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Explore evidence of reduced Vagal cardiac control variability in exhausted and high-strain job subjects. Present methods and hypotheses testing the Stress Disequilibrium Theory component based on Regulatory System Variance. Discuss Reduction in Vagal System Regulatory Capacity due to high strain or exhaustion, affecting Adaptive Capacity. Preliminary evidence shows reduced Vagal regulatory system variance in exhausted and high-strain subjects, demanding further study.
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Measuring Exhaustion Response: Example using Vagal Variance Sean Collins
Evidence of Reduced Vagal Cardiac Control Variability in Exhausted Subjects & High Strain Job Subjects • Purpose: • Present methods and propose hypotheses to test a component of the Stress Disequilibrium Theory based on “Regulatory System Variance” • HRV Project Background • Regulatory System Variance • HRV Project Methods • Determination of Exhausted Subjects • Repeated measures ANOVA
Regulatory System Variance: Strain & Exhaustion Hypothesis • High Frequency Variance components of HRV reflect Vagal system activity • Vagal system is a regulator of the cardiac system • Vagal system variance reflects Vagal system capacity to adapt to regulatory demands: Regulatory System Variance – i.e. Ashby’s Requisite Variety • Reduced Control (High Strain) & Exhaustion may lead to a reduction in Vagal system regulatory capacity – and therefore reduced Regulatory System Variance
Determination of Exhausted Subjects • Job Content Questionnaire Exhaustion Items • Unusually tired in the morning • End of the day, completely exhausted mentally and physically • “Most of the time” response required for both items • Four subjects reached pre-determined criteria for “exhaustion” • 3 “exhausted subjects – high strain jobs • Hybrid methodology
Regulatory System Variance – Controlled / Controlled Relationship System Regulation HFP Time Series (Vagal Control) 4 Hours (= 48 Epochs) Beat-to-Beat Variability RR Interval Series 5 – Minutes Frequency Analysis – HFP (.15-.4 Hz) 1 Epoch
Line of Identity Poincaré Plot for Entire Monitoring Period
Short Term Variation as Determined by Poincaré Plot Residuals
Variance – Measurement Methods & Results Shape of Variance in Vagal Control
Variance – Measurement Methods & ResultsData Variance > 1 σ: Vagal Cardiac Regulation
Discussion Limitations • Sample size • Linkage between Reduced Regulatory Variance and disease • Identification of Reduced Regulatory Variance indicating reduced adaptive capacity
Discussion Preliminary evidence of: • Reduced regulatory system variance of the vagal system in exhausted subjects during the workday that lasts into the hours following work • Reduced regulatory system variance of the vagal system in high strain subjects that seems to drop significantly during recovery hours • Clearly requires further study