Heart rate is directly indicative of sleep phase.
Heart rate and autonomic cardiac regulation vary systematically across different sleep phases, such as distinguishing between NREM and REM sleep.
The retrieved literature consistently shows that heart rate and heart rate variability (HRV) metrics shift characteristically between wakefulness, non-REM (NREM), and rapid eye movement (REM) sleep, supporting the claim that heart rate and its autonomic regulation are indicative of sleep phase.
Massimiliano de Zambotti, C. Nicholas, I. Colrain, J. Trinder, F. Baker. Autonomic regulation across phases of the menstrual cycle and sleep stages in women with premenstrual syndrome and healthy controls. 2013. https://doi.org/10.1016/j.psyneuen.2013.06.005
Paper [0] demonstrates distinct differences in heart rate and autonomic control between NREM and REM sleep phases.
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M. Saad, L. Ray, Meenakshie Bradley-Garcia, I. Palamarchuk, A. Gholamrezaei, A. Douglass, E. Lee, Louis Soucy, R. Robillard. Autonomic modulation of cardiac activity across levels of sleep depth in individuals with depression and sleep complaints.. 2019. https://doi.org/10.1097/PSY.0000000000000766
Paper [1] shows that mean heart rate and heart rate variability differ systematically across wake, REM, and NREM sleep stages.
R. Nagendra, S. Sulekha, Arun Sasidharan, Sathyaprabha Tn, Nithy, A. Pradhan, T. Raju, B. Kutty. Vipassana Meditation Practices Enhance the Parasympathetic Activity during Sleep: a Case-Control Study of Heart Rate Variability across Sleep Cycles. 2017. https://doi.org/10.15406/IJCAM.2017.05.00145
Paper [2] evaluates cardiac autonomic modulations across sleep cycles, confirming that heart rate dynamics vary significantly by sleep state.
Jaworski D, Kim TH, Choi B, Park EJ. Evaluating sleep quality in a non-intrusive manner using contactless ballistocardiography and audio signals through a LSTM-TCN machine learning model.. 2026. https://doi.org/10.3389/fnetp.2026.1779111
Paper [10] successfully utilizes cardiorespiratory signals including heart activity to classify sleep stages (wake, non-REM, REM).
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