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European Journal of Applied Physiology

, Volume 112, Issue 11, pp 3729–3741 | Cite as

Heart rate variability in elite triathletes, is variation in variability the key to effective training? A case comparison

  • Daniel J. Plews
  • Paul B. Laursen
  • Andrew E. Kilding
  • Martin Buchheit
Original Article

Abstract

Measures of an athlete’s heart rate variability (HRV) have shown potential to be of use in the prescription of training. However, little data exists on elite athletes who are regularly exposed to high training loads. This case study monitored daily HRV in two elite triathletes (one male: 22 year, \( \dot{V}\)O2max 72.5 ml kg min−1; one female: 20 year, \( \dot{V}\)O2max 68.2 ml kg min−1) training 23 ± 2 h per week, over a 77-day period. During this period, one athlete performed poorly in a key triathlon event, was diagnosed as non-functionally over-reached (NFOR) and subsequently reactivated the dormant virus herpes zoster (shingles). The 7-day rolling average of the log-transformed square root of the mean sum of the squared differences between R–R intervals (Ln rMSSD), declined towards the day of triathlon event (slope = −0.17 ms/week; r 2 = −0.88) in the NFOR athlete, remaining stable in the control (slope = 0.01 ms/week; r 2 = 0.12). Furthermore, in the NFOR athlete, coefficient of variation of HRV (CV of Ln rMSSD 7-day rolling average) revealed large linear reductions towards NFOR (i.e., linear regression of HRV variables versus day number towards NFOR: −0.65%/week and r 2 = −0.48), while these variables remained stable for the control athlete (slope = 0.04%/week). These data suggest that 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.

Keywords

Over-training Monitoring Cardiac parasympathetic function Elite triathletes 

Notes

Conflict of interest

There are no conflicts of interest in this study.

References

  1. Achten J, Jeukendrup AE (2003) Heart rate monitoring: applications and limitations. Sports Med 33(7):517–538PubMedCrossRefGoogle Scholar
  2. Al Haddad H, Laursen PB, Chollet D, Ahmaidi S, Buchheit M (2011) Reliability of resting and postexercise heart rate measures. Int J Sports Med 32(8):598–605PubMedCrossRefGoogle Scholar
  3. Barron JL, Noakes TD, Levy W, Smith C, Millar RP (1985) Hypothalamic dysfunction in overtrained athletes. J Clin Endocrinol Metab 60(4):803–806PubMedCrossRefGoogle Scholar
  4. Bosquet L, Merkari S, Arvisais D, Aubert AE (2008) Is heart rate a convenient tool to monitor over- reaching? A systematic review of the literature. Br J Sports Med 42(9):709–714PubMedCrossRefGoogle Scholar
  5. Brink MS, Visscher C, Coutts AJ, Lemmink KA (2010) Changes in perceived stress and recovery in overreached young elite soccer players. Scand J Med Sci Sports 1–8. doi: 10.1111/j.1600-0838.2010.01237.x
  6. Buchheit M, Simon C, Piquard F, Ehrhart J, Brandenberger G (2004) Effects of increased training load on vagal-related indexes of heart rate variability: a novel sleep approach. Am J Physiol Heart Circ Physiol 287(6):H2813–H2818PubMedCrossRefGoogle Scholar
  7. Buchheit M, Laursen PB, Al Haddad H, Ahmaidi S (2009) Exercise-induced plasma volume expansion and post-exercise parasympathetic reactivation. Eur J Appl Physiol 105(3):471–481PubMedCrossRefGoogle Scholar
  8. Buchheit M, Chivot A, Parouty J, Mercier D, Al Haddad H, Laursen PB, Ahmaidi S (2010) Monitoring endurance running performance using cardiac parasympathetic function. Eur J Appl Physiol 108(6):1153–1167PubMedCrossRefGoogle Scholar
  9. Buchheit M, Simpson MB, Al Haddad H, Bourdon PC, Mendez-Villanueva A (2011) Monitoring changes in physical performance with heart rate measures in young soccer players. Eur J Appl PhysiolGoogle Scholar
  10. Cohen J (1988) Statistical power analysis for behavioral sciences. Lawrence Erlbaum, HillsdaleGoogle Scholar
  11. Convertino VA (1991) Blood volume: its adaptation to endurance training. Med Sci Sports Exerc 23(12):1338–1348PubMedGoogle Scholar
  12. Dressendorfer R, Wade C, Schaff J (1985) ‘Increased heart rate in runners: a valid sign of overtraining? ‘ Physician. Sports Med 13:77–86Google Scholar
  13. Fiskerstrand A, Seiler KS (2004) Training and performance characteristics among Norwegian international rowers 1970–2001. Scand J Med Sci Sports 14(5):303–310PubMedCrossRefGoogle Scholar
  14. Goldberger JJ, Ahmed MW, Parker MA, Kadish AH (1994) Dissociation of heart rate variability from parasympathtic tone. Am J Physiol Heart Circ Physiol 266:H2152–H2157Google Scholar
  15. Goodnick P (1993) Chronic fatigue and related immune deficiency syndromes. American Psychiatric Pub 23–38Google Scholar
  16. Halson SL, Jeukendrup AE (2004) Does overtraining exist? An analysis of overreaching and overtraining research. Sports Med 34(14):967–981PubMedCrossRefGoogle Scholar
  17. Halson SL, Bridge MW, Meeusen R, Busschaert B, Gleeson M, Jones DA, Jeukendrup AE (2002) Time course of performance changes and fatigue markers during intensified training in trained cyclists. J Appl Physiol 93(3):947–956PubMedGoogle Scholar
  18. Hautala AJ, Kiviniemi AM, Tulppo MP (2009) Individual responses to aerobic exercise: the role of the autonomic nervous system. Neurosci Biobehav Rev 33(2):107–115PubMedCrossRefGoogle Scholar
  19. Hedelin R, Kentta G, Wiklund U, Bjerle P, Henriksson-Larsen K (2000a) Short-term overtraining: effects on performance, circulatory responses, and heart rate variability. Med Sci Sports Exerc 32(8):1480–1484PubMedCrossRefGoogle Scholar
  20. Hedelin R, Wiklund U, Bjerle P, Henriksson-Larsen K (2000b) Cardiac autonomic imbalance in an overtrained athlete. Med Sci Sports Exerc 32(9):1531–1533PubMedCrossRefGoogle Scholar
  21. Hedelin R, Bjerle P, Henriksson-Larsen K (2001) Heart rate variability in athletes: relationship with central and peripheral performance. Med Sci Sports Exerc 33(8):1394–1398PubMedCrossRefGoogle Scholar
  22. Hooper SL, Mackinnon LT, Howard A, Gordon RD, Bachmann AW (1995) Markers for monitoring overtraining and recovery. Med Sci Sports Exerc 27(1):106–112PubMedGoogle Scholar
  23. Hooper SL, Mackinnon LT, Howard A (1999) Physiological and psychometric variables for monitoring recovery during tapering for major competition. Med Sci Sports Exerc 31(8):1205–1210PubMedCrossRefGoogle Scholar
  24. Hopkins WG, Marshall SW, Batterham AM, Hanin J (2009) Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc 41(1):3–13PubMedCrossRefGoogle Scholar
  25. Hynynen E, Uusitalo A, Konttinen N, Rusko H (2006) Heart rate variability during night sleep and after awakening in overtrained athletes. Med Sci Sports Exerc 38(2):313–317PubMedCrossRefGoogle Scholar
  26. Hynynen E, Uusitalo A, Konttinen N, Rusko H (2008) Cardiac autonomic responses to standing up and cognitive task in overtrained athletes. Int J Sports Med 29(7):552–558PubMedCrossRefGoogle Scholar
  27. Israel S (1976) Problems of overtraining form an internal medical and performance physiological standpoint. Med Sport 16:1–12Google Scholar
  28. Iwasaki K, Zhang R, Zuckerman JH, Levine BD (2003) Dose-response relationship of the cardiovascular adaptation to endurance training in healthy adults: how much training for what benefit? J Appl Physiol 95(4):1575–1583PubMedGoogle Scholar
  29. Kiviniemi AM, Hautala AJ, Seppanen T, Makikallio TH, Huikuri HV, Tulppo MP (2004) Saturation of high-frequency oscillations of R–R intervals in healthy subjects and patients after acute myocardial infarction during ambulatory conditions. Am J Physiol Heart Circ Physiol 287(5):H1921–H1927PubMedCrossRefGoogle Scholar
  30. Kiviniemi AM, Hautala AJ, Kinnunen H, Tulppo MP (2007) Endurance training guided individually by daily heart rate variability measurements. Eur J Appl Physiol 101(6):743–751PubMedCrossRefGoogle Scholar
  31. Kiviniemi AM, Hautala AJ, Kinnunen H, Nissila J, Virtanen P, Karjalainen J, Tulppo MP (2009) Daily Exercise Prescription Based on Heart Rate Variability among Men and Women. Med Sci Sports Exerc 41(5 Suppl 1):497Google Scholar
  32. Kuipers H (1998) Training and overtraining: an introduction. Med Sci Sports Exerc 30(7):1137–1139PubMedCrossRefGoogle Scholar
  33. Laursen PB (2010) Training for intense exercise performance: high-intensity or high-volume training? Scand J Med Sci Sports 20(suppl. 2):1–10PubMedCrossRefGoogle Scholar
  34. Lehmann M, Baumgartl P, Wiesenack C, Seidel A, Baumann H, Fischer S, Spori U, Gendrisch G, Kaminski R, Keul J (1992) Training-overtraining: influence of a defined increase in training volume vs training intensity on performance, catecholamines and some metabolic parameters in experienced middle- and long-distance runners. Eur J Appl Physiol Occup Physiol 64(2):169–177PubMedCrossRefGoogle Scholar
  35. Lehmann M, Wieland H, Gastmann U (1997) Influence of an unaccustomed increase in training volume vs intensity on performance, hematological and blood-chemical parameters in distance runners. J Sports Med Phys Fitness 37(2):110–116PubMedGoogle Scholar
  36. Lehmann M, Foster C, Dickhuth HH, Gastmann U (1998) Autonomic imbalance hypothesis and overtraining syndrome. Med Sci Sports Exerc 30(7):1140–1145PubMedCrossRefGoogle Scholar
  37. Mackinnon LT, Hooper S (1994) Mucosal (secretory) immune system responses to exercise of varying intensity and during overtraining. Int J Sports Med 15(Suppl 3):S179–S183PubMedCrossRefGoogle Scholar
  38. Mackinnon LT, Hooper SL (1996) Plasma glutamine and upper respiratory tract infection during intensified training in swimmers. Med Sci Sports Exerc 28(3):285–290PubMedGoogle Scholar
  39. Malik M, Camm AJ, Amaral LA, Goldberger AL, Ivanov P, Stanley HE, Goldberger JJ, Challapalli S, Tung R, Parker MA, Kadish AH, Ahmed MW (1993) Components of heart rate variability: what they really mean and what we really measure. Am J Cardiol 72:821–822PubMedCrossRefGoogle Scholar
  40. Meeusen R, Piacentini MF, Busschaert B, Buyse L, De Schutter G, Stray-Gundersen J (2004) Hormonal responses in athletes: the use of a two bout exercise protocol to detect subtle differences in (over)training status. Eur J Appl Physiol 91(2–3):140–146PubMedCrossRefGoogle Scholar
  41. Meeusen R, Duclos M, Gleeson M, Steinacker J, Rietjens G, Urhausen A (2006) Prevention, diagnosis and treatment of overtraining syndrome. Eur J Sport Sci 6:1–14CrossRefGoogle Scholar
  42. Morgan WP, Brown DR, Raglin JS, O’Connor PJ, Ellickson KA (1987) Psychological monitoring of overtraining and staleness. Br J Sports Med 21(3):107–114PubMedCrossRefGoogle Scholar
  43. Morgan WP, Costill DL, Flynn MG, Raglin JS, O’Connor PJ (1988) Mood disturbance following i ncreased training in swimmers. Med Sci Sports Exerc 20(4):408–414PubMedCrossRefGoogle Scholar
  44. Mujika I, Padilla S (2003) Physiological and Performance Consequences of Training Cessation in Athletes: Detraining. In: Frontera W (ed) Rehabilitation of Sports Injuries: Scientific Basis. Wiley-Blackwell, USA, pp 117–143Google Scholar
  45. Nunan D, Donovan G, Jakovljevic DG, Hodges LD, Sandercock GR, Brodie DA (2009) Validity and reliability of short-term heart-rate variability from the Polar S810. Med Sci Sports Exerc 41(1):243–250PubMedCrossRefGoogle Scholar
  46. O’Connor PJ, Raglin JS, Morgan WP (1996) Psychometric correlates of perception during arm ergometry in males and females. Int J Sports Med 17(6):462–466PubMedCrossRefGoogle Scholar
  47. Penttila J, Helminen A, Jartti T, Kuusela T, Huikuri HV, Tulppo MP, Coffeng R, Scheinin H (2001) Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: effects of various resiratory patterns. Clin Physiol 21:365–376PubMedCrossRefGoogle Scholar
  48. Pichot V, Roche F, Gaspoz JM, Enjolras F, Antoniadis A, Minini P, Costes F, Busso T, Lacour JR, Barthelemy JC (2000) Relation between heart rate variability and training load in middle-distance runners. Med Sci Sports Exerc 32(10):1729–1736PubMedCrossRefGoogle Scholar
  49. Rowbottom DG, Keast D, Goodman C, Morton AR (1995) The haematological, biochemical and immunological profile of athletes suffering from the overtraining syndrome. Eur J Appl Physiol Occup Physiol 70(6):502–509PubMedCrossRefGoogle Scholar
  50. Seiler S (2010) What is best practice for training intensity and duration distribution in endurance athletes? Int J Sports Physiol Perform 5(3):276–291PubMedGoogle Scholar
  51. TaskForce (1996) Heart rate variability. Eur Heart J 17:354-381Google Scholar
  52. Uusitalo AL, Uusitalo AJ, Rusko HK (1998) Exhaustive endurance training for 6–9 weeks did not induce changes in intrinsic heart rate and cardiac autonomic modulation in female athletes. Int J Sports Med 19(8):532–540PubMedCrossRefGoogle Scholar
  53. Uusitalo AL, Uusitalo AJ, Rusko HK (2000) Heart rate and blood pressure variability during heavy training and overtraining in the female athlete. Int J Sports Med 21(1):45–53PubMedCrossRefGoogle Scholar
  54. Vesterinen V, Hakkinen K, Hynynen E, Mikkola J, Hokka L, Nummela A (2011) Heart rate variability in prediction of individual adaptation to endurance training in recreational endurance runners. Scand J Med Sci Sports 1–10. doi: 10.1111/j.1600-0838.2011.01365.x
  55. Wilder J (1958) Modern psychophysiology and the law of intial value. Am J Phychotherapy 12:199Google Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Daniel J. Plews
    • 1
    • 2
  • Paul B. Laursen
    • 1
    • 2
  • Andrew E. Kilding
    • 2
  • Martin Buchheit
    • 3
  1. 1.High Performance Sport New Zealand, Millennium Institute of Sport and HealthMairangi BayNew Zealand
  2. 2.Sport Performance Research Institute New Zealand (SPRINZ), Auckland University of TechnologyAucklandNew Zealand
  3. 3.Physiology Unit, Sport Science DepartmentAspire, Academy of Sports ExcellenceDohaQatar

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