Podcast, Recovery, Science

How to use HRV to measure and manage Total Load with Simon Wegerif | EP#162

 December 31, 2018

By  Mikael Eriksson

​​​​​How to use HRV to measure and manage Total Load with Simon Wegerif | EP#162

Simon Wegerif is the founder of ithlete, a company that creates sensors and apps related to heart rate variability (HRV). He discusses how triathletes and endurance athletes can use HRV to measure and manage total load - the sum of various different kinds of stress on the body, including mental and physical. 

Discuss this episode!

  • Let's discuss this episode and the topic in general. Post any comments or questions in the comments at the bottom of the shownotes. Join the discussion here!

In this Episode you'll learn about:

  • What is total load, and how is it relevant for triathlon training?
  • What is the relation between HRV and total load?
  • How do we know how much we can or should train, given all the stressors in our lives outside of training?
  • Does stress really equal stress, no matter the source of that stress?
  • How can age-group triathletes practically use HRV to measure and manage total load?

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About Simon Wegerif

0:41  -

  • Simon is the founder of ithete who create apps and sensor products for measuring heart rate variability (HRV) and other similar things. 
  • Simon is also a competitive cyclist and has also previously competed in triathlons. 

What is total load?

5:00 -

  • Total load is the idea that in addition to the stress from your workout, other factors impact your bodies ability to train and perform.

    These may include sleep and mental stress,
  • Many athletes often don't realise that factors such as work stress and travel impact their ability to train, and subsequently to perform well. 
  • In early 2016 the international Olympic committee put together a team to assess evidence that high total loads in sport were leading to high rates of injury and illness. 

    It resulted in a comprehensive two-part paper on identifying and managing total load.
  • They concluded that measurement is important, particularly assessing both internal and external load.

    External load is the stress that you apply - e.g. an hour at your threshold, which gives a TSS of 100. 

    Internal load is the stress the results in the body from applying that load. 
  • The relationship between internal and external load is not constant, and depends on a number of environmental factors such as psychological stress, travel, illness etc. 
  • The difficulty is quantifying other stressors such as environmental stress. 

    Ways of measuring these factors are improving, such as sleep measurements and diet prescriptions and compliance. 
  • The internal load is the concept that the bodies response to external stressors is intricate and complex, and varies over time. 

Relation between HRV and total load

9:18 -

  • What we saw in the early years producing an HRV app is that users would not find a perfect relation between changes in the external load and dips in the HRV. 
  • This turns out to be a good thing as HRV turns out to be a holistic and comprehensive measure of internal load and resilience. 

    The amount your HRV changes after an external load is applied depends on you individually at that point in time.
  • The smaller the change in the HRV for a given external load means you are more resilient. 

    You can build this resilience as well. 
  • One of the best examples of building resilience would be long slow distance training.

    Having a good aerobic base increases your HRV, showing your resilience has improved.
  • The greater your bodies adaptations to training, the most robust you become to future training. 

Quantifying contributors to total load

11:36 - 

  • This can be done if you record HRV every morning at the same time, and also record other lifestyle factors diligently and honestly.

    These may include adherence to a prescribed diet, stress management, sleep quantity and quality, muscle soreness, mood and fatigue.
  • Stress is the imbalance between a set of environmental circumstances (e.g. high pressure deadlines/late train/argument) and the internal response. 

    Your internal response will depend on your resilience, your mental attitude and values etc. 
  • Once you've recorded these factors you can chart them all simultaneously to visually identify trends. 

    Increasingly we can utilise machine learning to do this for us. If HRV changes and we have been recording holistic factors well, we can assess the likely contributors. 
  • We do this in ithlete Pro using a feature called Simon Says. 

    This is a knowledge based system that tracks all those variables and tries to identify the most likely relationship between them.

    It gives this back in the form of simple to understand text. 
  • There tends to be quite a tight relationship between stress management reducing ability to sleep effectively.

    When we have poor sleep we tend to make bad food choices. Your body doesn't know what stress it's under, it just knows when under stress you need more glucose and glycogen to perform fight or flight reactions. 

Stress = stress concept

16:40 - 

  • Personally, I don't think all stressors are equal. 
  • There was a paper written earlier this year by Dr John Kiely where he tried to explode the general adaptation syndrome model.

    This model proposes that as a stress is applied to the body it becomes weaker for a while, then when the stress is removed the body becomes stronger and adapts to be more resilient next time. 
  • John Kiely argues that this model is far too simplistic as neither our bodies homeostasis nor our stress responses remain constant over time.

    They vary with life experiences, bio-rhythms and many other factors. 
  • This is where HRV comes in because it reflects the total internal load as perceived by the body.
  • The best we can do is to simultaneously measure the environmental factors, and look at the holistic indicator of HRV. 
  • HRV has been shown as a good indicator for this, and for valid evolutionary reasons. 

Other indicators for total load

18:50 - 

  • In professional team environments they tend to use salivary cortisol measures and blood markers of inflammation.

    In anecdotal reports I've had working with these clubs, they regard HRV as the most sensitive measure. 
  • Ideally we'd want to measure HRV, blood glucose and adrenal family hormones if we could do it in a non-invasive way.
  • However, I don't think enough work has been done to identify whether HRV is the most sensitive. 
  • It is quite likely to be sensitive because it originates in the brain stem and is part of the basic wiring of the body in changing its state and altering factors such as inflammation, sensitivity to main and mobilisation of resources. 

Using HRV in practice

20:35 - 

  • There are three things that are useful to consider:

    1) The day to day changes in HRV
    2) The HRV baseline
    3) The acute to chronic training load ratio
  • HRV is a sensitive metric, which comes with the downside that it varies day to day. 

    It's pretty desirable to have a 7-day rolling average or baseline. 
  • Trends in the baseline have been shown in research to be pretty to indicators of when the stress is becoming cumulative, and there's a bigger chance of non-functional overreaching. 
  • As endurance athletes, we don't want to overreach non-functionally as it takes a long time to recover from and will be unpleasant in the meantime. 

    When you did yourself into a hole, once you've recovered you don't actually gain anything. There is no successful adaptation. 
  • The day to day variation in HRV still has value - if you're starting to become unwell you will notice a big change in one day without any aparant explanation. 

    This is what AI can do - it can show when other variables are not able to explain the change in HRV, which may mean you are becoming unwell. 

    In a football club this would lead to separating the player from normal training, adding rest and giving vitamin supplements to try and minimise the pending illness. 
  • I've had many stories from users about how ithelete as been useful in detecting pending viral illnesses, especially serious ones. 
  • There's a concept in sports science called the smallest worthwhile change, which is an idea put forward by Will Hopkins, an NZ statistician. 

    It proposes that if you repeat athletic performances or any biological measure, there will be some noise and then there will be a threshold where it starts to become significant: the smallest worthwhile change. 

    It's usually something along the lines of 0.5 times the standard deviation of a recent set of measurements. 
  • Non-functional overreaching would be a negative change in your HRV baseline. 

    There is also a percentage change in baseline that can be used a threshold to indicate when you are reaching this point. 
  • For the acute to chronic training load ratio, there is good work being done by Tim Gabbett in Australia. 

    They are looking at a 7-day versus a 28-day baseline of training loads, and the ratio between the most recent week, and the average of the past 4-6 weeks. 

    If that exceeds 1.2, there is an increase likelihood of soft tissue and muscoskeletal injuries, and over 1.5 there's a pretty high chance of that.

    Values below 0.8 (a fast decrease in training load) are also likely to cause problems once training is resumed as the body becomes de-conditioned to the training stress that it was accustomed to previously.  

Exercising in a fatigued state

27:37 - 

  • In ithlete Pro where we do more analysis on the HRV and resting heart rate, and if the HRV is modestly reduced we'd tell the user they're in a recovery deficit but they don't need to back off if they are deliberately overreaching. 

    We use thresholds to indicate when overreaching appears to be safe. 

    When the heart rate starts to be elevated, it's a sign the overreaching is starting to become non-functional. 
  • There is not much evidence that block periodisation is more effective than simply polarising training between long slow distance being 80% of session time, and high intensity interval as the remaining 20%. 

    I think the polarisation concept is useful because I think many athlete go too hard in sessions. It's too hard to recover from the next day but not hard enough to get conventional gains. 

    With conventional periodisation I think it's easy to get wrong, but polarised training seems to produce good results as well.

Using HRV & ithlete

31:38 - 

  • The one word I would suggest is consistency - try to do your HRV reading at the same time every day if you can. 
  • Do be diligent and honest recording the wellness metrics. 

    If you record these alongside HRV it will help you identify factors holding you back and make adjustments to your lifestyle to reduce the total load. 

    You've then got a bigger capacity for training, whilst remaining healthy. 
  • With the HRV it's important to be disciplined and use sensors and apps that have been validated well. 

    For example, people often ask if they can use the Apple watch, and there's a complicated method which means you could, but you're better off having a dedicated sensor for it which will be much more accurate. 

Improving stress management

33:31 - 

  • For me personally, meditation and slow deep breathing has helped a lot. 

    Breathing in steadily for 5 seconds and breathing out steadily for 5 seconds. 

    You excite a resonance in your body that leads to some remarkable effects, shown in research. It leads to reduction in blood pressure and perception of stress. 
  • I particularly like Headspace, Calm, Simple Habit meditation apps. I've also been involved in a deep breathing app called Breath Sync

    Mikael's also recommends Insight Timer meditation app, which is completely free. 
  • Stress is a perceptual thing - it's the interaction between what's happening to you and your perception of your ability to cope. 
  • You can use meditation tools such as nasal breathing when on the bike, and it can help reduce your perception of pain. 

Rapid fire questions

36:07 - 

  • What is your favourite book, blog or resource related to triathlon?
  • What is a personal habit that has helped you achieve success
    • Measuring my HRV and recording the wellness metrics everyday for the past 9 years! Meditation has also made a big difference to me as a person, my productivity and the way I approach things. 
  • What do you wish you had known or done differently at some point in your career? 
    • Regarding sports and athletics I've looked around in the past and thought that everybody who is beating me is more talented. Now I'm more mature and know more about sports science and training, I think to myself that it's more likely they've just trained and raced smarter and more effective. Many people have the potential to be much better endurance athletes than they realise. 

Key takeaways

  • Training doesn't happen in a bubble - we need to take into account the stress that we experience.
  • HRV seems to be the best way to measure this and ensure we have a handle on these other factors. 

Links, resources and contact

Links and resources mentioned

    Connect with Simon Wegerif

    Connect with host Mikael Eriksson


    Hi! I'm your host Mikael,

    I am a full-time triathlon coach and an ambitious age-group triathlete. My goal is podium at the Finnish national championships within the next few years.

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    Let's discuss this episode and the topic in general. Post any comments or questions in the comments below. I'll be here to reply and take an active part in the conversation, so don't be shy! 

    Mikael Eriksson

    I am a full-time triathlon coach, founder of Scientific Triathlon, and host of the top-rated podcast That Triathlon Show. I am from Finland but live in Lisbon, Portugal.

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