SAMENVATTING
Doel van dit onderzoek is na te gaan wat de test-hertestbetrouwbaarheid is van de hartslagvariabiliteit en omegametrie en de concurrente validiteit ten opzichte van herstelbehoefte en werkvermogen. Om stressreacties ten gevolge van stressoren op het werk, maar ook vanuit de privésituatie fysiek te meten wordt een hartslagvariabiliteit- (HRV-) meting en omegametrie door middel van een elektro-encefalogram (potentiaalmeting) ingezet. De HRV-meting wordt gezien als representatief voor de balans van het autonome systeem en heeft een duidelijke relatie met hart- en vaatziekten. Omegametrie wordt beschouwd als een mogelijke afspiegeling van chronische stress.
SUMMARY
Measuring stress reactions: how reliable and valid are the results?
The aim of this study is to investigate the intrapersonal test-retest reliability of the heart rate variability and omegametry and their concurrent validity with results from validated measuring methods of the need for recovery after work and work ability.
To physically measure work stress, the heart rate variability (HRV) and omegametry using electroencephalography (measurement of potential) are used. The HRV is considered to be representative for the autonomic balance and is associated with cardiovascular disease and chronic fatigue. Omegametry is said to be representative for chronic stress. An intrapersonal test-retest study with four retest moments took place within eight days with thirty healthy volunteers from an office population.
Results. The intrapersonal test-retest reliability of the HRV and omegametry in rest is reasonable (ICC>0.5) to good (ICC>0.7), if measured at the same day or after one week. Cumulating measurements within a week leads to bad reliability. Omegametry has bad test-retest reliability.
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Literatuur
Wiezer NM, Heinrich J, Nelemans RJC, et al. Werkdrukmaatregelen in Nederland. Tijdschr Bedrijfs Verzekeringsgeneeskd 2006; 14(06): 251–256.
Sluiter JK, Beek AJ van der, Frings-Dresen MHW. The influence of work characteristics on the need for recovery and experienced health: a study on coach drivers. Ergonomics 1999; 42: 573–583.
McEwen HBS. The brain is the central organ of stress and adaptation. Neuroimage 2009; 47: 911–913.
Sluiter JK, et al. Reactivity and recovery from different types of work measured by catecholamines and cortisol: A systematic overview. Occup Environ Med 2000; 57: 298–315.
Sluiter JK, Frings-Dresen MHW. ‘Quod caret alterna requie, durabile non est’, Herstel als maat voor werkvermogen. De Psycholoog, Wetenschap 2009; 2: 73–81.
Ilmarinen J. Work ability, a comprehensive concept for occupational health research. Scand J Work Environ Health 2009; 35(1): 1–5.
Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability-standards of measurement, physiological interpretation, and clinical use. Circulation 1996; 93: 1043–1065.
Togo F, Takahashi M. Heart rate variability in occupational health – a systematic review. Ind Health 2009; 47(6): 589–602.
Sluiter JK, Guijt AM, Frings-Dresen MHW. Reproducibility of heart rate variability and respiration rate measurements in participants with prolonged fatigue complaints. Int Arch Occup Environ Health 2009; 82(5): 623–630.
Motzer SA, Hertig V. Stress, stress response, and health. Nurs Clin N Am 2004; 39: 1–17.
Schubert C, et al. Effects of stress on heart rate complexity – a comparison between short term and chronic stress. Biol Psychol 2009; 80(3): 325–332.
Thayer JF, Yamamoto SS, Brosschot JF. The relationship of autonomic imbalance, heart rate variability and cardiovascular risk factors. Int J Cardiol 2010; 142(2): 122–131.
Ilyukhina VA. The omega potential: a quantitative parameter of the state of brain structures and organism. I. Physiological significance of the omega potential when recorded from deep structures and from the scalp. Hum Physiol 1982; 8(3): 221–226.
Ilyukhina VA, et al. The omega-potential: a quantitative parameter of the state of brain structures and of the individual. II. Possibilities and limitations of the use of the omega-potential for rapid assessment of the state of the individual. Hum Physiol 1982; 8(5): 328–339.
Myznikov IL, Shcherbina FA. Characteristics of the formation of compensatory and adaptive responses of sailors to chronic stress. Hum Physiol 2006; 32(3): 328– 333.
Banzer W, Lucki K, Bürklein M, et al. Sportmedizinische Aspekte kardialer Risikostratifizierung Herzfrequenzvariabilität und physische Leistungsfähigkeit. Herzschr Elektrophys 2006; 17: 197–204.
Guijt AM, Sluiter JK, Frings-Dresen MHW. Test-retest reliability of heart rate variability and respiration rate at rest during light physical activity in normal subjects. Arch Med Res 2007; 38: 113–120.
Veldhoven MJPM van, Meijman TF. Het meten van psychosociale arbeidsbelasting met een vragenlijst: de Vragenlijst Beleving en Beoordeling van de Arbeid (VBBA). Amsterdam: NIA, 1994.
Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. 2e druk. Norwalk (CT): Prentice Hall, 2000.
Vet HCW de, Terwee CB, Bouter LM. Current challenges in clinimetrics. J Clin Epidemiol 2003; 56: 1137– 1141.
Vet HCW de, et al. When to use agreement versus reliability measures. J Clin Epidemiol 2006; 59: 1033– 1039.
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nu werkzaam als Aios bedrijfsgeneeskunde
thans werkzaam als adviseurs bij Spieren voor Spieren resp. voor HJZ Sport te Amsterdam. Ten tijde van het onderzoek waren Van Bolhuis, Schmidt en Zwolle werkzaam bij Human Energy Management, Amsterdam
respectievelijk als hoogleraar en universitair hoofddocent werkzaam
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van Bolhuis, H., Schmidt, L., Zwolle, H.J. et al. Meten van stressreacties: hoe betrouwbaar en valide lukt dat?. TIJDSCHRIFT VOOR BEDRIJFS- EN VERZEKERINGSGENEESKUNDE 20, 150–156 (2012). https://doi.org/10.1007/s12498-012-0079-2
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DOI: https://doi.org/10.1007/s12498-012-0079-2