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Updated: May 24, 2026

Autonomic Function Following Concussion in Youth Athletes: An Exploration of Heart Rate Variability Using 24-hour Recording Methodology
Published on: September 21, 2018
Stability of heart rate variability indices reflecting parasympathetic activity
Katja Bertsch1, Dirk Hagemann, Ewald Naumann
1Department of General Psychiatry, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany. katja.bertsch@med.uni-heidelberg.de
Abstract:
Heart rate variability (HRV) is a measure of autonomic influences on heart rate that has frequently been used as a transsituationally consistent biomarker for cardiovascular health and emotional or cognitive functions. The psychometric properties of HRV however remain unclear. In the present study, we examined the reliability and temporal stability of parasympathetic HRV measures and estimated the portion of variance explained by transsituationally consistent trait variance and by effects of the situation and person-situation interaction with structural equation modeling. The results show good reliability of indices reflecting central parasympathetic control over heart rate and that about 40% of the variance of a single HRV measurement can be explained by effects of the situation and person-situation interaction. An aggregation across at least two measurements may be recommended when using HRV as a transsituationally consistent biomarker or trait.
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