Cited by 302Heart Rate Variability and Autonomic ControlNon-Invasive Vital Sign MonitoringCardiovascular and exercise physiology

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Validity and Reliability of Short-Term Heart-Rate Variability from the Polar S810

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NUNAN, DAVID, DONOVAN, GAY, JAKOVLJEVIC, DJORDJE G., HODGES, LYNETTE D., SANDERCOCK, GAVIN R. H., BRODIE, DAVID A.·2009·Medicine & Science in Sports & Exercise

DOI 10.1249/mss.0b013e318184a4b1

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Abstract

PURPOSE: : To assess the validity and the reliability of short-term resting heart-rate variability (HRV) measures obtained using the Polar S810 heart-rate monitor and accompanying software. METHODS: : Measures of HRV were obtained from 5-min R to R wave (RR) interval data for 19 males and 14 females during 10 min of quiet rest on three separate occasions at 1-wk intervals using the Polar S810. Criterion measures of HRV were obtained simultaneously using the CardioPerfect (CP; Medical Graphics Corporation, St Paul, MN) 12-lead ECG module. Measures of validity of the Polar S810 were estimated by regression analysis, and measures of reliability of both devices were estimated by analysis of change scores. Measures of the SD of normal-to-normal intervals (SDNN), the root mean square of successive differences (RMSSD), and the low-frequency (LF) and the high-frequency (HF) spectral power and their ratio (LF/HF) were analyzed after log transformation, whereas mean RR and LF and HF in normalized units were analyzed without transformation. RESULTS: : There were marginal differences between the Polar and the CP mean measures of HRV, and the uncertainty in the differences was small. The Polar S810 demonstrated high correlations (0.85-0.99) with CP for all measures of HRV indicating good to near-perfect validity. Except for the low- and the high-frequency normalized units, Polar S810 did not add any substantial technical error to the within-subject variability in the repeated measurements of HRV. CONCLUSION: : HRV measures obtained with the Polar S810 and accompanying software have no appreciable bias or additional random error in comparison with criterion measures, but the measures are inherently unreliable over a 1-wk interval. Reliability of HRV from longer (e.g., 10 min) and/or consecutive 5-min RR recordings needs to be investigated with the Polar and criterion instruments.

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“The Polar S810 heart rate monitor was validated against an ECG monitors by several investigators [55,56].”
Method
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Cassirame, J., Tordi, N., Fabre, N., Duc, S., Durand, F., & Mourot, L. (2014) · European Journal of Sport Science · doi:10.1080/17461391.2014.957729 · Cited by 37
Absence of parasympathetic reactivation after maximal exercise
Peçanha, T., Mattos, R. D. A., da Silva, R. B. F., Rezende, R. A., & de Lima, J. R. P. (2012) · Clinical Physiology and Functional Imaging · doi:10.1111/cpf.12009 · Cited by 36
Cardiac autonomic and haemodynamic recovery after a single session of aerobic exercise with and without blood flow restriction in older adults
Ferreira, M. L. V., Sardeli, A. V., de Souza, G. V., Bonganha, V., Santos, L. D. C., Castro, A., Cavaglieri, C. R., & Chacon‐Mikahil, M. P. T. (2016) · Journal of Sports Sciences · doi:10.1080/02640414.2016.1271139 · Cited by 38
Predictors of Chronic Pain Following Total Knee Replacement in Females and Males: An Exploratory Study
Bossmann, T., Brauner, T., Wearing, S. C., & Horstmann, T. (2017) · Pain Management · doi:10.2217/pmt-2017-0023 · Cited by 35
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
Vigorous physical activity and vagal modulation in young adults
Soares‐Miranda, L., SANDERCOCK, G. R. H., Valente, H., Vale, S. M. C. G., Santos, R., & Mota, J. A. P. S. (2009) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3283316cd1 · Cited by 36
Self-citation
Evaluation of pulse rate variability obtained by the pulse onsets of the photoplethysmographic signal
Posada-Quintero, H. F., Delisle-Rodríguez, D., Cuadra, M. B., & Prieto, R. R. F. D. L. V. (2013) · Physiological Measurement · doi:10.1088/0967-3334/34/2/179 · Cited by 35
Reliability and validity of a smartphone pulse rate application for the assessment of resting and elevated pulse rate
Mitchell, K., Graff, M., Hedt, C. A., & Simmons, J. W. (2016) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2016.1203046 · Cited by 33
Optimizing Intersession Reliability of Heart Rate Variability—The Effects of Artifact Correction and Breathing Type
Gisselman, A. S., D'Amico, M., & Smoliga, J. M. (2017) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000002258 · Cited by 33
The short-term association between exposure to noise and heart rate variability in daily locations and mobility contexts
Aarbaoui, T. E., & Chaix, B. (2019) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/s41370-019-0158-x · Cited by 36
Comparison of Polar® RS800CX heart rate monitor and electrocardiogram for measuring inter-beat intervals in healthy dogs
Essner, A., Sjöström, R., Ahlgren, E., Gustås, P., Edge‐Hughes, L., Zetterberg, L., & Hellström, K. (2014) · Physiology & Behavior · doi:10.1016/j.physbeh.2014.10.034 · Cited by 32
Cardiac autonomic modulation impairments in advanced breast cancer patients
Arab, C., Vanderlei, L. C. M., Paiva, L. D. S., Fulghum, K., Fristachi, C. E., Nazário, A. C. P., Elias, S., Gebrim, L. H., Filho, C. F., Gidron, Y., et al. (2018) · Clinical Research in Cardiology · doi:10.1007/s00392-018-1264-9 · Cited by 34
Relationship between heart rate variability and body mass index: A cross-sectional study of preschool children
Speer, K. E., Koenig, J., Telford, R. M., OLIVE, L. S., Mara, J. K., Semple, S., Naumovski, N., Telford, R. D., & McKune, A. J. (2021) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101638 · Cited by 32
Is the link between depressed mood and heart rate variability explained by disinhibited eating and diet?
Young, H. A., Cousins, A. L., Watkins, H., & Benton, D. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2016.12.001 · Cited by 31
Whole-Body Vibration Training Improves Heart Rate Variability and Body Fat Percentage in Obese Hispanic Postmenopausal Women.
Severino, G., Sanchez-Gonzalez, M., Walters-Edwards, M., Nordvall, M., Chernykh, O., Adames, J., & Wong, A. (2017) · Journal of Aging and Physical Activity · doi:10.1123/japa.2016-0087 · Cited by 26
Reliability and validity of heart rate variability threshold assessment during an incremental shuttle-walk test in middle-aged and older adults
Dourado, V. Z., & Guerra, R. L. F. (2013) · Brazilian Journal of Medical and Biological Research · doi:10.1590/1414-431x20122376 · Cited by 31
Heart rate recovery after aerobic and anaerobic tests: is there an influence of anaerobic speed reserve?
Rosso, S. D., Nakamura, F. Y., & Boullosa, D. A. (2016) · Journal of Sports Sciences · doi:10.1080/02640414.2016.1166391 · Cited by 31
Attachment style and respiratory sinus arrhythmia predict post‐treatment quality of life in breast cancer survivors
Fagundes, C. P., Jaremka, L. M., Malarkey, W. B., & Kiecolt‐Glaser, J. K. (2014) · Psycho-Oncology · doi:10.1002/pon.3492 · Cited by 30
Effects of Cold Stimulation on Cardiac-Vagal Activation in Healthy Participants: Randomized Controlled Trial
Jungmann, M., Vencatachellum, S., Ryckeghem, D. M. L. V., & Vögele, C. (2018) · JMIR Formative Research · doi:10.2196/10257 · Cited by 33
ECG-Based Semi-Supervised Anomaly Detection for Early Detection and Monitoring of Epileptic Seizures
Karasmanoglou, A., Antonakakis, M., & Zervakis, M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20065000 · Cited by 30
Real time heart rate variability assessment from Android smartphone camera photoplethysmography: Postural and device influences
Guede-Fernández, F., Ferrer-Mileo, V., Ramos-Castro, J. J., Fernández-Chimeno, M., & Garcia-Gonzalez, M. A. (2015) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2015.7320085 · Cited by 30
Frailty and heart response to physical activity
Toosizadeh, N., Ehsani, H., Parthasarathy, S., Carpenter, B., Ruberto, K., Mohler, J. M., & Parvaneh, S. (2020) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2020.104323 · Cited by 29
Cardio-respiratory endurance responses following a simulated 3 × 3 minutes amateur boxing contest in Elite Level Boxers
El-Ashker, S., Chaabene, H., Negra, Y., Prieske, O., & Granacher, U. (2018) · Sports · doi:10.3390/sports6040119 · Cited by 28
Enhanced Cardiac Perception Is Associated With Increased Susceptibility to Framing Effects
Sütterlin, S., Schulz, S. M., Stumpf, T., Pauli, P., & Vögele, C. (2013) · Cognitive Science · doi:10.1111/cogs.12036 · Cited by 33
Effect of Acute Hypoxia on Post-Exercise Parasympathetic Reactivation in Healthy Men
Haddad, H. A., Méndez-Villanueva, A., Bourdon, P. C., & Buchheit, M. (2012) · Frontiers in Physiology · doi:10.3389/fphys.2012.00289 · Cited by 28
Application of an automatic adaptive filter for Heart Rate Variability analysis
dos Santos, L., Barroso, J. J., Macau, E. E. N., & de Godoy, M. F. (2013) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2013.07.009 · Cited by 28
The Effect of Chicken Extract on Mood, Cognition and Heart Rate Variability
Young, H. A., Benton, D., & Carter, N. (2015) · Nutrients · doi:10.3390/nu7020887 · Cited by 27

Authors: NUNAN, D., DONOVAN, G., JAKOVLJEVIC, D. G., HODGES, L. D., SANDERCOCK, G. R. H., & BRODIE, D. A.
Affiliations: Buckinghamshire New University (GB)
University of Bedfordshire (GB)
University of Essex (GB)
ORCID: NUNAN, DAVID
HODGES, LYNETTE D.
SANDERCOCK, GAVIN R. H.
Venue: Medicine & Science in Sports & Exercise
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-01
Volume: 41
Issue: 1
Pages: 243-250
ISSN: 0195-9131 (ISSN-L)
DOI: 10.1249/mss.0b013e318184a4b1
OpenAlex: W2014229115
Cited by: 302
References: 44
Citations by year: 2026: 3 · 2025: 2 · 2024: 14 · 2023: 8 · 2022: 21 · 2021: 19 · 2020: 16 · 2019: 18 · 2018: 24 · 2017: 18 · 2016: 23 · 2015: 21 · 2014: 30 · 2013: 22 · 2012: 22
FWCI: 9.95
Type: journal article
Language: en
Open access: green
doi.org
Locations: Medicine & Science in Sports & Exercise (publishedVersion)
PubMed (publishedVersion)
Bucks New University Repository (Bucks New University) (submittedVersion)
Open Access at Essex (University of Essex) (submittedVersion)
Newcastle University ePrints (Newcastle Univesity)
Funders: Medical Research Council (MC_G0802536)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords: heart rate variability, heart rate monitors, device validity, test-retest reliability, RR interval, spectral power, within-person variability, resting heart rate
MeSH terms: Adult, Algorithms, Female, Heart Rate, Humans, Male, Middle Aged, Surveys and Questionnaires, Regression Analysis, Software, Time Factors, Reproducibility of Results, Electrocardiography, Ambulatory, Confidence Intervals

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Validity and Reliability of Short-Term Heart-Rate Variability from the Polar S810

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