Key result
Firstbeat Bodyguard 2 accurately detects ~100% of heartbeats versus standard clinical ECG after artifact correction.
Observational (n=21)
No
Supports field-based HRV monitoring in athletes; leaves open clinical adoption pending outcome studies.
Purpose : To assess the sensitivity of nocturnal heart-rate-variability-monitoring methods to the effects of late-night soccer training sessions in female athletes. Methods : Eleven female soccer players competing in the first division of the Portuguese soccer league wore heart-rate monitors during sleep at night throughout a 1-wk competitive in-season microcycle, after late-night training sessions (n = 3) and rest days (n = 3). Heart rate variability was analyzed through “slow-wave sleep episode” (10-min duration) and “hour by hour” (all the RR intervals recorded throughout the hours of sleep). Training load was quantified by session rating of perceived exertion (281.8 [117.9] to 369.0 [111.7] arbitrary units [a.u.]) and training impulse (77.5 [36.5] to 110.8 [31.6] a.u.), added to subjective well-being ratings (Hopper index = 11.6 [4.4] to 12.8 [3.2] a.u.). These variables were compared between training and rest days using repeated-measures analysis of variance. Results : The log-transformed slow-wave sleep-episode cardiac autonomic activity (lnRMSSD [natural logarithm of the square root of the mean of the sum of the squares of differences between adjacent normal RR intervals] varying between 3.92 [0.57] and 4.20 [0.60] ms; ; 95% confidence interval, .01–.26), lnHF (natural logarithm of high frequency), lnLF (natural logarithm of low frequency), lnSD 1 (natural logarithm of short-term beat-to-beat variability), and lnSD 2 (natural logarithm of long-term beat-to-beat variability), and the nontransformed LF/HF were not different among night-training session days and rest days ( P > .05). Considering the hour-by-hour method (lnRMSSD varying between 4.05 [0.35] and 4.33 [0.32] ms; ; 95% confidence interval, .26–.52), lnHF, lnLF, lnSD 1 , and lnSD 2 and the nontransformed LF/HF were not different among night-training session days and rest days ( P > .05). Conclusion : Late-night soccer training does not seem to affect nocturnal slow-wave sleep-episode and hour-by-hour heart-rate-variability indices in highly trained athletes.
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Costa et al. (2018) conducted an observational in Healthy volunteers (n=21). Firstbeat Bodyguard 2 vs. Standard clinical ECG (Embla Titanium) was evaluated on Heartbeat detection rate after artifact correction. The Firstbeat Bodyguard 2 device correctly detected 99.98% of heartbeats with a mean absolute error of 2.27 ms compared to standard clinical ECG after artifact correction.
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