ArticleEuropean journal of applied physiology2012
Heart rate variability in elite triathletes, is variation in variability the key to effective training? A case comparison.
Article in European journal of applied physiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 8 of them syntheses that pooled it.
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Who cites it
105 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Real-World Fatigue Testing in Professional Rugby Union: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Injury and illness in short-course triathletes: A systematic review.Journal of sport and health science · 2024Pooled it
- Does Exercise Training Improve Cardiac-Parasympathetic Nervous System Activity in Sedentary People? A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Heart Rate Variability-Guided Training for Enhancing Cardiac-Vagal Modulation, Aerobic Fitness, and Endurance Performance: A Methodological Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Exercise-based cardiac rehabilitation and parasympathetic function in patients with coronary artery disease: a systematic review and meta-analysis.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2021Pooled it
- Olympic Sports Science-Bibliometric Analysis of All Summer and Winter Olympic Sports Research.Frontiers in sports and active living · 2021Pooled it
- Effects of Different Training Interventions on Heart Rate Variability and Cardiovascular Health and Risk Factors in Young and Middle-Aged Adults: A Systematic Review.Frontiers in physiology · 2021Pooled it
- Monitoring Athletic Training Status Through Autonomic Heart Rate Regulation: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2016Pooled it
- Autonomic nervous system and endocrine system response to upper or lower cervical spine mobilization in males with persistent post-concussion symptoms: a proof-of-concept trial.The Journal of manual & manipulative therapy · 2024Trial
- HRV-guided training vs traditional HIIT training in cardiac rehabilitation: a randomized controlled trial.GeroScience · 2024Trial
- Autonomic nervous system and endocrine system response to upper and lower cervical spine mobilization in healthy male adults: a randomized crossover trial.The Journal of manual & manipulative therapy · 2023Trial
- Heart Rate Variability-Guided Training for Improving Mortality Predictors in Patients with Coronary Artery Disease.International journal of environmental research and public health · 2022Trial
- Autonomic nervous system and hypothalamic-pituitary-adrenal axis response to experimentally induced cold pain in adolescent non-suicidal self-injury--study protocol.BMC psychiatry · 2015Trial
- Effect of chronic training on heart rate variability, salivary IgA and salivary alpha-amylase in elite swimmers with a disability.PloS one · 2015Trial
- Reliability and physiological responsiveness of skin temperature and thermal contrast index during incremental exercise: a test-retest analysis.Scientific reports · 2026Article
- Developing negative split pacing in endurance athletes: practical guidelines and training models.Frontiers in physiology · 2026Review
- Heart rate variability-guided endurance training: evaluating strengths, weaknesses, opportunities, and threats for load prescription and adjustment.Frontiers in sports and active living · 2026Article
- Monitoring Training Adaptation and Recovery Status in Athletes Using Heart Rate Variability via Mobile Devices: A Narrative Review.Sensors (Basel, Switzerland) · 2025Review
- Individual training prescribed by heart rate variability, heart rate and well-being scores in experienced cyclists.Scientific reports · 2025Article
- Load and Recovery Monitoring in Top-Level Youth Soccer Players: Exploring the Associations of a Web Application-Based Score With Recognized Load Measures.European journal of sport science · 2025Article
45 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Measures of an athlete's heart rate variability (HRV) have shown potential to be of use in the prescription of training. However, little data exists on elite athletes who are regularly exposed to high training loads. This case study monitored daily HRV in two elite triathletes (one male: 22 year, VO2max 72.5 ml kg min(-1); one female: 20 year, VO2max 68.2 ml kg min(-1)) training 23 ± 2 h per week, over a 77-day period. During this period, one athlete performed poorly in a key triathlon event, was diagnosed as non-functionally over-reached (NFOR) and subsequently reactivated the dormant virus herpes zoster (shingles). The 7-day rolling average of the log-transformed square root of the mean sum of the squared differences between R-R intervals (Ln rMSSD), declined towards the day of triathlon event (slope = -0.17 ms/week; r2 = -0.88) in the NFOR athlete, remaining stable in the control (slope = 0.01 ms/week; r2 = 0.12). Furthermore, in the NFOR athlete, coefficient of variation of HRV (CV of Ln rMSSD 7-day rolling average) revealed large linear reductions towards NFOR (i.e., linear regression of HRV variables versus day number towards NFOR: -0.65%/week and r2 = -0.48), while these variables remained stable for the control athlete (slope = 0.04%/week). These data suggest that trends in both absolute HRV values and day-to-day variations may be useful measurements indicative of the progression towards mal-adaptation or non-functional over-reaching.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.