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Heart Rate Variability and Cardiovascular Health in Police Officers
Betker, M., Snyder, E., West, Ian., & Brewer, G.
School of Kinesiology, College of Education and Human Development, University of Minnesota
METHODS
RESULTS DISCUSSIONINTRODUCTION
Previous studies have demonstrated that Public
Safety Officers (PSOs) have higher levels of self-
reported stress when compared to the general
population. It is likely that higher job-related stress
leads to high levels of early cardiovascular death in
these individuals.
To our knowledge, no previous studies have
assessed heart rate variability (HRV) in PSOs, which
is a parameter that can predict early mortality.
Therefore, the purpose of this study was to assess
HRV and heart rate recovery (HRR) following
maximal exercise (VO2MAX test), and the
relationship between these variables and
cardiovascular fitness in PSOs.
23 police officers, 16 males (30% female,
age=35±2years, height=177±2cm,
weight=91±20kg, BMI=28±1kg/m2, Body
fat=24±2%) were asked to come in for testing
within one hour of their normal wake-up time and
to refrain from any food, alcohol, caffeine or
tobacco for at least eight hours prior to testing.
Subjects’ resting HRV and HR was assessed (Kubios
HRV 2.2, Kuopio, Finland) while the subject rested
in a dark room in a supine position for 30 minutes.
A graded maximal exercise test measured values
for O2 consumption, HR, and HRR post-test.
REFERENCES
Our results show a significant, negative
relationship between VO2max and resting heart rate,
indicating that higher cardiorespiratory fitness is
associated with lower resting heart rate in PSOs.
Also, resting heart rate is positively correlated with
resting HRV as they are intrinsically mediated by
the autonomic nervous system.
During active recovery, 90 seconds post-maximal
exercise test, subjects who had a greater percent
drop from maximal HR also had a higher HRV at
rest, further linking the relationship between
autonomic nervous system health and
cardiovascular fitness.
• Brandl, S. G., & Smith, B. W. (2012). An Empirical Examination of Retired Police Officers’ Length of
Retirement and Age at Death: A Research Note.
• Charles, L. E., Burchfiel, C. M., Fekedulegn, D., Vila, B., Hartley, T. A., Slaven, J., ... & Violanti, J. M.
(2007). Shift work and sleep: the Buffalo Police health study. Policing: An International Journal of
Police Strategies & Management, 30(2), 215-227.
• Huikuri, H. V., Jokinen, V., Syvänne, M., Nieminen, M. S., Airaksinen, K. J., Ikäheimo, M. J., ... &
Frick, M. H. (1999). Heart rate variability and progression of coronary atherosclerosis.
Arteriosclerosis, Thrombosis, and Vascular Biology, 19(8), 1979-1985.
• Jouven, X., Empana, J. P., Schwartz, P. J., Desnos, M., Courbon, D., & Ducimetière, P. (2005). Heart-
rate profile during exercise as a predictor of sudden death. New England Journal of Medicine,
352(19), 1951-1958.
• Kors, J. A., Swenne, C. A., & Greiser, K. H. (2007). Cardiovascular disease, risk factors, and heart
rate variability in the general population. Journal of Electrocardiology, 40(1), S19-S21.
• Ramey, S. L., Downing, N. R., & Franke, W. D. (2009). Milwaukee police department retirees
cardiovascular disease risk and morbidity among aging law enforcement officers. AAOHN Journal,
57(11), 448-453.
• Sassen, B., Kok, G., Schaalma, H., Kiers, H., & Vanhees, L. (2010). Cardiovascular risk profile: cross-
sectional analysis of motivational determinants, physical fitness and physical activity. BMC Public
Health, 10(1), 1.
• Thayer, J. F., Åhs, F., Fredrikson, M., Sollers, J. J., & Wager, T. D. (2012). A meta-analysis of heart
rate variability and neuroimaging studies: implications for heart rate variability as a marker of
stress and health. Neuroscience & Biobehavioral Reviews, 36(2), 747-756.
• Varvarigou, V., Farioli, A., Korre, M., Sato, S., Dahabreh, I. J., & Kales, S. N. (2014). Law enforcement
duties and sudden cardiac death among police officers in United States: case distribution study.
BMJ, 349, g6534.
• Violanti, J. M., Fekedulegn, D., Hartley, T. A., Andrew, M. E., Gu, J. K., & Burchfiel, C. M. (2012). Life
expectancy in police officers: a comparison with the US general population. International journal
of emergency mental health, 15(4), 217-228.
• Vrijkotte, T. G., Van Doornen, L. J., & De Geus, E. J. (2000). Effects of work stress on ambulatory
blood pressure, heart rate, and heart rate variability. Hypertension, 35(4), 880-886.
• Weber, C. S., Thayer, J. F., Rudat, M., Wirtz, P. H., Zimmermann-Viehoff, F., Thomas, A., ... & Deter,
H. C. (2010). Low vagal tone is associated with impaired post stress recovery of cardiovascular,
endocrine, and immune markers. European Journal of Applied Physiology, 109(2), 201-211.
Men Women
N 16 7
Age 36.06 ± 9.49 32.57 ± 4.86
Height (in) 71.75 ± 3.27 65.96 ± 1.50
Weight (lbs) 215.01 ± 40.88 166.26 ± 53.34
BMI 29.15 ± 4.62 26.36 ± 7.26
% Body Fat 21.55 ± 8.26 29.37 ± 7.97
There was a moderate but non-significant
relationship between HRV and VO2max (r=0.46,
p=0.06) and a moderate and significant relationship
between HRV and HRR (r= -.052, p<0.05) at 90s
post-maximal exercise test during active recovery.
Also, a moderate and significant relationship
between average resting HR and VO2max (r= -0.64,
p<0.05) and resting HR and HRV (r=0.57, p<0.05).
0
20
40
60
80
100
30 35 40 45 50 55 60
HRV(ms)
VO2MAX
Correlation between Heart Rate Variability
and VO2MAX
r = 0.46
p = 0.06
0
50
100
150
10 15 20 25 30 35
HRV(ms)
HRR at 90s post-maximal exercise (% drop MHR)
Correlation between Heart Rate Variability
and Heart Rate Recovery at 90s
r = -0.52
p < 0.05

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Betker - 2016 KIN Research Day Poster

  • 1. Heart Rate Variability and Cardiovascular Health in Police Officers Betker, M., Snyder, E., West, Ian., & Brewer, G. School of Kinesiology, College of Education and Human Development, University of Minnesota METHODS RESULTS DISCUSSIONINTRODUCTION Previous studies have demonstrated that Public Safety Officers (PSOs) have higher levels of self- reported stress when compared to the general population. It is likely that higher job-related stress leads to high levels of early cardiovascular death in these individuals. To our knowledge, no previous studies have assessed heart rate variability (HRV) in PSOs, which is a parameter that can predict early mortality. Therefore, the purpose of this study was to assess HRV and heart rate recovery (HRR) following maximal exercise (VO2MAX test), and the relationship between these variables and cardiovascular fitness in PSOs. 23 police officers, 16 males (30% female, age=35±2years, height=177±2cm, weight=91±20kg, BMI=28±1kg/m2, Body fat=24±2%) were asked to come in for testing within one hour of their normal wake-up time and to refrain from any food, alcohol, caffeine or tobacco for at least eight hours prior to testing. Subjects’ resting HRV and HR was assessed (Kubios HRV 2.2, Kuopio, Finland) while the subject rested in a dark room in a supine position for 30 minutes. A graded maximal exercise test measured values for O2 consumption, HR, and HRR post-test. REFERENCES Our results show a significant, negative relationship between VO2max and resting heart rate, indicating that higher cardiorespiratory fitness is associated with lower resting heart rate in PSOs. Also, resting heart rate is positively correlated with resting HRV as they are intrinsically mediated by the autonomic nervous system. During active recovery, 90 seconds post-maximal exercise test, subjects who had a greater percent drop from maximal HR also had a higher HRV at rest, further linking the relationship between autonomic nervous system health and cardiovascular fitness. • Brandl, S. G., & Smith, B. W. (2012). An Empirical Examination of Retired Police Officers’ Length of Retirement and Age at Death: A Research Note. • Charles, L. E., Burchfiel, C. M., Fekedulegn, D., Vila, B., Hartley, T. A., Slaven, J., ... & Violanti, J. M. (2007). Shift work and sleep: the Buffalo Police health study. Policing: An International Journal of Police Strategies & Management, 30(2), 215-227. • Huikuri, H. V., Jokinen, V., Syvänne, M., Nieminen, M. S., Airaksinen, K. J., Ikäheimo, M. J., ... & Frick, M. H. (1999). Heart rate variability and progression of coronary atherosclerosis. Arteriosclerosis, Thrombosis, and Vascular Biology, 19(8), 1979-1985. • Jouven, X., Empana, J. P., Schwartz, P. J., Desnos, M., Courbon, D., & Ducimetière, P. (2005). Heart- rate profile during exercise as a predictor of sudden death. New England Journal of Medicine, 352(19), 1951-1958. • Kors, J. A., Swenne, C. A., & Greiser, K. H. (2007). Cardiovascular disease, risk factors, and heart rate variability in the general population. Journal of Electrocardiology, 40(1), S19-S21. • Ramey, S. L., Downing, N. R., & Franke, W. D. (2009). Milwaukee police department retirees cardiovascular disease risk and morbidity among aging law enforcement officers. AAOHN Journal, 57(11), 448-453. • Sassen, B., Kok, G., Schaalma, H., Kiers, H., & Vanhees, L. (2010). Cardiovascular risk profile: cross- sectional analysis of motivational determinants, physical fitness and physical activity. BMC Public Health, 10(1), 1. • Thayer, J. F., Åhs, F., Fredrikson, M., Sollers, J. J., & Wager, T. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neuroscience & Biobehavioral Reviews, 36(2), 747-756. • Varvarigou, V., Farioli, A., Korre, M., Sato, S., Dahabreh, I. J., & Kales, S. N. (2014). Law enforcement duties and sudden cardiac death among police officers in United States: case distribution study. BMJ, 349, g6534. • Violanti, J. M., Fekedulegn, D., Hartley, T. A., Andrew, M. E., Gu, J. K., & Burchfiel, C. M. (2012). Life expectancy in police officers: a comparison with the US general population. International journal of emergency mental health, 15(4), 217-228. • Vrijkotte, T. G., Van Doornen, L. J., & De Geus, E. J. (2000). Effects of work stress on ambulatory blood pressure, heart rate, and heart rate variability. Hypertension, 35(4), 880-886. • Weber, C. S., Thayer, J. F., Rudat, M., Wirtz, P. H., Zimmermann-Viehoff, F., Thomas, A., ... & Deter, H. C. (2010). Low vagal tone is associated with impaired post stress recovery of cardiovascular, endocrine, and immune markers. European Journal of Applied Physiology, 109(2), 201-211. Men Women N 16 7 Age 36.06 ± 9.49 32.57 ± 4.86 Height (in) 71.75 ± 3.27 65.96 ± 1.50 Weight (lbs) 215.01 ± 40.88 166.26 ± 53.34 BMI 29.15 ± 4.62 26.36 ± 7.26 % Body Fat 21.55 ± 8.26 29.37 ± 7.97 There was a moderate but non-significant relationship between HRV and VO2max (r=0.46, p=0.06) and a moderate and significant relationship between HRV and HRR (r= -.052, p<0.05) at 90s post-maximal exercise test during active recovery. Also, a moderate and significant relationship between average resting HR and VO2max (r= -0.64, p<0.05) and resting HR and HRV (r=0.57, p<0.05). 0 20 40 60 80 100 30 35 40 45 50 55 60 HRV(ms) VO2MAX Correlation between Heart Rate Variability and VO2MAX r = 0.46 p = 0.06 0 50 100 150 10 15 20 25 30 35 HRV(ms) HRR at 90s post-maximal exercise (% drop MHR) Correlation between Heart Rate Variability and Heart Rate Recovery at 90s r = -0.52 p < 0.05