scholarly journals Correlation Properties of Heart Rate Variability during a Marathon Race in Recreational Runners: Potential Biomarker of Complex Regulation during Endurance Exercise

2021 ◽  
pp. 557-563
Author(s):  
Thomas Gronwald ◽  
Bruce Rogers ◽  
Laura Hottenrott ◽  
Olaf Hoos ◽  
Kuno Hottenrott

There is only very limited data examining cardiovascular responses in real-world endurance training/competition. The present study examines the influence of a marathon race on non-linear dynamics of heart rate (HR) variability (HRV). Eleven male recreational runners performed a self-paced marathon road race on an almost flat profile. During the race, heart rate and beat-to-beat (RR) intervals were recorded continuously. Besides HRV time-domain measurements, fractal correlation properties using short-term scaling exponent alpha1 of Detrended Fluctuation Analysis (DFA-alpha1) were calculated. The mean finishing time was 3:10:22 ± 0:17:56 h:min:s with a blood lactate concentration of 4.04 ± 1.12 mmol/L at the end of the race. Comparing the beginning to the end segment of the marathon race (Begin vs. End) significant increases could be found for km split time (p < .001, d = .934) and for HR (p = .010, d = .804). Significant decreases could be found for meanRR (p = .013, d = .798) and DFA-alpha1 (p = .003, d = 1.132). DFA-alpha1 showed an appropriate dynamic range throughout the race consisting of both uncorrelated and anti-correlated values. Lactate was consistent with sustained high intensity exercise when measured at the end of the event. Despite the runners slowing after halfway, DFA-alpha1 continued to fall to values seen in the highest intensity domain during incremental exercise testing in agreement with lactate assessment. Therefore, the discrepancy between the reduced running pace with that of the decline of DFA-alpha1, demonstrate the benefit of using this dimensionless HRV index as a biomarker of internal load during exercise over the course of a marathon race.

2021 ◽  
Vol 10 (18) ◽  
pp. 4075
Author(s):  
Bruce Rogers ◽  
Laurent Mourot ◽  
Thomas Gronwald

An index of heart rate (HR) variability correlation properties, the short-term scaling exponent alpha1 of detrended fluctuation analysis (DFA a1) has shown potential to delineate the first ventilatory threshold (VT1). This study aims to extend this concept to a group of participants with cardiac disease. Sixteen volunteers with stable coronary disease or heart failure performed an incremental cycling ramp to exhaustion PRE and POST a 3-week training intervention. Oxygen uptake (VO2) and HR at VT1 were obtained from a metabolic cart. An ECG was processed for DFA a1 and HR. The HR variability threshold (HRVT) was defined as the VO2, HR or power where DFA a1 reached a value of 0.75. Mean VT1 was reached at 16.82 ± 5.72 mL/kg/min, HR of 91.3 ± 11.9 bpm and power of 67.8 ± 17.9 watts compared to HRVT at 18.02 ± 7.74 mL/kg/min, HR of 94.7 ± 14.2 bpm and power of 73.2 ± 25.0 watts. Linear relationships were seen between modalities, with Pearson’s r of 0.95 (VO2), 0.86 (HR) and 0.87 (power). Bland–Altman assessment showed mean differences of 1.20 mL/kg/min, 3.4 bpm and 5.4 watts. Mean peak VO2 and VT1 did not change after training intervention. However, the correlation between PRE to POST change in VO2 at VT1 with the change in VO2 at HRVT was significant (r = 0.84, p < 0.001). Reaching a DFA a1 of 0.75 was associated with the VT1 in a population with cardiac disease. VT1 change after training intervention followed that of the HRVT, confirming the relationship between these parameters.


2021 ◽  
Vol 11 ◽  
Author(s):  
Bruce Rogers ◽  
David Giles ◽  
Nick Draper ◽  
Olaf Hoos ◽  
Thomas Gronwald

The short-term scaling exponent alpha1 of detrended fluctuation analysis (DFA a1), a nonlinear index of heart rate variability (HRV) based on fractal correlation properties, has been shown to steadily change with increasing exercise intensity. To date, no study has specifically examined using the behavior of this index as a method for defining a low intensity exercise zone. The aim of this report is to compare both oxygen intake (VO2) and heart rate (HR) reached at the first ventilatory threshold (VT1), a well-established delimiter of low intensity exercise, to those derived from a predefined DFA a1 transitional value. Gas exchange and HRV data were obtained from 15 participants during an incremental treadmill run. Comparison of both VO2 and HR reached at VT1 defined by gas exchange (VT1 GAS) was made to those parameters derived from analysis of DFA a1 reaching a value of 0.75 (HRVT). Based on Bland Altman analysis, linear regression, intraclass correlation (ICC) and t testing, there was strong agreement between VT1 GAS and HRVT as measured by both HR and VO2. Mean VT1 GAS was reached at 39.8 ml/kg/min with a HR of 152 bpm compared to mean HRVT which was reached at 40.1 ml/kg/min with a HR of 154 bpm. Strong linear relationships were seen between test modalities, with Pearson’s r values of 0.99 (p &lt; 0.001) and.97 (p &lt; 0.001) for VO2 and HR comparisons, respectively. Intraclass correlation between VT1 GAS and HRVT was 0.99 for VO2 and 0.96 for HR. In addition, comparison of VT1 GAS and HRVT showed no differences by t testing, also supporting the method validity. In conclusion, it appears that reaching a DFA a1 value of 0.75 on an incremental treadmill test is closely associated with crossing the first ventilatory threshold. As training intensity below the first ventilatory threshold is felt to have great importance for endurance sport, utilization of DFA a1 activity may provide guidance for a valid low training zone.


Author(s):  
Bruce Rogers ◽  
Thomas Gronwald ◽  
Laurent Mourot

Eccentric cycling (ECC) has attracted attention as a method to improve muscle strength and aerobic fitness in populations unable to tolerate conventional methods. However, agreement on exercise prescription targets have been problematic. The current report is an initial exploration of a potentially useful tool, a nonlinear heart rate (HR) variability (HRV) index based on the short-term scaling exponent alpha1 of detrended fluctuation analysis (DFA a1), which has been previously shown to correspond to exercise intensity. Eleven male volunteers performed 45 min of concentric (CON) cycling and ECC separated by 1 month. Work rates were matched for HR (~50% of the maximal HR) during the first 5 min and remained stable thereafter. HRV, HR, oxygen consumption (VO2), and cycling power were monitored and evaluated at elapsed times of 10 (T10) and 45 (T45) minutes duration. HR significantly increased between ECC T10 and ECC T45 (p = 0.003, d = 1.485), while DFA a1 significantly decreased (p = 0.004, d = 1.087). During CON, HR significantly increased (p < 0.001 d = 1.570) without significant DFA a1 change (p = 0.48, d = 0.22). Significantly higher HR was observed at T45 in ECC than in CON (p = 0.047, d = 1.059). A session of unaccustomed ECC lead to decreased values of DFA a1 at T45 in comparison to that seen with CON at similar VO2. ECC lead to altered autonomic nervous system balance as reflected by the loss of correlation properties compared to CON.


2008 ◽  
Vol 105 (1) ◽  
pp. 109-113 ◽  
Author(s):  
Kevin S. Heffernan ◽  
Jacob J. Sosnoff ◽  
Christopher A. Fahs ◽  
Kevin K. Shinsako ◽  
Sae Young Jae ◽  
...  

With aging and disease, there is a breakdown of the natural fractal-like organization of heart rate (HR). Fractal-like correlation properties of HR can be assessed with detrended fluctuation analysis (DFA). A short-time scaling exponent (αs) value of 1 is associated with healthy HR dynamics, whereas values that deviate away from 1, in either direction, indicate fractal collapse. The purpose of this study was to examine the effect of resistance exercise training (RT) on fractal correlation properties of HR dynamics. Resting ECG was collected at baseline, following a 4-wk time control period and 6 wk of RT (3 days per wk) in 34 men (23 ± 1 years of age). Fractal properties of HR were assessed with DFA. There was no change in αs following either the time control period or RT (1.01 ± 0.06 to 0.98 ± 0.06 to 0.93 ± 0.04, P > 0.05). Given the potential bidirectional nature of fractal collapse, subjects were retrospectively separated into two groups (higher αs and lower αs) on the basis of the initial αs by using cluster analysis. An interaction was detected for αs following RT ( P < 0.05). There was no change in αs in either group following the time control, but αs increased following RT in the lower αs group ( n = 18; 0.73 ± 0.04 to 0.69 ± 0.04 to 0.88 ± 0.04) and αs decreased following RT in the higher αs group ( n = 16; 1.20 ± 0.04 to 1.24 ± 0.04 to 0.98 ± 0.04). In conclusion, RT improves fractal properties of HR dynamics.


2018 ◽  
Vol 3 (4) ◽  
pp. 60 ◽  
Author(s):  
Ramires Tibana ◽  
Nuno de Sousa ◽  
Jonato Prestes ◽  
Fabrício Voltarelli

The aim of this study was to analyze blood lactate concentration (LAC), heart rate (HR), and rating perceived exertion (RPE) during and after shorter and longer duration CrossFit® sessions. Nine men (27.7 ± 3.2 years; 11.3 ± 4.6% body fat percentage and training experience: 41.1 ± 19.6 months) randomly performed two CrossFit® sessions (shorter: ~4 min and longer: 17 min) with a 7-day interval between them. The response of LAC and HR were measured pre, during, immediately after, and 10, 20, and 30 min after the sessions. RPE was measured pre and immediately after sessions. Lactate levels were higher during the recovery of the shorter session as compared with the longer session (shorter: 15.9 ± 2.2 mmol/L/min, longer: 12.6 ± 2.6 mmol/L/min; p = 0.019). There were no significant differences between protocols on HR during (shorter: 176 ± 6 bpm or 91 ± 4% HRmax, longer: 174 ± 3 bpm or 90 ± 3% HRmax, p = 0.387). The LAC was significantly higher throughout the recovery period for both training sessions as compared to pre-exercise. The RPE was increased immediately after both sessions as compared to pre-exercise, while there was no significant difference between them (shorter: 8.7 ± 0.9, longer: 9.6 ± 0.5; p = 0.360). These results demonstrated that both shorter and longer sessions induced elevated cardiovascular responses which met the recommendations for gains in cardiovascular fitness. In addition, both training sessions had a high metabolic and perceptual response, which may not be suitable if performed on consecutive days.


2021 ◽  
Vol 53 (8S) ◽  
pp. 33-33
Author(s):  
Thomas Gronwald ◽  
Bruce Rogers ◽  
Laura Hottenrott ◽  
Kuno Hottenrott ◽  
Olaf Hoos

2010 ◽  
Vol 35 (S1) ◽  
pp. 439-446 ◽  
Author(s):  
Goncalo V. Mendonca ◽  
Kevin S. Heffernan ◽  
Lindy Rossow ◽  
Myriam Guerra ◽  
Fernando D. Pereira ◽  
...  

Women demonstrate greater RR interval variability than men of similar age. Enhanced parasympathetic input into cardiac regulation appears to be not only greater in women, but also protective during periods of cardiac stress. Even though women may have a more favorable autonomic profile after exercise, little research has been conducted on this issue. This study was designed to examine the cardiac autonomic response, in both male and female participants, during the early recovery from supramaximal exercise. Twenty-five individuals, aged 20 to 33 years (13 males and 12 females), performed a 30-s Wingate test. Beat-to-beat RR series were recorded before and 5 min after exercise, with the participants in the supine position and under paced breathing. Linear (spectral analysis) and nonlinear analyses (detrended fluctuation analysis (DFA)) were performed on the same RR series. At rest, women presented lower raw low frequency (LF) power and higher normalized high frequency (HF) power. Under these conditions, the LF/HF ratio of women was also lower than that of men (p < 0.05), but there were no differences in the short-term scaling exponent (α1). Even though both sexes showed a significant modification in linear and nonlinear measures of heart rate variability (HRV) (p < 0.05), women had a greater change in LF/HF ratio and α1 than men from rest to recovery. This study demonstrates that the cardiac autonomic function of women is more affected by supramaximal exercise than that of men. Additionally, DFA did not provide additional information about sexual dimorphisms, compared with conventional spectral HRV techniques.


2019 ◽  
Vol 8 (2) ◽  
pp. 194 ◽  
Author(s):  
Thomas Gronwald ◽  
Olaf Hoos ◽  
Kuno Hottenrott

Measurement of the non-linear dynamics of physiologic variability in a heart rate time series (HRV) provides new opportunities to monitor cardiac autonomic activity during exercise and recovery periods. Using the Detrended Fluctuation Analysis (DFA) technique to assess correlation properties, the present study examines the influence of exercise intensity and recovery on total variability and complexity in the non-linear dynamics of HRV. Sixteen well-trained cyclists performed interval sessions with active recovery periods. During exercise, heart rate (HR) and beat-to-beat (RR)-intervals were recorded continuously. HRV time domain measurements and fractal correlation properties were analyzed using the short-term scaling exponent alpha1 of DFA. Lactate (La) levels and the rate of perceived exertion (RPE) were also recorded at regular time intervals. HR, La, and RPE showed increased values during the interval blocks (p < 0.05). In contrast, meanRR and DFA-alpha1 showed decreased values during the interval blocks (p < 0.05). Also, DFA-alpha1 increased to the level in the warm-up periods during active recovery (p < 0.05) and remained unchanged until the end of active recovery (p = 1.000). The present data verify a decrease in the overall variability, as well as a reduction in the complexity of the RR-interval-fluctuations, owing to increased organismic demands. The acute increase in DFA-alpha1 following intensity-based training stimuli in active recovery may be interpreted as a systematic reorganization of the organism with increased correlation properties in cardiac autonomic activity in endurance trained cyclists.


2017 ◽  
Vol 38 (09) ◽  
pp. 666-674 ◽  
Author(s):  
Cristina Blasco-Lafarga ◽  
Borja Camarena ◽  
Manuel Mateo-March

AbstractTo analyze cardiovascular and autonomic responses in elite youngsters, 13 male cyclists (15.43±0.51 years) performed a graded-test until voluntary exhaustion. Oxygen consumption (VO2), blood lactate (BLa), arterial oxygen saturation (SaO2), respiratory exchange ratio (RER) and rating of perceived exertion (RPE) were collected, while heart rate (HR) was registered for heart rate variability (HRV) analyses, looking for linear and nonlinear comparisons. Cyclists reached maximal exertion [RPE: 19.14±0.94; BLa: 8.92±2.51 mmol.L−1; RER: 1.04±0.03; SaO2: 92.43±2.5%] and high-level performance (4.41±0.46 W·Kg−1; 60.77±6.87 ml·Kg·min−1) once over 95% of age-predicted HRmax. VO2 and RPE increased, and RR intervals (RRi) decreased (p<0.005), whereas only the short-term scaling exponent of the Detrended Fluctuation Analysis technique (DFA1) displayed similar adaptive changes regarding intensity (p=0.011). After controlling for W·Kg−1 and RRi, DFA1100% (0.260±0.084) showed large-negative correlations with VO2max (r=−0.83; p<0.05) and RPEmax (r=−0.79; p<0.05), suggesting a strong association between the reduction in self-similar properties of the cardiac signal and the capacity to elicit at maximum in youths. Overall-HRV (lnRMSSD) and short-term variability (lnSD1) did not show any association at maximum, or significant differences regarding intensity. DFA1 might reflect ANS-CNS linkage related to cardiac respiratory controls through exercise, becoming a complementary criterion for VO2max testing in youths.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254107
Author(s):  
Antti O. Vuoti ◽  
Mikko P. Tulppo ◽  
Olavi H. Ukkola ◽  
M. Juhani Junttila ◽  
Heikki V. Huikuri ◽  
...  

Coronary artery disease (CAD) mortality has declined substantially over the past decades thanks to advancing medical and interventional/surgical treatments; therefore, the prognostic value of the heart rate variability in CAD in the current treatment era is not well established. We evaluated the prognostic significance of baseline heart rate variability in 1,757 ARTEMIS study patients with angiographically verified CAD. During an average follow-up time of 8.7 ± 2.2 years, a total of 285 (16.2%) patients died. Of the patients, 63 (3.6%) suffered sudden cardiac death or were resuscitated from sudden cardiac arrest (SCD/SCA), 60 (3.4%) experienced non-sudden cardiac death (NSCD), and death attributable to non-cardiac causes (NCD) occurred in 162 (9.2%) patients. For every 10 ms decrease in standard deviation of normal to normal intervals the risk for SCD/SCA, NSCD and NCD increased significantly: HR 1.153 (95% CI 1.075–1.236, p<0.001), HR 1.187 (95% CI 1.102–1.278, p<0.001) and HR 1.080 (95% CI 1.037–1.125, p<0.001), respectively. The natural logarithm of the low-frequency component of the power spectrum and the short-term scaling exponent of the detrended fluctuation analysis also had significant association with all modes of death (p<0.001). After relevant adjustment, standard deviation of normal-to-normal intervals retained its association with NSCD and NCD (p<0.01), the natural logarithm of the low-frequency component of the power spectrum with all modes of death (p from <0.05 to <0.01), and the short-term scaling exponent of the detrended fluctuation analysis with SCD/SCA (p<0.05) and NCD (p<0.001). In conclusion, impairment of many measures of heart rate variability predicts mortality but is not associated with any specific mode of death in patients with stable CAD during the current treatment era, limiting the clinical applicability of heart rate variability to targeting therapy.


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