Key result
HRV Dmax method estimates first lactate threshold comparably to standard blood lactate testing.
Why the study?
To evaluate the application of the Dmax method on heart rate variability to estimate lactate thresholds during a maximal incremental running test.
Does the Dmax method applied to heart rate variability accurately estimate lactate thresholds in male runners?
Observational (n=19)
Does the Dmax method applied to heart rate variability accurately estimate lactate thresholds in male runners?
Effect estimate: d = 0.45
Absolute Event Rate: 12.1% vs 11.2%
p-value: p=0.55
The Dmax method applied to HRV data can identify the first lactate threshold (aerobic threshold) but not the second during a maximal incremental running test in male runners.
HRV Dmax may estimate LT1 noninvasively in runners; leaves open larger validation before clinical adoption.
Introduction . The purpose of this study was to evaluate the application of the Dmax method on heart rate variability (HRV) to estimate the lactate thresholds (LT), during a maximal incremental running test (MIRT). Methods . Nineteen male runners performed two MIRTs, with the initial speed at 8 km·h −1 and increments of 1 km·h −1 every 3 minutes, until exhaustion. Measures of HRV and blood lactate concentrations were obtained, and lactate (LT 1 and LT 2 ) and HRV (HRVT DMAX1 and HRVT DMAX2 ) thresholds were identified. ANOVA with Scheffe’s post hoc test, effect sizes ( d ), the bias ± 95% limits of agreement (LoA), standard error of the estimate (SEE), Pearson’s ( r ), and intraclass correlation coefficient (ICC) were calculated to assess validity. Results . No significant differences were observed between HRVT DMAX1 and LT 1 when expressed for speed (12.1 ± 1.4 km·h −1 and 11.2 ± 2.1 km·h −1 ; p=0.55; d = 0.45; r = 0.46; bias ± LoA = 0.8 ± 3.7 km·h −1 ; SEE = 1.2 km·h −1 (95% CI, 0.9–1.9)). Significant differences were observed between HRVT DMAX2 and LT 2 when expressed for speed (12.0 ± 1.2 km·h −1 and 14.1 ± 2.5 km·h −1 ; p=0.00; d = 1.21; r = 0.48; bias ± LoA = −1.0 ± 1.8 km·h −1 ; SEE = 1.1 km·h −1 (95% CI, 0.8–1.6)), respectively. Reproducibility values were found for the LT 1 (ICC = 0.90; bias ± LoA = −0.7 ± 2.0 km·h −1 ), LT 2 (ICC = 0.97; bias ± LoA = −0.1 ± 1.1 km·h −1 ), HRVT DMAX1 (ICC = 0.48; bias ± LoA = −0.2 ± 3.4 km·h −1 ), and HRVT DMAX2 (ICC = 0.30; bias ± LoA = 0.3 ± 3.5 km·h −1 ). Conclusions . The Dmax method applied over a HRV dataset allowed the identification of LT 1 that is close to aerobic threshold, during a MIRT.
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Nascimento et al. (2019) conducted an observational in Male runners (n=19). Dmax method on heart rate variability (HRV) vs. Blood lactate concentrations was evaluated on First lactate threshold (LT1) speed in km/h (d = 0.45, p=0.55). The Dmax method applied to heart rate variability during a maximal incremental running test estimated the first lactate threshold without significant difference from blood lactate (12.1 vs 11.2 km/h; p=0.55).
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