Monitoring Heart Rate Variability As A Biomarker Of Fatigue In Young Athletes

Martina Bernaciková, J. Mazur, M. Sebera, Petr Hedbávný
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Abstract

Purpose: Many high performance and especially top athletes are still at risk or suffer from total fatigue. Therefore, sports science seeks to develop an objective, sensitive and reliable method of early diagnosis of this fatigue (e.g. heart rate variability – HRV as a modern ob-jective method). The aim of the study was to evaluate whether the HRV monitoring could be a complementary diagnostic tool for overreaching / overtraining in young athletes. Already introduced “classical” indicators of HRV, such as spectral performance and its density in the established frequency ranges, are a part of athlete monitoring in the scope of overreaching prevention We were monitoring the heart rate variability parameters at three different phases of the year-long training cycle and to find out whether in one of these phases we could find athletes showing symptoms of overreaching. Methods: 48 young athletes (33 boys 14.8 ± 1.5 years, 15 girls 14.9 ± 1.7 years) were involved in the study, consisting of 38 boys and 10 girls. There were 15 swimmers (with training volume 9x 1.5‒2 hours a week), 12 artistic gymnasts (with training volume 9x 2‒2.5 hours a week) and 21 badminton players (with training volume 4x weekly 1.5‒2 hours a week). Monitoring was carried out in athletes in three training periods: at the end of the transition period, at the end of the prepared period, at the end of the competition period. Measurements were carried out in the morning. The DiANS PF8 system was used to measure the heart rate variability, the measurements were performed at five-minute intervals: lying-standing-lying. Time and spectral parameters of HRV were monitored. Results: Results of HRV in three periods (HR + rMSSD in lying). Boys: HR (61 ± 8, 64 ± 7, 64 ± 8), rMSSD (85 ± 64; 80 ± 54; 88 ± 59), TS (-0.56 ± 1.53; -0.87 ± 1.4; -0.42 ± 1.44). Girls: HR (65 ± 8; 64 ± 7; 65 ± 8), rMSSD (74 ± 37; 79 ± 35; 83 ± 43), TS (-0.58 ± 1.57; -0.72 ± 1.35); -0.18 ± 0.18). Statistically significant differences (at the significance level = 0.05) among sports were found in Kruskal-Walls ANOVAby Ranks: boys in LF-standing, HF standing, FV, SVB and TS; girls in HF-lying, HF-standing, rMSSD, TP-lying, TP-standing, FV, VA and TS. Conclusion: Monitoring of heart rate variability seems to be a practical tool for prevention of overtraining even in young age. To monitor heart rate variability, we recommend monitoring these parameters: RR, rMSSD, VA, SVB, TS.
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监测心率变异性作为年轻运动员疲劳的生物标志物
目的:许多高水平的运动员,尤其是顶级运动员仍然处于危险之中或遭受完全疲劳。因此,运动科学寻求开发一种客观、敏感和可靠的方法来早期诊断这种疲劳(例如,心率变异性- HRV作为一种现代客观方法)。本研究的目的是评估HRV监测是否可以作为年轻运动员过度训练/过度训练的辅助诊断工具。已经介绍的“经典”HRV指标,如频谱性能及其在既定频率范围内的密度,是运动员监测过度运动预防范围的一部分。我们在一年训练周期的三个不同阶段监测心率变异性参数,以找出是否在其中一个阶段我们可以发现运动员表现出过度运动的症状。方法:48名青少年运动员,男33名(14.8±1.5岁),女15名(14.9±1.7岁),男38名,女10名。游泳运动员15人(训练量9 ×每周1.5-2小时),艺术体操运动员12人(训练量9 ×每周2-2.5小时),羽毛球运动员21人(训练量4 ×每周1.5-2小时)。在三个训练阶段对运动员进行监测:过渡期结束时,准备期结束时,比赛期结束时。测量是在早上进行的。使用dian PF8系统测量心率变异性,每隔5分钟测量一次:躺-站-躺。监测HRV的时间和光谱参数。结果:三期HRV(躺期HR + rMSSD)结果。男性:HR(61±8,64±7,64±8),rMSSD(85±64);80±54;(-0.56±1.53;-0.87±1.4;-0.42±1.44)。女生:HR(65±8);64±7;65±8),rMSSD(74±37);79±35;83±43),ts(-0.58±1.57;-0.72±1.35);-0.18±0.18)。各运动间Kruskal-Walls ANOVAby rank的差异有统计学意义(= 0.05):男生在lf -站立、HF站立、FV、SVB和TS方面的差异有统计学意义;结论:监测心率变异性似乎是一种预防过度训练的实用工具,即使在年轻时也是如此。为了监测心率变异性,我们建议监测以下参数:RR、rMSSD、VA、SVB、TS。
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