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February 28, 2008British Journal of Sports Medicine208 citationsOpen Access

Is heart rate a convenient tool to monitor over-reaching? A systematic review of the literature

LBLaurent BosquetSMS MerkariDADenis Arvisais

Key Result

Short-term overload training moderately increased resting heart rate (SMD 0.55, p=0.01) and decreased maximal heart rate (SMD -0.75, p=0.01), though changes may fall within day-to-day variability.

Study Design

Type

Meta-Analysis

Structured PICO

Do heart rate and heart rate variability measures accurately reflect over-reaching from overload training in competitive athletes?

P
Population
Competitive athletes undergoing short-term or long-term increased training load interventions to assess heart rate markers of over-reaching.
I
Intervention
Increased training load intervention (overload training), categorized as short-term (≤2 weeks) or long-term (>2 weeks)
C
Comparator
Before intervention (baseline)
O
Outcome
Resting heart rate (HR), submaximal and maximal exercise HR, and heart rate variability (HRV) during supine restsurrogate

Heart rate and HRV alterations from overload training are too small to be clinically useful standalone markers of over-reaching in athletes.

Main Result

Standardized Mean Difference: 0.55

p-value: p=0.01

Limitations

  • The small to moderate amplitude of these alterations limits their clinical usefulness, as expected differences may fall within the day-to-day variability of these markers.
  • Small to moderate amplitude of alterations limits clinical usefulness
  • Expected differences may fall within day-to-day variability

Abstract

OBJECTIVE: A meta-analysis was conducted on the effect of overload training on resting HR, submaximal and maximal exercise HR (HR), and heart rate variability (HRV), to determine whether these measures can be used as valid markers of over-reaching. METHODS: Six databases were searched using relevant terms and strategies. Criteria for study inclusion were: participants had to be competitive athletes, an increased training load intervention had to be used, and all necessary data to calculate effect sizes had to be available. An arbitrary limit of 2 weeks was chosen to make the distinction between short-term and long-term interventions. Dependent variables were HR and HRV (during supine rest). Standardised mean differences (SMD) in HR or HRV before and after interventions were calculated, and weighted according to the within-group heterogeneity to develop an overall effect. RESULTS: In these competitive athletes, short-term interventions resulted in a moderate increase in both resting HR (SMD = 0.55; p = 0.01) and low frequency/high frequency ratio (SMD = 0.52; p = 0.02), and a moderate decrease in maximal HR (SMD = -0.75; p = 0.01). Long-term interventions resulted in a small decrease in HR during submaximal (SMD = -0.38; p = 0.006) and maximal exercise (SMD = -0.33; p = 0.007), without alteration of resting values. CONCLUSION: The small to moderate amplitude of these alterations limits their clinical usefulness, as expected differences may fall within the day-to-day variability of these markers. Consequently, correct interpretation of HR or HRV fluctuations during the training process requires the comparison with other signs and symptoms of over-reaching to be meaningful.

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Cite This Study

Bosquet et al. (2008) conducted a meta-analysis in Over-reaching. Increased training load (overload training) vs. Baseline (before intervention) was evaluated on Resting heart rate (short-term interventions) (SMD 0.55, p=0.01). Short-term overload training moderately increased resting heart rate (SMD 0.55, p=0.01) and decreased maximal heart rate (SMD -0.75, p=0.01), though changes may fall within day-to-day variability.

synapsesocial.com/papers/6a2043a8f5f0ec18c545f32ehttps://doi.org/10.1136/bjsm.2007.042200
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