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Objective: In type 1 diabetes, autonomic dysfunction may occur early as a decrease in heart rate variability (HRV). In populations without diabetes, the positive effects of exercise training on HRV are well-documented. However, exercise in individuals with type 1 diabetes, particularly if strenuous and prolonged, can lead to sharp glycemic variations, which can negatively impact HRV. This study explores the impact of a 9-day cycling tour on HRV in this population, with a focus on exercise-induced glycemic excursions., Research Design and Methods: Twenty amateur athletes with uncomplicated type 1 diabetes cycled 1,500 km. HRV and glycemic variability were measured by heart rate and continuous glucose monitoring. Linear mixed models were used to test the effects of exercise on HRV, with concomitant glycemic excursions and subject characteristics considered as covariates., Results: Nighttime HRV tended to decrease with the daily distance traveled. The more time the subjects spent in hyperglycemia, the lower the parasympathetic tone was. This result is striking given that hyperglycemic excursions progressively increased throughout the 9 days of the tour, and to a greater degree on the days a longer distance was traveled, while time spent in hypoglycemia surprisingly decreased. This phenomenon occurred despite no changes in insulin administration and a decrease in carbohydrate intake from snacks., Conclusions: In sports enthusiasts with type 1 diabetes, multiday prolonged exercise at moderate-to-vigorous intensity worsened hyperglycemia, with hyperglycemia negatively associated with parasympathetic cardiac tone. Considering the putative deleterious consequences on cardiac risks, future work should focus on understanding and managing exercise-induced hyperglycemia., (© 2020 by the American Diabetes Association.)

The aim of the study was to characterize aerobic responses to high intensity intermittent (HIIE) and continuous (CE) exercises in prepubertal children. 26 children aged 8 to 11-year-old took part in a preliminary session to determine peakVO 2 and Maximal Aerobic Velocity (MAV). In 5 subsequent experimental visits, the participants completed 2 CE and 3 HIIE sessions in a randomized order. HIIE consisted of short intermittent 10-s and 20-s running bouts at 100 to 130% MAV, interspersed with recovery periods of equal duration (S-HIIE1 and S-HIIE2 respectively) and 5-s of sprinting and jumping at maximal intensity with 15-s recovery periods (S-HIIE3). CE consisted of 2 10-min running periods at 80% and 85% MAV with a 5-min recovery period. CE protocols elicited higher average VO 2 and exercise time spent above 95% of peakVO 2 compared to the HIIE protocols. S-HIIE 1 and S-HIIE 2 elicited similar average VO 2 response, higher than S-HIIE 3. Our study shows that CE activated the aerobic system to a greater extent than S-HIIE in prepubertal children, as reflected by the time above 95% of peakVO 2 during exercise. However, isotime S-HIIE protocols comprising 10-s or 20-s exercise bouts at an intensity above MAV result in similar times above 95% of peakVO 2 during exercise., Competing Interests: Conflicts of interest: The author have no conflict of interes to declare., (© Georg Thieme Verlag KG Stuttgart · New York.)

The purpose of this study was to observe the effect of high intermittent exercise training on children's heart rate variability (HRV). Thirty-eight children (age 9.6 +/- 1.2 years) were divided into an intermittent (IT, n = 22) and a control group (CON, n = 16). At baseline and after a 7-week training period, HRV parameters, peak oxygen consumption (VO(2peak)) and maximal aerobic velocity (MAV) were assessed. Training consisted of three 30-min sessions composed by short maximal and supramaximal runs at velocities ranging from 100 up to 190% of MAV. HRV was computed in time and frequency domains. Training resulted in a significant increase in MAV and VO(2peak) in IT (P < 0.05) only without any significant change in HRV parameters for the two groups. Thus, 7 weeks of high intermittent exercise training allows to improve aerobic fitness. However, this modality of training was not sufficient enough to underline a possible effect on the heart rate autonomic regulation in children.

Passive postexercise heart rate (HR) recovery is currently used in the assessment of endurance athletes to determine changes in performance or in the clinical setting as a predictor of all-cause mortality. The purpose of this investigation was to assess the reliability of HR recovery. Thirty healthy subjects performed two maximal and two submaximal treadmill exercises, followed by 5 minutes of passive recovery. HR signal was used to compute raw and Delta (exercise - recovery) HR after 1, 2, 3, and 5 minutes of exercise cessation. A mono-exponential function was fitted to the data using the least squares procedure. We found no significant bias between repeated measures. Relative reliability was lower for Delta HR when compared with raw HR (0.43 < ICC < 0.71 vs. 0.68 < ICC < 0.83, respectively). Absolute reliability was relatively constant over time for raw HR (SEM = approximately 8 %), while it decreased exponentially from the 1st (SEM = approximately 20 %) to the 5th minute of recovery (SEM = approximately 8 %) for Delta HR. The reliability of parameter estimates from exponential curve fitting was less consistent, since both ICC (0.43 to 0.88) and SEM (5.7 to 21.4 %) differed from one parameter to the other according to the intensity of exercise. We conclude that passive postexercise HR recovery reliability is heterogeneous. Raw HR is the desired method to describe it.

Intervals between two consecutive cardiac beats (R-R intervals) and the subsequent analysis of heart rate variability (HRV) obtained simultaneously from the Polar S810 heart rate monitor (HRM) and an electrocardiogram (ECG) in a supine position were compared in twelve children (age 9.6 +/- 0.9 years) before and after protocol correction. R-R intervals were significantly different between the ECG and the HRM uncorrected and corrected signal (p < 0.001, effect size [ES] = 0.005, and 0.005, respectively). However, the bias (95 % confidence interval) was 0.80 (- 124.76 - 123.16) ms and 0.80 (- 12.76 - 11.16) ms, respectively. HRV parameters derived from both signals were not different (p > 0.05) and well correlated (r > 0.99, p < 0.05), except SD2 (p < 0.05, ES = 0.000; r = 0.99). These data support the validity of the Polar S810 HRM to measure R-R intervals and make the subsequent HRV analysis in a supine position in children.

Objective: To analyze the consequences on heart rate variability (HRV) of a hospitalization period due to surgery of the knee in sportsmen., Patients: Ten soccer players who had undergone knee surgery took part in this study., Design: HRV was measured before and after hospitalization within a 7-day interval., Results: After the hospitalization phase, heart rate at rest increased significantly (3 beats/minute). A significant decrease of 7% in the cardiac inter beat interval (R-R interval), P < 0.05 and a 66% decrease in total power spectral density: -66%, P < 0.05 were observed. The disturbance of the autonomic nervous system could be due to a variation in cardiac vagal activity resulting in a 64% decrease in the high frequencies (P < 0.05). This variation was not associated with a modification in normalized markers (LFn.u., HFn.u.) and LF/HF ratio (P > 0.05)., Conclusion: In sportsmen, a hospitalization period led to an increase in resting heart rate and was associated with a disturbance of the autonomic nervous system.

The purpose of this study was to investigate the effect of twelve weeks of aerobic training and eight weeks of training cessation on Heart Rate Variability (HRV). Ten healthy young men (Age: 21.7 +/- 2.2 years; Height: 179.2 +/- 6.9 cm; Mass 72.7 +/- 11.1 kg) completed an incremental test and a 60 degrees tilt test during which R-R intervals were recorded before (T0) and after (T12) 12 weeks of intensive training, and after 2, 4 and 8 weeks of training cessation (D2, D4 and D8, respectively). HRV was computed in time and frequency domains. Training resulted in a significant increase in estimated VO2max after T12 (p < 0.01), followed by a significant decrease during D2 and D8 (p < 0.05). Total power (LF + HF) and low frequency power (LF) increased significantly in the supine position after the training period (p < 0.05) and decreased moderately after D2 (p > 0.05) to stabilize afterwards. LF + HF and LF were not different from T0 at D8 (p > 0.05). It was concluded that eight weeks of training cessation allow to reverse the cardiovascular autonomic adaptations induced by 12 weeks of intensive training in healthy young men.

Purpose: This study was conducted to compare R-R intervals and the subsequent analysis of heart rate variability (HRV) obtained from the Polar S810 heart rate monitor (HRM) (Polar Electro Oy) with an electrocardiogram (ECG) (Physiotrace, Estaris, Lille, France) during an orthostatic test., Methods: A total of 18 healthy men (age: 27.1 +/- 1.9 yr; height: 1.82 +/- 0.06 m; mass 77.1 +/- 7.7 kg) performed an active orthostatic test during which R-R intervals were simultaneously recorded with the HRM and the ECG recorder The two signals were synchronized and corrected before a time domain analysis, the fast Fourier transform (FFT) and a Poincaré plot analysis. Bias and limits of agreement (LoA), effect size (ES), and correlation coefficients were calculated., Results: R-R intervals were significantly different in the supine and standing position between the ECG and the HRM uncorrected and corrected signal (P < 0.05, ES = 0.000 and 0.006, respectively). The bias +/- LoA, however, were 0.9 +/- 12 ms. HRV parameters derived from both signals in both positions were not different (P > 0.05) and well correlated (r > 0.97, P < 0.05), except root mean square of difference (RMSSD) and SD1 in standing position (P < 0.05, ES = 0.052 and 0.057; r = 0.99 and 0.98, respectively)., Conclusion: Narrow LoA, good correlations, and small effect sizes support the validity of the Polar S810 HRM to measure R-R intervals and make the subsequent HRV analysis in supine position. Caution must be taken in standing position for the parameters sensitive to the short-term variability (i.e., RMSSD and SD1).

The purpose of this study was to determine the effects of intensified physical education sessions on adolescents ages 11-16 years. They were divided into two experimental groups--high-intensity running group (HIRG) and high-intensity jumping group (HlJG)--and a control group (C). During the sessions, heart rate (HR) was monitored. There was no significant difference between mean HR for HIRG and HIJG, while the mean HR was significantly lower for C (p < .001). For both HIRG and HIJG, the mean HR was significantly higher for girls than for boys (p < .001). Our results suggested that these intensified physical education lessons require a high percentage of maximal HR in adolescents and can be used to improve aerobic fitness.

Abstract: Aim: The aim of this paper is to review our scientific knowledge of the effect of aerobic training on the activity of the autonomic nervous system on the cardiovascular function measured by short-term heart rate variability (HRV). Current knowledge: Cardiovascular morbidity and mortality are associated with autonomic nervous system disorders. Then, HRV represents prognosis tool of cardiovascular mortality. Aerobic training is a non-pharmacological process to increase cardiovascular health. Points of view and plans: Even if aerobic training improved HRV, cardiovascular autonomic adaptations seem to be dependant of various factors such as age, sex and training characteristics. To determine minimal quantity of physical activity to improve HRV and cardiovascular health, it is necessary to study the impact of these parameters. [Copyright &y& Elsevier]