Heart Rate Variability

Heart Rate Variability Jason Moore Elite HRV <ul style="display: flex;"><li style="flex:1">EliteHRV.com </li><li style="flex:1">EliteHRV.com </li><li style="flex:1">EliteHRV.com </li><li style="flex:1">EliteHRV.com </li><li style="flex:1">EliteHRV.com </li></ul>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 <ul style="display: flex;"><li style="flex:1">Environmental </li><li style="flex:1">Societal </li></ul>Digestive Structural Mental STRESS Physical Social Emotional *Not an exhaustive list 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 Nervous System (SNS) Parasympathetic Nervous System (PSNS) ● Controls stimulation of “fight-or-flight” stress response ● Controls stimulation of “rest-and-digest” activities essential for recovery ● Needed for long term survival ● Needed for short term survival ● Associated with stress <ul style="display: flex;"><li style="flex:1">EliteHRV.com </li><li style="flex:1">EliteHRV.com </li></ul>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 <a href="/goto?url=https://link.springer.com/article/10.1007/s00421-018-3822-2" target="_blank">https://link.springer.com/article/10.1007/s00421-018-3822-2 </a>EliteHRV.com HRV indexes worry in individuals spanning the nonclinical 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 <a href="/goto?url=https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-016-0138-z" target="_blank">https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-016-0138-z </a>EliteHRV.com 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 <a href="/goto?url=https://www.sciencedirect.com/science/article/pii/S0301051117300042" target="_blank">https://www.sciencedirect.com/science/article/pii/S0301051117300042 </a>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 Umetani K, Singer DH, McCraty R, Atkinson M. Palo Alto Longevity Prize <a href="/goto?url=https://www.ncbi.nlm.nih.gov/pubmed/9502641" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/9502641 </a>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 <a href="/goto?url=https://www.ncbi.nlm.nih.gov/pubmed/29455900" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/29455900 </a>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. <a href="/goto?url=http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0118308" target="_blank">http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0118308 </a>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 <a href="/goto?url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1253756/" target="_blank">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1253756/ </a>and <a href="/goto?url=http://circ.ahajournals.org/content/101/11/1267.full" target="_blank">http://circ.ahajournals.org/content/101/11/1267.full </a>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 <a href="/goto?url=http://www.ahjonline.com/article/S0002-8703(08)00620-0/fulltext" target="_blank">http://www.ahjonline.com/article/S0002-8703(08)00620-0/fulltext </a>EliteHRV.com 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 <a href="/goto?url=https://link.springer.com/article/10.1007%2Fs00421-012-2354-4" target="_blank">https://link.springer.com/article/10.1007%2Fs00421-012-2354-4 </a>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 <a href="/goto?url=http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2005000900007" target="_blank">http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2005000900007 </a>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. <a href="/goto?url=https://www.jkms.org/search.php?where=aview&id=10.3346/jkms.2010.25.8.1140&" target="_blank">https://www.jkms.org/search.php?where=aview&id=10.3346/jkms.2010.25.8.1140& </a><a href="/goto?url=https://www.jkms.org/search.php?where=aview&id=10.3346/jkms.2010.25.8.1140&code=0063JKMS&vmode=FULL" target="_blank">code=0063JKMS&vmode=FULL </a>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 <a href="/goto?url=http://www.ajconline.org/article/0002-9149(87)90795-8/pdf" target="_blank">http://www.ajconline.org/article/0002-9149(87)90795-8/pdf </a>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 <a href="/goto?url=https://www.ncbi.nlm.nih.gov/pubmed/29332747" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/29332747 </a>EliteHRV.com Ongoing Research on Elite HRV <ul style="display: flex;"><li style="flex:1">Texas Woman's University </li><li style="flex:1">High Performance Sport New Zealand </li></ul><ul style="display: flex;"><li style="flex:1">Medical College of Wisconsin </li><li style="flex:1">Institute of Medicine, Kathmandu </li></ul>University of Rochester Medical Center University of Sydney <ul style="display: flex;"><li style="flex:1">Swansea University </li><li style="flex:1">University of Pennsylvania </li></ul><ul style="display: flex;"><li style="flex:1">University of Kent </li><li style="flex:1">University of Cincinnati </li></ul><ul style="display: flex;"><li style="flex:1">The University of Texas </li><li style="flex:1">US Coast Guard - and - Embry Riddle </li></ul>Aeronautical University (ERAU) EliteHRV.com Ongoing Research on Elite HRV <ul style="display: flex;"><li style="flex:1">HRV related to: </li><li style="flex:1">• Singing and cardiovascular </li></ul>health • HIIT training, sprints, and <ul style="display: flex;"><li style="flex:1">strength training </li><li style="flex:1">• Breathing and biofeedback </li></ul>• Emotional expression and mood • Conciousness and EEG <ul style="display: flex;"><li style="flex:1">• Sexual function </li><li style="flex:1">• Aircraft pilot enhancement </li></ul><ul style="display: flex;"><li style="flex:1">• Economic decision making & </li><li style="flex:1">• Alcoholism </li></ul>day trading EliteHRV.com

Heart Rate Variability

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