The ability to measure free-living and activity-specific energy expenditure (EE) is useful for a variety of purposes. Heart rate variability (HRV) monitoring is emerging as a means for estimating EE and other physiological measures. The purpose of this study was to assess the accuracy of HRV-derived EE across a range of physical intensities and during free-living. Participants (n=30) completed two treadmill tests (walk and VO2max) measuring EE via Indirect Calorimetry (IC) and with the FirstBeat Bodyguard HRV monitor. Participants also wore the HRV monitors continuously for four consecutive days under free-living conditions. During the walk test, HRV-EE estimates across analysis conditions correlated moderately with IC estimates of EE (r=0.60-0.75; p<0.05). During VO2max testing, HRV-EE estimates across analysis conditions correlated strongly with IC estimates of EE with (r=0.85-0.98; p<0.05). During free-living conditions, daily average and 4-day total HRV-EE estimates across all analysis conditions correlated strongly (r=0.75-0.98; p<0.05). HRV-EE estimation improves as activity-intensity increases. HRV-EE estimates improve further with the addition of IC-measured HRmax and VO2max, particularly at low intensities; however, meaningful differences were not seen between values when considering group means. HRV-EE estimates are sufficiently accurate to indicate this method possesses practical utility and may be used for individual EE monitoring.
Keywords:
Heart Rate Variability, Indirect Calorimetry, Maximum Heart Rate, VO2max, Activity Intensity