A Novel Adaptive Spectrum Noise Cancellation Approach for Enhancing Heartbeat Rate Monitoring in a Wearable Device

This paper presents a novel approach, Adaptive Spectrum Noise Cancellation (ASNC), for motion artifacts removal in Photoplethysmography (PPG) signals measured by an optical biosensor to obtain clean PPG waveforms for heartbeat rate calculation. One challenge faced by this optical sensing method is the inevitable noise induced by movement when the user is in motion, especially when the motion frequency is very close to the target heartbeat rate. The proposed ASNC utilizes the onboard accelerometer and gyroscope sensors to detect and remove the artifacts adaptively, thus obtaining accurate heartbeat rate measurement while in motion. The ASNC algorithm makes use of a commonly accepted spectrum analysis approaches in medical digital signal processing, discrete cosine transform, to carry out frequency domain analysis. Results obtained by the proposed ASNC have been compared to the classic algorithms, the adaptive threshold peak detection and adaptive noise cancellation. The mean (standard deviation) absolute error and mean relative error of heartbeat rate calculated by ASNC is 0.33 (0.57) beats·min-1 and 0.65%, by adaptive threshold peak detection algorithm is 2.29 (2.21) beats·min-1 and 8.38%, by adaptive noise cancellation algorithm is 1.70 (1.50) beats·min-1 and 2.02%. While all algorithms performed well with both simulated PPG data and clean PPG data collected from our Verity device in situations free of motion artifacts, ASNC provided better accuracy when motion artifacts increase, especially when motion frequency is very close to the heartbeat rate

Effects of creatine monohydrate supplementation on simulated soccer performance

Purpose: To determine the effects of acute short-term creatine (Cr) supplementation on physical performance during a 90-min soccer-specific performance test. Methods: A double-blind, placebo-controlled experimental design was adopted during which 16 male amateur soccer players were required to consume 20 g/d Cr for 7 d or a placebo. A Ball-Sport Endurance and Speed Test (BEAST) comprising measures of aerobic (circuit time), speed (12- and 20-m sprint), and explosive-power (vertical jump) abilities performed over 90 min was performed presupplementation and postsupplementation. Results: Performance measures during the BEAST deteriorated during the second half relative to the first for both Cr (1.2–2.3%) and placebo (1.0–2.2%) groups, indicating a fatigue effect associated with the BEAST. However, no significant differences existed between groups, suggesting that Cr had no performance-enhancing effect or ability to offset fatigue. When effect sizes were considered, some measures (12-m sprint, –0.53 ± 0.69; 20-m sprint, –0.39 ± 0.59) showed a negative tendency, indicating chances of harm were greater than chances of benefit. Conclusions: Acute short-term Cr supplementation has no beneficial effect on physical measures obtained during a 90-min soccer-simulation test, thus bringing into question its potential as an effective ergogenic aid for soccer players

Combining internal- and external-training-load measures in professional rugby league

Purpose: This study investigated the effect of training mode on the relationships between measures of training load in professional rugby league players. Methods: Five measures of training load (internal: individualized training impulse, session rating of perceived exertion; external—body load, high-speed distance, total impacts) were collected from 17 professional male rugby league players over the course of two 12-week pre-season periods. Training was categorized by mode (small-sided games, conditioning, skills, speed, strongman, and wrestle) and subsequently subjected to a principal component analysis. Extraction criteria were set at an eigenvalue of greater than one. Modes that extracted more than one principal component were subjected to a varimax rotation. Results: Small-sided games and conditioning extracted one principal component, explaining 68% and 52% of the variance, respectively. Skills, wrestle, strongman, and speed extracted two principal components explaining 68%, 71%, 72%, and 67% of the variance respectively. Conclusions: In certain training modes the inclusion of both internal and external training load measures explained a greater proportion of the variance than any one individual measure. This would suggest that in those training modes where two principal components were identified, the use of only a single internal or external training load measure could potentially lead to an underestimation of the training dose. Consequently, a combination of internal and external load measures is required during certain training modes

Using microtechnology to evaluate the between and within match variability of professional Twenty20 cricket fast bowlers

This study assessed the between- and within-match variability of external training load measures during two consecutive Twenty20 cricket seasons in professional fast bowlers. Global positioning system (GPS) and accelerometer data (PlayerLoad™) were collected from eight fast bowlers in 17 matches of domestic Twenty20 competition. Using GPS-accelerometry systems the variables selected for analysis were; total distance, low speed running distance (≤14.4 km.h-1), high-speed running distance (≥14.4 km.h-1), total sprint distance (≥18 km.h-1), number of sprint efforts (n), peak speed (km.h-1) and PlayerLoad™ (arbitrary units; AU). These variables were further categorised into specific reference periods; between-match (overall and bowling only) and within-match (between-over). Data were log transformed and the coefficient of variation (CV) and between-subject standard deviation determined (both expressed as percentages). The data shows that between-match variability was greatest in high-speed running distance (32.9% CV), total sprint distance (49.0% CV) and number of sprint efforts (48.0% CV). Similarly, within-match between-over data was greatest in high-speed running distance (12.8% CV), total sprint distance (17.1% CV) and number of sprint efforts (12.3% CV), yet this variability was markedly reduced compared to between-match observations. The results show that global measures of external training load (total distance and PlayerLoad™; 5.5-13.3% CV) are relatively stable, yet high-speed locomotive activities exhibit a larger degree of variability both between- and within-match. These findings have importance for practitioners, who seek to facilitate performance by informed training prescription based on replicating match demands

The dose-response relationship between training load and aerobic fitness in academy rugby union players

© 2018 Human Kinetics, Inc. Purpose: To identify the dose-response relationship between measures of training load (TL) and changes in aerobic fitness in academy rugby union players. Method: Training data from 10 academy rugby union players were collected during a 6-wk in-season period. Participants completed a lactate-threshold test that was used to assess VO 2 max, velocity at VO 2 max, velocity at 2 mmol/L (lactate threshold), and velocity at 4 mmol/L (onset of lactate accumulation; vOBLA) as measures of aerobic fitness. Internal-TL measures calculated were Banister training impulse (bTRIMP), Edwards TRIMP, Lucia TRIMP, individualized TRIMP (iTRIMP), and session RPE (sRPE). External-TL measures calculated were total distance, PlayerLoad™, high-speed distance > 15 km/h, very-high-speed distance > 18 km/h, and individualized high-speed distance based on each player’s vOBLA. Results: A second-order-regression (quadratic) analysis found that bTRIMP (R 2 = .78, P = .005) explained 78% of the variance and iTRIMP (R 2 = .55, P = .063) explained 55% of the variance in changes in VO 2 max. All other HR-based internal-TL measures and sRPE explained less than 40% of variance with fitness changes. External TL explained less than 42% of variance with fitness changes. Conclusions: In rugby players, bTRIMP and iTRIMP display a curvilinear dose-response relationship with changes in maximal aerobic fitness

Effectiveness of short-term heat acclimation on intermittent exercise in thermoneutral and hot environments

It is well-established that repetition of heat stress exposure has been shown to facilitate adaptations to the heat but these protocols have tended to be of a fixed work intensity, continuous exercise, long-term in duration (>7 days) and use hydration. Secondly, there is limited information on the potential use of heat acclimation as a training method for human performance in thermoneutral conditions. Therefore, the aims of this study were to investigate the effectiveness of short-term heat acclimation (STHA) for 5 days, using the controlled hyperthermia technique with dehydration, on intermittent exercise in thermoneutral and hot environments

The validity of external: internal training load ratios in rested and fatigued soccer players

Purpose: To examine the relationship of external:internal training load ratios with fitness and assess the impact of fatigue. Method: Ten soccer players performed a lactate threshold test followed by two soccer simulations (BEAST90mod ) 48 h apart. Recovery (TQR) and muscle soreness (DOMS) was measured before each trial. Internal Training load (TL) (iTRIMP) and external load total distance (TD), high intensity distance (HID), PlayerLoad™ (PL) mean metabolic power (MMP) high metabolic power distance (HP) were collected for each trial and external:internal ratios produced. The relationships between ratios and velocity at lactate threshold (vLT) and velocity at Onset of Blood Lactate Accumulation (vOBLA) were examined in both trials along with changes in ratios. Results: Total Quality of Recovery and DOMS showed large changes. There were trivial to large decreases in TL from trial 1 to 2. Moderate increases in ratios for TD:iTRIMP, PL:iTRIMP and MMP:iTRIMP were seen but only small/trivial for HP:iTRIMP and HID:iTRIMP. In rested conditions all ratios show large relationships with vLT and vOBLA. However vLT vs. HID:iTRIMP; PL:iTRIMP; HP:iTRIMP and vOBLA vs. TD:iTRIMP; PL:iTRIMP; MMP:iTRIMP became weaker under fatigue. Conclusions: Acute changes in the ratios have implications forthe use of ratios as fitness measures but also as indicators of fatigue

Insufficient exercise intensity for clinical benefit? Monitoring and quantification of a community-based Phase III cardiac rehabilitation programme: A United Kingdom perspective.

Background: In recent years, criticism of the percentage range approach for individualised exercise prescription has intensified and we were concerned that sub-optimal exercise dose (especially intensity) may be in part responsible for the variability in the effectiveness of cardiac rehabilitation (CR) programmes in the United Kingdom (UK). The aim was to investigate the fidelity of a structured Phase III CR programme, by monitoring and quantifying exercise training intensity. Design: Observational study. Methods: The programme comprised 16 sessions over 8 weeks, where patients undertook an interval, circuit training approach within national guidelines for exercise prescription (40-70% heart rate reserve [HRR]). All patients wore an Apple Watch (Series 0 or 2, Watch OS2.0.1, Apple Inc., California, USA). We compared the mean % heart rate reserve (%HRR) achieved during the cardiovascular training component (%HRR-CV) of a circuit-based programme, with the %HRR during the active recovery phases (%HRR-AR) in a randomly selected cohort of patients attending standard CR. We then compared the mean %HRR-CV achieved with the minimal exercise intensity threshold during supervised exercise (40% HRR) recommended by national governing bodies. Results: Thirty cardiac patients (83% male; mean age [SD] 67 [10] years; BMI 28.3 [4.6] kg∙m-2 ) were recruited. We captured 332 individual training sessions. The mean %HRR-CV and %HRR-AR were 37 (10) %, and 31 (13) %, respectively. There was weak evidence to support the alternative hypothesis of a difference between the %HRR-CV and 40% HRR. There was very strong evidence to accept the alternative hypothesis that the mean %HRR-AR was lower than the mean %HRR-CV (median standardised effect size 1.1 (95%CI: 0.563 to 1.669) with a moderate to large effect. Conclusion: Mean exercise training intensity was below the lower limit of the minimal training intensity guidelines for a Phase III CR programme. These findings may be in part responsible for previous reports highlighting the significant variability in effectiveness of UK CR services and poor CRF improvements observed from several prior investigations

Agreement and relationship between measures of absolute and relative intensity during walking: a systematic review with meta-regression

IntroductionA metabolic equivalent (MET) is one of the most common methods used to objectively quantify physical activity intensity. Although the MET provides an ‘objective’ measure, it does not account for inter-individual differences in cardiorespiratory fitness. In contrast, ‘relative’ measures of physical activity intensity, such as heart rate reserve (HRR), do account for cardiorespiratory fitness. The purpose of this systematic review with meta-regression was to compare measures of absolute and relative physical activity intensity collected during walking.MethodsA systematic search of four databases (SPORTDiscus, Medline, Academic Search Premier and CINAHL) was completed. Keyword searches were: (i) step* OR walk* OR strid* OR "physical activity"; (ii) absolute OR “absolute intensity” OR mets OR metabolic equivalent OR actigraph* OR acceleromet*; (iii) relative OR “relative intensity” OR "heart rate" OR "heart rate reserve" OR “VO2 reserve” OR VO2* OR “VO2 uptake” OR HRmax* OR metmax. Categories (i) to (iii) were combined using ‘AND;’ with studies related to running excluded. A Bayesian regression was conducted to quantify the relationship between METs and %HRR, with Bayesian logistic regression conducted to examine the classification agreement between methods. A modified Downs and Black scale incorporating 13 questions relative to cross-sectional study design was used to assess quality and risk of bias in all included studies.ResultsA total of 15 papers were included in the systematic review. A comparison of means between absolute (METs) and relative (%HRR, %HRmax, %VO2R, %VO2max, HRindex) values in 8 studies identified agreement in how intensity was classified (light, moderate or vigorous) in 60% of the trials. We received raw data from three authors, incorporating 3 studies and 290 participants. A Bayesian random intercept logistic regression was conducted to examine the agreement between relative and absolute intensity, showing agreement in 43% of all trials. Two studies had identical relative variables (%HRR) totalling 240 participants included in the Bayesian random intercept regression. The best performing model was a log-log regression, which showed that for every 1% increase in METs, %HRR increased by 1.12% (95% CI: 1.10–1.14). Specifically, the model predicts at the lower bound of absolute moderate intensity (3 METs), %HRR was estimated to be 33% (95%CI: 18–57) and at vigorous intensity (6 METs) %HRR was estimated to be 71% (38–100).ConclusionThis study highlights the discrepancies between absolute and relative measures of physical activity intensity during walking with large disagreement observed between methods and large variation in %HRR at a given MET. Consequently, health professionals should be aware of this lack of agreement between absolute and relative measures. Moreover, if we are to move towards a more individualised approach to exercise prescription and monitoring as advocated, relative intensity could be more highly prioritised