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The current meta\u2010analysis examined studies testing the link between resting\u2010state heart rate variability indices of vagal activation (vmHRV), and both clinical and subthreshold disordered eating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A systematic search of the literature resulted in the inclusion of studies that were correlational (associations between HRV and disordered eating symptoms) and that examined group differences (e.g., control group vs. disordered eating group), for a total of 36 samples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings indicated a small but reliable association of vmHRV with disordered eating, <jats:italic>r<\/jats:italic> = 0.12, indicating greater vagal activation in individuals with disordered eating compared to those with little or no disordered eating behavior. Moderation analyses identified predictors of the vmHRV\/disordered eating association. Bulimia nervosa was found to have a large, positive effect size with vmHRV, <jats:italic>r<\/jats:italic> = 0.60, which was significantly greater than all other types of disordered eating, <jats:styled-content>\n<jats:italic>Q<\/jats:italic><\/jats:styled-content>\n<jats:sub>T<\/jats:sub> = 10.74, <jats:italic>p<\/jats:italic> = .047. Compared to subthreshold disordered eating, clinical eating disorders demonstrated significant, persistent increased vagal activation with a medium, reliable effect size, <jats:italic>r<\/jats:italic> = 25, <jats:italic>Q<\/jats:italic><jats:sub>T<\/jats:sub> = 3.94, <jats:italic>p<\/jats:italic> = .045.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These insights contribute to an improved understanding of the pathophysiology in disordered eating.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23287","type":"journal-article","created":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T13:46:40Z","timestamp":1590068800000},"page":"1021-1033","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Resting state heart rate variability in clinical and subthreshold disordered eating: A meta\u2010analysis"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7484-735X","authenticated-orcid":false,"given":"Tanya S.","family":"Watford","sequence":"first","affiliation":[{"name":"Bowling Green State University  Bowling Green Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7412-8854","authenticated-orcid":false,"given":"Abby","family":"Braden","sequence":"additional","affiliation":[{"name":"Bowling Green State University  Bowling Green Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William H.","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Bowling Green State University  Bowling Green Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2016.01.006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/1089-2680.10.3.229"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.004"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.59.103006.093551"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03327462"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.112.1.155"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.024356"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2005.12.047"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2007.11.036"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1348\/000711010X502733"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-015-0559-z"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803181"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(03)00048-X"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2015.10.020"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2009.05.005"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000438"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-29136-4_3"},{"key":"e_1_2_7_19_1","volume-title":"Statistical methods for meta\u2010analysis","author":"Hedges L. 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