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Updated: Jan 23, 2026

Autonomic Function Following Concussion in Youth Athletes: An Exploration of Heart Rate Variability Using 24-hour Recording Methodology
Published on: September 21, 2018
Linking allostatic load, heart rate variability and brain functional networks and structures in healthy men
Juan M Solano-Atehortua1, Gabriel Castrillón2, Jazmin X Suarez-Revelo3
1Physiology and Biochemistry Research Group (PHYSIS), Faculty of Medicine, University of Antioquia, Calle 70 No. 52-2, Medellín, Colombia; Neuromuscular Disease Research Group, Faculty of Medicine, University of Antioquia, Calle 70 No. 52-2, Medellín, Colombia.
Chronic stress, measured by the Allostatic Load Index (ALI), is linked to reduced heart rate variability (HRV) in healthy men. Brain structure and function may influence this relationship, but further research is needed.
Area of Science:
- Physiology
- Neuroscience
- Cardiology
Background:
- Allostatic Load Index (ALI) quantifies chronic stress's physiological burden.
- The relationship between ALI, heart rate variability (HRV), and potential brain moderation in healthy individuals remains underexplored.
Purpose of the Study:
- To investigate the association between ALI and HRV in healthy men.
- To explore the moderating role of brain functional connectivity and structure on the ALI-HRV relationship.
Main Methods:
- Cross-sectional study of 88 healthy men (21-40 years).
- Calculated ALI using four and seven biomarkers (ALI-4, ALI-7) via quartile-based risk summation.
- Assessed HRV from 24-hour Holter recordings.
- Utilized neuroimaging (MRI) for functional and structural metrics.
- Employed multiple linear regression and exploratory interaction models.
Main Results:
- ALI-7 showed a positive association with the LF/HF ratio, an indicator of sympathetic-vagal imbalance (β = 0.09, p=0.004).
- Exploratory analyses indicated potential moderation of ALI-7's association with SDNN by default mode network functional connectivity and salience network cortical thickness, though not significant after correction.
Conclusions:
- Higher ALI is associated with reduced HRV (higher LF/HF ratio) in healthy men.
- Further investigation in larger, diverse populations is required to confirm findings and clarify brain moderation effects.
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