Lacey W Heinsberg, Tara S Davis, Dylan Maher, Catherine M Bender, Yvette P Conley, Daniel E Weeks
{"title":"Multivariate Bayesian Analyses in Nursing Research: An Introductory Guide.","authors":"Lacey W Heinsberg, Tara S Davis, Dylan Maher, Catherine M Bender, Yvette P Conley, Daniel E Weeks","doi":"10.1177/10998004241292644","DOIUrl":"10.1177/10998004241292644","url":null,"abstract":"<p><p>In the era of precision health, nursing research has increasingly focused on the analysis of large, multidimensional data sets containing multiple correlated phenotypes (e.g., symptoms). This presents challenges for statistical analyses, especially in genetic association studies. For example, the inclusion of multiple symptoms within a single model can raise concerns about multicollinearity, while individual SNP-symptom analyses may obscure complex relationships. As such, many traditional statistical approaches often fall short in providing a comprehensive understanding of the complexity inherent in many nursing-focused research questions. Multivariate Bayesian approaches offer the unique advantage of allowing researchers to ask questions that are not feasible with traditional approaches. Specifically, these methods support the simultaneous exploration of multiple phenotypes, accounting for the underlying correlational structure between variables, and allow for formal incorporation of existing knowledge into the statistical model. By doing so, they may provide a more realistic view of statistical relationships within a <i>biological system</i>, potentially uncovering new insights into well-established and undiscovered connections, such as the probabilities of association and direct versus indirect effects. This valuable information can help us better understand our phenotypes of interest, leading to more effective nurse-led intervention and prevention programs. To illustrate these concepts, this paper includes an application section covering two specific multivariate Bayesian analysis software programs, <i>bnlearn</i> and <i>mvBIMBAM</i>, with an emphasis on interpretation and extension to nursing research. To complement the paper, we provide access to a detailed online tutorial, including executable R code and a synthetic data set, so the concepts can be more easily extended to other research questions.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"316-325"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eujene Jung, Dong Ki Kim, Seok Jin Ryu, Hyun Ho Ryu
{"title":"Sex-Specific Impact of Serum Calcium Levels on Acute Coronary Syndrome Risk: A 19-Year Cohort Study in Korea.","authors":"Eujene Jung, Dong Ki Kim, Seok Jin Ryu, Hyun Ho Ryu","doi":"10.1177/10998004241295360","DOIUrl":"10.1177/10998004241295360","url":null,"abstract":"<p><p><b>Background:</b> This study aims to investigate the association between serum calcium levels and acute coronary syndrome (ACS) risk, examining whether this relationship differs by sex, given the known differences in calcium metabolism and hormonal influences between males and females. <b>Methods:</b> Utilizing the Korean Genome Epidemiology Study (KoGES) prospective cohort data, our primary exposure variables were serum calcium level and sex. The incidence of ACS served as the main outcome of interest. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox regression analysis. An interaction analysis was conducted to assess the interaction effect of calcium level and sex on ACS incidence. <b>Results:</b> After adjusting for confounding variables, high calcium intake did not significantly increase ACS incidence, with a hazard ratio (HR) of 1.07 (95% CI: 0.90-1.26). There was also no significant difference in ACS risk between females and males (HR: 0.81, 95% CI: 0.61-1.04). However, interaction effect analysis revealed that higher calcium levels were associated with an increased risk of ACS only in females (HR: 1.24, 95% CI: 1.07-1.58), whereas the association in males was not statistically significant (HR: 0.90, 95% CI: 0.71-1.15). <b>Conclusion:</b> Our study results indicate that elevated serum calcium levels alone did not independently increase the risk of ACS; however, high serum calcium levels were associated with an increased risk of ACS in females but not in males, underscoring the importance of sex-specific factors in assessing and managing ACS risk and highlighting the necessity for personalized medical approaches to improve cardiovascular health outcomes for women.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"246-254"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rita H Pickler, Jodi L Ford, Alai Tan, Christopher Browning, Jake Tarrence, Darlene A Kertes
{"title":"Childhood Adversity and Telomere Length.","authors":"Rita H Pickler, Jodi L Ford, Alai Tan, Christopher Browning, Jake Tarrence, Darlene A Kertes","doi":"10.1177/10998004241309368","DOIUrl":"10.1177/10998004241309368","url":null,"abstract":"<p><p><b>Purpose:</b> Exposure to adversity during childhood and adolescence is associated with numerous health conditions in adulthood; telomere shortening may be a mechanism through which adversity contributes to poor outcomes. We studied three areas of adversity (parent relational instability, child household instability, and financial instability) occurring during three epochs across childhood and adolescence and their associations with telomere length during adolescence. <b>Methods:</b> Data were obtained from the first wave of a longitudinal cohort study of youth aged 11-17 and their primary caregiver. Caregivers completed demographic and adversity questionnaires; youth provided a saliva sample for DNA extraction for telomere analysis. <b>Results:</b> Of 879 youth, over half experienced some adversity. More than one third experienced parent relational instability in each age epoch, with nearly a quarter experiencing parent relational instability in all age epochs. Youth experienced a similar pattern of financial instability but lower rates of child household instability. Youth experiencing parent relational instability at two or three epochs had shorter telomeres compared to those without any parent relational instability (<i>p</i> < .004). Youth who experienced child household instability in two age epochs had shorter telomeres (<i>p</i> = .003) and youth who experienced financial instability across all three epochs had shorter telomeres (<i>p</i> = .013) compared to youth without these adversities. <b>Conclusion:</b> Continuing exposure to adversity in early childhood may be more likely to affect telomere length. Research is needed to further determine adversities exerting the most effect and to understand if early telomere shortening has long term health effects.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"291-299"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph A Belloir, Thomas Myers, Scott Batey, Rebecca Schnall
{"title":"Brain-Derived Neurotrophic Factor (BDNF) is Associated with Self-Reported Cognitive Function in Adults with HIV.","authors":"Joseph A Belloir, Thomas Myers, Scott Batey, Rebecca Schnall","doi":"10.1177/10998004241296466","DOIUrl":"10.1177/10998004241296466","url":null,"abstract":"<p><p><b>Background:</b> People with HIV (PWH) are at risk of developing HIV-associated neurocognitive disorder (HAND) despite receiving combination antiretroviral therapy. Brain-derived neurotrophic factor (BDNF) has been implicated in cognitive function and neuroplasticity, but its role in HIV-related neuroinflammation remains understudied. <b>Methods:</b> This study analyzed data from the CHAMPS study, assessing BDNF serum levels and cognitive function in 140 adults with HIV at baseline. Cognitive function was evaluated using the PROMIS Applied Cognition-Abilities 8-item questionnaire. BDNF levels (pg/ml) were measured using high sensitivity Enzyme-Linked Immunoassay (ELISA) kits. Linear regression analyses were conducted to explore the associations between BDNF levels, cognitive function, and AIDS diagnosis, adjusting for demographic variables. <b>Results:</b> A significant positive association was found between BDNF levels and cognitive function scores in PWH (<i>p =</i> .03). Additionally, PWH with a history of AIDS diagnosis showed significantly lower BDNF levels (<i>p =</i> .02). Other demographic factors did not significantly impact cognitive function or BDNF levels in this cohort. <b>Conclusions:</b> Our results highlight the potential of BDNF as a biomarker for cognitive decline in PWH and suggest its relevance in understanding HAND pathophysiology. Further research is warranted to explore the multifaceted interactions influencing cognitive outcomes in this population and to develop targeted interventions for improving cognitive health in PWH.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"255-260"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delayed Lactogenesis II in High-Risk Pregnancies: What Should We Care.","authors":"Qianqian Liu, Hanxiang Lin","doi":"10.1177/10998004241300477","DOIUrl":"10.1177/10998004241300477","url":null,"abstract":"<p><p><b>Background:</b> The timely initiation of lactogenesis II is crucial for postpartum women, with delays having significant clinical implications. This study aimed to evaluate the determinants of delayed lactogenesis II (DOL II) in high-risk pregnant women to guide clinical interventions and postnatal care protocols. <b>Methods:</b> We conducted a study involving high-risk pregnant women who gave birth and were admitted to our hospital''s obstetric intensive care unit for postpartum surveillance and treatment from February 1, 2023, to April 30, 2024. We utilized Pearson correlation analysis and logistic regression to determine factors linked to DOL II. <b>Results:</b> Our study included 206 high-risk pregnant women, with 85 (41.26%) experiencing DOL II. Pearson correlation analysis indicated strong associations between DOL II and maternal age (r = 0.452), gestational hypertension (r = 0.514), gestational diabetes (r = 0.487), and delayed colostrum secretion (r = 0.506), all statistically significant (<i>p <</i> 0.05). Logistic regression analysis identified age 35 years or older (OR = 2.115, 95%CI: 1.785-2.466), gestational hypertension (OR = 2.404, 95%CI: 2.125-3.107), gestational diabetes (OR = 2.556, 95%CI: 2.008-2.879), and colostrum secretion later than one hour postpartum (OR = 3.126, 95%CI: 2.682-3.605) as independent risk factors for DOL II, all with <i>p <</i> 0.05. <b>Conclusions:</b> The incidence of DOL II is significantly elevated in high-risk pregnant women, especially those aged 35 or older, those with gestational diabetes and hypertension, and those who delay the initiation of breastfeeding. It is imperative that clinical practices prioritize enhanced prenatal care and health education, robust lactation support, and improved lactation awareness among postpartum women to reduce the prevalence of DOL II.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"274-281"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Magali Rezende de Carvalho, Hyehwan Yang, Joyce Stechmiller, Debra E Lyon
{"title":"MicroRNA Expression in Chronic Venous Leg Ulcers and Implications for Wound Healing: A Scoping Review.","authors":"Magali Rezende de Carvalho, Hyehwan Yang, Joyce Stechmiller, Debra E Lyon","doi":"10.1177/10998004241291062","DOIUrl":"10.1177/10998004241291062","url":null,"abstract":"<p><p><b>Purpose:</b> Chronic venous leg ulcers (CVLUs) comprise the majority of lower-extremity wounds, yet their pathophysiology is not fully understood. While research has shown that microRNAs are an important component of wound inflammation, few have explored the role of microRNAs (miRNAs) in the healing of CVLUs. This scoping review examines miRNAs in CVLUs and the association with wound healing. <b>Methods:</b> In December 2023, we searched MEDLINE/PubMed, Embase, Scopus, and CINAHL for studies published in 2013-2023 examining miRNAs in CVLU healing. <b>Results:</b> Six studies met inclusion criteria. MicroRNAs were extracted from various specimens including serum, skin biopsy samples, and adipose tissue-derived mesenchymal cells from individuals with CVLUs. Overexpression of miR-221, miR-222, miR-92a, and miR-301a-3p hindered angiogenesis, while overexpression of miR-296, miR-126, miR-378, and miR-210 facilitated angiogenesis. Overexpression of miR-34a/c, miR-301a-3p, miR-450-5p, miR-424-5p, miR-516-5p, and miR-7704 increased local inflammatory responses and inhibited keratinocytes proliferation, impairing healing, while overexpression of miR-19a/b and miR-20 downregulated keratinocytes' inflammatory response, promoting healing. Downregulation of miR-205, miR-96-5p, and miR-218-5p enhanced cellular proliferation and promoted wound healing. Downregulation of miR-17-92 was linked with impaired healing. <b>Discussion:</b> MicroRNAs play a role in regulating angiogenesis, inflammatory responses, and cell migration in chronic-wound healing. However, studies of miRNAs in CVLUs are limited and lack a standardized approach to measurement and quantification. Further research is warranted to elucidate the mechanisms underlying microRNA involvement in CVLU healing to better understand the pathophysiology and for the future development of targeted therapies.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"339-351"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandra L Nowak, Nadia Saadat, Jiao Sun, Anna M Forsman, Xiaoyu Liang, Cara Joyce, Jennifer Woo, Christopher G Engeland, Dawn P Misra, Carmen Giurgescu, Wei Zhang, Cindy M Anderson
{"title":"Preterm Birth in African American Women: A Multi-Omic Pilot Study in Early Pregnancy.","authors":"Alexandra L Nowak, Nadia Saadat, Jiao Sun, Anna M Forsman, Xiaoyu Liang, Cara Joyce, Jennifer Woo, Christopher G Engeland, Dawn P Misra, Carmen Giurgescu, Wei Zhang, Cindy M Anderson","doi":"10.1177/10998004241275049","DOIUrl":"10.1177/10998004241275049","url":null,"abstract":"<p><p>Preterm birth (PTB; <37 weeks completed gestation) is a devastating problem affecting over 13 million live births worldwide. In the U.S., African Americans experience significantly higher rates of PTB compared to non-Hispanic Whites. PTB disparities have been linked to social determinants of health (e.g., socioeconomic status, discrimination). However, the biological underpinnings related to these associations are unclear. DNA methylation (DNAm) is subject to environmental influences, and DNAm modifications are known to affect gene expression. Using a multi-omic approach, we examined differences in combined DNA methylation (DNAm) and messenger RNA (mRNA) transcriptomic data from 20 pregnant African American women (12 PTB; 8 term birth) early in pregnancy (8-18 weeks gestation). We found that the <i>HLA-</i><i>DQB2</i> gene was both differentially methylated (cg12296550; <i>p</i> = .02) and differentially expressed (<i>p</i> = .014; log2FC = 2.5) between women with PTB and term birth. Gene expression analysis showed <i>HLA-</i><i>DQB2</i> and <i>HLA-</i><i>DRB4</i> (<i>p</i> = .028; log2FC = -3.6) were the two most highly expressed genes. <i>HLA-DQB2</i> expressed higher in PTB and <i>HLA-</i><i>DRB4</i> expressed higher in term birth. However, no genes remained significant (<i>p</i> < .05) after Bonferroni correction. <i>HLA-</i><i>DRB4</i> and <i>AKR1C1</i> were identified as a potential biomarkers in dimensionality reduction models and are also important to immune function and allogenic breakdown. Altered gene expression may lead to inflammatory imbalances or allogenic intolerance resulting in PTB. This study provides proof-of-concept evidence for the feasibility and importance of future multi-omics studies with larger populations to further explore the genes and pathways identified here.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"205-215"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Physical Function on Access to Repeat Kidney Transplantation.","authors":"Jongwon Yoo","doi":"10.1177/10998004241271380","DOIUrl":"10.1177/10998004241271380","url":null,"abstract":"<p><p><b>Background:</b> The long-term success rate of kidney transplantation is disappointing, with repeat transplantation necessary for more than half of recipients. When a repeat kidney transplantation is needed, patients are often elderly and suffer from underlying advanced kidney disease, comorbidities, and adverse effects of immunosuppressants, leading to physical function limitations. Limited physical function is known to hinder access to an initial kidney transplantation, but there is no information about its impact on repeat transplantations. <b>Objective:</b> This study aimed to determine the effect of physical function on access to wait-listing for repeat transplantation. <b>Methods:</b> Data from the national registry was utilized to analyze 28,884 kidney transplant recipients. Physical function was assessed with Karnofsky scores, and patients were categorized into three strata: total assistance, some assistance, and no assistance. Logistic regression and multivariate Cox proportional hazard models were used to assess the impact of physical function on waiting list access and duration until wait-listing, respectively. <b>Results:</b> Patients with greater physical independence were more likely to be wait-listed for repeat kidney transplantation. Highly sensitized patients, those with diabetes, Black patients, and elderly individuals had a lower likelihood of access to wait-listing after kidney failure. Interestingly, those with limited physical function, provided they remained in the work-up process, experienced a relatively shorter duration to wait-listing after graft failure.<b>Conclusions:</b> These findings highlight the need to promote and support physical function throughout the kidney transplant journey to improve access to repeat transplantation and subsequent patient outcomes.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"193-204"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatemeh Mohammad Rahimi, Mehdi Sohrabi, Alireza Saberi Kakhki, Nasser Mohammad Rahimi
{"title":"Six Weeks to Wellness: The Role of Breathing Exercises Based on Motor Development Pattern in Improving Fitness and Quality of Life in Overweight Elderly Women.","authors":"Fatemeh Mohammad Rahimi, Mehdi Sohrabi, Alireza Saberi Kakhki, Nasser Mohammad Rahimi","doi":"10.1177/10998004241297403","DOIUrl":"10.1177/10998004241297403","url":null,"abstract":"<p><p><b>Background:</b> Being overweight is a major global health epidemic of the 20th and 21st centuries, which can affect the movement system function of older adult women. This study evaluated the effects of a breathing exercise based on motor development patterns on functional fitness and quality of life in overweight older adult women. <b>Methods:</b> A randomized controlled trial was conducted with 40 community-dwelling women aged 65-75. Participants were randomly assigned to an intervention group, which completed a 6-week breathing exercise program (three supervised and three home-based sessions per week), or a control group, which maintained usual routines. Outcome measures included cardiovascular fitness, upper and lower body flexibility, muscle strength, dynamic balance, and quality of life, assessed at baseline and post-intervention. <b>Results:</b> The intervention group showed significant improvements in cardiovascular fitness (<i>p <</i> .001, ES = 0.652), upper body flexibility (<i>p <</i> .001, ES = 0.652), lower body flexibility (<i>p <</i> .001, ES = 0.538), upper body strength (<i>p <</i> .001, ES = 0.538), lower body strength (<i>p <</i> .001, ES = 0.538), and dynamic balance (<i>p <</i> .001, ES = 0.475) compared to the control group. Quality of life also significantly improved in the intervention group (<i>p <</i> .001, ES = 0.475). <b>Conclusion:</b> Breathing exercises based on motor development patterns significantly enhance functional fitness and quality of life in overweight older adult women. Incorporating these exercises into regular physical activity routines may promote health and independence in older adults. Further research should explore long-term benefits and optimal exercise parameters for older adults.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"261-273"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Scoping Review of Studies Reporting Heart Rate Variability Measurement Among Pregnant and Postpartum People Using Wearable Technology.","authors":"Renée Byfield, Irene Yang, Melinda Higgins, Nicole Carlson","doi":"10.1177/10998004251325212","DOIUrl":"10.1177/10998004251325212","url":null,"abstract":"<p><p>Maternal mental health conditions significantly contribute to pregnancy-related mortality in the United States. Approximately 20-25% of postnatal women exhibit symptoms of depressive and anxiety disorders. Mental health is influenced by stress, which affects mood, cognition, and behavior. Heart rate variability (HRV), the time interval between consecutive heartbeats, is a physiological marker for assessing stress levels, providing critical insights into the body's autonomic responses. Wearable devices measuring HRV offer a non-invasive method to monitor stress and mental health, enabling early detection of maternal stress dynamics to facilitate timely interventions. In this scoping review, we aimed to capture the current state of science on two areas of focus: (1) utilization of wearable technology for HRV monitoring in pregnant and postpartum women, (2) findings from these perinatal HRV studies, including observed HRV trends throughout pregnancy and postpartum, as well as the association between HRV, perinatal stress, and mental health. The six included perinatal HRV studies employed five fitness tracking wearables, utilizing either periodic or continuous 24-h monitoring. Findings include evidence that HRV declines during pregnancy, with a return to normal levels postpartum. Associations between HRV and stress were inconsistent across studies, with some demonstrating correlations and others reporting no relationship. Postpartum HRV measurements effectively differentiated between women with postpartum depression (PPD) versus those with adjustment disorder (AJD), demonstrating high diagnostic accuracy. In this scoping review, HRV shows promise as a stress biomarker among pregnant/postpartum people, although more work is needed to standardize optimal methods of wearable HRV measurement in this population.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004251325212"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}