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New Biomarker Predicts Cognitive Decline Using Wearable Heart Monitoring

Mass General Brigham research reveals pulse rate complexity as a superior predictor of cognitive aging, with potential for early dementia detection.

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The team found that people with greater complexity in their heartbeats at baseline tend to experience slower cognitive decline over time. Credit: Neuroscience News
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Overview

  • A study published in May 2025 demonstrates that pulse rate complexity, measured via wearable pulse oximetry, predicts cognitive decline more effectively than traditional heart rate variability metrics.
  • Researchers analyzed data from 503 older adults, averaging 82 years old, monitored over 4.5 years as part of the Rush Memory and Aging Project.
  • The Itamar WatchPAT 300 device captured overnight pulse rate data, enabling the application of nonlinear dynamical analysis to assess heart rhythm complexity.
  • Higher pulse rate complexity at baseline correlated with slower cognitive decline, suggesting a link between cardiovascular adaptability and neural health.
  • Future research will explore whether this measure can predict dementia onset, potentially guiding early interventions for at-risk individuals.