in all age groups following the Covid-19 pandemic and subsequent “lockdowns”, with patients presentations being more medically compromised compared to previous years. This has implications for clinicians with regard to the performance of competent cardiovascular assessments and management of findings. Aims This paper is a practical resource for clinicians working with AYAs in whom EDs may present. It will provide a brief summary of the physiological context in which cardiovascular complications develop, systematically outline these complications and suggest a pragmatic approach to their clinical evaluation. Methods Relevant literature, guidelines and academic texts were critically reviewed. Conclusions were extracted and verified by a Child and Adolescent Psychiatrist and Adolescent Paediatrician, with suitable expertise in this clinical cohort. Conclusions The cardiovascular complications in EDs are primarily linked to malnutrition, and patients presenting with Anorexia Nervosa are most often at greatest risk of structural and functional cardiac abnormalities, including aberrations of heart rate and rhythm, haemodynamic changes and peripheral vascular abnormalities. Other cardiovascular abnormalities are secondary to electrolyte imbalances, as seen in patients with Bulimia Nervosa. More recently defined EDs including Avoidant/Restrictive Food Intake Disorder and Binge Eating Disorder are also likely associated with distinct cardiovascular complications though further research is required to clarify their nature and severity. Most cardiovascular abnormalities are fully reversible with nutritional restoration, and normalisation of eating behaviours, including the cessation of purging, though rare cases are linked to cardiac deaths. A detailed clinical enquiry accompanied by a thorough physical examination is imperative to ensure the medical safety of AYAs with EDs, and should be supported by an electrocardiogram and laboratory investigations. Consideration of cardiovascular issues, along with effective collaboration with acute medical teams allows community clinicians identify those at highest risk and minimise adverse outcomes in this cohort.

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Meta-Analysis and Systematic Review of Resting-State High-Frequency Heart Rate Variability in Binge-Eating Disorder

Cited by 2 publications

References 75 publications

Momentary physiological indices related to eating disorders: A systematic and methodological review

Momentary physiological indices related to eating disorders: A systematic and methodological review

Assessment and management of cardiovascular complications in eating disorders

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