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Record W4409868555 · doi:10.1249/mss.0000000000003744

Do Agreements between HRV and Gas Exchange Thresholds Still Hold under Hypoxic Conditions?

2025· article· en· W4409868555 on OpenAlexaff
Youmna Elsayed Hassanein, Bruce Rogers, D Ibrahim, Pablo R. Fleitas‐Paniagua, Juan M. Murias, Nathan Townsend

Bibliographic record

VenueMedicine & Science in Sports & Exercise · 2025
Typearticle
Languageen
FieldMedicine
TopicHeart Rate Variability and Autonomic Control
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsHypoxia (environmental)Heart rateGas analysisCardiologyMedicineAnesthesiaInternal medicineOxygenChemistryBlood pressure

Abstract

fetched live from OpenAlex

PURPOSE: Heart rate (HR) variability thresholds (HRVT) based on detrended fluctuation analysis alpha 1 (DFA a1) generally show reasonable alignment of thresholds estimations based on gas exchange responses under normoxic conditions. This study examined whether acute hypoxia would affect the agreement between HRVTs and the gas exchange equivalents during incremental cycling. METHODS: Twelve participants (five females) completed an incremental ramp test in normobaric hypoxia (FIO 2 ≈ 13.5%) and normoxia. Gas exchange and ventilatory responses alongside a high sampling rate electrocardiogram for DFA a1 computation were used to determine thresholds. Comparisons were made between the oxygen consumption (V̇O 2 ) and HR at the gas exchange threshold (GET) and respiratory compensation point (RCP) with the responses at the first and second HRVTs (HRVT 1 and HRVT 2 , respectively). RESULTS: Mean V̇O 2 and HR values were not statistically different for GET:HRVT1 (normoxia: 1.74 ± 0.41 vs 1.74 ± 0.48 L·min -1 , 133 ± 18 vs 133 ± 16 bpm; hypoxia: 1.47 ± 0.21 vs 1.45 ± 0.37 L·min -1 , 135 ± 14 vs 133 ± 15 bpm) and RCP:HRVT2 (normoxia: 2.38 ± 0.55 vs 2.37 ± 0.48 L·min -1 , 158 ± 13 vs 158 ± 14 bpm, hypoxia: 2.07 ± 0.32 vs 1.90 ± 0.43 L·min -1 and 156 ± 13 vs 152 ± 15 bpm) in any condition. All normoxic comparisons passed equivalence testing, but only GET:HRVT1 responses passed during hypoxia. Pearson's r correlation coefficients were 0.86 to 0.96 in normoxia and 0.58 to 0.79 in hypoxia. Bland-Altman analysis indicated higher degrees of bias and limit of agreements (LOA) during hypoxic testing. CONCLUSIONS: Although the V̇O 2 and HR at HRVTs retained alignment with GET/RCP in both normoxia and hypoxia, the degrees of correlation, and equivalence were weaker and the bias and LOA were larger in hypoxia. Therefore, although using HRVT alone for training boundary guidance in hypoxia is a potential option, further investigation including incorporating complementary surrogate markers is recommended.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.019
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.003
Threshold uncertainty score0.017

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.019
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.029
GPT teacher head0.316
Teacher spread0.287 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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