Methods and impact of correcting heart rate data errors during exercise in older adults

Heart rate (HR) by time curves could be useful as a measure of treatment fidelity (TF). The purposes were to describe the frequency of common recording irregularities (e.g. errors) observed during exercise, validate a process to correct those errors, and determine whether there is a clinically meaningful benefit to data correction. In total, 1895 exercise sessions from 69 older adults with hip fracture were inspected for errors in the placement of event markers (duration of exercise) and signal artifacts. Marker errors occurred in 33% of the participants and corrected in 324 sessions. Signal artifacts occurred in 96% of the participants and eliminated in 702 sessions. Computer code was 85% accurate in detecting signal artifacts, compared to 97% for investigators. HR was significantly higher after correction, but the average change was only 0.69 + 1.20 beats per minute. An HR monitor showing HR by time curves (HRxTC) can be used to evaluate TF during exercise.     

Accuracy of an infrared LED device to measure heart rate and energy expenditure during rest and exercise

Abstract

The purpose of this study was to examine the accuracy of the ePulse Personal Fitness Assistant, a forearm-worn device that provides measures of heart rate and estimates energy expenditure. Forty-six participants engaged in 4-minute periods of standing, 2.0 mph walking, 3.5 mph walking, 4.5 mph jogging, and 6.0 mph running. Heart rate and energy expenditure were simultaneously recorded at 60-second intervals using the ePulse, an electrocardiogram (EKG), and indirect calorimetry. The heart rates obtained from the ePulse were highly correlated (intraclass correlation coefficients [ICCs] ≥0.85) with those from the EKG during all conditions. The typical errors progressively increased with increasing exercise intensity but were <5 bpm only during rest and 2.0 mph. Energy expenditure from the ePulse was poorly correlated with indirect calorimetry (ICCs: 0.01–0.36) and the typical errors for energy expenditure ranged from 0.69–2.97 kcal · min^?1, progressively increasing with exercise intensity. These data suggest that the ePulse Personal Fitness Assistant is a valid device for monitoring heart rate at rest and low-intensity exercise, but becomes less accurate as exercise intensity increases. However, it does not appear to be a valid device to estimate energy expenditure during exercise.     

不同高度的手臂运动与心率变化的研究

目的：通过小样本实验研究,对运动中手臂高度与心率变化的机制进行探析。方法：监测15名受试者在运动中两臂直臂侧上摆和侧下摆的心率变化;两臂侧上屈伸和侧下屈伸的心率变化。结果：运动中手臂高度超过心脏能够促使心跳加速。结论：运动中手臂高度超过心脏能够促使心跳加速主要与重力势能、动力肌肉群做功、运动强度和心脏供血量等参数的变化有关。     

Maximal heart rate declines linearly with age independent of cardiorespiratory fitness levels

There have been many conflicting observations between the linear or curvilinear decline in maximal heart rate (HR_max) with age. The aim of this study was to determine if linear or curvilinear equations would better describe the decline in HR_max with age in individuals of differing cardiorespiratory fitness (CRF) levels. Treadmill cardiopulmonary exercise test (CPX) results from participants (1510 men and 1134 women; 18–76 years) free of overt cardiovascular disease were retrospectively examined using cross-sectional and longitudinal study designs. Participants completing ≥2 CPX with ≥1 year between test dates were included in the longitudinal analysis (325 men and 150 women). Linear and quadratic regressions were applied to age and HR_max for the whole cohort and respective CRF groups (high, moderate, and low, relative to age and gender normative values). To test for differences among linear, quadratic, and polynomial equations, the change in R² (cross-sectional analysis) and Bayesian information criterion (BIC) (longitudinal analysis) from the linear to the more complex models were calculated. The quadratic or polynomial regression in the cross-sectional analysis, marginally improved the variance in HR_max explained by age compared to the linear regression for the whole cohort (0.2%), moderate fit group (0.3%), and low fit group (0.8%). With no improvements in the high fit group. BIC did not improve for any CRF category in the longitudinal analysis. In conclusion, the minimal differences among linear, quadratic, and polynomial equations in the respective CRF groups, emphasizes the use of linear prediction equations to estimate HR_max.     

Effects of total sleep deprivation on endurance cycling performance and heart rate indices used for monitoring athlete readiness

ABSTRACT

This study investigated effects of total sleep deprivation on self-paced endurance performance, and heart rate (HR) indices of athletes' “readiness to perform”. Endurance athletes (n = 13) completed a crossover experiment comprising a normal sleep (NS) and sleep deprivation (SD) condition. Each required completion of an endurance time-trial (TT) on consecutive days (D1, D2) separated by normal sleep or total sleep deprivation. Finishing time, perceived exertion (RPE), mood, psychomotor vigilance (PVT), and HR responses were assessed. Time on D2 of SD was 10% slower than D2 of NS (64 ± 7 vs 59 ± 4 min, P < 0.01), and 11% slower than D1 of SD (58 ± 5 min, P < 0.01). Subjective to objective (RPE:mean HR) intensity ratio was higher on D2 of SD compared with D2 of NS and D1 of SD (P < 0.01). Mood disturbance and PVT mean response time increased on D2 of SD compared with D2 of NS and D1 of SD. Anaerobic threshold and change in TT time were correlated (R = ?0.73, P < 0.01). Sleep helps to optimise endurance performance. Subjective to objective intensity ratios appear sensitive to effects of sleep on athletes’ readiness. Research examining more subtle sleep manipulation is required.     

Accuracy of an infrared LED device to measure heart rate and energy expenditure during rest and exercise

The purpose of this study was to examine the accuracy of the ePulse Personal Fitness Assistant, a forearm-worn device that provides measures of heart rate and estimates energy expenditure. Forty-six participants engaged in 4-minute periods of standing, 2.0 mph walking, 3.5 mph walking, 4.5 mph jogging, and 6.0 mph running. Heart rate and energy expenditure were simultaneously recorded at 60-second intervals using the ePulse, an electrocardiogram (EKG), and indirect calorimetry. The heart rates obtained from the ePulse were highly correlated (intraclass correlation coefficients [ICCs] ≥0.85) with those from the EKG during all conditions. The typical errors progressively increased with increasing exercise intensity but were <5 bpm only during rest and 2.0 mph. Energy expenditure from the ePulse was poorly correlated with indirect calorimetry (ICCs: 0.01-0.36) and the typical errors for energy expenditure ranged from 0.69-2.97 kcal · min(-1), progressively increasing with exercise intensity. These data suggest that the ePulse Personal Fitness Assistant is a valid device for monitoring heart rate at rest and low-intensity exercise, but becomes less accurate as exercise intensity increases. However, it does not appear to be a valid device to estimate energy expenditure during exercise.     

Physical activity levels during Dutch primary and secondary school physical education

Abstract

Objective: Physical education (PE) has been attributed an important role in providing young people with physical activity. If sufficiently active, PE lessons could contribute to physical activity levels in youth. Therefore, the purpose of this study was to determine the overall intensity of Dutch primary and secondary school physical education (PE) lessons and the influence of various lesson characteristics on these intensity levels. Methods: Between September 2008 and June 2009 heart rates were measured using the Polar Team System in a nationally distributed sample of 913 students in 40 schools in the Netherlands. Results: Overall percentages lesson time in moderate-to-vigorous physical activity (MVPA) were 46.7% and 40.1% during primary school and secondary school PE respectively. Results indicated a sharp decline in girls’ PE intensity levels at the beginning of secondary school. Furthermore, secondary school boys were more active than girls. The high prevalence of teamgames in the Dutch PE curricula might prevent secondary school girls from attaining similar physical activity levels during PE.     

Autonomic modulation of heart rate in paraplegic wheelchair basketball players: Linear and nonlinear analysis

Abstract

This study aimed to evaluate the autonomic modulation of heart rate in sedentary paraplegics and paraplegic wheelchair basketball players with thoracic spinal cord injury below T6. Seven paraplegic wheelchair basketball players (active paraplegic group), five paraplegics who were not involved in regular exercise (sedentary paraplegic group) and 10 able-bodied participants (control group) took part in the study. The heart rate variability was evaluated by linear (low frequency and high frequency band in normalised units and low frequency/high frequency ratio) and nonlinear methods (Shannon entropy, corrected conditional entropy, and symbolic analysis).

The sedentary group presented significantly higher values for low frequency, low frequency/high frequency ratio and symbolic index with no significant variations (0V%), and also lower values for the high frequency and symbolic index with two significant unlike variation (2ULV%) compared to active paraplegic group. Shannon entropy and corrected conditional entropy analyses revealed significantly lower values in the sedentary group than in the control or active paraplegic groups. Paraplegic individuals who regularly undertake physical exercise have higher complexity of R-R interval time series, lower sympathetic modulation, and higher parasympathetic modulation than sedentary paraplegic participants.     

Validity of Wrist-Worn photoplethysmography devices to measure heart rate: A systematic review and meta-analysis

ABSTRACT

Heart rate (HR), when combined with accelerometry, can dramatically improve estimates of energy expenditure and sleep. Advancements in technology, via the development and introduction of small, low-cost photoplethysmography devices embedded within wrist-worn consumer wearables, have made the collection of heart rate (HR) under free-living conditions more feasible. This systematic review and meta-analysis compared the validity of wrist-worn HR estimates to a criterion measure of HR (electrocardiography ECG or chest strap). Searches of PubMed/Medline, Web of Science, EBSCOhost, PsycINFO, and EMBASE resulted in a total of 44 articles representing 738 effect sizes across 15 different brands. Multi-level random effects meta-analyses resulted in a small mean difference (beats per min, bpm) of ?0.40 bpm (95 confidence interval (CI) ?1.64 to 0.83) during sleep, ?0.01 bpm (?0.02 to 0.00) during rest, ?0.51 bpm (?1.60 to 0.58) during treadmill activities (walking to running), while the mean difference was larger during resistance training (?7.26 bpm, ?10.46 to ?4.07) and cycling (?4.55 bpm, ?7.24 to ?1.87). Mean difference increased by 3 bpm (2.5 to 3.5) per 10 bpm increase of HR for resistance training. Wrist-worn devices that measure HR demonstrate acceptable validity compared to a criterion measure of HR for most common activities.     

Effect of asthma and six-months high-intensity interval training on heart rate variability during exercise in adolescents

ABSTRACT

Little is known regarding the influence of asthma and exercise, and their interaction, on heart rate variability (HRV) in adolescents.

Thirty-one adolescents with asthma (13.7±0.9 years; 21.9±3.9 kg·m^?2; 19 boys, 12 girls) and thirty-three healthy adolescents (13.8±0.9 years; 20.3±3.2 kg·m^?2; 16 boys, 17 girls) completed an incremental ramp test and three heavy-intensity constant-work-rate cycle tests. Thirteen adolescents (7 boys, 6 girls; 6 asthma, 7 control) completed six-months high-intensity interval training (HIIT) and were compared to age- and sex-matched controls. Standard time-domain, frequency-domain and non-linear indices of HRV were derived at baseline, three- and six-months.

Asthma did not influence HRV at baseline or following HIIT. Total power, low frequency and normalised low frequency power, and sympathovagal balance increased at three-months in HIIT, subsequently declining towards baseline at six-months. Normalised high frequency power was reduced at three-months in both groups, which was sustained at six-months. No effects of HIIT were observed in the time-domain nor in the non-linear indices.

HRV was not influenced by asthma, potentially because such derangements are a function of disease progression, severity or duration. HIIT may be associated with a short-term shift towards greater sympathetic predominance during exercise, perhaps caused by physiological overload and fatigue.     

The Validity of the Tritrac-R3D Activity Monitor for the Assessment of Physical Activity in Children

Abstract

The purpose of this study was to evaluate the validity of the Tritrac-R3D Activity Monitor, a new instrument designed to improve assessments of physical activity. Comparisons were made with a heart rate monitor and with a Caltrac Activity Monitor. Thirty-five children (ages 9–11 years) were monitored on 3 different school days with all 3 instruments. The Tritrac was moderately correlated with the heart rate monitor (r =.58) and highly correlated with the Caltrac monitor (r =.88). By taking advantage of the minute-by-minute timing capability of the Tritrac and the heart rate monitors, it was discovered, that the correlations between these instruments were highest during free play situations (lunch/recess, recess, after school) and were lower when activity was more limited (class time) or structured (physical education). The ability of the Tritrac to assess activity on a minute-by-minute basis may greatly enhance its overall utility.     

优秀拳击运动员大强度实距训练的分析探讨

通过对优秀拳击运动员在实距训练课中的心率、血浮酸等指标进行跟踪测试和分析,认识和把握拳击项目主要供能特征,合理安排运动负荷,采用有效的训练方法,逐渐增加训练难度和专项强度训练,以适应比赛的需要。     

优秀拳击运动员大强度实战训练课的分析探讨

通过对优秀拳击运动员在实战训练课中的心率、血乳酸等指标进行跟踪测试和分析 ,认识和把握拳击项目主要供能特征 ,合理安排运动负荷 ,采用有效的训练方法 ,逐渐增加训练难度和专项强度训练 ,以适应比赛的需要。     

Validity of wearable activity monitors for tracking steps and estimating energy expenditure during a graded maximal treadmill test

The purpose of this study was to assess the accuracy of energy expenditure (EE) estimation and step tracking abilities of six activity monitors (AMs) in relation to indirect calorimetry and hand counted steps and assess the accuracy of the AMs between high and low fit individuals in order to assess the impact of exercise intensity. Fifty participants wore the Basis watch, Fitbit Flex, Polar FT7, Jawbone, Omron pedometer, and Actigraph during a maximal graded treadmill test. Correlations, intra-class correlations, and t-tests determined accuracy and agreement between AMs and criterions. The results indicate that the Omron, Fitbit, and Actigraph were accurate for measuring steps while the Basis and Jawbone significantly underestimated steps. All AMs were significantly correlated with indirect calorimetry, however, no devices showed agreement (p < .05). When comparing low and high fit groups, correlations between AMs and indirect calorimetry improved for the low fit group, suggesting AMs may be better at measuring EE at lower intensity exercise.     

Benefits of achieving vigorous as well as moderate physical activity recommendations: Evidence from heart rate complexity and cardiac vagal modulation

Abstract

The aim of this study was to examine differences in traditional heart rate variability measurements and heart rate complexity (sample entropy) in young adults grouped by objectively measured achievement of either moderate or both moderate and vigorous physical activity recommendations. Of 168 young adults tested (86 females, 82 males; age 20.5 ± 1.2 years), 119 achieved only recommendations for moderate physical activity (moderate group) and 49 achieved recommendations for both moderate and vigorous physical activity (vigorous group). Analysis of covariance controlling for sex, weekly minutes of moderate physical activity, and percentage of body fat was used to assess between-group differences in heart rate variability and heart rate complexity. Logistic regression analysis was used to determine the group characteristics that best predicted high heart rate complexity and vagal indices of heart rate variability. The majority of the autonomic measures were higher (P < 0.05) in the vigorous group, and regression analysis showed that vigorous physical activity was the only multivariate predictor of higher heart rate complexity and higher heart rate variability. Young adults engaged in regular vigorous physical activity were more than twice as likely to have high heart rate complexity than those involved in predominantly moderate exercise. These findings suggest that vigorous physical activity is more closely associated with high heart rate complexity than moderate physical activity in young adults.     

Yo-Yo IR2 testing of elite and sub-elite soccer players: Performance,heart rate response and correlations to other interval tests

Abstract

We examined performance, heart rate response and construct validity of the Yo-Yo IR2 test by testing 111 elite and 92 sub-elite soccer players from Norway and Denmark. VO₂max, Yo-Yo IR1 and repeated sprint tests (RSA) (n = 51) and match-analyses (n = 39) were also performed. Yo-Yo IR2 and Yo-Yo IR1 performance was 41 and 25% better (P < 0.01) for elite than sub-elite players, respectively, and heart rate after 2 and 4 min of the Yo-Yo IR2 test was 20 and 15 bpm (9 and 6% HRmax), respectively, lower (P < 0.01) for elite players. RSA performance and VO₂max was not different between competitive levels (P > 0.05). For top-teams, Yo-Yo IR2 performance (28%) and sprinting distance (25%) during match were greater (P < 0.05) than for bottom-teams. For elite and sub-elite players, Yo-Yo IR2 performance was correlated (P < 0.05) with Yo-Yo IR1 performance (r = 0.74 and 0.76) and mean RSA time (r = ?0.74 and ?0.34). We conclude that the Yo-Yo IR2 test has a high discriminant and concurrent validity, as it discriminates between players of different within- and between-league competitive levels and is correlated to other frequently used intermittent elite soccer tests.     

Intra-day and inter-day reliability of heart rate variability measurement

Abstract

At present, analysis of heart rate variability (HRV) is becoming widely used as a clinical or research tool. Supported reliability studies for HRV measurement are, however, still limited. The main purpose was to perform an assessment of the absolute and relative reliability of HRV parameters from short-term recordings by means of orthoclinostatic stimulation and to investigate, whether there is a difference in repeating the retest immediately or after several days. The study group consisted of 99 participants (mean age 22 ± 1.24 years). Standard HRV indexes were computed: PT (total spectral power), PHF (high frequency spectral power), PLF (low frequency spectral power) and LF/HF. Absolute reliability was assessed by the standard error of measurement and 95% limits of agreement; relative reliability was assessed by the intraclass correlation coefficient. There was also an estimate of the sample size needed to detect the mean difference ≥ 30% of the between-subject standard deviation. In conclusion, a large random variation (within individuals) of HRV parameters was revealed, regardless of whether the retest was repeated immediately or with an interruption. For most HRV parameters (particularly in the immediately repeated test-retest), however, random variation represents a limited portion of the between-subject variability.     

利用团队心率对优秀中长跑运动员高强度间歇跑的监控研究

通过团队心率追踪运动员在间歇训练中的心率变化,并对其进行对比分析,找出运动员在训练中的心率特点,旨在为今后的训练提供参考。     

足球运动员高原及平原长距离匀速耐力跑时心率漂移现象的观察与分析

研究目的是观察平原及高原匀速耐力跑时足球运动员心车漂移现象及不同运动能力的运动员之间心率漂移的差异，分析不同耐力水平运动员心率漂移的变化对运动能力的影响。研究结果表明足球运动员平原及高原匀速耐力跑时无论是在平原还是在高原所有受试者都不同程度地出现心率漂移现象。但高原各心半指标均高于平原。不同运动能力受试者所存在妁心率漂移现象差异在一定程度上反映了最大摄氧能力差异。但心率漂移现象作为评定呼吸和循环系统机能妁指杯还需有更多妁其他生理指标支持。