Training adaptation and heart rate variability in elite endurance athletes: opening the door to effective monitoring.
Abstract
The measurement of heart rate variability (HRV) is often considered a convenient non-invasive assessment tool for monitoring individual adaptation to training. Decreases and increases in vagal-derived indices of HRV have been suggested to indicate negative and positive adaptations, respectively, to endurance training regimens. However, much of the research in this area has involved recreational and well-trained athletes, with the small number of studies conducted in elite athletes revealing equivocal outcomes. For example, in elite athletes, studies have revealed both increases and decreases in HRV to be associated with negative adaptation. Additionally, signs of positive adaptation, such as increases in cardiorespiratory fitness, have been observed with atypical concomitant decreases in HRV. As such, practical ways by which HRV can be used to monitor training status in elites are yet to be established. This article addresses the current literature that has assessed changes in HRV in response to training loads and the likely positive and negative adaptations shown. We reveal limitations with respect to how the measurement of HRV has been interpreted to assess positive and negative adaptation to endurance training regimens and subsequent physical performance. We offer solutions to some of the methodological issues associated with using HRV as a day-to-day monitoring tool. These include the use of appropriate averaging techniques, and the use of specific HRV indices to overcome the issue of HRV saturation in elite athletes (i.e., reductions in HRV despite decreases in resting heart rate). Finally, we provide examples in Olympic and World Champion athletes showing how these indices can be practically applied to assess training status and readiness to perform in the period leading up to a pinnacle event. The paper reveals how longitudinal HRV monitoring in elites is required to understand their unique individual HRV fingerprint. For the first time, we demonstrate how increases and decreases in HRV relate to changes in fitness and freshness, respectively, in elite athletes.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
HRV is an interesting marker of internal load because internal load quantification by HRV indices is progressive and takes individual fitness level, daily readiness, and actual health state into account.
“HRV, i.e., the beat-to-beat variation over a distinct time period, under rest conditions or while exercising is an interesting marker of internal load because the internal load quantification by HRV indices is progressive and takes the individual fitness level as well as daily readiness and actual health state into account”
From Dose-Response Matters! - A Perspective on the Exercise Prescription in Exercise-Cognition Research (2019) · cites this paper as Plews et al., 2013
Cites
Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use
Electrophysiology, T. F. O. T. E. S. O. C. T. N. A. (1996) · Circulation · doi:10.1161/01.cir.93.5.1043 · Cited by 17,159 · see citing works
Heart rate variability: Standards of measurement, physiological interpretation, and clinical use
Malik, M., Bigger, J. T., Camm, A. J., Kleiger, R. E., Malliani, A., Moss, A. J., & Schwartz, P. J. (1996) · European Heart Journal · doi:10.1093/oxfordjournals.eurheartj.a014868 · Cited by 15,289 · see citing works
Progressive Statistics for Studies in Sports Medicine and Exercise Science
HOPKINS, W. G., MARSHALL, S. W., BATTERHAM, A. M., & HANIN, J. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31818cb278 · Cited by 9,128 · see citing works
(2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318279a10a · Cited by 1,233 · see citing works
Heart Rate Variability in Athletes
AUBERT, A. E., Seps, B., & Beckers, F. (2003) · Sports Medicine · doi:10.2165/00007256-200333120-00003 · Cited by 922 · see citing works
Using Recovery Modalities between Training Sessions in Elite Athletes
Barnett, A. H. (2006) · Sports Medicine · doi:10.2165/00007256-200636090-00005 · Cited by 596 · see citing works
Components of heart rate variability — what they really mean and what we really measure
Malík, M., & Camm, A. J. (1993) · The American Journal of Cardiology · doi:10.1016/0002-9149(93)91070-x · Cited by 568 · see citing works
Penttilä, J., Helminen, A., Jartti, T., Kuusela, T., Huikuri, H. V., Tulppo, M. P., Coffeng, R., & Scheinin, H. (2001) · Clinical Physiology · doi:10.1046/j.1365-2281.2001.00337.x · Cited by 567 · see citing works
Halson, S. L., & Jeukendrup, A. E. (2004) · Sports Medicine · doi:10.2165/00007256-200434140-00003 · Cited by 516 · see citing works
Convertino, V. A. (1991) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199112000-00004 · Cited by 456 · see citing works
Training for intense exercise performance: high‐intensity or high‐volume training?
Laursen, P. B. (2010) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2010.01184.x · Cited by 454 · see citing works
Self-citationOvertraining in Elite Athletes
Kuipers, H., & KEIZER, H. A. (1988) · Sports Medicine · doi:10.2165/00007256-198806020-00003 · Cited by 444 · see citing works
Autonomic Control of Heart Rate during and after Exercise
Borresen, J., & Lambert, M. (2008) · Sports Medicine · doi:10.2165/00007256-200838080-00002 · Cited by 426 · see citing works
Autonomic Recovery after Exercise in Trained Athletes: Intensity and Duration Effects
SEILER, S., HAUGEN, O., & KUFFEL, E. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318060f17d · Cited by 407 · see citing works
Prevention, diagnosis and treatment of the Overtraining Syndrome
MEEUSEN, R. R., Duclos, M., Gleeson, M., Rietjens, G. J., Steinacker, J. M., & Urhausen, A. J. P. (2006) · European Journal of Sport Science · doi:10.1080/17461390600617717 · Cited by 386 · see citing works
Relationship of Heart Rate Variability to Parasympathetic Effect
Goldberger, J. J., Challapalli, S., Tung, R. H., Parker, M. A., & Kadish, A. H. (2001) · Circulation · doi:10.1161/01.cir.103.15.1977 · Cited by 331 · see citing works
Relation between heart rate variability and training load in middle-distance runners
PICHOT, V., ROCHE, F., GASPOZ, J.-M., ENJOLRAS, F., ANTONIADIS, A., MININI, P., COSTES, F., BUSSO, T., LACOUR, J.-R., & BARTH??L??MY, J. C. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200010000-00011 · Cited by 315 · see citing works
Iellamo, F., Legramante, J. M., Pigozzi, F., Spataro, A., Norbiato, G., Lucini, D., & Pagani, M. (2002) · Circulation · doi:10.1161/01.cir.0000018124.01299.ae · Cited by 309 · see citing works
Tucker, R., & Collins, M. (2012) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090548 · Cited by 290 · see citing works
Individual responses to aerobic exercise: The role of the autonomic nervous system
Hautala, A. J., Kiviniemi, A. M., & Tulppo, M. P. (2008) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2008.04.009 · Cited by 284 · see citing works
Plews, D. J., Laursen, P. B., Kilding, A. E., & Buchheit, M. (2012) · European Journal of Applied Physiology · doi:10.1007/s00421-012-2354-4 · Cited by 275 · see citing works
Self-citationMonitoring endurance running performance using cardiac parasympathetic function
Buchheit, M., Chivot, A., Parouty, J., Mercier, D., Haddad, H. A., Laursen, P. B., & Ahmaidi, S. (2009) · European Journal of Applied Physiology · doi:10.1007/s00421-009-1317-x · Cited by 269 · see citing works
Self-citationBuchheit, M., Papelier, Y., Laursen, P. B., & Ahmaidi, S. (2007) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00335.2007 · Cited by 242 · see citing works
Self-citationIwasaki, K., Zhang, R., Zuckerman, J. H., & Levine, B. D. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00482.2003 · Cited by 232 · see citing works
Monitoring changes in physical performance with heart rate measures in young soccer players
Buchheit, M., Simpson, M. B., Haddad, H. A., Bourdon, P. C., & Méndez-Villanueva, A. (2011) · European Journal of Applied Physiology · doi:10.1007/s00421-011-2014-0 · Cited by 225 · see citing works
Self-citationTraining and performance characteristics among Norwegian International Rowers 1970–2001
Fiskerstrand, Å., & Seiler, S. (2004) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1046/j.1600-0838.2003.370.x · Cited by 215 · see citing works
Changes in cardiac autonomic regulation after prolonged maximal exercise
Hautala, A. J., Tulppo, M. P., Mäkikallio, T. H., Laukkanen, R. M. T., Nissilä, S., & Huikuri, H. V. (2001) · Clinical Physiology · doi:10.1046/j.1365-2281.2001.00309.x · Cited by 210 · see citing works
Reliability of Resting and Postexercise Heart Rate Measures
Haddad, H. A., Laursen, P. B., Chollet, D., Ahmaidi, S., & Buchheit, M. (2011) · International Journal of Sports Medicine · doi:10.1055/s-0031-1275356 · Cited by 209 · see citing works
Self-citationEffects of endurance training on resting and post-exercise cardiac autonomic control
Yamamoto, K., Miyachi, M., SAITOH, T., Yoshioka, A., & Onodera, S. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200109000-00012 · Cited by 206 · see citing works
Short-term overtraining: effects on performance, circulatory responses, and heart rate variability
Hedelin, R., KENTT, G. R., Wiklund, U., Bjerle, P., & Henriksson-Larsén, K. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200008000-00017 · Cited by 204 · see citing works
Is heart rate a convenient tool to monitor over-reaching? A systematic review of the literature
Bosquet, L., Merkari, S., Arvisais, D., & AUBERT, A. E. (2008) · British Journal of Sports Medicine · doi:10.1136/bjsm.2007.042200 · Cited by 203 · see citing works
Autonomic adaptations to intensive and overload training periods: a laboratory study
Pichot, V., Busso, T., Roche, F., Garet, M., Costes, F., Duverney, D., Lacour, J. R., & Barthélemy, J. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200210000-00019 · Cited by 180 · see citing works
Quantitative Poincar� plot analysis of heart rate variability: effect of endurance training
Mourot, L., Bouhaddi, M., Perrey, S., Rouillon, J. D., & Regnard, J. (2004) · European Journal of Applied Physiology · doi:10.1007/s00421-003-0917-0 · Cited by 179 · see citing works
Heart rate variability during night sleep and after awakening in overtrained athletes
HYNYNEN, E., UUSITALO, A., KONTTINEN, N., & RUSKO, H. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000184631.27641.b5 · Cited by 167 · see citing works
Manzi, V., Castagna, C., Padua, E., Lombardo, M., D'Ottavio, S., Massaro, M., Volterrani, M., & Iellamo, F. (2009) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00054.2009 · Cited by 166 · see citing works
Mourot, L., Bouhaddi, M., Tordi, N., Rouillon, J. D., & Regnard, J. (2004) · European Journal of Applied Physiology · doi:10.1007/s00421-004-1119-0 · Cited by 164 · see citing works
Uusitalo, Uusitalo, & Rusko (2000) · International Journal of Sports Medicine · doi:10.1055/s-2000-8853 · Cited by 155 · cited 4× · see citing works
“[32] showed that OT was associated with decreased HRV in endurance athletes undergoing heavy training over a 6- to 9-week period.”
BackgroundResultInfluentialTraining and overtraining: an introduction
Kuipers, H. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199807000-00018 · Cited by 154 · see citing works
Baumert, M., Brechtel, L. M., Lock, J., Hermsdorf, M., Wolff, R., Baier, V., & Voss, A. (2006) · Clinical Journal of Sport Medicine · doi:10.1097/01.jsm.0000244610.34594.07 · Cited by 151 · see citing works
Evaluating Training Adaptation With Heart-Rate Measures: A Methodological Comparison
Plews, D. J., Laursen, P. B., Kilding, A. E., & Buchheit, M. (2013) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.8.6.688 · Cited by 151 · see citing works
Self-citationDissociation of heart rate variability from parasympathetic tone
Goldberger, J. J., Ahmed, M. W., Parker, M. A., & Kadish, A. H. (1994) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.1994.266.5.h2152 · Cited by 137 · see citing works
Buchheit, M., Simon, C., Piquard, F., Ehrhart, J., & Brandenberger, G. (2004) · American Journal of Physiology. Heart and Circulatory Physiology · doi:10.1152/ajpheart.00490.2004 · Cited by 133 · see citing works
Self-citationIndividual Interdependence between Nocturnal ANS Activity and Performance in Swimmers
Garet, M., Tournaire, N., Roche, F., LAURENT, R., Lacour, J. R., Barthélemy, J., & Pichot, V. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000147588.28955.48 · Cited by 127 · see citing works
Kaikkonen, P., Rusko, H. K., & Martinmäki, K. (2008) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2007.00728.x · Cited by 126 · see citing works
Hedman, A. E., Hartikainen, J. E. K., Tahvanainen, K. U. O., & Hakumäki, M. O. K. (1995) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1995.tb09973.x · Cited by 126 · see citing works
Cardiac autonomic imbalance in an overtrained athlete
Hedelin, R., Wiklund, U., Bjerle, P., & Henriksson-Larsén, K. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009000-00001 · Cited by 120 · see citing works
Heart rate variability in athletes: relationship with central and peripheral performance
Hedelin, R., Bjerle, P., & N, K. H.-L. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200108000-00023 · Cited by 115 · see citing works
Exercise-induced plasma volume expansion and post-exercise parasympathetic reactivation
Buchheit, M., Laursen, P. B., Haddad, H. A., & Ahmaidi, S. (2008) · European Journal of Applied Physiology · doi:10.1007/s00421-008-0925-1 · Cited by 110 · see citing works
Self-citationHeart rate variability dynamics during early recovery after different endurance exercises
Kaikkonen, P., Nummela, A. T., & Rusko, H. K. (2007) · European Journal of Applied Physiology · doi:10.1007/s00421-007-0559-8 · Cited by 110 · see citing works
Vesterinen, V., Häkkinen, K., Hynynen, E., Mikkola, J., Hokka, L., & Nummela, A. (2013) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/j.1600-0838.2011.01365.x · Cited by 94 · see citing works
Heart Rate Variability, Training Variation and Performance in Elite Swimmers
Atlaoui, D., Pichot, V., Lacoste, L., Barale, F., Lacour, J. R., & Chatard, J. (2007) · International Journal of Sports Medicine · doi:10.1055/s-2006-924490 · Cited by 93 · see citing works
Intense endurance training on heart rate and blood pressure variability in runners
Portier, H., Louisy, F., Laude, D., Berthelot, M., & ZENNEC, C.-Y. G. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200107000-00009 · Cited by 89 · see citing works
Cardiac Autonomic Responses to Standing Up and Cognitive Task in Overtrained Athletes
Hynynen, E., Uusitalo, A. L. T., Konttinen, N., & Rusko, H. K. (2008) · International Journal of Sports Medicine · doi:10.1055/s-2007-989286 · Cited by 87 · see citing works
Consecutive days of cold water immersion: effects on cycling performance and heart rate variability.
Stanley, J., Peake, J. M., & Buchheit, M. (2013) · European Journal of Applied Physiology · doi:10.1007/s00421-012-2445-2 · Cited by 81 · see citing works
Self-citationCan cardiac vagal tone be estimated from the 10-second ECG?
Hamilton, R., McKechnie, P. S., & Macfarlane, P. W. (2004) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.07.005 · Cited by 80 · see citing works
Kiviniemi, A. M., Hautala, A. J., Seppänen, T., Mäkikallio, T. H., Huikuri, H. V., & Tulppo, M. P. (2004) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00433.2004 · Cited by 77 · see citing works
Effect of cold water immersion on 100-m sprint performance in well-trained swimmers
Parouty, J., Haddad, H. A., Quod, M. J., Leprêtre, P., Ahmaı̈di, S., & Buchheit, M. (2010) · European Journal of Applied Physiology · doi:10.1007/s00421-010-1381-2 · Cited by 76 · see citing works
Self-citationMujika, I., GOYA, A., Padilla, S., Grijalba, A., Gorostiaga, E. M., & EZ, J. I. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200002000-00038 · Cited by 69 · see citing works
Is aerobic endurance a determinant of cardiac autonomic regulation?
Bosquet, L., Gamelin, F.-X., & Berthoin, S. (2007) · European Journal of Applied Physiology · doi:10.1007/s00421-007-0438-3 · Cited by 68 · see citing works
Endurance training, overtraining and baroreflex sensitivity in female athletes
Uusitalo (1998) · Clinical Physiology · doi:10.1046/j.1365-2281.1998.00121.x · Cited by 59 · see citing works
Influence of Short-Term Endurance Exercise Training on Heart Rate Variability
Lee, C. M., WOOD, R. H., & WELSCH, M. A. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000069410.56710.da · Cited by 57 · see citing works
Buchheit, M., Haddad, H. A., Méndez-Villanueva, A., Quod, M. J., & Bourdon, P. C. (2011) · Frontiers in Physiology · doi:10.3389/fphys.2011.00069 · Cited by 44 · see citing works
Self-citationNight heart rate variability during overtraining in male endurance athletes.
Bosquet, L., Papelier, Y., Léger, L., & Legros, P. (2003) · PubMed · Cited by 42 · see citing works
The stress of competition dissociates neural and cortisol homeostasis in elite athletes.
Iellamo, F., Pigozzi, F., Parisi, A., Salvo, V. D., Vago, T., Norbiato, G., Lucini, D., & Pagani, M. (2003) · PubMed · Cited by 41 · see citing works
Autonomic and psychological adaptations in Olympic rowers.
Iellamo, F., Pigozzi, F., Spataro, A., Salvo, V. D., FAGNANI, F., Roselli, A., Rizzo, M., Malacarne, M., Pagani, M., & Lucini, D. (2006) · PubMed · Cited by 24 · see citing works
Can autonomic monitoring predict results in distance runners?
Pagani, M., & Lucini, D. (2009) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00337.2009 · Cited by 21 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Monitoring Training Load to Understand Fatigue in Athletes
Halson, S. L. (2014) · Sports Medicine · doi:10.1007/s40279-014-0253-z · Cited by 1,953 · see citing works
Soligard, T., Schwellnus, M., Alonso, J.-M., Bahr, R., Clarsen, B., Dijkstra, H. P., Gabbett, T., Gleeson, M., Hägglund, M., Hutchinson, M. R., et al. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096581 · Cited by 1,041 · see citing works
Recovery and Performance in Sport: Consensus Statement
Kellmann, M., Bertollo, M., Bosquet, L., Brink, M. S., Coutts, A. J., Duffield, R., Erlacher, D., Halson, S. L., Hecksteden, A., Heidari, J., et al. (2018) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2017-0759 · Cited by 915 · see citing works
Monitoring training status with HR measures: do all roads lead to Rome?
Buchheit, M. (2014) · Frontiers in Physiology · doi:10.3389/fphys.2014.00073 · Cited by 909 · see citing works
Self-citationSchwellnus, M., Soligard, T., Alonso, J.-M., Bahr, R., Clarsen, B., Dijkstra, H. P., Gabbett, T. J., Gleeson, M., Hägglund, M., Hutchinson, M. R., et al. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096572 · Cited by 836 · see citing works
Flipping the Metabolic Switch: Understanding and Applying the Health Benefits of Fasting
Anton, S. D., Moehl, K., Donahoo, W. T., Marosi, K., Lee, S. A., Mainous, A. G., Leeuwenburgh, C., & Mattson, M. P. (2017) · Obesity · doi:10.1002/oby.22065 · Cited by 782 · see citing works
Mann, T. N., Lamberts, R. P., & Lambert, M. I. (2014) · Sports Medicine · doi:10.1007/s40279-014-0197-3 · Cited by 379 · see citing works
Bellenger, C. R., FULLER, J. T., Thomson, R. L., Davison, K., Robertson, E. Y., & Buckley, J. D. (2016) · Sports Medicine · doi:10.1007/s40279-016-0484-2 · Cited by 362 · see citing works
The role of heart rate variability in sports physiology
DONG, J.-G. (2016) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2016.3104 · Cited by 334 · see citing works
Miller, D. J., Sargent, C., & Roach, G. D. (2022) · Sensors · doi:10.3390/s22166317 · Cited by 328 · see citing works
“Wearable companies have also begun providing daily met ‐ rics that have typically been exclusive to elite sporting environments (e.g., resting heart rate, heart rate variability) [11].”
Monitoring Fatigue Status in Elite Team-Sport Athletes: Implications for Practice
Thorpe, R. T., Atkinson, G., Drust, B., & Gregson, W. (2017) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2016-0434 · Cited by 328 · see citing works
Plews, D. J., Scott, B., Altini, M., Wood, M., Kilding, A. E., & Laursen, P. B. (2017) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2016-0668 · Cited by 323 · see citing works
Self-citationHeart Rate Estimation From Wrist-Worn Photoplethysmography: A Review
Biswas, D., Simões‐Capela, N., Hoof, C. A. V., & Helleputte, N. V. (2019) · IEEE Sensors Journal · doi:10.1109/jsen.2019.2914166 · Cited by 263 · see citing works
Monitoring Fatigue During the In-Season Competitive Phase in Elite Soccer Players
Thorpe, R. T., Strudwick, A. J., Buchheit, M., Atkinson, G., Drust, B., & Gregson, W. A. (2015) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2015-0004 · Cited by 259 · see citing works
Self-citationEsco, M. R., & Flatt, A. A. (2014) · PubMed Central · Cited by 254 · see citing works
Schneider, C., Hanakam, F., Wiewelhove, T., Döweling, A., Kellmann, M., Meyer, T., Pfeiffer, M., & Ferrauti, A. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00639 · Cited by 228 · see citing works
The General Adaptation Syndrome: A Foundation for the Concept of Periodization
Cunanan, A. J., DeWeese, B. H., Wagle, J. P., Carroll, K. M., Sausaman, R. W., Hornsby, W. G., Haff, G. G., Triplett, N. T., Pierce, K. C., & Stone, M. H. (2018) · Sports Medicine · doi:10.1007/s40279-017-0855-3 · Cited by 225 · see citing works
Hernando, D., Roca, S., Sancho, J., Alesanco, Á., & Bailón, R. (2018) · Sensors · doi:10.3390/s18082619 · Cited by 225 · see citing works
Quantification of Training and Competition Loads in Endurance Sports: Methods and Applications
Mujika, I. (2016) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2016-0403 · Cited by 210 · see citing works
GPS and Injury Prevention in Professional Soccer
Ehrmann, F., Duncan, C. S., Sindhusake, D. P., Franzsen, W. N., & Greene, D. (2015) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001093 · Cited by 202 · see citing works
Dose-Response Matters! - A Perspective on the Exercise Prescription in Exercise-Cognition Research
Herold, F., Müller, P., Gronwald, T., & Müller, N. G. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02338 · Cited by 196 · see citing works
Monitoring training load and fatigue in soccer players with physiological markers
Djaoui, L., Haddad, M., Chamari, K., & Dellal, A. (2017) · Physiology & Behavior · doi:10.1016/j.physbeh.2017.09.004 · Cited by 195 · see citing works
Dobbs, W. C., Fedewa, M. V., MacDonald, H. V., Holmes, C. J., Cicone, Z. S., Plews, D. J., & Esco, M. R. (2019) · Sports Medicine · doi:10.1007/s40279-019-01061-5 · Cited by 193 · see citing works
Self-citationDüking, P., Andreas Hotho, A., Holmberg, H., Fuss, F. K., & Sperlich, B. (2016) · Frontiers in Physiology · doi:10.3389/fphys.2016.00071 · Cited by 184 · see citing works
Perrotta, A. S., Jeklin, A. T., Hives, B. A., Meanwell, L. E., & Warburton, D. E. R. (2017) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001841 · Cited by 185 · see citing works
dos Santos, M. L., Uftring, M., Stahl, C. A., Lockie, R. G., Alvar, B. A., Mann, J. B., & Dawes, J. J. (2020) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2020.00042 · Cited by 175 · see citing works
Tracking Morning Fatigue Status Across In-Season Training Weeks in Elite Soccer Players
Thorpe, R. T., Strudwick, A. J., Buchheit, M., Atkinson, G., Drust, B., & Gregson, W. A. (2016) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2015-0490 · Cited by 170 · see citing works
Self-citationDevelopment of a Revised Conceptual Framework of Physical Training for Use in Research and Practice
Jeffries, A. C., Marcora, S., Coutts, A. J., Wallace, L., McCall, A., & Impellizzeri, F. M. (2021) · Sports Medicine · doi:10.1007/s40279-021-01551-5 · Cited by 169 · see citing works
Monitoring Fatigue Status with HRV Measures in Elite Athletes: An Avenue Beyond RMSSD?
Schmitt, L., Regnard, J., & Millet, G. P. (2015) · Frontiers in Physiology · doi:10.3389/fphys.2015.00343 · Cited by 160 · see citing works
Monitoring Training With Heart-Rate Variability: How Much Compliance Is Needed for Valid Assessment?
Plews, D. J., Laursen, P. B., Meur, Y. L., Hausswirth, C., Kilding, A. E., & Buchheit, M. (2014) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2013-0455 · Cited by 156 · see citing works
Self-citationSingh, N., Moneghetti, K. J., Christle, J. W., Hadley, D., Froelicher, V. F., & Plews, D. J. (2018) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2018.30.2 · Cited by 152 · see citing works
Self-citationGrässler, B., Thielmann, B., Böckelmann, I., & Hökelmann, A. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.657274 · Cited by 130 · see citing works
Heart-Rate Variability and Training-Intensity Distribution in Elite Rowers
Plews, D. J., Laursen, P. B., Kilding, A. E., & Buchheit, M. (2014) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2013-0497 · Cited by 128 · see citing works
Self-citationPractices and Applications of Heart Rate Variability Monitoring in Endurance Athletes
Lundstrom, C. J., Foreman, N. A., & Biltz, G. R. (2022) · International Journal of Sports Medicine · doi:10.1055/a-1864-9726 · Cited by 122 · see citing works
Flatt, A. A., & Esco, M. R. (2015) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001095 · Cited by 118 · see citing works
Flatt, A. A., & Esco, M. R. (2013) · Journal of Human Kinetics · doi:10.2478/hukin-2013-0071 · Cited by 115 · see citing works
Assessment of Fatigue and Recovery in Sport: Narrative Review
Bestwick-Stevenson, T., Toone, R. J., Neupert, E. C., Edwards, K., & Kluzek, S. (2022) · International Journal of Sports Medicine · doi:10.1055/a-1834-7177 · Cited by 115 · see citing works
Advances in self-powered sports monitoring sensors based on triboelectric nanogenerators
Sun, F., Zhu, Y., Jia, C., Zhao, T., Chu, L., & Mao, Y. (2023) · Journal of Energy Chemistry · doi:10.1016/j.jechem.2022.12.024 · Cited by 114 · see citing works
From Lab to Real World: Heat Acclimation Considerations for Elite Athletes
Casadio, J. R., Kilding, A. E., Cotter, J. D., & Laursen, P. B. (2016) · Sports Medicine · doi:10.1007/s40279-016-0668-9 · Cited by 113 · see citing works
Self-citationUltra-Short-Term Heart Rate Variability is Sensitive to Training Effects in Team Sports Players.
Nakamura, F. Y., Flatt, A. A., Pereira, L. A., Ramírez‐Campillo, R., Loturco, I., & Esco, M. R. (2015) · Europe PMC (PubMed Central) · Cited by 109 · see citing works
Caminal, P., Sola, F., Gomis, P., Guasch, E., Perera-Lluna, A., Soriano, N. P., & Mont, L. (2018) · European Journal of Applied Physiology · doi:10.1007/s00421-018-3808-0 · Cited by 108 · see citing works
Thorpe, R. T., Strudwick, A. J., Buchheit, M., Atkinson, G., Drust, B., & Gregson, W. A. (2016) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2016-0433 · Cited by 106 · see citing works
Self-citationBurgess, D. J. (2016) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2016-0608 · Cited by 106 · see citing works
Heart rate variability stabilization in athletes: towards more convenient data acquisition
Flatt, A. A., & Esco, M. R. (2015) · Clinical Physiology and Functional Imaging · doi:10.1111/cpf.12233 · Cited by 105 · see citing works
Flatt, A. A., Hornikel, B., & Esco, M. R. (2016) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2016.10.017 · Cited by 105 · see citing works
Peart, D. J., Balsalobre‐Fernández, C., & Shaw, M. P. (2017) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000002344 · Cited by 105 · see citing works
Effect of sauna-based heat acclimation on plasma volume and heart rate variability
Stanley, J., Halliday, A., D’Auria, S., Buchheit, M., & Leicht, A. S. (2014) · European Journal of Applied Physiology · doi:10.1007/s00421-014-3060-1 · Cited by 103 · see citing works
Self-citationSmartphone-Derived Heart-Rate Variability and Training Load in a Women’s Soccer Team
Flatt, A. A., & Esco, M. R. (2015) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2014-0556 · Cited by 97 · see citing works
Stephenson, M. D., Thompson, A. G., Merrigan, J. J., Stone, J. D., & Hagen, J. A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18158143 · Cited by 94 · see citing works
Sensors Capabilities, Performance, and Use of Consumer Sleep Technology
de Zambotti, M., Cellini, N., Menghini, L., Sarlo, M., & Baker, F. C. (2020) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.11.003 · Cited by 88 · see citing works
Altini, M., & Plews, D. J. (2021) · Sensors · doi:10.3390/s21237932 · Cited by 88 · see citing works
Self-citationCardiac Autonomic Function and High-Intensity Interval Training in Middle-Age Men
Kiviniemi, A. M., Tulppo, M. P., Eskelinen, J., Savolainen, A., Kapanen, J., HEINONEN, I. H. A., Huikuri, H. V., Hannukainen, J. C., & Kalliokoski, K. K. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000307 · Cited by 84 · see citing works
Soares-Caldeira, L. F., de Souza, E. A., de Freitas, V. H., de Moraes, S. M. F., Leicht, A. S., & Nakamura, F. Y. (2014) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000000461 · Cited by 84 · see citing works
Training Prescription Guided by Heart-Rate Variability in Cycling
Javaloyes, A., Sarabia, J. M., Lamberts, R. P., & Moya‐Ramón, M. (2018) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2018-0122 · Cited by 81 · see citing works
MS-QI: A Modulation Spectrum-Based ECG Quality Index for Telehealth Applications
Tobón, D. P., Falk, T. H., & Maier, M. (2014) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2014.2355135 · Cited by 81 · see citing works
Nicolas, M., Vacher, P., Martinent, G., & Mourot, L. (2016) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2016.03.007 · Cited by 76 · see citing works
Düking, P., Zinner, C., Trabelsi, K., Reed, J. L., Holmberg, H., Kunz, P., & Sperlich, B. (2021) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2021.04.012 · Cited by 70 · see citing works
Pre-performance Physiological State: Heart Rate Variability as a Predictor of Shooting Performance
Ortega, E., & Wang, J. (2017) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-017-9386-9 · Cited by 67 · see citing works
Heart Rate Variability in Sport Performance: Do Time of Day and Chronotype Play A Role?
Vitale, J. A., Bonato, M., Torre, A. L., & Banfi, G. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8050723 · Cited by 67 · see citing works
A pilot study on quantification of training load: The use of HRV in training practice
Saboul, D., Balducci, P., Millet, G. P., Pialoux, V., & Hautier, C. A. (2015) · European Journal of Sport Science · doi:10.1080/17461391.2015.1004373 · Cited by 65 · see citing works
Nakamura, F. Y., Pereira, L. A., Rabelo, F. N., Flatt, A. A., Esco, M. R., Bertollo, M., & Loturco, I. (2016) · Journal of Sports Sciences · doi:10.1080/02640414.2016.1186282 · Cited by 65 · see citing works
Marasingha-Arachchige, S. U., Rubio‐Arias, J. Á., Alcaráz, P. E., & Chung, L. H. (2020) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2020.11.008 · Cited by 64 · see citing works
Tiwari, S., Gupta, S. K., & Pathak, A. K. (2021) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2021.113929 · Cited by 64 · see citing works
Cipryan, L., Tschakert, G., & Hofmann, P. (2017) · Europe PMC (PubMed Central) · Cited by 62 · see citing works
Granero‐Gallegos, A., González-Quílez, A., Plews, D. J., & Poyatos, M. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217999 · Cited by 59 · see citing works
Self-citationTowards Photoplethysmography-Based Estimation of Instantaneous Heart Rate During Physical Activity
Jarchi, D., & Casson, A. J. (2017) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2017.2668763 · Cited by 58 · see citing works
Schneider, C., Wiewelhove, T., Raeder, C., Flatt, A. A., Hoos, O., Hottenrott, L., Oliver, S., Kellmann, M., Meyer, T., Pfeiffer, M., et al. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00582 · Cited by 58 · see citing works
Williams, S., Booton, T., Watson, M., Rowland, D., & Altini, M. (2017) · Europe PMC (PubMed Central) · Cited by 57 · see citing works
Bullock, G. S., Hughes, T., Arundale, A. J. H., Ward, P., Collins, P. G. S., & Kluzek, S. (2022) · Sports Medicine · doi:10.1007/s40279-022-01655-6 · Cited by 57 · see citing works
The Effect of New Silvicultural Trends on Mental Workload of Harvester Operators
Spinelli, R., Magagnotti, N., & Labelle, E. R. (2020) · Croatian journal of forest engineering · doi:10.5552/crojfe.2020.747 · Cited by 52 · see citing works
Esco, M. R., Flatt, A. A., & Nakamura, F. Y. (2016) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001519 · Cited by 50 · see citing works
Javaloyes, A., Sarabia, J. M., Lamberts, R. P., Plews, D. J., & Moya‐Ramón, M. (2019) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000003337 · Cited by 50 · see citing works
Self-citationInfluence of Competitive-Anxiety on Heart Rate Variability in Swimmers.
Fortes, L. D. S., Costa, B. D. V., Paes, P. P., Júnior, J. R. A. D. N., Fiorese, L., & Ferreira, M. E. C. (2017) · Europe PMC (PubMed Central) · Cited by 49 · see citing works
Kliszczewicz, B. M., Esco, M. R., Quindry, J. C., Blessing, D. L., Oliver, G. D., Taylor, K. J., & Price, B. (2015) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001173 · Cited by 48 · see citing works
Crowcroft, S., McCleave, E. L., Slattery, K., & Coutts, A. J. (2016) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2016-0406 · Cited by 48 · see citing works
Validity of the Wrist-Worn Polar Vantage V2 to Measure Heart Rate and Heart Rate Variability at Rest
Nuuttila, O., Korhonen, E., Laukkanen, J. A., & Kyröläinen, H. (2021) · Sensors · doi:10.3390/s22010137 · Cited by 47 · see citing works
Cipryan, L. (2016) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2016.11.001 · Cited by 47 · see citing works
Lucini, D., Marchetti, I., Spataro, A., Malacarne, M., Benzi, M., Tamorri, S. M., Sala, R., & Pagani, M. (2017) · International Journal of Cardiology · doi:10.1016/j.ijcard.2017.05.001 · Cited by 47 · see citing works
Edmonds, R., Burkett, B. J., Leicht, A. S., & McKean, M. R. (2015) · PLoS ONE · doi:10.1371/journal.pone.0127749 · Cited by 47 · see citing works
The effect of an ultra-endurance running race on heart rate variability
Fazackerley, L. A., Fell, J. W., & Kitic, C. M. (2019) · European Journal of Applied Physiology · doi:10.1007/s00421-019-04187-6 · Cited by 46 · see citing works
Mental fatigue impairs time trial performance in sub-elite under 23 cyclists
Filipas, L., Gallo, G., Pollastri, L., & Torre, A. L. (2019) · PLoS ONE · doi:10.1371/journal.pone.0218405 · Cited by 46 · see citing works
A composite autonomic index as unitary metric for heart rate variability: a proof of concept
Sala, R., Malacarne, M., Solaro, N., Pagani, M., & Lucini, D. (2017) · European Journal of Clinical Investigation · doi:10.1111/eci.12730 · Cited by 45 · see citing works
Valenzuela, P. L., Amo, C., Sánchez-Martínez, G., Torrontegi, E., Vázquez-Carrión, J., Montalvo, Z., Lucía, A., & de la Villa, P. (2018) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2018-0473 · Cited by 45 · see citing works
Piedra, A., Peña, J., & Caparrós, T. (2021) · Strength and conditioning journal · doi:10.1519/ssc.0000000000000620 · Cited by 43 · see citing works
Pickering, C., & Kiely, J. (2019) · Journal of Functional Morphology and Kinesiology · doi:10.3390/jfmk4020025 · Cited by 43 · see citing works
Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery
Ginsberg, J. P., Raghunathan, K., Bassi, G. S., & Ulloa, L. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.821022 · Cited by 42 · see citing works
Rogers, B., Schaffarczyk, M., Clauß, M., Mourot, L., & Gronwald, T. (2022) · Sensors · doi:10.3390/s22052032 · Cited by 41 · see citing works
Heart Rate Variability and Swimming
Koenig, J., Jarczok, M. N., Wasner, M., Hillecke, T. K., & Thayer, J. F. (2014) · Sports Medicine · doi:10.1007/s40279-014-0211-9 · Cited by 41 · see citing works
Musculoskeletal overuse injuries and heart rate variability: Is there a link?
Gisselman, A. S., Baxter, D. G., Wright, A. A., Hegedus, E. J., & Tumilty, S. (2015) · Medical Hypotheses · doi:10.1016/j.mehy.2015.12.003 · Cited by 41 · see citing works
Ravé, G., & Fortrat, J. (2016) · European Journal of Applied Physiology · doi:10.1007/s00421-016-3416-9 · Cited by 40 · see citing works
Jung, W., Kim, S.-W., & Park, H. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17061934 · Cited by 40 · see citing works
Herold, F., Gronwald, T., Scholkmann, F., Zohdi, H., Wyser, D., Müller, N. G., & Hamacher, D. (2020) · Brain Sciences · doi:10.3390/brainsci10060342 · Cited by 40 · see citing works
Hoffmann, B., Flatt, A. A., Silva, L. E. V., Młyńczak, M., Baranowski, R., Dziedzic, E. A., Werner, B., & Gąsior, J. S. (2020) · Diagnostics · doi:10.3390/diagnostics10100833 · Cited by 40 · see citing works
Rutkowski, S., Szary, P., Sacha, J., & Casaburi, R. H. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.702266 · Cited by 40 · see citing works
Chen, S., Tseng, C.-L., Kuo, S., & Chang, Y. (2016) · Health Psychology · doi:10.1037/hea0000390 · Cited by 39 · see citing works
Altini, M., & Amft, O. (2016) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2016.7591265 · Cited by 39 · see citing works
Physiological Determinants of Ultramarathon Trail-Running Performance
Coates, A. M., Berard, J. A., King, T. J., & Burr, J. F. (2021) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2020-0766 · Cited by 38 · see citing works
The Importance of Sleep for Athletic Performance
Marshall, G. J. G., & Turner, A. N. (2016) · Strength and conditioning journal · doi:10.1519/ssc.0000000000000189 · Cited by 38 · see citing works
Heart rate variability in middle-aged sprint and endurance athletes
Deus, L. A., Sousa, C. V., Rosa, T. D. S., Filho, J. M. S., Santos, P. A., Barbosa, L. D., Aguiar, S. D. S., Souza, L. H. R., & Simões, H. G. (2018) · Physiology & Behavior · doi:10.1016/j.physbeh.2018.10.018 · Cited by 38 · see citing works
Figueiredo, D. H., Figueiredo, D. H., Moreira, A., Gonçalves, H. R., & Stanganélli, L. C. R. (2019) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000003127 · Cited by 37 · see citing works
- Authors
- Plews, D. J., Laursen, P. B., Stanley, J., Kilding, A. E., & Buchheit, M.
- Affiliations
- Auckland University of Technology (NZ)
- The University of Queensland (AU)
- Aspire Academy (QA)
- Corresponding author
- Plews, Daniel J.
- Venue
- Sports Medicine
- Published
- 2013-07-13
- Volume
- 43
- Issue
- 9
- Pages
- 773-781
- ISSN
- 0112-1642 (ISSN-L)
- 1179-2035
- OpenAlex
- W2082001224
- Cited by
- 617
- References
- 67
- Citations by year
- 2026: 84 · 2025: 61 · 2024: 40 · 2023: 30 · 2022: 53 · 2021: 60 · 2020: 63 · 2019: 47 · 2018: 47 · 2017: 42 · 2016: 42 · 2015: 22 · 2014: 22 · 2013: 3
- FWCI
- 5.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- heart rate variability, training effects, endurance athletes, elite athletes, training load monitoring, vagal tone, HRV indices, cardiorespiratory fitness, athlete readiness, Olympic athletes, world champions
- MeSH terms
- Adaptation, Physiological, Physical Exertion, Heart Rate, Humans, Sports, Time Factors, Athletic Performance, Physical Conditioning, Human
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review