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Heart Rate Variability Heart Rate Variability Jason Moore Elite HRV EliteHRV.com EliteHRV.com EliteHRV.com EliteHRV.com EliteHRV.com Start with the big picture. With the big picture in mind, drill into the details. EliteHRV.com The Bigger Picture of Human Health • Your body and mind (and symbiotic organisms) versus the world • The world is stressful EliteHRV.com Environmental Societal Mental Digestive STRESS Physical Structural Social *Not an exhaustive list Emotional EliteHRV.com The Bigger Picture of Human Health • Adaptive biological organisms • Health issues occur when: • Acute stress exceeds chronic adaptation • or • A strong/chronic mismatch between our genes and our environment EliteHRV.com Why Heart Rate Variability (HRV)? HRV can non-invasively measure the body’s response to stress, and with enough data, its capacity to tolerate stress. • Systemic, big picture metric • Was expensive, now cheap and accessible • Short, frequent measurements open new doors EliteHRV.com HRV 101 • Temporal variation in heart beats • Requires high degree of accuracy • Many algorithms/calculations EliteHRV.com HRV 101 – Autonomic Nervous System Sympathetic Parasympathetic Nervous System (SNS) Nervous System (PSNS) ● Controls stimulation of ● Controls stimulation of “fight-or-flight” stress “rest-and-digest” activities response essential for recovery ● Needed for short term ● Needed for long term survival survival ● Associated with stress EliteHRV.com EliteHRV.com HRV In The Research • Decades of research • 20,000+ studies in PubMed • Increasing rapidly • Still a lot to learn EliteHRV.com In 778 athletes, HRV indices of ANS activity show strong correlation with selection for Olympic games for the Italian team Can the use of a single integrated unitary autonomic index provide early clues for eventual eligibility for olympic games? Daniela Lucini, Roberto Sala, Antonio Spataro, Mara Malacarne, Manuela Benzi, Stefano Tamorri, Massimo Pagani https://link.springer.com/article/10.1007/s00421-018-3822-2 EliteHRV.com HRV indexes worry in individuals spanning the non- clinical to clinical spectrum. Worry is associated with robust reductions in heart rate variability: a transdiagnostic study of anxiety psychopathology John A. Chalmers, James A. J. Heathers, Maree J. Abbott, Andrew H. Kemp and Daniel S. Quintana EliteHRV.comhttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-016-0138-z HRV provides insights into emotional and behavioral regulation impairments observed in ADHD and may aid in delineating ADHD pathophysiology Heart rate variability is associated with psychosocial stress in distinct social domains Kristi R.Griffiths, Daniel S.Quintana, Daniel F.Hermens, Chris Spoonerd, Tracey W.Tsang, Simon Clark, Michael R.Kohnaef https://www.sciencedirect.com/science/article/pii/S0301051117300042 EliteHRV.com HRV decreases with age Twenty-four hour time domain heart rate variability and heart rate: relations to age and gender over nine decades Palo Alto Umetani K, Singer DH, McCraty R, Atkinson M. https://www.ncbi.nlm.nih.gov/pubmed/9502641 Longevity Prize EliteHRV.com Individuals with high HRV experience less psychosocial stress than individuals with low HRV Heart rate variability is associated with psychosocial stress in distinct social domains Lischke A1, Jacksteit R2, Mau-Moeller A2, Pahnke R3, Hamm AO4, Weippert M3 https://www.ncbi.nlm.nih.gov/pubmed/29455900 EliteHRV.com Females typically have higher HRV Short-Term Heart Rate Variability—Influence of Gender and Age in Healthy Subjects Voss A, Schroeder R, Heitmann A, Peters A, Perz S. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0118308 EliteHRV.com Reduced heart rate variability (HRV), a marker of poor cardiac autonomic function, has been associated with air pollution, especially fine particulate matter. Effects of Air Pollution on Heart Rate Variability: The VA Normative Aging Study. Park, Sung Kyun, Marie S. O’Neill, Pantel S. Vokonas, David Sparrow, and Joel Schwartz https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1253756/ and http://circ.ahajournals.org/content/101/11/1267.full EliteHRV.com Inflammation as measured by C-reactive protein strongly associated with decreased HRV Decreased heart rate variability is associated with higher levels of inflammation in middle-aged men Lampert, R., Bremner, J. D., Su, S., Miller, A., Lee, F., Cheema, F EliteHRV.com http://www.ahjonline.com/article/S0002-8703(08)00620-0/fulltext Trends in both absolute HRV values and day-to-day variations may be useful measurements indicative of the progression towards mal-adaptation or non-functional over-reaching. Heart Rate Variability in Elite Triathletes, Is Variation in Variability the Key to Effective Training? A Case Comparison. Plews, Daniel J., Paul B. Laursen, Andrew E. Kilding, and Martin Buchheit https://link.springer.com/article/10.1007%2Fs00421-012-2354-4 EliteHRV.com Athletes exhibit higher HRV than ”active” people Effects of age and physical activity on the autonomic control of heart rate in healthy men Melo, R., Santos, M., Silva, E., Quitério, R., Moreno, M., Reis, M http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2005000900007 EliteHRV.com Even the pre-diabetic stage, where individuals have impaired glucose tolerance, is associated with lower HRV and decreased Parasympathetic activity. It is believed that Parasympathetic modulation may decline with an autonomic imbalance during the progression “from normal glucose tolerance to impaired glucose tolerance and finally diabetes”. Epidemiological Evidence of Altered Cardiac Autonomic Function in Subjects with Impaired Glucose Tolerance But Not Isolated Impaired Fasting Glucose. 2007. Wu, Jin-Shang, Yi-Ching Yang, Thy-Sheng Lin, Ying-Hsiang Huang, Jia-Jin Chen, Feng-Hwa Lu, Chih-Hsing Wu, and Chih-Jen Chang EliteHRV.com HRV indices are considerably lower for cancer patients than the general population. Heart Rate Variability and Length of Survival in Hospice Cancer Patients. Kim, D. H., Kim, J. A., Choi, Y. S., Kim, S. H., Lee, J. Y., & Kim, Y. E. https://www.jkms.org/search.php?where=aview&id=10.3346/jkms.2010.25.8.1140& code=0063JKMS&vmode=FULL EliteHRV.com Patients with HRV (SDNN) values above 100 showed a significantly higher survival rate. Survival rates declined as the Heart Rate Variability SDNN value decreased. Decreased Heart Rate Variability and Its Association with Increased Mortality after Acute Myocardial Infarction Kleiger, Robert E., J. Philip Miller, J. Thomas Bigger, and Arthur J. Moss, and the Multicenter Post-Infarction Research Group http://www.ajconline.org/article/0002-9149(87)90795-8/pdf EliteHRV.com In osteopathic manual therapy, (as measured by HRV) a greater parasympathetic response was found when stimulation was performed in the cervical and lumbar regions, whereas a greater sympathetic response was found when stimulation was performed in the thoracic region. Effects of spinal manipulation and myofascial techniques on heart rate variability: A systematic review Amoroso Borges BL1, Bortolazzo GL1, Neto HP2 https://www.ncbi.nlm.nih.gov/pubmed/29332747 EliteHRV.com Ongoing Research on Elite HRV Texas Woman's University High Performance Sport New Zealand Institute of Medicine, Kathmandu Medical College of Wisconsin University of Rochester Medical Center University of Sydney Swansea University University of Pennsylvania University of Cincinnati University of Kent The University of Texas US Coast Guard - and - Embry Riddle Aeronautical University (ERAU) EliteHRV.com Ongoing Research on Elite HRV HRV related to: • Singing and cardiovascular • HIIT training, sprints, and health strength training • Breathing and biofeedback • Emotional expression and mood • Conciousness and EEG • Sexual function • Aircraft pilot enhancement • Economic decision making & • Alcoholism day trading EliteHRV.com EliteHRV.com Thank you Jason Moore [email protected] EliteHRV.com EliteHRV.com.
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