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E. Bechke, H. Mimms, W. Hoffstetter, P. Serafini, M. Smith,
Y. Feito Ph.D., FACSM, B. Kliszczewicz, Ph.D.
Kennesaw State University, Department of Exercise Science & Sport Management
RESTING VAGAL TONE FOLLOWING A 16-WEEK HIGH-INTENSITY
FUNCTIONAL TRAINING INTERVENTION
Nine apparently healthy females with at least three-weeks of CF training
experience were recruited from local CrossFit® affiliates near the Atlanta
Metropolitan area.
Protocol
 Prior to and following intervention, participants attended the Exercise
Physiology Laboratory at Kennesaw State University.
 Prior to each laboratory visit, participants were asked to avoid eating or
consuming any beverage other than water four-hours before testing.
Participants were also asked to avoid caffeine and alcohol for 12-hours
and 24-hours prior, respectively.
 Additionally, participants were asked to abstain from exercise 12-hours
before their laboratory visit.
 Descriptive data including age, sex, height (cm), and weight (kg) was
recorded before and after the 16-week intervention. Body composition
(BF%) was also analyzed using Dual-energy X-ray Absorptiometry
(DXA, iLunar; General Electric, CT).
 Training included participation in HIFT workouts with a focus on general
physical preparedness (GPP) a minimum of twice a week for 16-weeks.
HRV Analysis
 Participants underwent ten-minutes of non-stimulated rest in the supine
position to obtain beat-to-beat recording using a polar monitor strap and
Polar Team2 software (Lake Success, NY).
 Beat-to-beat recordings were transformed into a tachogram and analyzed
using online Kubios software (Version 2.2).
 The last five-minute segments of each ten-minute recording were
analyzed in the time domain of the Root Mean Square of Successive
Differences (RMSSD) and High-Frequency (HF) of the power spectrum
density.
 All recordings were visually inspected for multiple premature ventricular
complexes (PVC), any recording displaying three or more PVC’s were
discarded from the study.
Statistics
 A Shaprio-Wilks test was used to determine normality.
 A natural log (ln) transformation was used prior to statistical analysis due
to a violation of normality.
 A paired sample t-test was used to compare pre and post HRV measures.
 Alpha (α) was set at 0.05 and data is presented as means and standard
deviations (M ± SD).
METHODS
ABSTRACT
High-Intensity Functional Training (HIFT) has become popular among the
general fitness community over the last several years. A commonly known
form of HIFT is CrossFit® (CF) training, which can be described as a
functional training program of high-intensity and mixed modality. Although
popularity has increased, little empirical evidence exists in regards to the
autonomic nervous system’s (ANS) adaptation to HIFT. PURPOSE: The
purpose of this study was to examine alterations in resting vagal tone through
the measurement of heart rate variability (HRV) over a 16-week CF training
program. METHODS: Nine apparently healthy females (35.8 ± 9.25 years
old) participated in this study. On two separate occasions, pre and post 16-
weeks, participants attended the Exercise Physiology Laboratory at Kennesaw
State University in order to obtain a 10-minute resting HRV recording using
Polar Team2 monitors (Lake Success, NY). In order to quantify HRV, the last
five-minute segments of each 10-minute recording were analyzed using online
Kubios software (Version 2.2). The markers used to quantify HRV were the
time domain of the Root Mean Square of Successive Differences (RMSSD)
and the High-Frequency (HF) of the power spectrum density. RESULTS:
Data underwent a natural log transformation due to a violation of normality
and expressed as lnRMSSD and lnHF. Paired sample t-test showed no
significant differences between pre and post lnRMSSD (Pre: 3.69 ± 0.56 ms2,
Post: 3.78 ± 0.45 ms2; p = 0.501) and lnHF (Pre: 3.86 ± 0.41 ms2, Post: 3.91 ±
0.43 ms2; p = 0.760). CONCLUSION: 16-weeks of HIFT was not sufficient
enough to significantly influence markers of resting vagal tone.
INTRODUCTION
 High-Intensity Functional Training (HIFT) is an exercise method that
employs multiple energy pathways through resistance based aerobic
conditioning in relatively short duration bouts (1). Perhaps the most well
known form of HIFT is CrossFit® (CF) training, which is frequently
described as a functional training program of high-intensity and mixed
modality. The increasing prevalence of this type of programing raises
questions surrounding general physiological adaptations.
 A key system that adapts to exercise training is the autonomic nervous
system (ANS). The ANS function is believed to be directly related to
homeostatic control and recovery, predominantly through the
parasympathetic branch (vagal tone) (2). Cardiac autonomic control can be
non-invasively measured through the analysis of cardiac control (i.e., heart
rate variability). Heart rate variability (HRV) is the measurement and
analysis of the timing between consecutive beat-to-beat intervals (3). To
date, little empirical evidence exists regarding the ANS’s response to
HIFT.
 We believe that by measuring HRV prior to and following a 16-week
intervention, the effect of HIFT on vagal activity can be inferred.
Presented at the 63rd American College of Sports Medicine Annual Meeting
2 June 2016 – Boston, Massachusetts
RESULTS
 No recordings were discarded due to abnormalities.
 Participant characteristics can be seen in Table 1.
 Paired sample t-test showed no significant differences between pre and post
lnRMSSD and lnHF.
 lnRMSSD pre and post data is presented in Figure 1.
 lnHF pre and post data is presented in Figure 2.
 Based on our findings, participation in 16-weeks of HIFT was not sufficient
to significantly alter markers of vagal tone (lnRMSSD and lnHF) among this
group of females.
 Further investigation employing a larger sample size and supplemental time
points is encouraged.
CONCLUSIONS
PURPOSE
The purpose of this study was to examine alterations in resting vagal
tone through the measurement of heart rate variability (HRV) prior to
and following a 16-week HIFT program.
2.5
3
3.5
4
4.5
PRE POST
lnRMSSD
(ms)
2.5
3
3.5
4
4.5
PRE POST
lnHF
(ms2)
Figure 2
Figure 1
Intervention N Age
Height
(cm)
Weight
(kg)
BF%
PRE 9 35.8 ± 9.25 161.8 ± 9.27 61.1 ± 10.96 25.8 ± 5.51
POST 9 - - 59.9 ± 9.61 22.9 ± 4.64
Table 1
REFERENCES
1. Heinrich, K. M., et. al. (2014). High-Intensity Compared to Moderate-Intensity Training for Exercise Initiation, Enjoyment,
Adherence, and Intentions: An Intervention Study. BMC Public Health, 14(789).
2. Stanley, J, Peake, JM, and Buchheit, M. Cardiac parasympathetic reactivation following exercise: implications for training
prescription. Sports Med Auckl NZ 43: 1259-1277, 2013.
3. Malik, M. Heart Rate Variability Standards of Measurement, Physiological Interpretation, and Clinical Use. Circulation 93: 1043-
1065, 1996.

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Resting Vagal Tone Following A 16-Week High-Intensity Functional Training Intervention.

  • 1. E. Bechke, H. Mimms, W. Hoffstetter, P. Serafini, M. Smith, Y. Feito Ph.D., FACSM, B. Kliszczewicz, Ph.D. Kennesaw State University, Department of Exercise Science & Sport Management RESTING VAGAL TONE FOLLOWING A 16-WEEK HIGH-INTENSITY FUNCTIONAL TRAINING INTERVENTION Nine apparently healthy females with at least three-weeks of CF training experience were recruited from local CrossFit® affiliates near the Atlanta Metropolitan area. Protocol  Prior to and following intervention, participants attended the Exercise Physiology Laboratory at Kennesaw State University.  Prior to each laboratory visit, participants were asked to avoid eating or consuming any beverage other than water four-hours before testing. Participants were also asked to avoid caffeine and alcohol for 12-hours and 24-hours prior, respectively.  Additionally, participants were asked to abstain from exercise 12-hours before their laboratory visit.  Descriptive data including age, sex, height (cm), and weight (kg) was recorded before and after the 16-week intervention. Body composition (BF%) was also analyzed using Dual-energy X-ray Absorptiometry (DXA, iLunar; General Electric, CT).  Training included participation in HIFT workouts with a focus on general physical preparedness (GPP) a minimum of twice a week for 16-weeks. HRV Analysis  Participants underwent ten-minutes of non-stimulated rest in the supine position to obtain beat-to-beat recording using a polar monitor strap and Polar Team2 software (Lake Success, NY).  Beat-to-beat recordings were transformed into a tachogram and analyzed using online Kubios software (Version 2.2).  The last five-minute segments of each ten-minute recording were analyzed in the time domain of the Root Mean Square of Successive Differences (RMSSD) and High-Frequency (HF) of the power spectrum density.  All recordings were visually inspected for multiple premature ventricular complexes (PVC), any recording displaying three or more PVC’s were discarded from the study. Statistics  A Shaprio-Wilks test was used to determine normality.  A natural log (ln) transformation was used prior to statistical analysis due to a violation of normality.  A paired sample t-test was used to compare pre and post HRV measures.  Alpha (α) was set at 0.05 and data is presented as means and standard deviations (M ± SD). METHODS ABSTRACT High-Intensity Functional Training (HIFT) has become popular among the general fitness community over the last several years. A commonly known form of HIFT is CrossFit® (CF) training, which can be described as a functional training program of high-intensity and mixed modality. Although popularity has increased, little empirical evidence exists in regards to the autonomic nervous system’s (ANS) adaptation to HIFT. PURPOSE: The purpose of this study was to examine alterations in resting vagal tone through the measurement of heart rate variability (HRV) over a 16-week CF training program. METHODS: Nine apparently healthy females (35.8 ± 9.25 years old) participated in this study. On two separate occasions, pre and post 16- weeks, participants attended the Exercise Physiology Laboratory at Kennesaw State University in order to obtain a 10-minute resting HRV recording using Polar Team2 monitors (Lake Success, NY). In order to quantify HRV, the last five-minute segments of each 10-minute recording were analyzed using online Kubios software (Version 2.2). The markers used to quantify HRV were the time domain of the Root Mean Square of Successive Differences (RMSSD) and the High-Frequency (HF) of the power spectrum density. RESULTS: Data underwent a natural log transformation due to a violation of normality and expressed as lnRMSSD and lnHF. Paired sample t-test showed no significant differences between pre and post lnRMSSD (Pre: 3.69 ± 0.56 ms2, Post: 3.78 ± 0.45 ms2; p = 0.501) and lnHF (Pre: 3.86 ± 0.41 ms2, Post: 3.91 ± 0.43 ms2; p = 0.760). CONCLUSION: 16-weeks of HIFT was not sufficient enough to significantly influence markers of resting vagal tone. INTRODUCTION  High-Intensity Functional Training (HIFT) is an exercise method that employs multiple energy pathways through resistance based aerobic conditioning in relatively short duration bouts (1). Perhaps the most well known form of HIFT is CrossFit® (CF) training, which is frequently described as a functional training program of high-intensity and mixed modality. The increasing prevalence of this type of programing raises questions surrounding general physiological adaptations.  A key system that adapts to exercise training is the autonomic nervous system (ANS). The ANS function is believed to be directly related to homeostatic control and recovery, predominantly through the parasympathetic branch (vagal tone) (2). Cardiac autonomic control can be non-invasively measured through the analysis of cardiac control (i.e., heart rate variability). Heart rate variability (HRV) is the measurement and analysis of the timing between consecutive beat-to-beat intervals (3). To date, little empirical evidence exists regarding the ANS’s response to HIFT.  We believe that by measuring HRV prior to and following a 16-week intervention, the effect of HIFT on vagal activity can be inferred. Presented at the 63rd American College of Sports Medicine Annual Meeting 2 June 2016 – Boston, Massachusetts RESULTS  No recordings were discarded due to abnormalities.  Participant characteristics can be seen in Table 1.  Paired sample t-test showed no significant differences between pre and post lnRMSSD and lnHF.  lnRMSSD pre and post data is presented in Figure 1.  lnHF pre and post data is presented in Figure 2.  Based on our findings, participation in 16-weeks of HIFT was not sufficient to significantly alter markers of vagal tone (lnRMSSD and lnHF) among this group of females.  Further investigation employing a larger sample size and supplemental time points is encouraged. CONCLUSIONS PURPOSE The purpose of this study was to examine alterations in resting vagal tone through the measurement of heart rate variability (HRV) prior to and following a 16-week HIFT program. 2.5 3 3.5 4 4.5 PRE POST lnRMSSD (ms) 2.5 3 3.5 4 4.5 PRE POST lnHF (ms2) Figure 2 Figure 1 Intervention N Age Height (cm) Weight (kg) BF% PRE 9 35.8 ± 9.25 161.8 ± 9.27 61.1 ± 10.96 25.8 ± 5.51 POST 9 - - 59.9 ± 9.61 22.9 ± 4.64 Table 1 REFERENCES 1. Heinrich, K. M., et. al. (2014). High-Intensity Compared to Moderate-Intensity Training for Exercise Initiation, Enjoyment, Adherence, and Intentions: An Intervention Study. BMC Public Health, 14(789). 2. Stanley, J, Peake, JM, and Buchheit, M. Cardiac parasympathetic reactivation following exercise: implications for training prescription. Sports Med Auckl NZ 43: 1259-1277, 2013. 3. Malik, M. Heart Rate Variability Standards of Measurement, Physiological Interpretation, and Clinical Use. Circulation 93: 1043- 1065, 1996.

Editor's Notes

  1. Feito Comments: 04/14/2016 I would add ‘Ph.D’ to our names. If you prefer this not be there just remove the ‘FACSM’ all together. The boxes should all have the same space on all four sides – here they all look different. The text in all the boxes should be justified to fit the box – some boxes are and some are not. The bullets should all be the same – some are round others square. Pick one and stick to it. Comments: 01/28/16 Please be prepare to “defend” the reason why only females were used in this study. I would prefer bullet points in the methodology for ease of reading, but I would leave it up to what you like best. I would combine figure 1 and 2 to only one figure. You are using the same units, so they should be together. The graph should have two lines depicting each variable. Table 2 seems redundant if you have a Figure showing these data. Also, there is no need to have the number on the results if you have the figure and/or the table. Not sure what this means: “Pre and post data is presented and shows differences lnRMSSD in figure one.” The last bullet on the results section should stay even when you add the figure. Somewhere in the conclusion, we should address the fact we only looked at women. My comment in red is just a “place holder” for a statement of this nature. Comments: 02/08/16 Introduction – there is a repeated word on the second bullet. Please remove. There are three instances of HRV that are spelled out – two are capitalized and one is not (purpose statement). Decide how you want it and adjust accordingly. Protocol – Second bullet doesn’t really make sense, specially when talking about Caffeine. Protocol – I think you need to have another bullet for how you measured “body composition”. As it is now, its confusing because you talk about descriptive and then how it was measured. Height and weight were NOT measured with the DEXA. **Figure 1 – The figure needs the “Figure 1” label. I know its implied, but you mentioned it on the results sections, so you have to have the label. **Figure 1 – Also, does the y-axis need a Label? You have units in parenthesis. Is the number two need to be superscript? Conclusion – I think the first bullet is reads a little more clear written as: “Based on our findings, participation in 16-weeks of HIFT was not sufficient to significantly alter markers of vagal tone (lnRMSSD and lnHF) among this group of females.” but will let you decide. It’s not incorrect as written, but sounds as if being female (instead of males) has an impact in HRV. There is a “white box” in the methods section – under “sex”… not sure why is there… “Annual Meeting” in the date box at the end is repeated, please remove and word accordingly.