RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise.

This study was designed to examine the RR interval signal qualities of a Holter device and a heart rate chest belt monitor at rest and during exercise. Ten healthy individuals completed five low- to high-intensity activities while simultaneously using the medilog® AR12plus Holter monitor and the Polar H10 heart rate monitor. The RR interval signal quality was based on the quantification of the missing RR intervals and RR interval detection errors. Therefore, both measurement systems were compared against visual inspection of the raw electrocardiography signal. The missing and wrong R-wave peak detections were counted manually for both measurement systems. RR interval signal quality was defined as the relative number of correctly detected RR intervals. Overall, RR interval signal qualities of 94.6% and 99.6% were demonstrated for the medilog® AR12plus and the Polar H10. During the high-intensity activities, the RR interval signal quality of the medilog® AR12plus dropped to 89.8%, whereas the Polar H10 maintained a signal quality of 99.4%. The correlation between both systems was high (r = 0.997, p > 0.001). The excellent RR interval signal quality during low- to moderate-intensity activities in the medilog® AR12plus and during low- to high-intensity activities in the Polar H10 demonstrates both measurement systems' validity for the detection of RR intervals throughout a wide range of activities. A simple chest strap such as the Polar H10 might be recommended as the gold standard for RR interval assessments if intense activities with strong body movements are investigated.

Eyeblink Detection in the Field: A Proof of Concept Study of Two Mobile Optical Eye-Trackers.

INTRODUCTION: High physical and cognitive strain, high pressure, and sleep deficit are part of daily life for military professionals and civilians working in physiologically demanding environments. As a result, cognitive and physical capacities decline and the risk of illness, injury, or accidents increases. Such unfortunate outcomes could be prevented by tracking real-time physiological information, revealing individuals' objective fatigue levels. Oculometrics, and especially eyeblinks, have been shown to be promising biomarkers that reflect fatigue development. Head-mounted optical eye-trackers are a common method to monitor these oculometrics. However, studies measuring eyeblink detection in real-life settings have been lacking in the literature. Therefore, this study aims to validate two current mobile optical eye-trackers in an unrestrained military training environment. MATERIALS AND METHOD: Three male participants (age 20.0 ± 1.0) of the Swiss Armed Forces participated in this study by wearing three optical eye-trackers, two VPS16s (Viewpointsystem GmbH, Vienna, Austria) and one Pupil Core (Pupil Labs GmbH, Berlin, Germany), during four military training events: Healthcare education, orienteering, shooting, and military marching. Software outputs were analyzed against a visual inspection (VI) of the video recordings of participants' eyes via the respective software. Absolute and relative blink numbers were provided. Each blink detected by the software was classified as a "true blink" (TB) when it occurred in the software output and the VI at the same time, as a "false blink" (FB) when it occurred in the software but not in the VI, and as a "missed blink" (MB) when the software failed to detect a blink that occurred in the VI. The FBs were further examined for causes of the incorrect recordings, and they were divided into four categories: "sunlight," "movements," "lost pupil," and "double-counted". Blink frequency (i.e., blinks per minute) was also analyzed. RESULTS: Overall, 49.3% and 72.5% of registered eyeblinks were classified as TBs for the VPS16 and Pupil Core, respectively. The VPS16 recorded 50.7% of FBs and accounted for 8.5% of MBs, while the Pupil Core recorded 27.5% of FBs and accounted for 55.5% of MBs. The majority of FBs-45.5% and 73.9% for the VPS16 and Pupil Core, respectively-were erroneously recorded due to participants' eye movements while looking up, down, or to one side. For blink frequency analysis, systematic biases (±limits of agreement) stood at 23.3 (±43.5) and -4.87 (±14.1) blinks per minute for the VPS16 and Pupil Core, respectively. Significant differences in systematic bias between devices and the respective VIs were found for nearly all activities (P < .05). CONCLUSION: An objective physiological monitoring of fatigue is necessary for soldiers as well as civil professionals who are exposed to higher risks when their cognitive or physical capacities weaken. However, optical eye-trackers' accuracy has not been specified under field conditions-especially not in monitoring fatigue. The significant overestimation and underestimation of the VPS16 and Pupil Core, respectively, demonstrate the general difficulty of blink detection in the field.

Detecting Soldiers' Fatigue Using Eye-Tracking Glasses: Practical Field Applications and Research Opportunities.

INTRODUCTION: Objectively determining soldiers' fatigue levels could help prevent injuries or accidents resulting from inattention or decreased alertness. Eye-tracking technologies, such as optical eye tracking (OET) and electrooculography (EOG), are often used to monitor fatigue. Eyeblinks-especially blink frequency and blink duration-are known as easily observable and valid biomarkers of fatigue. Currently, various eye trackers (i.e., eye-tracking glasses) are available on the market using either OET or EOG technologies. These wearable eye trackers offer several advantages, including unobtrusive functionality, practicality, and low costs. However, several challenges and limitations must be considered when implementing these technologies in the field to monitor fatigue levels. This review investigates the feasibility of eye tracking in the field focusing on the practical applications in military operational environments. MATERIALS AND METHOD: This paper summarizes the existing literature about eyeblink dynamics and available wearable eye-tracking technologies, exposing challenges and limitations, as well as discussing practical recommendations on how to improve the feasibility of eye tracking in the field. RESULTS: So far, no eye-tracking glasses can be recommended for use in a demanding work environment. First, eyeblink dynamics are influenced by multiple factors; therefore, environments, situations, and individual behavior must be taken into account. Second, the glasses' placement, sunlight, facial or body movements, vibrations, and sweat can drastically decrease measurement accuracy. The placement of the eye cameras for the OET and the placement of the electrodes for the EOG must be chosen consciously, the sampling rate must be minimal 200 Hz, and software and hardware must be robust to resist any factors influencing eye tracking. CONCLUSION: Monitoring physiological and psychological readiness of soldiers, as well as other civil professionals that face higher risks when their attention is impaired or reduced, is necessary. However, improvements to eye-tracking devices' hardware, calibration method, sampling rate, and algorithm are needed in order to accurately monitor fatigue levels in the field.

How health message framing and targets affect distancing during the COVID-19 pandemic.

OBJECTIVE: Maintaining safe physical distance is paramount to slowing the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)/coronavirus disease 2019 (COVID-19), particularly indoors (e.g., while shopping). We used a health message intervention to motivate grocery store customers to engage in distancing behavior. METHOD: In an online experiment (N = 206) and a field experiment (N = 268; preregistered on OSF), we used a 2 × 2 between-subjects design and manipulated health messages (a) as gain-framed ("to foster health") versus loss-framed ("it could be deadly") and (b) as targeting different beneficiaries (customers themselves versus fellow citizens). In the field experiment, observers rated customers' distancing behavior during a random confederate encounter and a subsequent interview. We assessed customers' perceptions of risk and worry, perspective-taking, and state optimism as concurrent psychological processes to investigate customers' distancing behavior in correlational mediation analyses. RESULTS: Contrary to previous research, the intervention was more effective when pertaining to customers themselves than to their fellow citizens (Experiments 1-2). In addition, loss-framed messages were more effective than gain-framed ones (Experiment 2). The former behavioral effect was accompanied (and statistically mediated) by a concurrent psychological increase in customers' perceived risk and worry. CONCLUSIONS: Owing to their low cost and easy implementation, health messages constitute a promising means to promote physical distancing. Our results show that their effectiveness significantly depends on the framing and target of the health behavior. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Accuracy of Distance Recordings in Eight Positioning-Enabled Sport Watches: Instrument Validation Study.

BACKGROUND: Elite athletes and recreational runners rely on the accuracy of global navigation satellite system (GNSS)-enabled sport watches to monitor and regulate training activities. However, there is a lack of scientific evidence regarding the accuracy of such sport watches. OBJECTIVE: The aim was to investigate the accuracy of the recorded distances obtained by eight commercially available sport watches by Apple, Coros, Garmin, Polar, and Suunto when assessed in different areas and at different speeds. Furthermore, potential parameters that affect the measurement quality were evaluated. METHODS: Altogether, 3 × 12 measurements in urban, forest, and track and field areas were obtained while walking, running, and cycling under various outdoor conditions. RESULTS: The selected reference distances ranged from 404.0 m to 4296.9 m. For all the measurement areas combined, the recorded systematic errors (±limits of agreements) ranged between 3.7 (±195.6) m and -101.0 (±231.3) m, and the mean absolute percentage errors ranged from 3.2% to 6.1%. Only the GNSS receivers from Polar showed overall errors <5%. Generally, the recorded distances were significantly underestimated (all P values <.04) and less accurate in the urban and forest areas, whereas they were overestimated but with good accuracy in 75% (6/8) of the sport watches in the track and field area. Furthermore, the data assessed during running showed significantly higher error rates in most devices compared with the walking and cycling activities. CONCLUSIONS: The recorded distances might be underestimated by up to 9%. However, the use of all investigated sport watches can be recommended, especially for distance recordings in open areas.

Accuracy of the Multisensory Wristwatch Polar Vantage's Estimation of Energy Expenditure in Various Activities: Instrument Validation Study.

BACKGROUND: Sport watches and fitness trackers provide a feasible way of obtaining energy expenditure (EE) estimations in daily life as well as during exercise. However, today's popular wrist-worn technologies show only poor-to-moderate EE accuracy. Recently, the invention of optical heart rate measurement and the further development of accelerometers in wrist units have opened up the possibility of measuring EE. OBJECTIVE: This study aimed to validate the new multisensory wristwatch Polar Vantage and its EE estimation in healthy individuals during low-to-high-intensity activities against indirect calorimetry. METHODS: Overall, 30 volunteers (15 females; mean age 29.5 [SD 5.1] years; mean height 1.7 [SD 0.8] m; mean weight 67.5 [SD 8.7] kg; mean maximal oxygen uptake 53.4 [SD 6.8] mL/min·kg) performed 7 activities-ranging in intensity from sitting to playing floorball-in a semistructured indoor environment for 10 min each, with 2-min breaks in between. These activities were performed while wearing the Polar Vantage M wristwatch and the MetaMax 3B spirometer. RESULTS: After EE estimation, a mean (SD) of 69.1 (42.7) kcal and 71.4 (37.8) kcal per 10-min activity were reported for the MetaMax 3B and the Polar Vantage, respectively, with a strong correlation of r=0.892 (P<.001). The systematic bias was 2.3 kcal (3.3%), with 37.8 kcal limits of agreement. The lowest mean absolute percentage errors were reported during the sitting and reading activities (9.1%), and the highest error rates during household chores (31.4%). On average, 59.5% of the mean EE values obtained by the Polar Vantage were within ±20% of accuracy when compared with the MetaMax 3B. The activity intensity quantified by perceived exertion (odds ratio [OR] 2.028; P<.001) and wrist circumference (OR -1.533; P=.03) predicted 29% of the error rates within the Polar Vantage. CONCLUSIONS: The Polar Vantage has a statistically moderate-to-good accuracy in EE estimation that is activity dependent. During sitting and reading activities, the EE estimation is very good, whereas during nonsteady activities that require wrist and arm movement, the EE accuracy is only moderate. However, compared with other available wrist-worn EE monitors, the Polar Vantage can be recommended, as it performs among the best.

Cognitive deficits in aged rats correlate with levels of L-arginine, not with nNOS expression or 3,4-DAP-evoked transmitter release in the frontoparietal cortex.

Aging is associated with altered neurotransmitter function in the brain. In this study, we measured release parameters for acetylcholine (ACh), norepinephrine and serotonin in the frontoparietal cortex of young and aged rats. We also determined cortical amino acid concentrations and nitric oxide (NO) synthase function. Prior to sacrifice, the rats had been tested for Morris water-maze performance. In aged, compared with young rats, we observed a reduction in both uptake of choline and acetylcholine release. Serotonin release and L-arginine concentrations (a precursor of NO) showed an aging-related increase; however, L-citrulline/L-arginine ratios were decreased in aged rats. Moreover, while most age-related changes in transmitter release or neurochemical markers were not related to the learning performance, L-arginine concentrations were positively correlated to cognitive deficits. NO synthase concentrations were not affected by aging. It is suggested that events related to L-arginine-to-L-citrulline/NO metabolism in the frontoparietal cortex may take part in age-related cognitive deficits.

Raphé grafts and 3,4-diaminopyridine-evoked overflow of serotonin in the rat hippocampus after 5,7-dihydroxytryptamine lesions: evidence for 5-HT1A autoreceptors.

A first experiment verified that the overflow of 5-HT evoked by 75 microM 3,4-diaminopyridine in superfused hippocampal slices was calcium-dependent, tetrodotoxin-sensitive and modulable by drugs acting on 5-HT autoreceptors. Subsequently, the technique was used in rats to investigate the effects of 5,7-dihydroxytryptamine lesions and intrahippocampal serotonergic grafts. The lesions reduced the accumulation (-81%) and relative evoked overflow (-23%; absolute evoked overflow -86%) of [ H]5-HT, but increased the relative baseline overflow (+23%; absolute baseline overflow -78%). Grafts partially compensated for these effects. In slices from grafted rats, the evoked overflow was reduced by application of a 5-HT receptor agonist (8-OH-DPAT), a response not found in sham-operated and lesion-only rats. Although the graft-induced effects were less marked than in previous studies, they were beneficial and modulated by a mechanism that normally does not operate in the intact hippocampus.

3,4-DAP-evoked transmitter release in hippocampal slices of aged rats with impaired memory.

Based on a slice superfusion technique, this study investigated the release of acetylcholine, noradrenaline and serotonin in the hippocampus of aged rats (25-27 months) showing no or severe deficits in a spatial reference-memory task (water maze). Young adults (3-5 months) were used as controls. 3,4-diaminopyridine (3,4-DAP), a potassium channel antagonist which increases neuronal excitability, was used to evoke the overflow of the three neurotransmitters. The release of [3H]noradrenaline induced by stimulation of presynaptic nicotinic receptors was also assessed. The experiment compared the accumulation and 3,4-DAP-evoked (or nicotine-evoked) overflow of [3H] in hippocampal slices preincubated with [3H]choline, [3H]noradrenaline, or [3H]serotonin. In aged rats, only the accumulation of [3H]serotonin was reduced significantly (-17%). In percent of tissue-[3H], the 3,4-DAP-evoked overflow of [3H]serotonin was increased (+28%), and that of [3H]acetylcholine was reduced (-23%) in the aged rats. The nicotine-evoked overflow of [3H]noradrenaline was not altered in aged rats. There was a significant correlation of water-maze performance (distance to platform) and evoked overflow of [3H]serotonin. It is concluded that hippocampal cholinergic functions are more altered by aging than noradrenergic or serotonergic ones. Excessive excitability of serotonergic terminals, perhaps in addition to cholinergic dysfunction, might be a crucial factor accounting for age-related cognitive deficits in the present population of rats.

5,7-Dihydroxytryptamine lesions enhance and serotonergic grafts normalize the evoked overflow of acetylcholine in rat hippocampal slices.

Adult rats were subjected to intracerebroventricular injections of 5,7-dihydroxytryptamine (5,7-DHT; 150 micro g) and, 15 days later, to intrahippocampal grafts of fetal raphe cell suspensions. About 11 months later, we assessed baseline and electrically evoked release of tritium ([3H]) in hippocampal slices, preloaded with tritiated ([3H])choline or [3H]serotonin (5-HT), in the presence or absence of the 5-HT1B receptor agonist CP-93,129 and the 5-HT receptor antagonist methiothepine. HPLC determinations of monoamine concentrations were also performed. The lesions reduced the concentration of 5-HT (-90%) and the accumulation (-80%) as well as the evoked release (-90%) of [3H]5-HT. They also decreased the inhibitory effects of CP-93,129 on the evoked release of [3H]5-HT. Most interestingly, they facilitated the evoked release of [3H]acetylcholine (+20%). In slices from rats subjected to lesions and grafts, the responsiveness of the serotonergic autoreceptors (presumably located on the terminals of the grafted neurons) and the release of acetylcholine were close to normal. These results confirm that grafts rich in serotonergic neurons may partially compensate for the dramatic effects of 5,7-DHT lesions on serotonergic hippocampal functions. The lesion-induced reduction of the 5-HT1B autoreceptor-mediated inhibition of evoked 5-HT release may be an adaptation enhancing serotonergic transmission in the (few) remaining terminals. The facilitated release of acetylcholine is probably caused by a reduced serotonergic tone on the inhibitory 5-HT1B heteroreceptors of the cholinergic terminals. When related to data in the literature, this facilitation may be of particular interest in terms of transmitter-based strategies developed to tackle cognitive symptoms related to neurodegenerative diseases.