RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise
Open accessAbstract
This study was designed to examine the RR interval signal qualities of a Holter device and a heart rate chest belt monitor at rest and during exercise. Ten healthy individuals completed five low- to high-intensity activities while simultaneously using the medilog® AR12plus Holter monitor and the Polar H10 heart rate monitor. The RR interval signal quality was based on the quantification of the missing RR intervals and RR interval detection errors. Therefore, both measurement systems were compared against visual inspection of the raw electrocardiography signal. The missing and wrong R-wave peak detections were counted manually for both measurement systems. RR interval signal quality was defined as the relative number of correctly detected RR intervals. Overall, RR interval signal qualities of 94.6% and 99.6% were demonstrated for the medilog® AR12plus and the Polar H10. During the high-intensity activities, the RR interval signal quality of the medilog® AR12plus dropped to 89.8%, whereas the Polar H10 maintained a signal quality of 99.4%. The correlation between both systems was high (r = 0.997, p > 0.001). The excellent RR interval signal quality during low- to moderate-intensity activities in the medilog® AR12plus and during low- to high-intensity activities in the Polar H10 demonstrates both measurement systems' validity for the detection of RR intervals throughout a wide range of activities. A simple chest strap such as the Polar H10 might be recommended as the gold standard for RR interval assessments if intense activities with strong body movements are investigated.
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The Polar H10 has shown strong agreement with clinical ECG instrumentation in prior validation studies.
“The H10 has shown strong agreement with clinical ECG instrumentation in prior validation studies [36].”
From PPG-Based Heart Rate Accuracy in Hispanic Adults with Fitzpatrick III–V Skin Tones: An Evaluation of Body Composition and Skin-Tone Effects (2026) · cites this paper as [36]
In a previous report, the Polar H10 had substantially better signal quality during high-intensity activities compared to a 3-lead ECG Holter monitor.
“In this report, there was a substantially better signal quality during high-intensity activities for the Polar H10 in comparison to a 3-lead ECG Holter monitor”
From Validity of the Polar H10 Sensor for Heart Rate Variability Analysis during Resting State and Incremental Exercise in Recreational Men and Women (2022) · cites this paper as [13]
The Polar H10 chest strap device has already proven validity to assess RR intervals correctly during rest and physical exercise conditions.
“A frequently used chest strap device is the Polar H10 (Polar Electro Oy, Kempele, Finland) which has already proven validity to assess RR intervals correctly during rest and physical exercise conditions [13].”
From Validity of the Polar H10 Sensor for Heart Rate Variability Analysis during Resting State and Incremental Exercise in Recreational Men and Women (2022) · cites this paper as [13]
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- Authors
- Gilgen-Ammann, R., Schweizer, T., & Wyss, T.
- Affiliations
- Swiss Federal Institute of Sport Magglingen SFISM (CH)
- Corresponding author
- Gilgen-Ammann, Rahel
- Venue
- European Journal of Applied Physiology
- Published
- 2019-04-19
- Volume
- 119
- Issue
- 7
- Pages
- 1525-1532
- ISSN
- 0020-9376 (ISSN-L)
- 1439-6319
- 1439-6327
- OpenAlex
- W2938169034
- Cited by
- 438
- References
- 26
- Citations by year
- 2026: 75 · 2025: 75 · 2024: 77 · 2023: 68 · 2022: 66 · 2021: 51 · 2020: 23 · 2019: 2
- FWCI
- 25.64
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- ARBOR - Bern University of Applied Sciences Repository (submittedVersion)
- BFH: ARBOR
- Funders
- Polar Electro Oy
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- heart rate monitoring, Holter monitor, exercise intensity, measurement validity, body movement artifacts, heart rate response to exercise
- MeSH terms
- Adult, Female, Heart Rate, Humans, Male, Reference Standards, Reproducibility of Results, Exercise, Electrocardiography, Ambulatory
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