Key result
Movesense Medical ECG accurately tracks exercise respiratory frequency within ~0.1 breaths/min vs gas exchange.
Why the study?
Validation of respiratory frequency accuracy using newer consumer hardware and software applications has been sparse.
Does Kubios HRV Premium software combined with a Movesense Medical single-channel ECG sensor or Polar H10 heart rate monitor accurately estimate respiratory frequency compared to reference gas exchange in healthy adults during an incremental cycling ramp?
Observational (n=21)
No
Does Kubios HRV Premium software combined with a Movesense Medical single-channel ECG sensor or Polar H10 heart rate monitor accurately estimate respiratory frequency compared to reference gas exchange in healthy adults during an incremental cycling ramp?
Combining single-channel chest belt ECG waveform analysis with RR interval timing via Kubios HRV Premium software provides highly accurate respiratory frequency estimation during incremental cycling exercise compared to RR interval analysis alone.
Supports ECG-based respiratory frequency estimation during exercise; extends validation but leaves clinical adoption open pending trials.
Monitoring of the physiologic metric, respiratory frequency (RF), has been shown to be of value in health, disease, and exercise science. Both heart rate (HR) and variability (HRV), as represented by variation in RR interval timing, as well as analysis of ECG waveform variability, have shown potential in its measurement. Validation of RF accuracy using newer consumer hardware and software applications have been sparse. The intent of this report is to assess the precision of the RF derived using Kubios HRV Premium software version 3.5 with the Movesense Medical sensor single-channel ECG (MS ECG) and the Polar H10 (H10) HR monitor. Gas exchange data (GE), RR intervals (H10), and continuous ECG (MS ECG) were recorded from 21 participants performing an incremental cycling ramp to failure. Results showed high correlations between the reference GE and both the H10 (r = 0.85, SEE = 4.2) and MS ECG (r = 0.95, SEE = 2.6). Although median values were statistically different via Wilcoxon testing, adjusted median differences were clinically small for the H10 (RF about 1 breaths/min) and trivial for the MS ECG (RF about 0.1 breaths/min). ECG based measurement with the MS ECG showed reduced bias, limits of agreement (maximal bias, -2.0 breaths/min, maximal LoA, 6.1 to -10.0 breaths/min) compared to the H10 (maximal bias, -3.9 breaths/min, maximal LoA, 8.2 to -16.0 breaths/min). In conclusion, RF derived from the combination of the MS ECG sensor with Kubios HRV Premium software, tracked closely to the reference device through an exercise ramp, illustrates the potential for this system to be of practical usage during endurance exercise.
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Rogers et al. (2022) conducted an observational in Healthy adults performing an incremental cycling ramp to failure (n=21). Kubios HRV Premium software version 3.5 using Movesense Medical single-channel ECG sensor (MS ECG) and Polar H10 (H10) HR monitor vs. Reference metabolic analyzer gas exchange data (Quark CPET) was evaluated on Precision and agreement of derived respiratory frequency (RF) compared to reference gas exchange (GE) measurement (MS ECG: r = 0.95 (SEE = 2.6 breaths/min, adjusted median difference ~0.1 breaths/min); Polar H10: r = 0.85 (SEE = 4.2 breaths/min, adjusted median difference ~1 breaths/min)). Movesense Medical ECG with Kubios HRV Premium software estimated respiratory frequency with high correlation (r = 0.95, SEE = 2.6) and trivial median difference (~0.1 breaths/min) vs gas exchange.
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