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Cohort study, 2024

Can a wearable fitness tracker spot premenstrual disorders by measuring heart rate?

In women with premenstrual disorders, lower heart rate variability around their period was linked to worse symptoms, especially mood symptoms, while no such link appeared in women without these disorders. This is an early observational finding, not yet a proven test.

Moderate study design 193 women tracked across their menstrual cycles, including 68 confirmed to have a premenstrual disorder.

What they did

Researchers followed 193 women (68 with confirmed premenstrual disorders) who wore a Huawei fitness tracker recording heart rate variability every 5 minutes overnight, across 1 to 2 menstrual cycles (293 cycles total). Each day, participants also rated their symptoms using a standard symptom scale (the Daily Record of Severity of Problems).

What they found

In everyone, heart rate variability measures (SDNN, rMSSD, HF) dropped before the period and rose afterward, with a bigger rise in women without premenstrual disorders. In women with premenstrual disorders, lower rMSSD after the period was tied to worse symptoms (beta = -0.036 per SD change, 95% CI -0.048 to -0.065), but there was no such link in women without these disorders (beta = -0.001, 95% CI -0.011 to 0.009; difference p<0.001). The link was stronger for mood symptoms than physical ones, and strongest before the period in women with the more severe form, PMDD.

What it means for you

Wearable heart-rate tracking might one day help flag premenstrual disorders more easily than today's time-consuming questionnaires, but this is early, observational research done in one cohort. It cannot yet diagnose an individual and needs confirmation in other groups.

193

Women studied

68

Had confirmed PMD

293

Menstrual cycles tracked

About the study

Original title
Wearable-Measured Heart Rate Variability and Premenstrual Disorder Symptoms across Menstrual Cycle
Authors
Pan Q, Zhou J, Chen M et al.
Journal
medRxiv
Year
2024
Study design
Cohort study
Participants
193
What was tested
None tested; this was observational monitoring with a wearable heart-rate device.

Topics