Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland.
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210 Kuopio, Finland.
Sensors (Basel). 2021 Dec 26;22(1):137. doi: 10.3390/s22010137.
Heart rate (HR) and heart rate variability (HRV) can be monitored with wearable devices throughout the day. Resting HRV in particular, reflecting cardiac parasympathetic activity, has been proposed to be a useful marker in the monitoring of health and recovery from training. This study examined the validity of the wrist-based photoplethysmography (PPG) method to measure HR and HRV at rest. Recreationally endurance-trained participants recorded pulse-to-pulse (PP) and RR intervals simultaneously with a PPG-based watch and reference heart rate sensor (HRS) at a laboratory in a supine position (n = 39; 5-min recording) and at home during sleep (n = 29; 4-h recording). In addition, analyses were performed from pooled laboratory data (n = 11344 PP and RR intervals). Differences and correlations were analyzed between the HRS- and PPG-derived HR and LnRMSSD (the natural logarithm of the root mean square of successive differences). A very good agreement was found between pooled PP and RR intervals with a mean bias of 0.17 ms and a correlation coefficient of 0.993 ( < 0.001). In the laboratory, HR did not differ between the devices (mean bias 0.0 bpm), but PPG slightly underestimated the nocturnal recordings (mean bias -0.7 bpm, < 0.001). PPG overestimated LnRMSSD both in the laboratory (mean bias 0.20 ms, < 0.001) and nocturnal recordings (mean bias 0.17 ms, < 0.001). However, very strong intraclass correlations in the nocturnal recordings were found between the devices (HR: 0.998, < 0.001; LnRMSSD: 0.931, < 0.001). In conclusion, PPG was able to measure HR and HRV with adequate accuracy in recreational athletes. However, when strict absolute values are of importance, systematic overestimation, which seemed to especially concern participants with low LnRMSSD, should be acknowledged.
心率(HR)和心率变异性(HRV)可以通过日常佩戴的设备进行监测。特别是静息 HRV,反映了心脏的副交感神经活动,被认为是监测健康和训练恢复的有用标志物。本研究检验了基于腕部光电容积脉搏波(PPG)的方法在静息状态下测量 HR 和 HRV 的有效性。有规律进行耐力训练的参与者在实验室仰卧位(n = 39;5 分钟记录)和在家中睡眠时(n = 29;4 小时记录)同时使用基于 PPG 的手表和参考心率传感器(HRS)记录脉搏到脉搏(PP)和 RR 间隔。此外,还对来自实验室数据的汇总数据(n = 11344 个 PP 和 RR 间隔)进行了分析。分析了 HRS 和 PPG 衍生的 HR 与 LnRMSSD(自然对数的均方根差)之间的差异和相关性。在汇总的 PP 和 RR 间隔中发现了非常好的一致性,平均偏差为 0.17ms,相关系数为 0.993(<0.001)。在实验室中,两种设备之间的 HR 没有差异(平均偏差 0.0 bpm),但 PPG 略低估了夜间记录(平均偏差-0.7 bpm,<0.001)。PPG 在实验室(平均偏差 0.20ms,<0.001)和夜间记录(平均偏差 0.17ms,<0.001)中均高估了 LnRMSSD。然而,在夜间记录中,两种设备之间的 ICC 非常高(HR:0.998,<0.001;LnRMSSD:0.931,<0.001)。总之,PPG 能够以足够的精度测量休闲运动员的 HR 和 HRV。然而,当严格的绝对值很重要时,应该认识到系统性高估,这似乎特别涉及到 LnRMSSD 较低的参与者。
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