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Brain & Heart                                              Automatic cardiac autonomic modulation assessment



            correlations between PNSi and both SNSi and BSTRi were   for linear) and (R  = 0.79 for quadratic and R  = 0.84 for
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            better fitted by quadratic or cubic functions (R  = 0.92 for   cubic, compared to R  = 0.66 for linear), respectively, when
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            quadratic and R  = 0.96 for cubic, compared to R  = 0.77   evaluated during physical effort (Figure 3A).
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                                                                 Figure  4 provides an example of the time-varying
            Table 7. Average values of PNSi, SNSi, and BSTRi at rest,   behavior of PNSi, SNSi, and BSTRi throughout a training
            at peak effort, and at the first and fifth min of recovery (X).
            Average values of PNSi, SNSi, and BSTRi across training   session, highlighting four short intervals at baseline rest,
            sessions with different workloads (Y)              medium and peak effort, and during recovery.
            X                 Selected training phases         3.3.3. Kubios indexes during police tactical training
                    (A) Rest   (B) Peak   (C) First   (D) Fifth   (psychophysiological stress)
                               effort    min rec  min rec      The average baseline values of PNSi and SNSi for the 16
                   Mean  SD  Mean  SD  Mean  SD  Mean  SD      police officers were within the suggested normal range,
                                                                                                            40
            PNSi   −1.10  0.46  −3.53  0.40  −2.99  0.55  −2.10  0.27  showing no significant differences when calculated from
            SNSi    1.92  0.78  17.59  6.10  8.97  4.67  4.47  1.27  2- and 5-min intervals. Average baseline BSTRi values were
            BSTRi   18.22  3.54  82.91 26.97 41.30 20.82 26.58  6.43  already above the normal limit before the tactical training
            P<0.05   B C D                 B        B C        began and increased up to 3 times during two subsequent
                                                               scenarios designed to escalate challenging operational tasks.
                               A C D      A D        A         BSTRi values during stress were higher when calculated
                               A C D      A D                  from 2-min intervals, though this difference was not
            Y            Session training workloads (watts/min)  statistically significant (Table 8). As expected, the increase
                    (A) 65–75  (B) 75–85   (C) 85–95   (D) 95–110   in psychophysiological stress from realistic tactical training
                   Mean  SD  Mean  SD  Mean  SD  Mean  SD      resulted in a significant increase in SNSi, reaching up to
            PNSi   −2.21  0.58  –2.44  0.85  −2.53  0.76  −2.73  0.80  6  times the upper normal limit, alongside a progressive
            SNSi    5.28  2.73  7.26  5.20  7.56  5.36  9.21  6.37  decrease in PNSi (from –1.4 ± 0.8 to –3.8 ± 0.7) (Table 9).
            BSTRi   30.34 12.10 38.32 22.15 38.92 22.72 45.39 27.59  An example of the time-varying behavior of PNSi
            P<0.05    C D                                      and SNSi during a realistic training session is shown
                                 D                             in  Figure  5A, alongside HRV spectral components
                                                               (Figure  5B). Individual BSTRi values exceeded 80
                                 A         A       A B C       conventional units at peak stress (Figure 5C).
            Note: Statistically significant differences (P<0.05) among groups are
            indicated by A, B, C, and D, as applicable.          Similar to findings during physical training, the
            Abbreviation: rec: recovery.                       relationship between SNSi and BSTRi was strictly linear

                         A










                         B











            Figure 3. Curves depicting the relationships between PNSi and SNSi (A) and between PNSi and BSTRi (B), illustrating different patterns under physical
            and psychophysiological stress (see text for details)
            Abbreviations: PNS: Parasympathetic nervous system; SNS: Sympathetic nervous system; BSTR: Baevski stress.


            Volume 2 Issue 4 (2024)                         9                                doi: 10.36922/bh.3503
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