Heart Rate Zones Research Articles

Day-to-day Variation of The Heart Rate, Heart Rate Variability, and Energy Expenditure During FIFA 11+ and Dynamic Warm-up Exercises.

There seems to be a scarcity in literature investigating day-to-day warm-up (WU) variations. We investigated day-to-day variation of psychophysiological responses during Fédération Internationale de Football Association (FIFA) 11+ and dynamic warm-up (DWU) exercises. Twenty-one male collegiate soccer players were randomly assigned to the FIFA 11+ (n = 10) or DWU group (n = 11). Each group performed the assigned WU protocol on three different occasions with a 48-h interval in between. The inter-day variation of the heart rate (HR), time distribution of HR zones, heart rate variability (HRV), estimated energy expenditure (EE), blood lactate (BL) concentration, and the Borg rating of perceived exertion (RPE) were recorded. A two-way repeated measures of analysis of variance was used to compare the differences in chosen variables [group (2) × day (3)]. The coefficient of variation was used to determine the dispersion of the variables over the sessions. The interclass correlation coefficient (ICC) with a two-way random model and a single measure (ICC2,1) was used to determine inter-day reliability. There were no significant differences in time spent at particular HR zones and EE in both groups. The FIFA 11+ exercises showed high reliability of exercise duration, average HR (HRaverage), minimal HR (HRmin), peak HR (HRpeak), and post-exercise RPE. In the DWU group, high reliability was found only in HRaverage, HRpeak, and post-exercise RPE. The FIFA 11+ exercises showed similar EE, exercise HR patterns, BL, and RPE compared to the DWU. The FIFA 11+ program is an intense WU protocol with a characteristically low variation of day-to-day exercise HR and RPE responses.

Relationship Between External and Internal Load Measures in Youth Beach Handball.

Assessing the relationship between external load (EL) and internal load (IL) in youth male beach handball players. A total of 11 field players from the Lithuanian U17 beach handball team were monitored across 14 training sessions and 7 matches. The following EL variables were assessed by means of inertial movement units: PlayerLoad™, accelerations, decelerations, changes of direction, and jumps and total of inertial movements. IL was assessed objectively and subjectively using the summated heart rate zones and training load calculated via session rating of perceived exertion, respectively. Spearman correlations (ρ) were used to assess the relationship between EL and IL. The interindividual variability was investigated using linear mixed models with random intercepts with IL as dependent variable, PlayerLoad™ as the independent variable, and players as random effect. The lowest significant (P < .05) relationship was for high jumps with objective (ρ = .56) and subjective (ρ = .49) IL. The strongest relationship was for PlayerLoad™ with objective (ρ = .9) and subjective (ρ = .84) IL. From the linear mixed model, the estimated SD of the random intercepts was 19.78 arbitrary units (95% confidence interval, 11.75-33.31); SE = 5.26, and R2 = .47 for the objective IL and 6.03 arbitrary units (95% confidence interval, 0.00-7330.6); SE = 21.87; and R2 = .71 for the subjective IL. Objective and subjective IL measures can be used as a monitoring tool when EL monitoring is not possible. Coaches can predict IL based on a given EL by using the equations proposed in this study.

Weekly Fluctuations in Salivary Hormone Responses and Their Relationships With Load and Well-Being in Semiprofessional, Male Basketball Players During a Congested In-Season Phase.

To assess weekly fluctuations in hormonal responses and their relationships with load and well-being during a congested in-season phase in basketball players. Ten semiprofessional, male basketball players were monitored during 4 congested in-season phase weeks consisting of 3 weekly matches. Salivary hormone variables (testosterone [T], cortisol [C], and T:C ratio) were measured weekly, and external load (PlayerLoad™ and PlayerLoad per minute), internal load session rating of perceived exertion, percentage of maximum heart rate (HR), summated HR zones, and well-being were assessed for each training session and match. Significant (P < .05) moderate to large decreases in T were found in the third and fourth weeks compared with the first week. Nonsignificant moderate to large decreases in C were apparent in the last 2 weeks compared with previous weeks. Summated HR zones and perceived sleep significantly (P < .05) decreased in the fourth week compared with the first week; whereas, percentage of maximum HR significantly (P < .05) decreased in the fourth week compared with the second week. No significant relationships were found between weekly changes in hormonal responses and weekly changes in load and overall wellness. A congested schedule during the in-season negatively impacted the hormonal responses of players, suggesting that T and C measurements may be useful to detect fluctuations in hormone balance in such scenarios. The nonsignificant relationships between weekly changes in hormonal responses and changes in load and well-being indicate that other factors might induce hormonal changes across congested periods in basketball players.

COMPARISON OF THE HEART RATE OF UKRAINIAN AND CHINESE BADMIN PLAYERS AGED 10-12 YEARS WITHIN COMPETITIVE ACTIVITIE

Introduction. Qualitative improvement of the athletes’ training system is impossible without clarifying the characteristics of the loads inherent in competitive activity. The objective indicator of different types of loads in the competitive activity conditions is the heart rate and its dynamics during the match. The aim of the study is to compare the heart rate of Ukrainian and Chinese badminton players aged 10-12 years within the competitive activity. Material and methods. Among the research methods was used theoretical analysis and generalization of scientific and methodological data to clarify the problem field of research, pedagogical observations of heart rate Ukrainian and Chinese badminton players aged 10-12 years during competitive activity, methods of mathematical statistics to process the data. There were determined heart rate zones, duration of rest and work phases, minimum and maximum indicators recorded during the competitive activity of badminton players aged 10-12 years with the help of the Polar ON1 device. During 2019, competitive activities were analyzed with the participation of 67 Ukrainian (competitions at the national level) and 72 Chinese (competitions at the provincial level) badminton players aged 10-12 years. Results. Ukrainian badminton players aged 10-12 spend in the first zone of heart rate from 1.97% to 3.65%; in the second zone − 6.86-10.97% of time; in the third zone − 23.11-24.54%; in the fourth zone − 24.56-38.96% and in fifth zone − 27.68-37.71% of the total match time. At the same time, their Chinese peers are in the first heart rate zone from 2.68% to 3.46%; in the second zone − 6.62-8.08%; in the third zone − 23.41-30.74%; in the fourth zone − 49.23-56.52% and in fifth zone − 8.50-14.70% of the total match time, respectively. Conclusions. Chinese athletes start matches at the highest level of cardiovascular function and perform work within smaller limits than Ukrainian athletes perform. At the same time, Ukrainian badminton players of the same age start competitive activity with lower scores and achieve higher values during the game. We attribute this to the less stable level of Ukrainian athletes’ preparedness. They react more sharply to the standardized loads of competitive badminton activity.

He Relationship between External and Internal Load during Elite Pre-season Friendly Basketball Games.

The aim of this study was to analyse the relationship between External Load (EL) and internal load (IL). Thirteen male basketball players competing at professional level in First Spanish Division (ACB) during six friendly games throughout the 2020/2021 preseason were monitored. The EL variables collected were movement load (ML), movement intensity (MI), box score time (BST), and total duration (TD)] while IL variables monitored were heart rate (HR), respiratory rate (RR), training impulse (TRIMP) and time invested in five HR zones. Very large to almost perfect correlation (r= 0.77-0.91) exists between EL variables except TD. In addition, HR, TRIMP and RR present large to very large correlation (r= 0.55-0.79) with all EL variables except TD. Monitoring HR-based variables would present general information and an estimated prediction of players EL which could allow basketball practitioners to prioritize time invested players internal/external load.

Identifying Trends of Dysautonomia Signs and Symptoms Associated with Protracted Concussion Recovery during the Buffalo Concussion Treadmill Test: A Retrospective Study

Objective: To identify trends of provoked dysautonomia signs and symptoms during the Buffalo Concussion Treadmill Test (BCTT). Subjects: This is a retrospective cohort study of 101 patient charts post-concussion who were screened for suspected dysautonomia. Methods: Patients with suspected dysautonomia were assessed for exercise intolerance using a BCTT. Symptoms and rate of perceived exertion were recorded on a standardized form. Digital pulse oximetry was used to collect heart rate (HR) and oxygen saturation. Descriptive analyses were conducted on BCTT results. Results: Of 101 patient charts, 57 were excluded from analysis, including four patients who completed the BCTT by asymptomatically reaching the target HR zone for their estimated HR max. The remaining 44 patients demonstrated: 35 (79.5%) poor HR stabilization defined as a drop or plateau in HR during exercise, 28 (63.8%) exacerbated concussion symptoms, 13 (29.5%) autonomic nervous system response such as hot flushed sensation, 12 (27.3%) rebound symptoms during recovery phases, and 8 (18.2%) desaturation of 90% or below. The mean delta (80% expected HR max – 80% achieved HR max) on the initial test was 80.66 (± 23.08) beats per minute. Conclusions: This study is the first to identify trends of signs and symptoms during the BCTT in an expanded population with suspected dysautonomia after concussion. Future studies are indicated to validate these findings and contribute to development of modified termination criteria for the BCTT in individuals with suspected dysautonomia associated with protracted concussion recovery.

Validity of Session Rating of Perceived Exertion for Measuring Training Load in Youth Team Handball Players.

Pedersen, A, Randers, MB, Luteberget, LS, and Møller, M. Validity of session rating of perceived exertion for measuring training load in youth team handball players. J Strength Cond Res 37(1): 174-180, 2023-Session rating of perceived exertion (sRPE) is a subjective self-reported measure of training load and is a popular method in several different team sports. This study aimed to investigate the validity of sRPE, by correlating sRPE load (sRPE × minutes of training) and heart rate (HR) expressed as Edwards Summated Heart Rate Zones (SHRZ) and PlayerLoad among Danish youth team handball players. Second, the study aimed to investigate sRPE load's ability to descriptively differentiate between a low and a high training load category. A comparative cross-sectional study was conducted in the in-season period. Fourteen training sessions were measured from 6 teams, in which PlayerLoad, Edwards SHRZ, and sRPE load were measured for the training session and collected from 47 subjects (23 males and 24 females). Pearson's product-moment correlation coefficients were calculated between sRPE load and Edwards SHRZ and PlayerLoad. Furthermore, a high and a low load category were made from PlayerLoad or Edwards SHRZ to investigate sRPE load's ability to discriminate between high and low objective load. Large correlations between sRPE load and Edwards SHRZ (0.52 [95% CI 0.27:0.70]) and between sRPE load and PlayerLoad (0.67 [95% CI 0.47:0.80]) were observed. Our findings further indicate that sRPE load can differentiate between a high and a low training load category in both Edwards SHRZ and PlayerLoad. Our results show that sRPE load reflects both internal and external load during team handball training sessions and seems to discriminate between high- and low-intensity training sessions. These results support the validity of sRPE load for measuring training load in young team handball players.

Accuracy of Algorithm to Non-Invasively Predict Core Body Temperature Using the Kenzen Wearable Device.

With climate change increasing global temperatures, more workers are exposed to hotter ambient temperatures that exacerbate risk for heat injury and illness. Continuously monitoring core body temperature (TC) can help workers avoid reaching unsafe TC. However, continuous TC measurements are currently cost-prohibitive or invasive for daily use. Here, we show that Kenzen’s wearable device can accurately predict TC compared to gold standard TC measurements (rectal probe or gastrointestinal pill). Data from four different studies (n = 52 trials; 27 unique subjects; >4000 min data) were used to develop and validate Kenzen’s machine learning TC algorithm, which uses subject’s real-time physiological data combined with baseline anthropometric data. We show Kenzen’s TC algorithm meets pre-established accuracy criteria compared to gold standard TC: mean absolute error = 0.25 °C, root mean squared error = 0.30 °C, Pearson r correlation = 0.94, standard error of the measurement = 0.18 °C, and mean bias = 0.07 °C. Overall, the Kenzen TC algorithm is accurate for a wide range of TC, environmental temperatures (13–43 °C), light to vigorous heart rate zones, and both biological sexes. To our knowledge, this is the first study demonstrating a wearable device can accurately predict TC in real-time, thus offering workers protection from heat injuries and illnesses.

Session Rating of Perceived Exertion Is Different for Similar Intensity and Duration Prescribed Low-Intensity Sessions and Has a Different Effect on Performance in Young Cross-Country Skiers.

Pind, R, Purge, P, Mäestu, E, Vahtra, E, Hofmann, P, and Mäestu, J. Session rating of perceived exertion is different for similar intensity and duration prescribed low-intensity sessions and has a different effect on performance in young cross-country skiers. J Strength Cond Res 37(1): 187-193, 2023-The aim of this study was to analyze whether the rating of perceived exertion (RPE) and the resulting internal load (sRPE) could differ among subjects when volume and intensity are matched in young cross-country (XC) skiers. Second, we analyzed whether subjects with a high or low RPE response and sRPE have different adaptation after a 1-week low-intensity high-volume training period. Well-trained national level XC skiers (n = 13) aged 13.4 ± 1.9 years took part in a 1-week training period with double poling performance tested pretraining and after 1-week training. All subjects trained under a similar training program. Rating of perceived exertion was measured after each training session on a 10-point scale, and the total training load was calculated by the sRPE method by multiplying training session's duration and the RPE. Subjects were divided into Glow (n = 6) or Ghigh (n = 7) groups based on median rating of RPE (3.78 ± 1.24) in low-intensity trainings. Total training load in low-intensity trainings was higher in Ghigh compared with Glow (4,010 ± 765 vs. 2,499 ± 193 arbitrary units, respectively), although total training time with (16.3 ± 0.8 hours vs. 16.0 ± 0.6 hours) or without (13.1 ± 0.9 hours vs. 13.3 ± 0.7 hours, p > 0.05, respectively to Glow and Ghigh) high-intensity sessions was not different. No significant differences were found for time spent in different heart rate zones between the 2 groups. Increases in performance were significant for both groups (p< 0.05), while the effect was large in Ghigh (+12.5%; ES = 0.74), and medium in Glow (+10.7%; ES = 0.34). Differences in the internal load and the further quantification of training load for different target intensity sessions could provide important practical information to stimulate expected adaptation in young endurance athletes.

Organization of Students and Total Task Time: External and Internal Load Recorded during Motor Activity

The organization of the students and the time taken to execute the learning tasks determine the physical (external load) and physiological (internal load) demands the students support during physical education classes. The aim of this study was to determine which organizational and pedagogical elements used to design different learning tasks for soccer provoke greater external (Player Load (PL)) and internal (Heart Rate (HR)) load and thus help the students to fulfil the adequate physical activity recommendations (moderate to vigorous physical activity for ≥50% of class time). The organizational elements studied were (1) the participation type and (2) total task time, and the pedagogical element of (3) the game situation. A total of 40 students from the fifth year of primary education participated in the study distributed into two class groups. The basic analysis units were the data on physical activity recorded in each of the tasks carried out by the students during the practical sessions (1500 records), and they were recorded using WIMU ProTM inertial movement devices. A descriptive and inferential analysis was performed with the Mann–Whitney U and Kruskal–Wallis H statistical tests. The results recommend the following types of tasks with simultaneous participation: individual games, numerical inequality SSG, numerical equality SSG lasting less than 6 min, numerical equality SSG, and full games lasting between 6 and 10 min. This type of learning task makes the students move more (medium Player Load between 0.80 and 1.20) and at greater intensities (Heart Rate zone 4, between 161 and 181 bpm). Therefore, physical education teachers must take into account the pedagogical and organizational elements studied to make the sessions more intense and associated with health benefits.

Session Rating of Perceived Exertion (sRPE) Load and Training Impulse Are Strongly Correlated to GPS-Derived Measures of External Load in NCAA Division I Women's Soccer Athletes.

Purpose: The purpose of this study was to determine whether session rating of perceived exertion-derived training load (sRPE-TL) correlates with GPS-derived measures of external load in National Collegiate Athletics Association (NCAA) Division I female soccer athletes. Methods: Twenty-one NCAA Division 1 collegiate women’s soccer athletes (11 starters, 10 non-starters; 65.1 ± 7.2 kg, 168.4 ± 7.9 cm, 20.3 ± 1.5 yrs) volunteered to take part in this study. Data for this study were collected over the course of 16 weeks during the 2018 NCAA women’s soccer season. External load and heart rate (HR) data were collected during each training session and match during the season. At least 30 min after the end of an activity (e.g., match or practice), athletes were prompted to complete a questionnaire reporting their perceived exertion for the session. sRPE-TL was calculated at the end of the season by multiplying perceived exertion by the respective session duration. Results: sRPE-TL was very strongly correlated with total distance, distance covered in velocity zones 1–3, the number of accelerations in zones 4 and 5, total PlayerLoad™, and PlayerLoad™. For internal load, sRPE-TL correlated very strongly (0.70 ≤ |r| < 0.90) with Edward’s and Bannister’s TRIMP and strongly (0.50 ≤ |r| < 0.70) with duration spent in in heart rate zones 5 and 6 (80–90% and 90–100% max HR, respectively) while correlations with maximum HR (bpm), mean HR (bpm), and mean HR (%) and sRPE-TL were moderate (0.30 ≤ |r| < 0.50). Conclusions: In NCAA Division I women soccer, sRPE-TL is strongly associated with external measures of workload. These relationships were stronger during match play, with acceleration load and total distance exhibiting the strongest relationship with sRPE-TL.

Examining Internal and External Physical Workloads Between Training and Competitive Matches Within Collegiate Division I Men's Soccer.

Anderson, T, Adams, WM, Martin, KJ, and Wideman, L. Examining internal and external physical workloads between training and competitive matches within collegiate Division I men's soccer. J Strength Cond Res 35(12): 3440-3447, 2021-A direct analysis comparing differences in the demands of competition relative to in-season training in Division I collegiate soccer players has yet to be reported. Thus, the primary purpose of this study was to compare the absolute and relative internal and external workloads measured during training with competitive matches. Twenty-six male college soccer players were monitored over 2 consecutive seasons using a GPS and heart rate (HR) telemetry system. Differences between outdoor training sessions and competitive matches were analyzed for internal and external absolute and relative training workloads. Differences in training workloads between the 3 days before a match were also analyzed. Absolute time in HR zone 4 (80-89% of HRmax) and 5 (90-100% of HRmax); accelerations in zone 1 (0.50-0.99 m·s-2), zone 2 (1.00-1.99 m·s-2), and zone 3 (2.00-2.99 m·s-2); all negative acceleration zones; training load; and estimated energy expenditure were greater in competition than training (p < 0.05). By contrast, when comparing training and competition values using metrics relative to session duration, relative workload in trainings were greater than competition for HR zone 1 (50-59% of HRmax), zone 2 (60-69% of HRmax), zone 3 (70-79% of HRmax), and zone 4 (80-89% of HRmax) and all acceleration and negative acceleration zones. In addition, absolute training workloads were generally greatest 3 days prior (p < 0.01), but not different 2 days before the competitive match. Absolute physical workloads of competition are significantly greater than those achieved during training; however, these differences and impact on the physical condition of players are mitigated by the greater relative workloads achieved during training. These results provide meaningful metrics that may lead to insights into proper conditioning and in-season workload management for Division I collegiate soccer programs.

‘Keep on training with ReVi’ mHealth app for Assisting and Monitoring Aerobic Exercise in Slowly Progressive Neuromuscular Diseases: Usability and Adherence

<h3>Research Objectives</h3> To determine the usability of the ‘Keep on training with ReVi' mHealth app (ReVi) and to assess the adherence to aerobic exercise when using ReVi. <h3>Design</h3> Observational study. <h3>Setting</h3> Outpatient clinic; Department of Rehabilitation Medicine of a University hospital. <h3>Participants</h3> 4 ambulatory adult subjects (2 women and 2 men; 30, 46 and 63 [n=2] years old) with a slowly progressive neuromuscular disease; myotonic dystrophy, non-specific myositis, hereditary motor sensory neuropathy and congenital muscular dystrophy. <h3>Interventions</h3> Subjects performed a 4-month polarized home-based aerobic exercise program on a cycle ergometer, with two low-intensity sessions and one high-intensity session per week, supported by ReVi. ReVi provides patients with real-time feedback on exercise intensity, collects heart rate (HR) data and enables monitoring from distance. <h3>Main Outcome Measures</h3> The usability of ReVi was evaluated with a self-developed questionnaire rated on a 5-point Likert scale. Adherence was described as the percentage of completed exercise sessions and the percentage of time within the prescribed target HR zones. <h3>Results</h3> All 4 subjects indicated that ReVi 1) is easy to use, 2) helped them to train within the prescribed target HR zones, and 3) motivated them to finish the exercise program. Two subjects reported technical problems using ReVi, but subjects were overall satisfied with its use. Subjects completed on average 98(range 96-100)% of exercise sessions and trained 86(78-96)% and 55(31-72)% of the time within the target HR zones for low- and high-intensity exercise, respectively. <h3>Conclusions</h3> ReVi showed high usability outcomes, but further development is needed to resolve technical issues. Adherence appears high for low-intensity exercise, but not for high-intensity exercise. <h3>Author(s) Disclosures</h3> None.

Increases in RPE Rating Predict Fatigue Accumulation Without Changes in Heart Rate Zone Distribution After 4-Week Low-Intensity High-Volume Training Period in High-Level Rowers.

Purpose: The aim of this study was to investigate the interaction of training load quantification using heart rate (HR) and rating of perceived exertion (RPE)-based methodology, and the relationship between internal training load parameters and subjective training status (Fatigue) in high-level rowers during volume increased low-intensity training period.Methods: Training data from 19 high-level rowers (age 23.5 ± 5.9 years; maximal oxygen uptake 58.9 ± 5.8 ml·min−1·kg−1) were collected during a 4-week volume increased training period. All individual training sessions were analyzed to quantify training intensity distribution based on the HR time-in-zone method (i.e., HR Z1, HR Z2, and HR Z3) determined by the first and second ventilatory thresholds (VT1/VT2). Internal training load was calculated using session RPE (sRPE) to categorize training load by effort (i.e., sRPE1, sRPE2, and sRPE3). The Recovery-Stress Questionnaire for Athletes (RESTQ-Sport) questionnaire was implemented after every week of the study period.Results: No differences were found between the respective HR and effort-based zone distributions during the baseline week (p > 0.05). Compared to HR Z1, sRPE1 was significantly lower in weeks 2–4 (p < 0.05), while sRPE2 was higher in weeks 2–3 compared to HR Z2 (p < 0.05) and, in week 4, the tendency (p = 0.06) of the higher amount of sRPE3 compared to HR Z3 was found. There were significant increases in RESTQ-Sport stress scales and decreases in recovery scales mostly during weeks 3 and 4. Increases in the Fatigue scale were associated with the amounts of sRPE2 and sRPE3 (p = 0.011 and p = 0.008, respectively), while no associations with Fatigue were found for HR-based session quantification with internal or external training load variables.Conclusion: During a low-intensity 4-week training period with increasing volume, RPE-based training quantification indicated a shift toward the harder rating of sessions with unchanged HR zone distributions. Moderate and Hard rated sessions were related to increases in Fatigue. Session rating of perceived exertion and effort-based training load could be practical measures in combination with HR to monitor adaptation during increased volume, low-intensity training period in endurance athletes.

Changes in health promoting behavior during COVID-19 physical distancing: Utilizing wearable technology to examine trends in sleep, activity, and cardiovascular indicators of health.

The COVID-19 pandemic incited unprecedented restrictions on the behavior of society. The aims of this study were to quantify changes to sleep/wake behavior and exercise behavior, as well as changes in physiological markers of health during COVID-19 physical distancing. A retrospective analysis of 5,436 US-based subscribers to the WHOOP platform (mean age = 40.25 ± 11.33; 1,536 females, 3,900 males) was conducted covering the period from January 1st, 2020 through May 15th, 2020. This time period was separated into a 68-day baseline period and a 67-day physical distancing period. To provide context and allow for potential confounders (e.g., change of season), data were also extracted from the corresponding time periods in 2019. As compared to baseline, during physical distancing, all subjects fell asleep earlier (-0.15 hours), woke up later (0.29 hours), obtained more sleep (+0.21 hours) and reduced social jet lag (-0.13 hours). Contrasting sleep behavior was seen in 2019, with subjects falling asleep and waking up at a similar time (-0.01 hours; -0.03 hours), obtaining less sleep (-0.14 hours) and maintaining social jet lag (+0.06 hours) in corresponding periods. Individuals exercised more intensely during physical distancing by increasing the time spent in high heart rate zones. In 2020, resting heart rate decreased (-0.90 beats per minute) and heart rate variability increased (+0.98 milliseconds) during physical distancing when compared to baseline. However, similar changes were seen in 2019 for RHR (-0.51 beats per minute) and HRV (+2.97 milliseconds), suggesting the variation may not be related to the introduction of physical distancing mandates. The findings suggest that individuals improved health related behavior (i.e., increased exercise intensity and longer sleep duration) during physical distancing restrictions. While positive changes were seen to cardiovascular indicators of health, it is unclear whether these changes were a direct consequence of behavior change.

A New Personalized Heart Rate Zone Test For Estimating VO 2 max: A Pilot Study

PURPOSE: The purpose of this study is to develop a new and more accurate cardiorespiratory fitness (CRF) measurement test estimating maximal oxygen uptake (VO2max) for supplementing the existing field tests. METHODS: For the study, a personalized heart rate zone test (PHRZT), modified the 1-mile walk/run test was designed. During PHRZT, subjects walked or ran 1,600 meters, divided into 5 stages (320 m in each stage, named as zone 1 to 5). In each stage, subjects exercised to reach a target heart rate (HR) corresponding from 50-60% of an individual maximal HR in zone 1 to 90-100% in zone 5. At zone 1, starting at 5 km/h, the treadmill speed was increased by 0.2 km/h every 8 seconds to reach the target HR. When the target HR was reached, the speed was fixed until the completion of 320 m. This procedure of incremental work load was continued in the subsequent zones until voluntary exhaustion. A total of 20 (10 men, 10 women) aged 18 to 39 years old participated in the PHRZT, and they were tested for the conventional graded exercise test. RESULTS: The measured VO2max showed a high correlation with the run-time (RT) of zone 1 thru 5 at r equal to -0.738, -0.708, -0.708, -0.764, and -0.802, respectively (p < 0.01). The average zone RT (r = -0.762), and total RT (r = -0.761) during PHRZT was also correlated (p < 0.01). When a stepwise regression was performed inserting variables of sex, age, body mass index, HR, and RT of each zone as predictors, only the sex and RT for each zone were finally selected. Because the measured VO2max was highly correlated with RT of all zones, 5 formulas could be developed. This formulas can be used even for the person who stopped at any zone. VO2max (ml/kg/min) can be estimated in zone 1 = 78.805 - (0.195 × RT of zone 1) - (5.330 × S) [R = 0.820, SEE = 4.62]; in zone 2 = 74.584 - (0.186 × RT of zone 2) - (5.468 × S) [R = 0.798, SEE = 4.86]; in zone 3 = 65.148 - (0.192 × RT of zone 3) [R = 0.708, SEE = 5.54]; in zone 4 = 70.191 - (0.201 × RT of zone 4) - (4.530 × S) [R = 0.822, SEE = 4.60]; and in zone 5 = 70.037 - (0.219 × RT of zone 5) - (5.104 × S) [R = 0.872, SEE = 3.94], where RT in sec and S as sex 1 for man and 2 for woman. CONCLUSIONS: The PHRZT and its corresponding five equations seem to estimate VO2max accurately with only two variables; sex and time. The equations can be utilized by the exercise experts for evaluating CRF of healthy adults in fields.

MI-PACE Home-Based Cardiac Telerehabilitation Program for Heart Attack Survivors: Usability Study.

BackgroundCardiac rehabilitation programs, consisting of exercise training and disease management interventions, reduce morbidity and mortality after acute myocardial infarction.ObjectiveIn this pilot study, we aimed to developed and assess the feasibility of delivering a health watch–informed 12-week cardiac telerehabilitation program to acute myocardial infarction survivors who declined to participate in center-based cardiac rehabilitation.MethodsWe enrolled patients hospitalized after acute myocardial infarction at an academic medical center who were eligible for but declined to participate in center-based cardiac rehabilitation. Each participant underwent a baseline exercise stress test. Participants received a health watch, which monitored heart rate and physical activity, and a tablet computer with an app that displayed progress toward accomplishing weekly walking and exercise goals. Results were transmitted to a cardiac rehabilitation nurse via a secure connection. For 12 weeks, participants exercised at home and also participated in weekly phone counseling sessions with the nurse, who provided personalized cardiac rehabilitation solutions and standard cardiac rehabilitation education. We assessed usability of the system, adherence to weekly exercise and walking goals, counseling session attendance, and disease-specific quality of life.ResultsOf 18 participants (age: mean 59 years, SD 7) who completed the 12-week telerehabilitation program, 6 (33%) were women, and 6 (33%) had ST-elevation myocardial infarction. Participants wore the health watch for a median of 12.7 hours (IQR 11.1, 13.8) per day and completed a median of 86% of exercise goals. Participants, on average, walked 121 minutes per week (SD 175) and spent 189 minutes per week (SD 210) in their target exercise heart rate zone. Overall, participants found the system to be highly usable (System Usability Scale score: median 83, IQR 65, 100).ConclusionsThis pilot study established the feasibility of delivering cardiac telerehabilitation at home to acute myocardial infarction survivors via a health watch–based program and telephone counseling sessions. Usability and adherence to health watch use, exercise recommendations, and counseling sessions were high. Further studies are warranted to compare patient outcomes and health care resource utilization between center-based rehabilitation and telerehabilitation.

Relationship between internal and external load in elite female youth basketball players

Abstract Introduction Monitoring load has been a key point in team sports during last years. This study aimed to determine the relationship between the external and internal training load during full basketball practices in elite female youth basketball players. Material and methods Thirteen elite female youth basketball players (age 16.3±1 years, height 181.7±5.8cm and body mass 71.2±9.6kg) had physical and physiological monitored over seven weeks. Players’ internal load was assessed using the session-rating of perceived exertion (sRPE), the Edward's summated heart rate zones model (SHRZ) and, the Banister's training impulse (TRIMPB). The external load was determined through: 1) total accelerations (TA); the sum of all accelerations and decelerations; 2) maximal accelerations and decelerations (TAMax); 3) total accelerations per minutes (TA·min−1); 4) accelerations per minute (Acc·min−1); and 5) decelerations per minute (Dec·min−1). Heart rate-based and accelerometry models were assessed via Polar Pro technology. Results Correlations between variables revealed different magnitudes. SHRZ model showed a positive correlation with TA (0.63); the TRIMPB model showed a high degree of correlation with TA (0.78); the sRPE model also presented a high correlation with TA (0.62). Conclusion Our study establishes different levels of association between external and internal load models in elite female youth basketball players. However, we cannot assume that a high relationship between internal and external loads exists, as both models should be considered as different constructs.

Evaluation of Performance Characteristics and Internal and External Training Loads in Female Collegiate Beach Volleyball Players.

Bozzini, BN, McFadden, BA, Scruggs, SK, and Arent, SM. Evaluation of performance characteristics and internal and external training loads in female collegiate beach volleyball players. J Strength Cond Res 35(6): 1559-1567, 2021-Although women's beach volleyball is the fastest growing collegiate sport, the training demands and performance characteristics have yet to be determined. The purpose of this study was to evaluate internal and external training loads throughout a competitive season and to quantify the performance characteristics of National Collegiate Athletic Association Division I women's beach volleyball players. Female beach volleyball players (N = 20) were monitored throughout the 6-week competitive season (T1-T6) using integrative global positioning systems (GPS) and heart rate (HR)-monitoring technology, which was individualized based on preseason testing, for the determination of workload metrics. In addition to team data, all variables were analyzed between travel (n = 11, regular match participation) and non-travel (n = 7) squad athletes (p < 0.05). Team performance metrics demonstrated the explosive power emphasis of the sport, with travel squad players exhibiting significantly greater vertical jump and jump velocity abilities than their non-travel counterparts (p < 0.05). Although few time main effects from T1 to T6 were observed for team workload metrics, follow-ups revealed significant time × group interactions for training load (TL), exercise energy expenditure (EEE), total distance covered, and minutes spent in HR zones (HRZ1-Z5) over the season (p < 0.05). Finally, although average workloads were greater in practices than in matches, when accounting for pre-match warm-ups, competition load was greater than practice (p < 0.05). National Collegiate Athletic Association Division I women's beach volleyball is a demanding, explosive power sport characterized by overall large TL and EEE, particularly in-season when athletes compete in 4 matches per weekend. The workloads observed point to the need to assess and manage training loads and fueling requirements to optimize performance and decrease injury risk.

Influence of the artificial turf certification on physical performance and muscle damage in football players (QUALTURF PROJECT)

This study aimed to analyse the influence of the FIFA Quality PRO certification of artificial turf pitches on the physical, physiological performance and muscle damage in soccer players. Fifteen healthy male players (21.2 ± 1.4 years; 178.2 ± 4.3 cm; 79.1 ± 8.3 kg) from a university football team were selected to participate in the research. Mechanical properties related to surface–player interaction were assessed on the two surfaces selected for this study. A randomized design was used and the players performed the Ball-sport Endurance and Sprint Test (BEAST90) on the different artificial turf fields. Average time of the 20 m sprints was longer on the FIFA Quality Pro surface than on the non-certified pitch (+ 0.13 s; p < 0.05; CI 95% − 0.01 to 0.27; ES: 0.305). The players’ perceived effort was higher in the first (+ 2.64; p < 0.05; CI 95% 0.92 to 4.35; ES: 1.421) and the second half (+ 1.35; p < 0.05; CI 95% − 0.02 to 2.72; ES: 0.637) of the test on the FIFA Quality Pro field. Comparative analysis between surfaces showed no significant differences in the time spent in each of the heart rate zones and higher concentrations of CK (+ 196.58; p > 0.05; CI 95% 66.54 to 326.61; ES: 1.645) were evidenced in the non-certified pitch surface. In response to a simulated match protocol, markers of post-exercise muscle damage may be reduced on accredited artificial turf fields. These insights can provide the opportunity to maximize the efficiency of training sessions and reduce the risk of injury during the season.