Enjoy this great podcast from Debbie Potts and Ronda Collier. For a brief overview, read below:
“Was it Socrates or Michael Jackson who said “Keep on with the force, don’t stop. Don’t stop ’til you get enough”? Regardless, that’s the way Jon thinks about testing Heart Rate Variability. You can’t get enough of it! You see, testing HRV might be one of the most accurate and powerful biofeedback devices you can do in the comfort and privacy of your own home. HRV tells you so much about your autonomic nervous system which in turn tells you how your body is regulating heart rate, blood pressure, respiration, cortisol production and so much more. Understanding your autonomic nervous system is key to understanding a whole host of health parameters and HRV is the window into that. Debbie sits down in this episode to talk all about HRV testing with Rhonda Collier, founder of Sweetwater Health and the Sweetbeat App which is pretty much the industry standard for testing HRV. There’s a ton of great information….enjoy!
Below is a short explanation of the podcast and a link to listen!
“Expert Ronda Collier, CEO and co-founder of SweetWater Health and the SweetBeat app, joins the show to give a detailed chat on heart rate variability (HRV) and how to understand it, use it for training, use it to monitor and lower stress and more. On the show we explain what HRV actually is and what it measures, including details on the nervous system, the components of HRV and stress including high-frequency waves, low-frequency waves, rMSSD, and how to make sense of and interpret those. We also discuss what numbers are “good” and “bad” and what you want to see based on age/gender, when to measure HRV, how athletes can use it for their training programs, stress vs. HRV on the SweetBeat app, psychological components to HRV, other HRV apps available what you need to get started with HRV, and much more including a couple specific questions from listeners.”
This is an excerpt taken from the article mentioned above by Ben Greenfield, in which he has used SweetBeat to monitor his training and recovery. He goes over a little bit of background information about heart rate and heart rate variability. Followed up by some very interesting graphs from his personal sessions.
First, I’m going to explain HRV to you, and then I’ll tell you the best way to track your HRV.
The origin of your heartbeat is located in what is called a “node” of your heart, in this case, something called the sino-atrial (SA) node. In your SA node, cells in your heart continuously generate an electrical impulse that spreads throughout your entire heart muscle and causes a contraction (Levy).
Generally, your SA node will generate a certain number of these electrical impulses per minute, which is how many times your heart will beat per minute. Below is a graphic of how your SA node initiates the electrical impulse that causes a contraction to propagate from through the Right Atrium (RA) and Right Ventricle (RV) to the Left Atrium (LA) and Left Ventricle (LV) of your heart.
So where does HRV fit into this equation?
Here’s how: Your SA node activity, heart rate and rhythm are largely under the control of your autonomic nervous system, which is split into two branches, your “rest and digest” parasympathetic nervous system and your “fight and flight” sympathetic nervous system.
Your parasympathetic nervous system (“rest-and-digest”) influences heart rate via the release of a compound called acetylcholine by your vagus nerve, which can inhibit activation of SA node activity and decrease heart rate variability.
In contrast, your sympathetic nervous system (“fight-and-flight”) influences heart rate by release of epinephrine and norepinephrine, and generally increases activation of the SA node and increases heart rate variability.
If you’re well rested, haven’t been training excessively and aren’t in a state of over-reaching, your parasympathetic nervous system interacts cooperatively with your sympathetic nervous system to produce responses in your heart rate variability to respiration, temperature, blood pressure, stress, etc (Perini). And as a result, you tend to have really nice, consistent and high HRV values, which are typically measured on a 0-100 scale. The higher the HRV, the better your score.
But if you’re not well rested (over-reached or under-recovered), the normally healthy beat-to-beat variation in your heart rhythm begins to diminish. While normal variability would indicate sympathetic and parasympathetic nervous system balance, and a proper regulation of your heartbeat by your nervous system, it can certainly be a serious issue if you see abnormal variability – such as consistently low HRV values (e.g. below 60) or HRV values that tend to jump around a lot from day-to-day (70 one day, 90 another day, 60 the next day, etc.).
In other words, these issues would indicate that the delicate see-saw balance of your sympathetic and parasympathetic nervous system no longer works.
In a strength or speed athlete, or someone who is overdoing things from an intensity standpoint, you typically see more sympathetic nervous system overtraining, and a highly variable HRV (a heart rate variability number that bounces around from day to day).
In contrast, in endurance athletes or people who are overdoing things with too much long, slow, chronic cardio, you typically see more parasympathetic nervous system overtraining, and a consistently low HRV value (Mourot).
In my own case, as I’ve neared the finish of my build to any big triathlon, I’ve noticed consistently low HRV scores – indicating I am nearing an overreached status and my parasympathetic, aerobically trained nervous system is getting “overcooked”. And in the off-season, when I do more weight training and high intensity cardio or sprint sports, I’ve noticed more of the highly variable HRV issues. In either case case, recovery of a taxed nervous system can be fixed by training less, decreasing volume, or decreasing intensity – supercompensation, right?
But wait – we’re not done yet! HRV can get even more complex than simply a 0-100 number.
For example, when using an HRV tracking tool, you can also track your nervous system’s LF (low frequency) and HF (high frequency) power levels. This is important to track for a couple of reasons:
-Higher power in LF and HF represents greater flexibility and a very robust nervous system.
-Sedentary people have numbers in the low 100’s (100-300) or even lower, fit and active people are around 900 – 1800 and so on as fitness and health improve.
Tracking LF and HF together can really illustrate the balance in your nervous system. In general, you want the two to be relatively close. When they are not, it may indicate that the body is in deeply rested state with too much parasympathetic nervous system activation (HF is high) or in a stressed state with too much sympathetic nervous system activation (LF is high). Confused as I was when I first learned about this stuff? Then listen to this podcast interview I did with a heart rate variability testing company called Sweetbeat. It will really elucidate this whole frequency thing for you.
So how the heck do you test HRV?
When it comes to self quantification, there are a ton of devices out there for tracking HRV (and hours of sleep, heart rate, pulse oximetry, perspiration, respiration, calories burnt, steps taken, distance traveled and more).
For example, there is one popular device called the “emWave2″, which seems like it is the ost popular heart rate variability tracking device among biohackers. The emWave2 is a biofeedback device that trains you to change your heart rhythm pattern to facilitate a state of coherence and enter “the zone.”
Basically, when you use the emWave2 a few minutes a day, it can teach you how to transform feelings of anger, anxiety or frustration into peace and clarity. It actually comes with software that you run on your computer which teaches you how to do this. But the emWave2 is kinda big, and you certainly can’t place it discreetly in your pocket or take it with you on a run – although they have just developed a phone app called “Inner Balance” that can allow for a bit more portability and ease-of-use, albeit with less biofeedback potential.
Then there are devices such as the Tinke. A small, colored square with two round sensors, the Tinke, made by a company called Zensorium, is designed to measure heart rate, respiratory rate, blood oxygen level, and heart rate variability over time. Every time you measure, it gives you your “Zen” score and your “Vita” score, and you can simply use a measurement like this every morning to see how ready your body is for the rigors of training.
All you need to do is attach the Tinke to your iPhone, and then place your thumb over the sensors so the Tinke can measure cardiorespiratory levels. Tinke captures blood volume changes from the fingertip using optical sensing and signal processing. It takes about sixty seconds to measure all the parameters you need, from you stress level to your breathing and more.
You can use the Tinke anytime, anywhere, and it’s designed primarily to encourage deep breathing exercises in order to promote relaxation and alleviate stress levels. While it’s not a medical device, it can assist in stress relief and recovery when you combine it with regular deep breathing exercises, and I’ll admit that as a self-proclaimed biohacker I am addicted to playing with my Tinke every morning (which almost sounds a bit perverted to say).
Then there are simple apps that simply use the lens of your phone camera to check your heart rate or heart rate variability, or even teach you how to breathe properly. The Azumio Stress Check App is a perfect example of that. It’s not incredibly accurate, but it’s inexpensive and a good way to start.
Of course, there are also wearable body monitoring units you can clip to your body throughout the day, such as the Jawbone UP and FitBit, which measure sleep, movement and calories, but won’t measure heart rate, pulse oximetry, or heart rate variability – so I don’t consider these to be ideal recovery monitoring devices per se. Finally, there are wristwatch-like units that are getting fancier, such as the new MyBasis watch, which is a multi-sensor device that continuously measures motion, perspiration, and skin temperature, as well as heart rate patterns throughout the day and night – but once again, this device doesn’t measure things like heart rate variability and pulse oximetry (although there is a similar device under development called a MyBoBo which may offer these measurements).
And while I’ve experimented with a variety of heart rate chest strap style measurement tools, include the Bioforce and Omegawave, my top recommendation for measuring your heart rate variability is the SweetBeat system, and this is what I personally use every day to track HRV. I like the SweetBeat because it’s easy-to-use, intuitive, allows you to track your heart rate variability in real time (such as when you’re out on a run or working at your office) and is also something you can use with meals to test food sensitivities by tracking heart rate response to foods.
Here are some sample charts of what kind of measurements and fluctuations you might see when measuring HRV, HF and LF, taken during the time that both my lifestyle and exercise stress significantly increased as I approached a big race (for a more detailed explanation of the charts below, read this blog post):
Bluetooth is a wonderful invention. It enhances the mobility of the athlete, who no longer has to mess with wires while working out. It’s also a boon to the person who likes to garden or do other chores while listening to music. (I know one gentleman who bought Bluetooth headphones because he liked to garden while listening to music and snipped his wires with the garden shears once too many times.)
But when it comes to heart rate variability, not all Bluetooth is created equal. When SweetWater Health came out with our Bluetooth-compatible version of SweetBeat™, we tested several BT sensors to assure accuracy. Heart rate requires a lower sampling rate, and all sensors performed well for heart rate detection. But HRV requires a more frequent sampling rate to be accurate, which is why the iPhone camera sensor, at 30 frames per second, cannot deliver accurate HRV data.
You can use any Bluetooth v4.0 low-energy heart rate monitor with SweetBeat, including 60Beat and newer Polar H7 models with the iPhone 4S, 5, iPad 3 and newer iPod Touch 5 devices—with one exception. You cannot use Wahoo Blue HR. It’s fine for heart rate, but is not suitable for heart rate variability. This is noted in the app store description of SweetBeat.
We’re sorry for any inconvenience this may cause our Wahoo Blue HR owners. We have worked closely with Wahoo on this issue, but as of this writing, the technical issues have not yet been resolved.
Diabetic neuropathy is one of the most hideous symptoms of a devastating disease, and can result in loss of limbs and eyesight, debilitating pain—and even death. I’m about to ask a favor of anyone reading this who is diabetic, but first, a brief description of diabetic neuropathy for those who haven’t already learned about it.
There are various kinds of neuropathies, or damage to the nervous system, that can result from diabetes. In diabetes, neuropathies are believed to be caused by long-term exposure of the nerve cells to high blood glucose and possibly by low levels of insulin.[1] Symptoms of neuropathies depend on the type of nerve damage:
Peripheral neuropathies, the most common, cause pain or numbness in toes, feet, legs, hands, arms, or fingers.
Diabetic autonomic neuropathy (DAN) affects the autonomic nervous system and may cause changes in digestion, bowel or bladder function, sexual response and perspiration.
Cardiovascular autonomic neuropathy (CAN), one of the most serious versions, damages the nerve fibers that control the heart and blood vessels, resulting in cardiovascular disease.[2]
Proximal neuropathy causes pain in the thighs, hips or buttocks and leads to weakness in the legs.
Focal neuropathy results in the sudden weakness of one nerve or group of nerves, causing pain or weakness in that area. While painful, focal neuropathy usually does not lead to more severe, long-term problems.[3]
The most insidious aspect of diabetic neuropathy is that by the time you experience symptoms, the nerve damage is already done. Various therapies are available for treating the symptoms and slowing nerve damage, but the best of all approaches is PREVENTION. The best prevention is keeping blood sugar under control, but as the nerve damage often takes place long before you notice symptoms, wouldn’t it be great if there were some way to detect the onset of neuropathy before damage has been done?
While neuropathy testing has been added to the treatment recommendations of the American Diabetes Association, testing for diabetic neuropathy is usually not a part of your annual or biannual visit to the doctor. (If it is, we applaud your physician!) Neuropathy is usually diagnosed after you have developed symptoms—by which time, it is too late to reverse the damage; it can only be managed.
There is, however, a way to test for diabetic neuropathy that is non-invasive, not painful, and easy. Heart rate variability (HRV) can be used to identify nerve damage in very early stages, which would allow diabetic patients to seek help from their physicians before greater damage has occurred. (For an explanation of HRV, download our whitepaper on HRV or see the article on HRV in Wikipedia.)
SweetWater Health is working on an iPhone app that would allow diabetics to test themselves at home as often as desired (though twice a year is usually sufficient). The app would require the purchase of a compatible heart rate monitor such as athletes use, usually priced under $100. You would perform three simple physical exercises while wearing the monitor and the app will tell you if you are experiencing damage to your nervous system.
Now for the favor. If you are diabetic and are interested in the development of such an app, please go to http://www.sweetwaterhrv.com/dan.php and let us know. Your input will help us by letting us know there is a genuine need and desire for such a product. You can also sign up for more information about the product and volunteer to be a beta tester if you want.
Sincere thanks for taking the time to help us help you!
In “The Willpower Instinct,” by Stanford University psychology instructor Kelly McGonigal, she defines willpower as composed of three parts: “I Will, I Won’t and I Want.” These three functions reside in the prefrontal cortex of the brain—something we humans have more of than most other animals.
“I Will” is the function that allows you to get things done, even if they are hard. “I Won’t” is the function that prevents you from eating something unhealthy or spending more money than you should. “I Want” is the function that tells you what you desire—what you really desire. So when your sweet tooth is screaming at you to drink a chocolate frappucino, “I Want” can remind you that what you really desire is losing 15 pounds. These three elements combine to create what we call willpower—the ability to control impulses that tempt us to do things that may not be in our best interests.
Our willpower is often at odds with our impulsive self, rooted in a deeper, more primitive part of the brain. We still need that older, less sophisticated system because it also provides us with valuable instincts such as fear and disgust that work to keep us safe and healthy. But our baser selves are always urging us to act on impulse, so it’s a pretty constant struggle.
Fortunately, there’s an easy way to increase willpower, according to McGonigal: meditation. Dr. McGonigal is a scientist, not a Buddhist nun or new-age guru, and she backs up her assertions with scientific evidence.
The enemy of impulse is mindfulness: being present and aware of what you are doing and which decisions you are making at all times. A lot of poor decisions can be made while you are thinking about something else. For example, how many times have you suddenly come to the realization during a meal that you have eaten more than you intended, or eaten something that you shouldn’t have? Maybe you were reading a book or talking to a friend, and “didn’t notice”. That was your impulsive self, slipping one over on the prefrontal cortex while you were distracted. When you are fully aware of your decisions, you are more likely to make the right ones.
Meditation improves mindfulness. Neuroscientist have discovered that meditation trains the brain to become better at self-control, including “attention, focus, stress management, impulse control, and self-awareness,” according to McGonigal’s book. Just three hours of meditation practice led to an increase in these benefits, and after 11 hours, novice meditators increased the neural connections needed for focus and impulse control. Eight weeks of daily meditation increased the gray matter of the prefrontal cortex and led to increased self-awareness, or mindfulness in the individuals studied.
Meditation is easy, and does not necessarily involve spiritual seeking or levitation, or any of those other weird things you sometimes hear about. It is a matter of setting aside a period of time to sit and be quiet (including the inner voice we always hear). Be quiet, don’t fidget, and focus on something neutral, like breathing. It isn’t necessary to turn off that inner voice entirely; just notice that you have become distracted, and return to your focus on breathing. Start with five minutes and work up to a longer period. Even distracted meditation is better than none and will have positive benefits, so don’t get discouraged.
For excellent and simple instruction on how to meditate, see page 26 of McGonigal’s book, “The Willpower Instinct”. There are also several meditation resources online—try Googling “how to meditate” and you’ll find something that works for you.
“Up to 60% of the population can be affected by hidden food sensitivities …that can cause symptoms like weight gain.”—Dr. Mark Hyman, speaking to Dr. Mehmet Oz in “Are Food Allergies Making You Fat? Part 1”
Maybe you’ve tried dieting and exercise, but nothing works. Perhaps you’ve tried weight-loss groups and paid for the privilege. Maybe you tried Atkins, South Beach, The Zone, Pritikin, Jenny Craig–and nothing works.
Maybe it’s not your fault. Maybe you have undiscovered food sensitivities. We’re not talking about allergies, where you might get hives, migraine, nausea, or worse. Food sensitivities can go undetected forever because the symptoms may not be obvious.
When you eat a food to which you are sensitive, the body reacts as it does to any stressor; it releases stress hormones. Stress hormones cause inflammation in the body that short-circuits the body’s insulin response, causing two problems:
Fat gets released into the bloodstream, an underlying cause of hypertension, type 2 diabetes and heart disease.
Glucose in the blood gets stored as fat, and your stressed body is determined to hold on to every precious gram of fat as long as it can.
Now there is a way to test yourself for food sensitivities easily and non-obtrusively with the new version of SweetBeat™, the iPhone app from SweetWater Health, LLC. The test is a pulse test originally developed by immunologist Dr. Arthur F. Coca, who found that when a person eats a food to which he or she is sensitive, the pulse accelerates at least 16 beats per minute over the average resting rate.
With the new camera sensor included in the new version of SweetBeat, you take your pulse first thing in the morning, then right before eating and another three times after eating. (And a final one at night when you go to bed.) If you wear a chest strap monitor instead of using the camera sensor, the testing occurs automatically after you have recorded a meal.
If you have eaten something to which you are sensitive, your meal is given a red “X.” If you ate no offending foods, your meal receives a green check mark. In the event that you discover a red “X,” you will need to test different components of the meal to see what caused the problem—and then you can get rid of the stuff that’s making you fat.
It turns out that stress also causes inflammation, with the same distressing effect on your waistline. The original function of SweetBeat was to monitor and manage stress—and all those features are still included in the new SweetBeat (along with some nifty new features such as heart rate recovery and some cool graphs). The two features—stress management and testing for food sensitivities—are designed to help you lower major causes of inflammation—and assist you in losing those extra pounds.
The new SweetBeat is available in the Apple App Store now for $4.99. Users who have already purchased SweetBeat can upgrade for free.
Here’s our press release that went out today:
October 4, 2012—Los Gatos, CA—A new weight-loss feature has been included in the new, upgraded version of SweetBeat, originally released last February as a stress detection and management app. The dual-purpose app can help people manage food sensitivities, willpower, stamina, resilience, stress and heart rate variability with in-app graphs. The new and improved SweetBeat, from SweetWater Health LLC, is available now from the Apple iTunes Store for $4.99. People who have already purchased SweetBeat can upgrade to the new version for free. The new version of SweetBeat is compatible with the iPhone 4, 4S, and 5. Future versions will be compatible with Android phones.
“Stress management is an important component of a weight-loss program,” said Ronda Collier, the CEO of SweetWater Health and SweetBeat’s developer. “Stress releases hormones such as cortisol that can signal the body to retain fat or even cause fat cells to grow. Combining stress management and weight loss in a single app makes perfect sense.”
SweetBeat offers clinical-grade heart rate variability biofeedback for stress monitoring and management, and now offers a food sensitivity test using a methodology developed by immunologist Dr. Arthur F. Coca. According to Dr. Coca, foods to which the body is sensitive will elevate the heart rate by sixteen beats per minute or more.[1] SweetBeat allows users to measure their hearts’ reactions to different foods and eliminate inflammation by dropping incompatible foods from their diets.
How the Food Sensitivity Test Works
Food sensitivities are a reaction from the immune system or a result of the body’s lack of proper enzymes to digest foods. When the body reacts to a food, it sends out inflammatory messenger proteins, cortisol and adrenaline, to tag the food particles for removal. This sets up a cascade of events, creating low-level inflammation that can affect the body in a number of ways. For example, low-level inflammation may affect the gastrointestinal tract, resulting in impaired digestion, it may cause sore joints or headaches, and it can prevent weight loss. A person with low-level inflammation may never notice the symptoms, or may not connect them with the foods he or she has eaten. By eliminating inflammation caused by food sensitivities, users should find losing weight less difficult. To use the food sensitivity test, a user must first take a morning reading of the pulse to establish a baseline for the day. Before eating a meal, the user records the foods comprising the next meal and performs a pulse test. After the user is finished eating, the app will prompt users to record their heart rates every 30 minutes until 90 minutes have passed. Once testing is complete, the meal will either pass or fail for food sensitivity, indicated by a red “X” or a green checkmark.
The new feature comes with a camera sensor for taking quick and easy heart rate measurements. While customers can also use one of the affordable heart rate monitors compatible with SweetBeat, the camera sensor is a convenient way for consumers to adopt the food sensitivity test into their everyday life. Using the camera sensor merely requires holding the tip of one’s index finger over the iPhone camera lens and flash.
New SweetBeat Features
SweetBeat has been updated with several new measurements based on heart rate variability. Using a compatible heart rate monitor, the user can now measure willpower and resilience. At the end of an exercise session, the user can also measure stamina through heart rate recovery. This is helpful to those who want to see how quickly the heart recovers its normal resting rate. The faster the heart recovers, the greater the stamina.
Users can now view their sessions over time to see specific trends in heart rate variability, stress or heart rate. The monitor screen with heart rate variability and stress management, the breath pacer, and the sensitivity and personality settings are still available in the upgraded version.
The calendar is available to registered users through the secure and private MySweetBeat page on SweetWater Health’s website. For more detail on using SweetBeat’s weight-loss feature, please download our whitepaper: “Five Easy Steps to Weight Loss.”