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Abstract— We describe an approach to support athletes at camera and flash light as light source [8], [9], [10]. The
various fitness levels in their training load analysis using heart phone-based PPG approach has been validated and confirmed
rate (HR) and heart rate variability (HRV). A smartphone- to provide reliable HRV estimates [8], [11].
based application (HRV4Training) was developed that captures
heart activity over one to five minutes using photoplethysmog- HRV-based assessment of training load and recovery has
raphy (PPG) and derives HR and HRV features. HRV4Training been validated multiple times in clinical studies or on limited
integrated a guide for an early morning spot measurement sample sizes of uniform samples of the population (e.g. a
protocol and a questionnaire to capture self-reported training group of elite athletes [12], [13], a sport team, or college stu-
activity. The smartphone application was made publicly avail-
dents [14]). Similarly, PPG-based tools aiming at replacing
able for interested users to quantify training effect. Here we
analyze data acquired over a period of 3 weeks to 5 months, laboratory equipment were validated in laboratory conditions
including 797 users, breaking down results by gender and age or on limited sample sizes.
group. Our results suggest a strong relation between HR, HRV However, single studies without longitudinal measure-
and self-reported training load independent of gender and age ments (i.e. daily measurements taken for multiple weeks)
group. HRV changes due to training were larger than those
of HR. We conclude that smartphone-based training monitoring
cannot provide population-average quantifications of the
is feasible and a can be used as a practical tool to support large training effect on HR, HRV. To date, no study considered
populations outside controlled laboratory environments. the deployment of PPG-based HR and HRV monitoring to
analyze training effect in unconstrained free-living conditions
I. INTRODUCTION AND RELATED WORK longitudinally and over a broad population.
Heart rate (HR) and heart rate variability (HRV) have We describe a PPG-based solution to acquire HRV data
long been used to monitor athletes fitness levels as well as and relevant reference points (e.g. self-reported annotations
recovery from previous workouts [1]. The rationale behind on training days) using a mobile phone application and
monitoring recovery using HR or HRV is that heavy training analyze data acquired from 797 users over a period of 5
shifts the autonomic nervous system towards a sympathetic months. The application was released on the Apple Store
drive [2], which is reflected in higher HR and lower HRV and could be downloaded by anyone with an iPhone, thus
within 24h to 48h after training. Monitoring recovery sta- allowing us to investigate the relation between HR, HRV and
tus by means of an HRV measurement is becoming more training in unsupervised free-living settings. Additionally, we
common among athletes as well as sport enthusiasts [3]. break down our results by gender and age groups, showing
HRV features representative of parasympathetic activity and that PPG-based HR and HRV monitoring can be effectively
hence of recovery, which are typically reported in literature used in free-living settings to monitor training load. In
are the high frequency power and the square root of the particular, we show 5.7 − 11.0% differences in rMSSD and
mean squared difference between beat to beat intervals, or 1.0−1.9% differences in HR between days following low and
rMSSD [4]. Resting HR has been long used as a marker of high training load, further validating the more discriminative
fatigue, with an increase in HR typically being representative power of HRV with respect to HR only.
of a longer recovery time requirement [1]. Increases in
HR have been linked to a shift towards the sympathetic II. DATA ACQUISITION AND DATA ANALYSIS
drive of the autonomic nervous system, triggered by intense In this section we describe the following:
exercise [5]. However, HR changes after training are often • Signal processing: signal processing techniques used to
in the order of a few beats and of limited practical appli- determine HRV features using a mobile phone.
cability [3]. Other measures used as proxies to autonomic • Measurement protocol: instructions provided to users of
function include HRV features, showing stronger links with the application upon download, to ensure reliability of
exercise intensity and recovery in recent studies [3], [2], [4]. the measurements.
Smartphone-based HR and HRV measurements have be- • Features and annotations: description of the parameters
come popular during the last years [6], as smartphone- collected and used in this analysis.
integrated sensors could be used, e.g. for photoplethysmog- • Users: description of anthropometric characteristics and
raphy (PPG) [7]. Convenient PPG spot-measurement can other parameters of the users included in this analysis.
be performed by monitoring blood flow using the phone’s • Data analysis: analysis performed to determine the
1 M. effectiveness of the proposed application in highlighting
Altini and O. Amft are with ACTLab, University of Passau, DE
altini.marco@gmail.com the relation between HR, HRV and training.
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HR change HRV (rMSSD) change HR change HRV (rMSSD) change
8 8 8 8
Condition Training
Low training load Low training load
High training load High training load
4 4 4 4
HR change (%)
0 0 0 0
−4 −4 −4 −4
−8 −8 −8 −8
Male Male Female Female Male Male Female Female
All users All users Gender Gender
Fig. 3. Relation between HR, HRV and training on the entire dataset. Fig. 4. Relation between HR, HRV and training for male and female users.
HR is consistently increased on days following higher training load, while In both conditions HR is consistently increased on days following higher
rMSSD is consistently decreased. Relative changes in rMSSD are bigger, training load, while rMSSD is consistently decreased.
highlighting how HRV can be more discriminative of training load. Error
bars indicate the standard error.
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age groups and training conditions were 1.9% for the 20−30 8
HR change
8
HRV (rMSSD) change
years old group, 1.9% for the 30 − 40 years old group, Training
Low training load
1.0% for the 40 − 50 years old group and 1.2% for the High training load
50 − 60 years old group (see Fig. 5). Finally, we built two
4 4
linear models where HR and rMSSD were the dependent
variables, and the independent variables were age group and
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IV. CONCLUSIONS
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Age groups Age groups
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