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Heart Rate Variability During Physical Exercise Heike Leutheuser, Bjoern Eskofier Pattern Recognition Lab (CS 5) Digital Sports Group 12.09.2012

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Heart Rate Variability During Physical Exercise

Heike Leutheuser, Bjoern Eskofier Pattern Recognition Lab (CS 5) Digital Sports Group 12.09.2012

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Why Heart Rate Variability (HRV)?

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0 0.2 0.4 0.6 0.8 1350

360

370

380

Time [min]

RR

inte

rval

s [m

s]

Tachogram

●  HRV is the existent oscillation of the heart rate

●  RR interval = time between two heartbeats

●  HRV is an indicator for ●  Fatigue ●  Overtraining ●  Hydration level ●  …

[1]

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Motivation

3

Berlin Marathon

EM 2012

[2]

[3]

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Motivation

Evaluation with Analysis of Variance (ANOVA) Reveals significant differences of variables

4

How are HRV features changing during one hour of running?

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Study Design

●  295 athletes* ●  98 female ●  176 male ●  Age: 43 ± 11 years ●  BMI: 23.1 ± 2.4 kg/m2

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One hour outdoor run without distance or speed requirements

[4]

* 27 athletes did not answer the questionaire with respect to gender, age and BMI

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Study Design - Equipment

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●  Polar RS 800sd Watch, chest strap and shoe sensor

●  Kinematic data (stride frequency, running speed)

●  Physiological data (RR intervals, Heart Rate)

[5]

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Feature Extraction (1)

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RMSSD =(RRi+1 −i=1

N−1∑ RRi )

2

N −1

0 10 20 30 40 50 60200

400

600

800 1 2 3 4 5 6 7 8 9 10 11 12 13

Time [min]

RR

inte

rval

[ms]

Tachogram

●  Time domain features ●  Average heart rate ●  Square root of the mean

squared differences of successive RR intervals:

0 0.2 0.4 0.6 0.8 1350

360

370

380

Time [min]

RR

inte

rval

s [m

s]

TachogramTachogram (zoomed in)

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise 8

0.1 0.2 0.3 0.4 0.50

0.2

0.4

0.6

0.8

Frequency [Hz]

Nor

mal

ized

PSD

LF HF

Feature Extraction (2)

●  Frequency domain feature: ●  LF/HF-ratio of normalized power spectral density (PSD) ●  Low frequency (LF) component: 0.04 – 0.15 Hz ●  High frequency (HF) component: 0.15 – 0.40 Hz

Extract of PSD

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Research Question

●  HRV features: ●  Heart Rate ●  RMSSD ●  LF/HF-ratio

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Evaluation using Analysis of Variance

How are these three HRV features changing during one hour of running?

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Background – ANOVA

●  ANOVA = Analysis of Variance

●  Aim: Determines if significant differences between different groups of variables are existent

●  Design: ANOVA with repeated measures ●  Procedure:

●  Calculation of F statistic ●  Comparison of F-value to the critical value FC

●  FC depends on degrees of freedom (df) (Error and Numerator) and significance level α

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12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

ANOVA with Repeated Measures

●  In this study: Repeated Measures Analysis ●  Univariate ANOVA with repeated measures ●  Multivariate ANOVA with repeated measures

●  Assumptions: ●  Independence of observation ●  Multivariate normality

à Natural logarithm of RMSSD and LF/HF-ratio ●  Sphericity (Circularity)

à Only for univariate ANOVA; if violated: Greenhouse & Geisser correction

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12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Results – ANOVA

Heart  Rate   ln(RMSSD)   ln(LF/HF)  

univariate   1452.1   108.6   294.7  

mul6variate   796.6   91.8   126.5  

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df  Numerator   df  Error   Cri6cal  F-­‐value   p  

univariate   12  à  1   3528  à  294   10.83   <  0.001  

mul6variate   12   283   2.74   <  0.001  

Significant differences in the means of Heart Rate, RMSSD and LF/HF-ratio over distinct 5 minute sequences

●  F values

●  Degrees of Freedom

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Results – Post-Hoc Procedure

●  Determination of significant differences in the segments

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121 2 3 4 5 6segments

no.significant.differences

13

Heart.Rate

ln(RMSSD)

ln(LF/HF)

7 8 9 10 11

●  No significant differences for all three parameters ●  Starting in different segments ●  Lasting up to the 12th segment ●  For RMSSD: no significant differences after the 2nd segment

à Indication of start and end of a workout

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Summary

●  Study ●  295 volunteers

●  Task: one hour outdoor run

●  Three HRV features: Heart Rate, RMSSD, LF/HF-ratio ●  Evaluation with ANOVA with repeated measures

●  No significant differences for Heart Rate between 35 and 60 minutes RMSSD between 25 and 60 minutes LF/HF-ratio between 30 and 60 minutes

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How are these three HRV features changing during one hour of running?

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Outlook

●  Consideration of additional HRV features and a different segment length

●  New methods: ●  Detrended Fluctuation Analysis ●  Dynamic Invariants

●  Stride frequency and running speed

●  Differences between female and male

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Thank you for your attention!

Bavarian Ministry of Economic Affairs,

Infrastructure, Transport and Technology

12.09.2012 | Heike Leutheuser | Pattern Recognition Lab (CS 5) | HRV during Physical Exercise

Quotations

[1] http://www.laufszene-thueringen.de/berichte/2009/stundenlauf4-2 [2] http://www.bz-berlin.de/multimedia/archive/00366/gomez-

tor_366209a.jpg [3] http://www.bz-berlin.de/aktuell/berlin/anmelder-rekord-beim-

marathon-article462004-image1.html [4] www.adidas.com [5] http://polar.fitnessmegastore.co.uk/polar-297/running-299/polar-

rs400-running-heart-15041.htm

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