Better tools to help you keeping track of physiological changes in response to infections and sickness
With the ongoing global pandemic, the medical community has been looking into alternatives that can help identifying and managing individuals that might require additional care, which brought a renewed interest into wearables or in general in tools that can provide physiological measurements. Heart rate, HRV, temperature, are all great candidates as these parameters have shown a consistent response to infections.
In this context, in the past few weeks we have started a few collaborations with research institutions in Italy and Germany, providing the technology required to further investigate the relationship between (among other parameters), resting physiology and COVID-19 infections.
However, as a user of our system, you might want to know what to look at as a potential indicator of infection or sickness based on our current knowledge and published research.
In this post, I cover the basics of heart rate in the context of infections, and show a new feature we have built in HRV4Training Pro to help you identify more easily periods in which heart rate is abnormal, and therefore might require more attention.
I hope you'll find the material and new feature useful. Full post at this link.
Special thanks to Pro triathlete Scott Bayvel for inviting me for a chat on his YouTube channel. In the video, we cover the following:
Link here. Enjoy
You can find the episode here.
HRV4Training founder Marco Altini is on the show this week to explain heart rate variability (HRV) and how monitoring this metric can be used to guide endurance training.
Learn more about HRV4Training or Marco at their respective websites and follow them on Instagram and Facebook.
Read part 1 of Marco's guide to HRV-guided training on Medium. Then use the links in the article to access parts 2 and 3.
Grazie mille Omar e Bikeitalia per questa intervista su HRV4Training e la variabilità cardiaca
Come si misura?
Quali sono i dati che dobbiamo considerare per monitorare il nostro allenamento?
Come gestire al meglio lo stress dell’allenamento?
I was invited to Tampere university of technology for Julia Pietilä’s PhD defense where I had the honor to act as the “opponent”, according to Finnish protocol.
Julia did great work on HRV data and its relation to physical activity, sleep, alcohol intake and more (a few extra words on her work can be found below, while the full text of the thesis is available here).
Special thanks to Ilkka Korhonen, who is (among other things) CTO at Firstbeat, a company I’ve always admired for the sound scientific approach. I’m grateful for the invitation and the opportunity to talk about my work and learn more about the research being done here. I really had a great time and it is always nice to find like minded people who understand the value of collaboration and research even when working in a similar business or addressing the same market.
Here is a very brief overview of the thesis:
In this thesis, a very large dataset comprising thousand of individuals and multiple days of data per individual were used to analyse the relationship between resting physiological parameters such as HRV and population level parameters (age, BMI, etc.) as well as acute stressors such as alcohol intake and physical activity. In particular, the thesis focused on methodological aspects linked to the use of large datasets collected in unsupervised conditions, and provides useful insights on various aspects. Most notably, on the difficulty of determining PA levels in relative and absolute manners, as well as on the impact of alcohol intake and PA on HRV and sleep quality.
The work builds incrementally on what is known from smaller studies, validating the use of data collected in unconstrained free living settings for the analysis of PA, alcohol intake and sleep and then takes this further by exploring aspects that could hardly be investigated in regular clinical or more controlled studies.
I believe an important contribution here is the analysis of the relation between acute bouts of PA, overall fitness or habitual PA, and HRV as a marker of both parasympathetic activity in response to acute stressors (in relative terms) but also as a marker of health and potentially of fitness. Another important contribution is certainly the analysis of the difference in terms of acute responses depending on individual characteristics, for example recovery time in terms of HRV in response to alcohol intake or PA, and how these aspects can depend on a person’s age or BMI. These are all aspects very difficult to analyse or extrapolate from published literature given the small sample size or limited data.
This work is of great relevance at this time, as there seem to be a gap between the large amounts of data collected by digital health companies and the methods and studies carried out in controlled research settings where often just a few subjects take part in such studies.
🇮🇹 Piccola intervista per gli amici italiani sulla variabilità cardiaca e l'utilizzo di HRV4Training per il canale YouTube di Massi Milani (2 volte vincitore di categoria della maratona di New York)
Perchè è importante misurarla? quando va fatta la misura? come utilizzare i valori? a chi consigliamo utilizzare questa tecnologia? ▶️
In this series of posts, I’ll provide an overview of best practices for your Heart Rate Variability (HRV) measurements (part 1), and tips on how to analyze and interpret your data over the short and long term (response to acute stressors, longer-term trends, etc. — in part 2). I’ll include quite a few case studies so that you can clearly see how you can too make use of the data (in part 3). Finally, the last post will cover a few misconceptions (utility with respect to subjective scores, non-training related use, strength training, etc. — part 4).
HRV is nothing new, and fairly simple to use effectively, but poor standardization and methodological inconsistencies make it difficult sometimes for people to make good use of the technology or understand what is reported in the scientific literature. Hopefully, these posts will help, but please feel free to ask questions should you have any doubts.
You can find the other parts of this series at these links:
Pretty stoked to see HRV4Training mentioned by Los Angeles Football Club on the Apple store
“a state-of-the-art training program that leverages two affordable, easy-to-use apps available to pros and amateurs alike. This might be part of why LAFC is also one of the most successful MLS teams”
Huge thank you to Gavin Benjafield for his words and support of our work, and congratulations on a great season last year
I've recorded a podcast with Peter Glassford at the Consummate Athlete.
We talked about HRV research, and in particular: guidelines for measurements in team sports (morning vs facilities), training adaptation (positive responses to increased load), HRV-guided training (when to hold back to improve performance) and menstrual cycle (HRV changes during the different phases).
I have been invited to give a talk about my research at Tampere University of Technology.
This was a nice opportunity for me to go over what is now more than ten years of work I have done in the field. I started back in 2009 developing hardware, firmware and software for wearable sensors, and then went into a PhD in data science applied to physical activity. Eventually, this work led me to the entrepreneurial route, starting companies with the goal of furthering our knowledge on complex relations between physiology, health and performance, thanks to large-scale studies and user generated data. This process brought me to my current goal, which is to empower the individual decision making process with accurate, transparent and effective tools such as HRV4Training.
I tried to provide a decent overview in this talk, you can find the slides below or at this link.
“While training prescription is one important part of the physiological puzzle, the other key component is in assessing the ability of the athlete to be able to tolerate training load. With this information at hand, we are able to make informed coaching decisions which will maintain an effective training stress balance. In support of this, we have partnered with HRV4Training to provide this insight and ensure that we remain at the forefront of athlete monitoring, vital to maximising the potential of our nation’s swimmers”
Couldn’t say it better myself. Thank you Swim Ireland for your continued support and all the best to coaches and athletes for the upcoming season and the Olympics.
As part of my new master's in high-performance coaching at Vrije Universiteit Amsterdam, I had the opportunity to start a research project with the Dutch Triathlon Federation, using HRV4Training to monitor physiological adaptations to a training camp (more on this later, the goal is to publish our research, so I am sure we'll have more to report later during the year).
I am really grateful for this opportunity.
One of the main reasons why I went back to school was the possibility to spend more time with people valuing our work and try to help them make better use of the technology, as opposed to spending most of my time coding (which I still enjoy!).
I found an amazing environment at Dutch triathlon, with knowledgeable and humble coaches and athletes, and I can't wait to keep learning from them and to try to provide a little contribution to their work.
Thank you for having me yesterday at the facilities during performance testing, and all the best for the upcoming season.
Special thanks to Men's Health for featuring our work in January's issue. Great points on how training and lifestyle stressors pile up, and how using tools such as HRV4Training can allow athletes and coaches to better balance such stressors, improving health and performance in the long term.
I had a great time talking about stress, performance and HRV4Training with Matt Fox of Sweat Elite. You can find the podcast at this link.
Matt has spent quite some time in Kenya and Ethiopia as part of his work at Sweat Elite, and provides great insights on the lifestyle of elite athletes training there. We also discuss our own data during marathon training and the combined effect of training and lifestyle stressors on the body. You'll also learn a bit more about how HRV4Training started, recent research on HRV-guided training and the implications of a stressful lifestyle in terms of injury risk and performance.
Alright, enjoy the podcast!
In this post, I’d like to show how you can use a simple morning measurement of your resting physiology to gather useful information about your body’s response to training and lifestyle stressors.
In particular, we’ll look at two case studies using data from me and Alessandra in the two months leading to the New York City marathon, while dealing with additional non-training related stressors (work, university exams, etc.).
We’ll see how stress piles up and how the contribution of training and lifestyle choices has a cumulative impact that is reflected in your body’s physiological state (your HRV). Hopefully, the case studies will be helpful to better understand how you can apply similar principles to your own case so that you can better manage stress towards improved health and performance.
In this post, I’d like to show how we can monitor progress (or lack thereof) in endurance sports using tools such as aerobic efficiency and cardiac decoupling analysis in HRV4Training Pro.
I will also show how training adaptations resulting from different training stimuli can be captured by these tools better than using standard training load analysis metrics such as chronic training load.
I hope you'll find it helpful.
James Witts wrote a piece on polarized training (or 80/20 running) for the June 2019 issue of Runners World UK. My case study was featured, you can find it below.
For a deep(er) dive into my data from a few years back, at this link.
In this post, I'd like to show some data to highlight a few important aspects when analyzing your heart rate variability (HRV) data. In particular, I'd like to cover some misconceptions about the relationship between training and HRV as well as the importance of lifestyle and psychological aspects (context!).
We'll use my own data collected between January and April 2018, so 3 months in which I went from best shape of my life to injured and then back to training regularly post-injury, but in poor shape (detrained). We'll look at:
I hope this case study can be a good starting point to identify useful ways to look at your data using HRV4Training Pro.
In this post we’ll show two methods we have implemented in HRV4Training Pro to let you easily track changes in aerobic endurance while preparing a running or cycling event, so that you can analyze your progress:
Using these two methods and analyzing changes systematically over time with respect to your historical data, it should be easy to track improvements (or lack thereof) over time and make meaningful adjustments to your training plan.
Learn more at this link.
How to use HRV4Training to monitor adaptation to training and adjust things on the go: a case study During Marathon Training.
In this post, we go over the 12 weeks leading to Serena's first marathon.
We'll see how HRV data can be used to analyze positive adaptations (increasing or stable HRV baseline) and to determine when to hold back if necessary (HRV baseline below normal values, or maladaptation detected).
We'll also see how to analyze training intensity distribution and how to determine race pacing strategy using HRV4Training Pro.
As always, while this post is about data, there is no use in data without common sense. Data is not here to replace our brain. Data is here to help us improve our understanding of our body and perception of stress and effort - something we are really bad at, especially as recreational athletes.
Hopefully, the tools we have developed as well as this case study will help you to learn more about how you respond to stress and to manage things better.
Thank you again Serena for working with me in these three months and congratulations again on your sub-4 marathon.
Train smart, run faster