HEART-RATE VARIABILITY THRESHOLD AS AN ALTERNATIVE FOR SPIRO-ERGOMETRY TESTING: AVALIDATION STUDY.

Although spiro-ergometry is the established "gold standard" for determination of the second ventilatory threshold (VT2), it is a costly and rather time-consuming method. Previous studies suggest that assessing the second anaerobic threshold (AT2) on the basis of heart rate variability (HRV) during e...

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Published in:Journal of Strength & Conditioning Research Vol. 31; no. 2; pp. 474 - 480
Main Authors: MANKOWSKI, ROBERT T., ROZENBERG, ROBERT, STOKLA, SEBASTIAAN, STAM, HENK J., PRAET, STEPHAN F. E., MICHAEL, SCOTT
Format: research tables/charts Journal Article
Published: Lippincott Williams & Wilkins Feb2017
Online Access:View this record in EBSCOhost
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      dt: Feb2017
      vid: 31
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1519/jsc.0000000000001502
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        atl: HEART-RATE VARIABILITY THRESHOLD AS AN ALTERNATIVE FOR SPIRO-ERGOMETRY TESTING: AVALIDATION STUDY.
      aug:
        au:
          MANKOWSKI, ROBERT T.
          ROZENBERG, ROBERT
          STOKLA, SEBASTIAAN
          STAM, HENK J.
          PRAET, STEPHAN F. E.
          MICHAEL, SCOTT
        affil: Department of Rehabilitation Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
      sug:
        subj:
          Ergometry
          Heart Rate Variability
          Human
          Validation Studies
          Exercise Test
          Oxygen Consumption
          Male
          Female
          Anoxia
          Young Adult
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
      ab: Although spiro-ergometry is the established "gold standard" for determination of the second ventilatory threshold (VT2), it is a costly and rather time-consuming method. Previous studies suggest that assessing the second anaerobic threshold (AT2) on the basis of heart rate variability (HRV) during exercise may be a more cost-effective and noninvasive manner. However, appropriate validation studies, are still lacking. Eleven healthy, moderately trained subjects underwent 3 incremental exercise tests. Ventilation, oxygen uptake (V[Combining Dot Above]O2), CO2 production (...CO2), and HRV were measured continuously. Exercise testing was performed in 3 oxygen (FiO2) conditions of inspired air (14, 21, and 35% of oxygen). Participants and assessors were blinded to the FiO2 conditions. Two research teams assessed VT2s and HRVT2s independently from each other. Mean workloads corresponding to VT2 and HRVT2 in hypoxia were, respectively, 19 ± 17% (p = 0.01) and 15 ± 15% (p = 0.1) lower in comparison with hyperoxic conditions. Bland-Altman analysis showed low estimation bias (2.2%) and acceptably precise 95% limits of agreement for workload -15.7% to 20.1% for all FiO2 conditions. Bias was the lowest under normoxic conditions (1.1%) in comparison with hypoxia (3.7%) and hyperoxia (4.7%). Heart rate variability--based AT2 assessment had a most acceptable agreement with VT2 under normoxic conditions. This simple HRVT2 assessment may have potential applications for exercise monitoring in commercial fitness settings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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