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Summary Study aim : This investigation examined the cardiac vagal modulation-to-vagal tone ratio and its utility to represent the dose response to accumulated exercise stress in intermittent team sport. Material and methods : Fourteen international calibre female field hockey players training as part of a national team were participants over a three-week period. Exercise stress was expressed through cardiovascular strain using heart rate (HR) dynamics and was quantified as a training load (AU) and time spent exercising above anaerobic threshold (min). Cardiac autonomic activity was examined using heart rate variability; R-R intervals (ms) were collected immediately upon awakening throughout each weekend. The square root of the mean squared differences of successive R–R intervals were individually calculated, and log transformed prior to being averaged (Ln rMSSD) along with the corresponding mean R-R interval length. Multiple linear regression analysis examined the association between cardiac autonomic activity and indices of accumulated exercise stress. Results : Significant inverse associations (95% CI) between the Ln rMSSD:R-R ratio and both training load [ r  = –0.48 (–0.70: –0.18),  p  = 0.012] and time spent exercising above anaerobic threshold [ r  = –0.51 (–0.72 : –0.22),  p  = 0.006] were observed. The association between mean R-R interval length and Ln rMSSD was not significant [ r  = 0.05,  p  = 0.950]. Conclusion : The current study demonstrated high intensity exercise, as defined through time spent above anaerobic threshold, displayed a stronger association with the Ln rMSSD:R-R ratio compared to a HR-derived training load when examining the dose response to accumulated intermittent exercise.

Alterations in Cardiac Vagal Modulation-to-Vagal Tone Ratio in response to accumulated exercise stress in intermittent team sport