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