Heart Rate Variability during Night Sleep and after Awakening in Overtrained Athletes

HYNYNEN, ESA1; UUSITALO, ARJA2,4; KONTTINEN, NIILO1; RUSKO, HEIKKI1,3

Medicine & Science in Sports & Exercise: February 2006 - Volume 38 - Issue 2 - pp 313-317
doi: 10.1249/01.mss.0000184631.27641.b5
BASIC SCIENCES: Original Investigations

Purpose: This study was conducted to test the hypothesis of autonomic imbalance in overtrained athletes during sleep and after awakening with analyses of heart rate variability (HRV) and nocturnal urine stress hormones.

Methods: We examined 12 athletes diagnosed to be severely overtrained (OA, 6 men and 6 women, mean age (±SD) 25 ± 7 yr) and 12 control athletes (CA, 6 men and 6 women, mean age 24 ± 5 yr). Overtraining diagnosis was further supported by higher perceived stress in OA than in CA (24.8 ± 10.8 vs 15.3 ± 5.5, P < 0.05). HRV was analyzed with time and frequency domain methods from RR intervals (RRI) recorded during sleep and after awakening. Nocturnal urine stress hormones were analyzed by liquid chromatography.

Results: No differences were found in HRV or stress hormones during night sleep. After awakening, the standard deviation of RRI (84 ± 31 vs 116 ± 41 ms, P < 0.05) and low-frequency power of RRI (2153 ± 2232 vs 4286 ± 2904 ms2, P < 0.05) were lower in OA than in CA. From sleep to after awakening, the coefficient of variation of RRI decreased more in OA than in CA (from 11.8 ± 3.3 to 7.7 ± 2.5%, P < 0.001 vs from 11.9 ± 1.8 to 10.0 ± 2.5%, P < 0.01, respectively, interaction P < 0.05).

Conclusion: The present findings suggest that in OA, cardiac autonomic modulation is at the level of control athletes during sleep, but the parasympathetic cardiac modulation is slightly diminished after awakening. Further investigations should concentrate on autonomic responses to different challenges, such as awakening in the present study.

1KIHU-Research Institute for Olympic Sports, Jyväskylä, FINLAND; 2Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, FINLAND; 3Department of Biology of Physical Activity, University of Jyväskylä, Jyväskylä, FINLAND; and 4Central Finland Health Care District, Clinical Physiology and Nuclear Medicine, Jyväskylä, FINLAND

Address for correspondence: Esa Hynynen, KIHU-Research Institute forOlympic Sports, Rautpohjankatu 6, FI-40700 Jyväskylä, Finland; Email: esa.hynynen@kihu.fi.

Submitted for publication January 2005.

Accepted for publication August 2005.

©2006The American College of Sports Medicine