Physical activity, body mass index and heart rate variability-based stress and recovery in 16 275 Finnish employees: a cross-sectional study.

BACKGROUND: Physical inactivity, overweight, and work-related stress are major concerns today. Psychological stress causes physiological responses such as reduced heart rate variability (HRV), owing to attenuated parasympathetic and/or increased sympathetic activity in cardiac autonomic control. This study's purpose was to investigate the relationships between physical activity (PA), body mass index (BMI), and HRV-based stress and recovery on workdays, among Finnish employees. METHODS: The participants in this cross-sectional study were 16 275 individuals (6863 men and 9412 women; age 18-65 years; BMI 18.5-40.0 kg/m(2)). Assessments of stress, recovery and PA were based on HRV data from beat-to-beat R-R interval recording (mainly over 3 days). The validated HRV-derived variables took into account the dynamics and individuality of HRV. Stress percentage (the proportion of stress reactions, workday and working hours), and stress balance (ratio between recovery and stress reactions, sleep) describe the amount of physiological stress and recovery, respectively. Variables describing the intensity (i.e. magnitude of recognized reactions) of physiological stress and recovery were stress index (workday) and recovery index (sleep), respectively. Moderate to vigorous PA was measured and participants divided into the following groups, based on calculated weekly PA: inactive (0 min), low (0 < 150 min), medium (150-300 min), and high (>300 min). BMI was calculated from self-reported weight and height. Linear models were employed in the main analyses. RESULTS: High PA was associated with lower stress percentages (during workdays and working hours) and stress balance. Higher BMI was associated with higher stress index, and lower stress balance and recovery index. These results were similar for men and women (P < 0.001 for all). CONCLUSION: Independent of age and sex, high PA was associated with a lower amount of stress on workdays. Additionally, lower BMI was associated with better recovery during sleep, expressed by a greater amount and magnitude of recovery reactions, which suggests that PA in the long term resulting in improved fitness has a positive effect on recovery, even though high PA may disturb recovery during the following night. Obviously, several factors outside of the study could also affect HRV-based stress.

Heart rate variability is related to training load variables in interval running exercises.

Overload principle of training states that training load (TL) must be sufficient to threaten the homeostasis of cells, tissues, organs and/or body. However, there is no "golden standard" for TL measurement. The aim of the present study was to investigate if post-exercise heart rate variability (HRV) could be used to evaluate TL of interval running exercises with different intensities and durations. Thirteen endurance-trained men (35 ± 5 years) performed MO(250) [moderate intensity, 2 × 6 × 250 m/rec 30 s/5 min at 85% of the maximal velocity of the graded maximal test (V (max))], MO(500) (2 × 3 × 500 m/rec 1 min/5 min at 85% V (max)) and HI(250) (high intensity, 2 × 6 × 250 m/rec 30 s/5 min at 105% V (max)) interval exercises on a treadmill. HRV was analyzed during rest, exercise and immediate 15 min recovery. Fast recovery of LFP (P < 0.001), HFP (P < 0.01) and TP (P < 0.01) occurred during the first two recovery minutes after each exercise. Strong negative correlations (P < 0.01) were found between post-exercise HRV and perceived exertion as well as excess post-exercise oxygen consumption. Post-exercise HRV differentiated interval exercises of equal work, but varying intensity or distance of running bout. The results of the present study suggest that immediate post-exercise HRV may offer objective information on TL of interval exercises with different bout durations and intensities.

Effects of exercise intensity and duration on nocturnal heart rate variability and sleep quality.

Acute physical exercise may affect cardiac autonomic modulation hours or even days during the recovery phase. Although sleep is an essential recovery period, the information on nocturnal autonomic modulation indicated by heart rate variability (HRV) after different exercises is mostly lacking. Therefore, this study investigated the effects of exercise intensity and duration on nocturnal HR, HRV, HR, and HRV-based relaxation, as well as on actigraphic and subjective sleep quality. Fourteen healthy male subjects (age 36 ± 4 years, maximal oxygen uptake 49 ± 4 ml/kg/min) performed five different running exercises on separate occasions starting at 6 p.m. with HR guidance at home. The effect of intensity was studied with 30 min of exercises at intensities corresponding to HR level at 45% (easy), 60% (moderate) and 75% (vigorous) of their maximal oxygen uptake. The effect of duration was studied with 30, 60, and 90 min of moderate exercises. Increased exercise intensity elevated nocturnal HR compared to control day (p < 0.001), but it did not affect nocturnal HRV. Nocturnal HR was greater after the day with 90- than 30- or 60-min exercises (p < 0.01) or control day (p < 0.001). Nocturnal HRV was lower after the 90-min exercise day compared to control day (p < 0.01). Neither exercise intensity nor duration had any impact on actigraphic or subjective sleep quality. The results suggest that increased exercise intensity and/or duration cause delayed recovery of nocturnal cardiac autonomic modulation, although long exercise duration was needed to induce changes in nocturnal HRV. Increased exercise intensity or duration does not seem to disrupt sleep quality.

Effects of vigorous late-night exercise on sleep quality and cardiac autonomic activity.

Sleep is the most important period for recovery from daily load. Regular physical activity enhances overall sleep quality, but the effects of acute exercise on sleep are not well defined. In sleep hygiene recommendations, intensive exercising is not suggested within the last 3 h before bed time, but this recommendation has not been adequately tested experimentally. Therefore, the effects of vigorous late-night exercise on sleep were examined by measuring polysomnographic, actigraphic and subjective sleep quality, as well as cardiac autonomic activity. Eleven (seven men, four women) physically fit young adults (VO(2max) 54±8 mL·kg(-1)·min(-1) , age 26±3 years) were monitored in a sleep laboratory twice in a counterbalanced order: (1) after vigorous late-night exercise; and (2) after a control day without exercise. The incremental cycle ergometer exercise until voluntary exhaustion started at 21:00±00:28 hours, lasted for 35±3 min, and ended 2:13±00:19 hours before bed time. The proportion of non-rapid eye movement sleep was greater after the exercise day than the control day (P<0.01), while no differences were seen in actigraphic or subjective sleep quality. During the whole sleep, no differences were found in heart rate (HR) variability, whereas HR was higher after the exercise day than the control day (54±7 versus 51±7, P<0.01), and especially during the first three sleeping hours. The results indicate that vigorous late-night exercise does not disturb sleep quality. However, it may have effects on cardiac autonomic control of heart during the first sleeping hours.

The incidence of stress symptoms and heart rate variability during sleep and orthostatic test.

This study examined the relation of self-reported stress to cardiac autonomic modulation in real-life conditions. The participants for the study were healthy male (N = 59) and female (N = 40) employees (age 40 ± 10 years). A single-item question and a 14-item questionnaire on perceived stress were administered to the participants before the experimental night. RR-intervals (RRI) were recorded during night sleep and an orthostatic test after awakening at home. The RRI data were analyzed for heart rate (HR) and heart rate variability (HRV) in time and frequency domains. Nocturnal urinary stress hormone (cortisol, adrenal and noradrenal) secretion was also analyzed. Based on the self-reported stress, the participants were divided into either low or high stress group. The results showed that higher incidence of stress symptoms was significantly associated with lower HRV in the orthostatic test regardless of age and gender. Differences between the stress groups in HRV indices were approximately 20-50 and 30-75% in supine and standing positions, respectively. No difference was found in nocturnal HR, HRV, or stress hormone secretion between the stress groups. Higher incidence of stress symptoms was significantly associated with greater decrease of HRV from night sleep to the orthostatic test, as a response to awakening. In conclusion, the present findings support the view that autonomic modulation measured in the orthostatic test, but not during night sleep, is related to self-reported stress.

Can HRV be used to evaluate training load in constant load exercises?

The overload principle of training states that training load (TL) must be sufficient to threaten the homeostasis of cells, tissues, organs, and/or body. However, there is no "golden standard" for TL measurement. The aim of this study was to examine if any post-exercise heart rate variability (HRV) indices could be used to evaluate TL in exercises with different intensities and durations. Thirteen endurance-trained males (35 +/- 5 year) performed MODE (moderate intensity, 3 km at 60% of the maximal velocity of the graded maximal test (vVO(2max))), HI (high intensity, 3 km at 85% vVO(2max)), and PRO (prolonged, 14 km at 60% vVO(2max)) exercises on a treadmill. HRV was analyzed with short-time Fourier-transform method during rest, exercise, and 15-min recovery. Rating of perceived exertion (RPE), blood lactate (BLa), and HFP(120) (mean of 0-120 s post-exercise) described TL of these exercises similarly, being different for HI (P < 0.05) and PRO (P < 0.05) when compared with MODE. RPE and BLa also correlated negatively with HFP(120) (r = -0.604, -0.401), LFP(120) (-0.634, -0.601), and TP(120) (-0.691, -0.569). HRV recovery dynamics were similar after each exercise, but the level of HRV was lower after HI than MODE. Increased intensity or duration of exercise decreased immediate HRV recovery, suggesting that post-exercise HRV may enable an objective evaluation of TL in field conditions. The first 2-min recovery seems to give enough information on HRV recovery for evaluating TL.

Heart rate variability and stress hormones in novice and experienced parachutists anticipating a jump.

INTRODUCTION: Chronic work stress and overtraining are known to influence heart rate (HR) and heart rate variability (HRV) at rest and decreased nocturnal HRV is associated with cardiovascular health and disease. The purpose of this study was to examine whether anticipation of an acute highly stressful event influences HR and HRV during the night and morning. METHODS: Nocturnal HR and HRV and urinary stress hormones (cortisol, adrenaline, noradrenaline) as well as HR and HRV responses to an orthostatic test on the morning of a parachute jump day or control day were analyzed from 14 novice and 7 experienced parachute jumpers. RESULTS: There were no differences in any HRV indices during the night or the orthostatic test between the jump and control situations. The novices had higher HR than experienced jumpers in the orthostatic test in the morning and also during the jump, but no differences were found between the groups in nocturnal HR and HRV indices or HRV indices during the orthostatic test. There were no differences in nocturnal stress hormone secretions except slightly elevated adrenaline secretion during the jump night compared to the control night (P = 0.014). CONCLUSIONS: The parachute jump did not substantially influence HR, HRV, or stress hormones during the night or the orthostatic test in the morning preceding the jump. The results suggest that the parachute jump as an acute highly stressful event had no anticipatory effect on autonomic modulation of the heart even though both the novices and experienced jumpers had markedly accentuated sympathetic activation during the parachuting.

A new heart rate variability-based method for the estimation of oxygen consumption without individual laboratory calibration: application example on postal workers.

Traditionally, the estimation of oxygen consumption (VO2) at work using heart rate (HR) has required the determination of individual HR/VO2 calibration curves in a separate exercise test in a laboratory (VO2-TRAD). Recently, a new neural network-, and heart rate variability-based method has been developed (Firstbeat PRO heartbeat analysis software) for the estimation of VO2 without individual calibration (VO2-HRV). In the present study, the VO2-values by the VO2-HRV were compared with the values by VO2-TRAD in 22 postal workers. Within individuals the correlation between the two methods was high (range 0.80-0.99). The VO2-TRAD gave higher values of VO2 compared to VO2-HRV (19%) especially during low physical activity work when non-metabolic factors may increase HR. When assessed in different HR categories, the smallest difference (11%), and highest correlations (range 0.83-0.99) in VO2 between the methods were observed at higher HR levels. The results indicate that the VO2-HRV is a potentially useful method to estimate VO2 in the field without laboratory calibration.

Heart rate variability dynamics during early recovery after different endurance exercises.

Since heart rate variability (HRV) during the first minutes of the recovery after exercise has barely been studied, we wanted to find out HRV dynamics immediately after five different constant-speed exercises. Thirteen sedentary women performed two low-intensity (3,500 m [3,500(LI)] and 7,000 m [7,000(LI)] at 50% of the velocity of VO(2max) [vVO(2max)]), two moderate-intensity (3,500 m [3,500(MI)] and 7,000 m [7,000(MI)] at approximately 63% vVO(2max)) and one high-intensity (3,500 m at approximately 74% vVO(2max) [3,500(HI)]) exercises on a treadmill. HRV was analyzed with short-time Fourier transform method during the 30-min recovery. High frequency power (HFP) was for the first time higher than at the end of the exercise after the first minute of the recovery (3,500(LI) and 7,000(LI), P < 0.001), after the fourth (3,500(MI), P < 0.05) and the fifth (7,000(MI), P < 0.05) minute of the recovery and at the end of the 30-min recovery (3,500(HI), P < 0.01). There were no differences in HRV between 3,500(LI) and 7,000(LI) or between 3,500(MI) and 7,000(MI) during the recovery. The levels of HFP and TP were higher during the whole recovery after 3,500(LI) compared to 3,500(MI) and 3,500(HI). We found increased HFP, presumably caused by vagal reactivation, during the first 5 min of the recovery after each exercise, except for 3,500(HI). The increased intensity of the exercise resulted in slower recovery of HFP as well as lower levels of HFP and TP when compared to low-intensity exercise. Instead, the doubled running distance had no influence on HRV recovery.

Heart rate variability during night sleep and after awakening in overtrained athletes.

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 ms, 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.

Adaptive changes of Myosin isoforms in response to long-term strength and power training in middle-aged men.

The purpose of the study was to examine the adaptive changes in myosin heavy chain (MHC) and light chain (MLC) isoforms in human vastus lateralis muscle caused by long-term strength and power training (54 weeks, approximately 3 times a week) in untrained middle- aged men (16 in the training and 6 in the control group). Muscular MHC and MLC isoforms were determined by means of SDS-PAGE gel electrophoresis. During the training period, maximal anaerobic cycling power increased by 64 W (p < 0.001) and the maximal jumping height by 1.5 cm (p < 0. 05) in the training group, but no significant changes were found in the control group. However, the group by time effect was not significant. In the training group, the increase of the maximal jumping height correlated with the number of strength and power training sessions (r = 0.56; p < 0.05). The change of the proportion of MHC IIa isoform from 52.6 ± 12.2% to 59.4 ± 11.6% did not reach statistical significance (p = 0.070 for group by time; within training group p = 0.061) and neither did the change of the proportion of MHC IIx isoform from 18.1 ± 11.4% to 11.1 ± 9.1% (p = 0.104 for group by time; within training group p=0.032). The degree of change of MHC IIx isoform correlated with the amount of earlier recreational sports activity (r = 0.61; p < 0.05). In the training group, the changes of MLC1s isoform correlated negatively with the changes of MLC1f isoform (r = -0. 79; p < 0.05) as well as with the changes in maximal anaerobic cycling power (r = -0.81; p < 0.05), and positively with those of MHC I isoform (r = 0.81; p < 0.05). In conclusion, the long- term strength and power training ~3 times a week seemed to have only slight effects on fast MHC isoforms in the vastus lateralis muscle of untrained middle-aged men; the proportion of MHC IIa tended to increase and that of MHC IIx tended to decrease. No changes in MLC isoform profile could be shown. Key PointsA long-term strength and power training program seemed to decrease the proportion of MHC IIx isoform in previously untrained middle-aged men.The degree of change of MHC IIx isoform correlated with the amount of earlier recreational sports activity.The changes of MLC isoforms were associated with the transition of MHC isoforms. Whether this means improved speed and coordination of muscle contraction remains to be investigated in the future.

Subjective stress, objective heart rate variability-based stress, and recovery on workdays among overweight and psychologically distressed individuals: a cross-sectional study.

BACKGROUND: The present study aimed to investigate how subjective self-reported stress is associated with objective heart rate variability (HRV)-based stress and recovery on workdays. Another aim was to investigate how physical activity (PA), body composition, and age are associated with subjective stress, objective stress, and recovery. METHODS: Working-age participants (n = 221; 185 women, 36 men) in this cross-sectional study were overweight (body mass index, 25.3-40.1 kg/m(2)) and psychologically distressed (≥3/12 points on the General Health Questionnaire). Objective stress and recovery were based on HRV recordings over 1-3 workdays. Subjective stress was assessed by the Perceived Stress Scale. PA level was determined by questionnaire, and body fat percentage was assessed by bioelectrical impedance analysis. RESULTS: Subjective stress was directly associated with objective stress (P = 0.047) and inversely with objective recovery (P = 0.046). These associations persisted after adjustments for sex, age, PA, and body fat percentage. Higher PA was associated with lower subjective stress (P = 0.037). Older age was associated with higher objective stress (P < 0.001). After further adjustment for alcohol consumption and regular medication, older age was associated with lower subjective stress (P = 0.043). CONCLUSIONS: The present results suggest that subjective self-reported stress is associated with objective physiological stress, but they are also apparently affected by different factors. However, some of the found associations among these overweight and psychologically distressed participants with low inter-individual variation in PA are rather weak and the clinical value of the present findings should be studied further among participants with greater heterogeneity of stress, PA and body composition. However, these findings suggest that objective stress assessment provides an additional aspect to stress evaluation. Furthermore, the results provide valuable information for developing stress assessment methods.

A New Method of Measuring 3-D Ground Reaction Forces under the Ski during Skiing on Snow.

A new method was developed for measuring the distribution of real time ground reaction forces under the snow ski. A platform composed of 20 separate beams was buried in snow under the ski track. Vertical, cross horizontal, and longitudinal horizontal force components were measured with strain gauge bridges separately on each beam, and the results were recorded with a data logger at 90 Hz. The test results for two types of skating skis are described. Anomalous behavior was observed in horizontal force components, where negative force values were recorded on some sections of the ski at the end of the initial kick phase. This suggests that some parts of the ski edge pushed in the opposite direction from the kicking force. This is interpreted to be due to a sharp bending along the bottom edge of the ski. It is concluded that the method could be used to measure 3-D dynamic forces under snow.

Associations of physical activity, fitness, and body composition with heart rate variability-based indicators of stress and recovery on workdays: a cross-sectional study.

BACKGROUND: The purpose of this study was to investigate how physical activity (PA), cardiorespiratory fitness (CRF), and body composition are associated with heart rate variability (HRV)-based indicators of stress and recovery on workdays. Additionally, we evaluated the association of objectively measured stress with self-reported burnout symptoms. METHODS: Participants of this cross-sectional study were 81 healthy males (age range 26-40 y). Stress and recovery on workdays were measured objectively based on HRV recordings. CRF and anthropometry were assessed in laboratory conditions. The level of PA was based on a detailed PA interview (MET index [MET-h/d]) and self-reported activity class. RESULTS: PA, CRF, and body composition were significantly associated with levels of stress and recovery on workdays. MET index (P < 0.001), activity class (P = 0.001), and CRF (P = 0.019) were negatively associated with stress during working hours whereas body fat percentage (P = 0.005) was positively associated. Overall, 27.5% of the variance of total stress on workdays (P = 0.001) was accounted for by PA, CRF, and body composition. Body fat percentage and body mass index were negatively associated with night-time recovery whereas CRF was positively associated. Objective work stress was associated (P = 0.003) with subjective burnout symptoms. CONCLUSIONS: PA, CRF, and body composition are associated with HRV-based stress and recovery levels, which needs to be taken into account in the measurement, prevention, and treatment of work-related stress. The HRV-based method used to determine work-related stress and recovery was associated with self-reported burnout symptoms, but more research on the clinical importance of the methodology is needed.

Feasibility of a personal health technology-based psychological intervention for men with stress and mood problems: randomized controlled pilot trial.

BACKGROUND: Work-related stress is a significant problem for both people and organizations. It may lead to mental illnesses such as anxiety and depression, resulting in increased work absences and disabilities. Scalable interventions to prevent and manage harmful stress can be delivered with the help of technology tools to support self-observations and skills training. OBJECTIVE: The aim of this study was to assess the feasibility of the P4Well intervention in treatment of stress-related psychological problems. P4Well is a novel intervention which combines modern psychotherapy (the cognitive behavioral therapy and the acceptance and commitment therapy) with personal health technologies to deliver the intervention via multiple channels, includinggroup meetings, Internet/Web portal, mobile phone applications, and personal monitoring devices. METHODS: This pilot study design was a small-scale randomized controlled trial that compared the P4Well intervention with a waiting list control group. In addition to personal health technologies for self-assessment, the intervention consisted of 3 psychologist-assisted group meetings. Self-assessed psychological measures through questionnaires were collected offline pre- and post-intervention, and 6 months after the intervention for the intervention group. Acceptance and usage of technology tools were measured with user experience questionnaires and usage logs. RESULTS: A total of 24 subjects were randomized: 11 participants were followed up in the intervention group (1 was lost to follow-up) and 12 participants did not receive any intervention (control group). Depressive and psychological symptoms decreased and self-rated health and working ability increased. All participants reported they had benefited from the intervention. All technology tools had active users and 10/11 participants used at least 1 tool actively. Physiological measurements with personal feedback were considered the most useful intervention component. CONCLUSIONS: Our results confirm the feasibility of the intervention and suggest that it had positive effects on psychological symptoms, self-rated health, and self-rated working ability. The intervention seemed to have a positive impact on certain aspects of burnout and job strain, such as cynicism and over-commitment. Future studies need to investigate the effectiveness, benefits, and possible problems of psychological interventions which incorporate new technologies. TRIAL REGISTRATION: The Finnish Funding Agency for Technology and Innovation (TEKES), Project number 40011/08.

Estimating oxygen consumption from heart rate and heart rate variability without individual calibration.

Heart rate (HR) as an estimator of oxygen consumption (VO(2) ) usually requires HR to be individually calibrated in a separate test. This study examined the validity of a new HR - and HR variability-based method (Firstbeat PRO heartbeat analysis software) in the estimation of VO(2) in real-life tasks. The method takes into account the respiration rate determined from HR variability and the differences in the on/off dynamics of HR and VO(2) , and no calibration tests are needed. Ten men and nine women performed 25 tasks representing different types of daily activities. Portable devices were used to measure R-to-R intervals (ECG), VO(2) and respiration rate. In pooled regression analysis, the estimated VO(2) accounted for 87% of the variability in the actual VO(2) , SEE 3·5 ml min(-1) kg(-1) (1 MET). At group level, the method underestimated slightly the measured VO(2) (mean difference - 1·5 ml min(-1) kg(-1) or - 0·4 METs). Some of the values at low exercise intensities were markedly underestimated, but the agreement was better during light and heavy activities. The limits of agreement for the data were from -8·4 to 5·4 ml min(-1) kg(-1) or from -2·4 to 1·5 METs. At individual level, the average deviations of the predicted VO(2) ranged from -1·0 to 0·6 METs and R(2) from 0·77 to 0·94, respectively. The present data indicate that the prediction method may be considered sufficiently accurate to determine the average VO(2) in field use, but it does not allow precise estimation of VO(2) .

Heart rate variability related to effort at work.

Changes in autonomic nervous system function have been related to work stress induced increases in cardiovascular morbidity and mortality. Our purpose was to examine whether various heart rate variability (HRV) measures and new HRV-based relaxation measures are related to self-reported chronic work stress and daily emotions. The relaxation measures are based on neural network modelling of individual baseline heart rate and HRV information. Nineteen healthy hospital workers were studied during two work days during the same work period. Daytime, work time and night time heart rate, as well as physical activity were recorded. An effort-reward imbalance (ERI) questionnaire was used to assess chronic work stress. The emotions of stress, irritation and satisfaction were assessed six times during both days. Seventeen subjects had an ERI ratio over 1, indicating imbalance between effort and reward, that is, chronic work stress. Of the daily emotions, satisfaction was the predominant emotion. The daytime relaxation percentage was higher on Day 2 than on Day 1 (4 ± 6% vs. 2 ± 3%, p < 0.05) and the night time relaxation (43 ± 30%) was significantly higher than daytime or work time relaxation on the both Days. Chronic work stress correlated with the vagal activity index of HRV. However, effort at work had many HRV correlates: the higher the work effort the lower daytime HRV and relaxation time. Emotions at work were also correlated with work time (stress and satisfaction) and night time (irritation) HRV. These results indicate that daily emotions at work and chronic work stress, especially effort, is associated with cardiac autonomic function. Neural network modelling of individual heart rate and HRV information may provide additional information in stress research in field conditions.

A concept to empower self-management of psychophysiological wellbeing: preliminary user study experiences.

In prevention of chronic diseases, health promotion and early interventions based on self-management should be emphasized. Mental health problems and stress cause a significant portion of healthcare costs, and also complicate the management of other chronic conditions. In addition to physical health, psychophysiological and social wellbeing should be equally promoted. Thus, we have previously designed and reported the P4Well or Pervasive Personal and PsychoPhysiological management of WELLness concept for working-age citizens. The concept supports the stress and recovery management on a daily basis through improved health management strategies, and combines psychological methods with personal health technologies. In this paper, we discuss the preliminary user study experiences of ongoing evaluations with two different user groups consisting of: 1) middle-aged men who are using the concept for managing their mental wellbeing or mild depression; and 2) entrepreneurs who are using the concept for coping with stress. Our results provide a preliminary assessment of the role and importance of experts, technologies, and peer-support in the concept.

Time-frequency analysis of heart rate variability during immediate recovery from low and high intensity exercise.

Previous studies have neglected the first recovery minutes after exercise when studying post-exercise heart rate variability (HRV). The present aim was to evaluate autonomic HR control immediately after exercise using Short-time Fourier transform (STFT) and to compare the effects of low [LI, 29(6)% of maximal power] and high [HI, 61(6)% of maximal power] intensity bicycle exercise on the HRV recovery dynamics. Minute-by-minute values for low (LFP(ln,) 0.04-0.15 Hz) and high (HFP(ln), 0.15-1.0 Hz) frequency power were computed from R-R interval data recorded from 26 healthy subjects during 10 min recovery period after LI and HI. The HRV at the end of exercise and recovery was assessed with Fast Fourier transform as well. The results showed that LFP(ln) and HFP(ln) during the recovery period were affected by exercise intensity, recovery time and their interaction (P < 0.001). HFP(ln) increased during the first recovery minute after LI and through the second recovery minute after HI (P < 0.001). HFP(ln) was higher for LI than HI at the end of the recovery period [6.35 (1.11) vs. 5.12 (1.01) ln (ms(2)), P < 0.001]. LFP(ln) showed parallel results with HFP(ln) during the recovery period. In conclusion, the present results obtained by the STFT method, suggested that fast vagal reactivation occurs after the end of exercise and restoration of autonomic HR control is slower after exercise with greater metabolic demand.