Cargando…

Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete

Background: Viral diseases have different individual progressions and can lead to considerable risks/long-term consequences. Therefore, it is not suitable to give general recommendations on a time off from training for athletes. This case report aims to investigate the relevance of detecting heart r...

Descripción completa

Detalles Bibliográficos
Autores principales: Hottenrott, Laura, Gronwald, Thomas, Hottenrott, Kuno, Wiewelhove, Thimo, Ferrauti, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8446376/
https://www.ncbi.nlm.nih.gov/pubmed/34541520
http://dx.doi.org/10.3389/fspor.2021.612782
_version_ 1784568856784666624
author Hottenrott, Laura
Gronwald, Thomas
Hottenrott, Kuno
Wiewelhove, Thimo
Ferrauti, Alexander
author_facet Hottenrott, Laura
Gronwald, Thomas
Hottenrott, Kuno
Wiewelhove, Thimo
Ferrauti, Alexander
author_sort Hottenrott, Laura
collection PubMed
description Background: Viral diseases have different individual progressions and can lead to considerable risks/long-term consequences. Therefore, it is not suitable to give general recommendations on a time off from training for athletes. This case report aims to investigate the relevance of detecting heart rate (HR) and HR variability (HRV) during an orthostatic test (OT) to monitor the progression and recovery process during and after a viral disease in an elite endurance athlete. Methods: A 30-year-old elite marathon runner contracted a viral infection (upper respiratory tract infection) 4 weeks after a marathon race. RR intervals in HR time series in supine and standing positions were monitored daily in the morning. Analyzed parameters included HR, the time-domain HRV parameter root mean square of successive difference (RMSSD), peak HR (HRpeak) in a standing position, and the time to HR peak (tHRpeak). Results: During the 6-day viral infection period, HR increased significantly by an average of 11 bpm in the supine position and by 22 bpm in the standing position. In addition, the RMSSD decreased from 20.8 to 4.2 ms, the HRpeak decreased by 13 bpm, and the tHRpeak increased by 18 s in the standing position significantly. There were no significant changes in the pre-viral infection RMSSD values in the supine position. The viral infection led to a significant change in HR and HRV parameters. The cardiac autonomic system reacted more sensitively in the standing position compared to the supine position after a viral infection in the present case study. Conclusion: These data have provided supportive rationale as to why the OT with a change from supine to standing body position and the detection of different indicators based on HR and a vagal driven time-domain HRV parameter (RMSSD) is likely to be useful to detect viral diseases early on when implemented in daily routine. Given the case study nature of the findings, future research has to be conducted to investigate whether the use of the OT might be able to offer an innovative, non-invasive, and time-efficient possibility to detect and evaluate the health status of (elite endurance) athletes.
format Online
Article
Text
id pubmed-8446376
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-84463762021-09-18 Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete Hottenrott, Laura Gronwald, Thomas Hottenrott, Kuno Wiewelhove, Thimo Ferrauti, Alexander Front Sports Act Living Sports and Active Living Background: Viral diseases have different individual progressions and can lead to considerable risks/long-term consequences. Therefore, it is not suitable to give general recommendations on a time off from training for athletes. This case report aims to investigate the relevance of detecting heart rate (HR) and HR variability (HRV) during an orthostatic test (OT) to monitor the progression and recovery process during and after a viral disease in an elite endurance athlete. Methods: A 30-year-old elite marathon runner contracted a viral infection (upper respiratory tract infection) 4 weeks after a marathon race. RR intervals in HR time series in supine and standing positions were monitored daily in the morning. Analyzed parameters included HR, the time-domain HRV parameter root mean square of successive difference (RMSSD), peak HR (HRpeak) in a standing position, and the time to HR peak (tHRpeak). Results: During the 6-day viral infection period, HR increased significantly by an average of 11 bpm in the supine position and by 22 bpm in the standing position. In addition, the RMSSD decreased from 20.8 to 4.2 ms, the HRpeak decreased by 13 bpm, and the tHRpeak increased by 18 s in the standing position significantly. There were no significant changes in the pre-viral infection RMSSD values in the supine position. The viral infection led to a significant change in HR and HRV parameters. The cardiac autonomic system reacted more sensitively in the standing position compared to the supine position after a viral infection in the present case study. Conclusion: These data have provided supportive rationale as to why the OT with a change from supine to standing body position and the detection of different indicators based on HR and a vagal driven time-domain HRV parameter (RMSSD) is likely to be useful to detect viral diseases early on when implemented in daily routine. Given the case study nature of the findings, future research has to be conducted to investigate whether the use of the OT might be able to offer an innovative, non-invasive, and time-efficient possibility to detect and evaluate the health status of (elite endurance) athletes. Frontiers Media S.A. 2021-09-03 /pmc/articles/PMC8446376/ /pubmed/34541520 http://dx.doi.org/10.3389/fspor.2021.612782 Text en Copyright © 2021 Hottenrott, Gronwald, Hottenrott, Wiewelhove and Ferrauti. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Sports and Active Living
Hottenrott, Laura
Gronwald, Thomas
Hottenrott, Kuno
Wiewelhove, Thimo
Ferrauti, Alexander
Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete
title Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete
title_full Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete
title_fullStr Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete
title_full_unstemmed Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete
title_short Utilizing Heart Rate Variability for Coaching Athletes During and After Viral Infection: A Case Report in an Elite Endurance Athlete
title_sort utilizing heart rate variability for coaching athletes during and after viral infection: a case report in an elite endurance athlete
topic Sports and Active Living
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8446376/
https://www.ncbi.nlm.nih.gov/pubmed/34541520
http://dx.doi.org/10.3389/fspor.2021.612782
work_keys_str_mv AT hottenrottlaura utilizingheartratevariabilityforcoachingathletesduringandafterviralinfectionacasereportinaneliteenduranceathlete
AT gronwaldthomas utilizingheartratevariabilityforcoachingathletesduringandafterviralinfectionacasereportinaneliteenduranceathlete
AT hottenrottkuno utilizingheartratevariabilityforcoachingathletesduringandafterviralinfectionacasereportinaneliteenduranceathlete
AT wiewelhovethimo utilizingheartratevariabilityforcoachingathletesduringandafterviralinfectionacasereportinaneliteenduranceathlete
AT ferrautialexander utilizingheartratevariabilityforcoachingathletesduringandafterviralinfectionacasereportinaneliteenduranceathlete