Daniel J. Plews

Training adaptation and heart rate variability in elite endurance athletes: opening the door to effective monitoring.

The measurement of heart rate variability (HRV) is often considered a convenient non-invasive assessment tool for monitoring individual adaptation to training. Decreases and increases in vagal-derived indices of HRV have been suggested to indicate negative and positive adaptations, respectively, to endurance training regimens. However, much of the research in this area has involved recreational and well-trained athletes, with the small number of studies conducted in elite athletes revealing equivocal outcomes. For example, in elite athletes, studies have revealed both increases and decreases in HRV to be associated with negative adaptation. Additionally, signs of positive adaptation, such as increases in cardiorespiratory fitness, have been observed with atypical concomitant decreases in HRV. As such, practical ways by which HRV can be used to monitor training status in elites are yet to be established. This article addresses the current literature that has assessed changes in HRV in response to training loads and the likely positive and negative adaptations shown. We reveal limitations with respect to how the measurement of HRV has been interpreted to assess positive and negative adaptation to endurance training regimens and subsequent physical performance. We offer solutions to some of the methodological issues associated with using HRV as a day-to-day monitoring tool. These include the use of appropriate averaging techniques, and the use of specific HRV indices to overcome the issue of HRV saturation in elite athletes (i.e., reductions in HRV despite decreases in resting heart rate). Finally, we provide examples in Olympic and World Champion athletes showing how these indices can be practically applied to assess training status and readiness to perform in the period leading up to a pinnacle event. The paper reveals how longitudinal HRV monitoring in elites is required to understand their unique individual HRV fingerprint. For the first time, we demonstrate how increases and decreases in HRV relate to changes in fitness and freshness, respectively, in elite athletes.

Heart-Rate Variability and Training-Intensity Distribution in Elite Rowers

PURPOSE Elite endurance athletes may train in a polarized fashion, such that their training-intensity distribution preserves autonomic balance. However, field data supporting this are limited. METHODS The authors examined the relationship between heart-rate variability and training-intensity distribution in 9 elite rowers during the 26-wk build-up to the 2012 Olympic Games (2 won gold and 2 won bronze medals). Weekly averaged log-transformed square root of the mean sum of the squared differences between R-R intervals (Ln rMSSD) was examined, with respect to changes in total training time (TTT) and training time below the first lactate threshold (<LT(1)), above the second lactate threshold (LT(2)), and between LT(1) and LT(2) (LT(1)-LT(2)). RESULTS After substantial increases in training time in a particular training zone or load, standardized changes in Ln rMSSD were +0.13 (unclear) for TTT, +0.20 (51% chance increase) for time <LT(1), -0.02 (trivial) for time LT(1)-LT(2), and -0.20 (53% chance decrease) for time >LT(2). Correlations (± 90% confidence limits) for Ln rMSSD were small vs TTT (r = .37 ± .80), moderate vs time <LT(1) (r = .43 ± .10), unclear vs LT(1)-LT(2) (r = .01 ± .17), and small vs >LT2 (r = -.22 ± .50). CONCLUSION These data provide supportive rationale for the polarized model of training, showing that training phases with increased time spent at high intensity suppress parasympathetic activity, while low-intensity training preserves and increases it. As such, periodized low-intensity training may be beneficial for optimal training programming.

Effect of Thermal State and Thermal Comfort on Cycling Performance in the Heat

PURPOSE To determine the effect of thermal state and thermal comfort on cycling performance in the heat. METHODS Seven well-trained male triathletes completed 3 performance trials consisting of 60 min cycling at a fixed rating of perceived exertion (14) followed immediately by a 20-km time trial in hot (30°C) and humid (80% relative humidity) conditions. In a randomized order, cyclists either drank ambient-temperature (30°C) fluid ad libitum during exercise (CON), drank ice slurry (-1°C) ad libitum during exercise (ICE), or precooled with iced towels and ice slurry ingestion (15 g/kg) before drinking ice slurry ad libitum during exercise (PC+ICE). Power output, rectal temperature, and ratings of thermal comfort were measured. RESULTS Overall mean power output was possibly higher in ICE (+1.4%±1.8% [90% confidence limit]; 0.4> smallest worthwhile change [SWC]) and likely higher PC+ICE (+2.5%±1.9%; 1.5>SWC) than in CON; however, no substantial differences were shown between PC+ICE and ICE (unclear). Time-trial performance was likely enhanced in ICE compared with CON (+2.4%±2.7%; 1.4>SWC) and PC+ICE (+2.9%±3.2%; 1.9>SWC). Differences in mean rectal temperature during exercise were unclear between trials. Ratings of thermal comfort were likely and very likely lower during exercise in ICE and PC+ICE, respectively, than in CON. CONCLUSIONS While PC+ICE had a stronger effect on mean power output compared with CON than ICE did, the ICE strategy enhanced late-stage time-trial performance the most. Findings suggest that thermal comfort may be as important as thermal state for maximizing performance in the heat.

Rethinking the role of fat oxidation: substrate utilisation during high-intensity interval training in well-trained and recreationally trained runners

Background Although carbohydrate is the predominant fuel source supporting high-intensity exercise workloads, the role of fat oxidation, and the degree to which it may be altered by training status, is less certain. Methods We compared substrate oxidation rates, using indirect calorimetry, during a high-intensity interval training (HIT) session in well-trained (WT) and recreationally trained (RT) runners. Following preliminary testing, 9 WT (VO2max 71±5 mL/min/kg) and 9 RT (VO2max 55±5 mL/min/kg) male runners performed a self-paced HIT sequence consisting of six, 4 min work bouts separated by 2 min recovery periods on a motorised treadmill set at a 5% gradient. Results WT and RT runners performed the HIT session with the same perceived effort (rating of perceived exertion (RPE) =18.3±0.7 vs 18.2±1.1, respectively), blood lactate (6.4±2.1 vs 6.2±2.5 mmol/L) and estimated carbohydrate oxidation rates (4.2±0.29 vs 4.4±0.45 g/min; effect size (ES) 90% confidence limits (CL)=−0.19±0.85). Fat oxidation (0.64±0.13 vs 0.22±0.16 g/min for WT and RT, respectively) accounted for 33±6% of the total energy expenditure in WT vs 16±6% in RT most likely very large difference in fat oxidation (ES 90% CL=1.74±0.83) runners. Higher rates of fat oxidation had a very large correlation with VO2max (r=0.86; 90% CI (0.7 to 0.94). Conclusions Despite similar RPE, blood lactate and carbohydrate oxidation rates, the better performance by the WT group was explained by their nearly threefold higher rates of fat oxidation at high intensity.

Acute physiological and perceptual responses to wearing additional clothing while cycling outdoors in a temperate environment:A practical method to increase the heat load

ABSTRACT This investigation assessed the acute physiological and perceptual responses to wearing additional clothing during outdoor cycling to determine if this strategy could increase the heat load while training in temperate environments. Seven male cyclists (age: 32 ± 13 y, height: 179 ± 10 cm, body mass: 74 ± 10 kg, body fat percentage: 10.3 ± 1.0%) completed 2 randomized outdoor (∼17°C and ∼82% RH), 80 min cycling sessions at moderate-hard intensities (CR10 RPE = 3–5). They wore spandex shorts and a short sleeve top (CON) or additional clothing including full-length spandex pants and a ‘winter’ cycling jacket and gloves (AC). Core temperature, heart rate, sweat rate, thermal sensation and thermal comfort were measured across the trials. Moderate increases were observed in AC vs. CON for the change in mean core temperature (0.4 ± 0.3°C, effect size, ES = 1.16 ± 0.55), change in maximum core temperature (0.5 ± 0.3°C, ES = 1.07 ± 0.48) and sweat rate (0.24 ± 0.16 L.h−1, ES = 1.04 ± 0.59). A small increase in mean heart rate (3 ± 3 bpm, ES = 0.32 ± 0.28) was observed as well as a ‘very likely’ (percentage difference = 22.4 ± 7.1) and ‘most likely’ (percentage difference = 42.9 ± 11.9) increase in thermal sensation and thermal comfort, respectively, in AC vs. CON. Dressing in additional clothing while cycling outdoors in a temperate environment increased physiological strain and sensations of warmth and discomfort. Training in additional clothing during outdoor cycling represents a practical alternative to increasing the heat load of a training session.

Day-to-day Heart Rate Variability (HRV) Recordings in World Champion Rowers: Appreciating Unique Athlete Characteristics.

PURPOSE Heart-rate variability (HRV) is a popular tool for monitoring autonomic nervous system status and training adaptation in athletes. It is believed that increases in HRV indicate effective training adaptation, but these are not always apparent in elite athletes. METHODS Resting HRV was recorded in 4 elite rowers (rowers A, B, C, and D) over the 7-wk period before their success at the 2015 World Rowing Championships. The natural logarithm of the square root of the mean sum of the squared differences (Ln rMSSD) between R-R intervals, Ln rMSSD:R-R ratio trends, and the Ln-rMSSD-to-R-R-interval relationship were assessed for each championship-winning rower. RESULTS The time course of change in Ln rMSSD was athlete-dependent, with stagnation and decreases apparent. However, there were consistent substantial reductions in the Ln rMSSD:R-R ratio: rower A, baseline toward wk 5 (-2.35 ± 1.94); rower B, baseline to wk 4 and 5 (-0.41 ± 0.48 and -0.64 ± 0.65, respectively); rower C, baseline to wk 4 (-0.58 ± 0.66); and rower D, baseline to wk 4, 5, and 6 (-1.15 ± 0.91, -0.81 ± 0.74, and -1.43 ± 0.69, respectively). CONCLUSIONS Reductions in Ln rMSSD concurrent with reductions in the Ln rMSSD:R-R ratio are indicative of parasympathetic saturation. Consequently, 3 of 4 rowers displayed substantial increases in parasympathetic activity despite having decreases in Ln rMSSD. These results confirm that a combination of indices should be used to monitor cardiac autonomic activity.

Cardiac autonomic response following high-intensity running work-to-rest interval manipulation

Abstract The cardiorespiratory, cardiac autonomic (via heart rate variability (HRV)) and plasma volume responses to varying sequences of high-intensity interval training (HIT) of consistent external work were investigated. Twelve moderately trained males underwent three HIT bouts and one control session. The HIT trials consisted of warm-up, followed by 12 min of 15 s, 30 s or 60 s work:relief HIT sequences at an exercise intensity of 100% of the individual velocity at O2max (vO2max), interspersed by relief intervals at 60% O2max (work/relief ratio = 1). HRV was evaluated via the square root of the mean sum of the squared differences between R-R intervals (rMSSD) before, 1 h, 3 h and 24 h after the exercise. Plasma volume was assessed before, immediately after, and 3 h and 24 h after. There were no substantial between-trial differences in acute cardiorespiratory responses. The rMSSD values remained decreased 1 h after the exercise cessation in all exercise groups. The rMSSD subsequently increased between 1 h and 3 h after exercise, with the most pronounced change in the 15/15 group. There were no relationships between HRV and plasma volume. All HIT protocols resulted in similar cardiorespiratory responses with slightly varying post-exercise HRV responses, with the 30/30 protocol eliciting the least disruption to post-exercise HRV. These post-exercise HRV findings suggest that the 30/30 sequence may be the preferable HIT prescription when the between-training period is limited.

Contextualising Maximal Fat Oxidation During Exercise: Determinants and Normative Values

Using a short-duration step protocol and continuous indirect calorimetry, whole-body rates of fat and carbohydrate oxidation can be estimated across a range of exercise workloads, along with the individual maximal rate of fat oxidation (MFO) and the exercise intensity at which MFO occurs (Fatmax). These variables appear to have implications both in sport and health contexts. After discussion of the key determinants of MFO and Fatmax that must be considered during laboratory measurement, the present review sought to synthesize existing data in order to contextualize individually measured fat oxidation values. Data collected in homogenous cohorts on cycle ergometers after an overnight fast was synthesized to produce normative values in given subject populations. These normative values might be used to contextualize individual measurements and define research cohorts according their capacity for fat oxidation during exercise. Pertinent directions for future research were identified.

Effect of two-weeks endurance training wearing additional clothing in a temperate outdoor environment on performance and physiology in the heat

ABSTRACT This investigation assessed performance, physiological and perceptual responses to wearing additional clothing during endurance training for two-weeks in temperate environments, to determine if this approach could be used as a practical, alternative, heat acclimation strategy for athletes. Fifteen trained male triathletes assigned to performance-matched groups completed a two-week unsupervised endurance cycling and running program in either (i) shorts and a short sleeve top (CON; n = 8) or (ii) additional clothing of full-length pants, a “winter” jacket and gloves made from nylon, polyurethane and polyester (AC; n = 7). Participants completed three separate (i.e. familiarisation, pre-program and post-program), identical, pre-loaded cycling time-trials (20 min at 180 W followed by a 40 min self-paced time trial) in 32.5 ± 0.1°C and 55 ± 6% RH. Core and skin temperatures, heart rate, sweat rate, perceived exertion, thermal sensation and thermal comfort were measured across the pre-loaded time trials, and heart rate and thermal sensation were measured across the training program. All of the participants recorded in their diaries that they completed all of the programmed training sessions in the required attire. Mean thermal sensation was most likely hotter in AC (5.5 ± 0.4 AU) compared to CON (4.4 ± 0.4 AU; ES = 1.61, ± 0.68) during the training sessions. However, follow up tests revealed no physiological or perceptual signs of heat acclimation, and the change in time-trial performance from pre-post between groups was trivial (CON: −3.5 ± 12.0 W, AC: −4.1 ± 9.6 W; difference = -0.7%, ± 5.4%). Training in additional clothing for two-weeks in a temperate environment was not an effective heat acclimation strategy for triathletes.

The Beneficial Effect of Parasympathetic Reactivation on Sympathetic Drive During Simulated Rugby Sevens

PURPOSE To determine whether a facilitated recovery via cold-water immersion (CWI) after simulated rugby sevens would influence parasympathetic reactivation and repeated-sprint (RS) performance across 6 matches in a 2-d tournament. METHODS Ten male team-sport athletes completed 6 rugby sevens match simulations over 2 d with either postmatch passive recovery (PAS) or CWI in a randomized crossover design. Parasympathetic reactivation was determined via the natural logarithm of the square root of the mean of the sum of the squares of differences between adjacent R-R intervals (ln rMSSD). RS performance was calculated as time taken (s) to complete 6 × 30-m sprints within the first half of each match. RESULTS There were large increases in postintervention ln rMSSD between CWI and PAS after all matches (ES 90% CL: +1.13; ±0.21). Average heart rate (HR) during the RS performance task (HRAverage RS) was impaired from baseline from match 3 onward for both conditions. However, HRAverage RS was higher with CWI than with PAS (ES 90% CL: 0.58; ±0.58). Peak HR during the RS performance task (HRPeak RS) was similarly impaired from baseline for match 3 onward during PAS and for match 4 onward with CWI. HRPeak RS was very likely higher with CWI than with PAS (ES 90% CL: +0.80; ±0.56). No effects of match or condition were observed for RS performance, although there were moderate correlations between the changes in HRAverage RS (r 90% CL: -0.33; ±0.14), HRPeak RS (r 90% CL: -0.38; ±0.13), and RS performance. CONCLUSION CWI facilitated cardiac parasympathetic reactivation after a simulated rugby sevens match. The decline in average and peak HR across matches was partially attenuated by CWI. This decline was moderately correlated with a reduction in RS performance.