Related Experiment Video
Updated: Jan 5, 2026

Calculating Heart Rate Variability from ECG Data from Youth with Cerebral Palsy During Active Video Game Sessions
Published on: June 5, 2019
Intra-Individual Variation of HRV during Orthostatic Challenge in Elite Male Field Hockey Players
1Faculty of Kinesiology and Physical Education, Graduate School of Exercise Science, University of Toronto, Toronto, ON, Canada. VescoviJ@aol.com.
Insights
Elite male athletes show low intra-individual variation in heart rate variability (HRV) and heart rate during an orthostatic challenge. These findings help identify true autonomic nervous system changes in athletes.
Area of Science:
- Sports Science
- Physiology
- Autonomic Nervous System Research
Background:
- Understanding intra-individual variation in physiological markers is crucial for monitoring elite athletes.
- Orthostatic challenges provide insights into autonomic nervous system (ANS) function.
- Heart rate variability (HRV) and heart rate are key indicators of ANS status.
Purpose of the Study:
- To examine the intra-individual variation of HRV and heart rate in elite male athletes during an orthostatic challenge.
- To assess the reliability of HRV and heart rate measurements in supine and standing positions.
- To provide data for identifying true individual changes in ANS indices.
Main Methods:
- Log-transformed HRV metrics and heart rate were measured in elite male athletes upon waking.
- Measurements included supine (0-3 min and 3-6 min) and standing positions using the Rusko protocol.
- RM-ANOVA, ICC, and SEmeas were used to analyze intra-individual variation and reliability.
Main Results:
- Time and frequency domain HRV metrics exhibited low variation (CV% <8.5%; SEmeas% ≤4.0%) in the initial 0-3 min supine segment.
- No significant improvement in HRV variation was observed during the 3-6 min supine period.
- Standing HRV showed lower reliability (ICC) and higher measurement error (SEmeas) compared to supine values.
- Heart rate variability and reliability outcomes were comparable to log-transformed HRV metrics.
Conclusions:
- Elite male athletes demonstrate low intra-individual variation in HRV and heart rate during an orthostatic challenge.
- Supine HRV measurements (0-3 min) offer reliable data for monitoring ANS function.
- These findings aid in distinguishing genuine physiological adaptations from measurement variability in athletes.
Abstract:
The purpose of this study was to examine the intra-individual variation of heart rate variability (HRV) and heart rate using an orthostatic challenge in elite male athletes during a training camp. Heart rate (variability) was measured upon waking. Log-transformed HRV metrics were evaluated in three segments (first min discarded for stabilization): 0-3 min supine, 3-6 min supine, and standing. Heart rate was assessed while supine, 15 s after standing and average final 30 s standing (Rusko protocol). A RM-ANOVA compared intra-individual means, standard deviations (SD) and coefficients of variation (CV%) for HRV and heart rate. The intraclass correlation coefficient (ICC) and standard error of measurement (SEmeas) were used for relative and absolute reliability, respectively. Time and frequency domain HRV metrics had low variation (CV% <8.5%; SEmeas% ≤4.0%) for 0-3 min supine which was not improved during 3-6 min. Standing HRV had lower ICC and higher SEmeas than supine values. Variability and reliability outcomes for heart rate were comparable to log-transformed HRV metrics. This study uniquely describes the intra-individual variation of HRV metrics during an orthostatic challenge and demonstrated low variability in this cohort of elite male athletes. These data can be helpful for identifying when true individual changes occur for the autonomic nervous system indices in supine and standing positions.
More Related Videos
05:48Autonomic Function Following Concussion in Youth Athletes: An Exploration of Heart Rate Variability Using 24-hour Recording Methodology
Published on: September 21, 2018
14:28Software for Analysis of Heart Rate and Blood Pressure Time-series Data from the Valsalva Maneuver
Published on: June 27, 2025
Related Concept Videos
Factors Influencing Heart Rate
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Cardiac Output I:Effect of Heart Rate on Cardiac Output
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
Exercise and Cardiac Output
Sustained exercise increases the muscles' oxygen demand, which can be...