WO2015036651A1 - Method to determine body's physiological response to physical exercise for assessing readiness and to provide feedback, and system for implementing the method - Google Patents

Method to determine body's physiological response to physical exercise for assessing readiness and to provide feedback, and system for implementing the method Download PDF

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Publication number
WO2015036651A1
WO2015036651A1 PCT/FI2014/050689 FI2014050689W WO2015036651A1 WO 2015036651 A1 WO2015036651 A1 WO 2015036651A1 FI 2014050689 W FI2014050689 W FI 2014050689W WO 2015036651 A1 WO2015036651 A1 WO 2015036651A1
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WO
WIPO (PCT)
Prior art keywords
exercise
performance level
readiness
user
determined
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PCT/FI2014/050689
Other languages
French (fr)
Inventor
Aki Pulkkinen
Sami Saalasti
Kaisa HÄMÄLÄINEN
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Firstbeat Technologies Oy
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Publication date
Application filed by Firstbeat Technologies Oy filed Critical Firstbeat Technologies Oy
Priority to US14/912,242 priority Critical patent/US10238915B2/en
Priority to EP14843885.6A priority patent/EP3043875B1/en
Publication of WO2015036651A1 publication Critical patent/WO2015036651A1/en
Priority to US16/275,561 priority patent/US11318351B2/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/22—Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/221—Ergometry, e.g. by using bicycle type apparatus
    • A61B5/222—Ergometry, e.g. by using bicycle type apparatus combined with detection or measurement of physiological parameters, e.g. heart rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/486—Bio-feedback
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0062—Monitoring athletic performances, e.g. for determining the work of a user on an exercise apparatus, the completed jogging or cycling distance
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2503/00—Evaluating a particular growth phase or type of persons or animals
    • A61B2503/10—Athletes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/7405—Details of notification to user or communication with user or patient ; user input means using sound
    • A61B5/741—Details of notification to user or communication with user or patient ; user input means using sound using synthesised speech
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0062—Monitoring athletic performances, e.g. for determining the work of a user on an exercise apparatus, the completed jogging or cycling distance
    • A63B2024/0068—Comparison to target or threshold, previous performance or not real time comparison to other individuals

Definitions

  • the invention relates to an improved method and system for determining body's readiness to respond to physical exercise and provide feedback, wherein
  • the method could be implemented in any device comprising a processor, memory and software stored therein and an user interface, e.g. heart rate monitor, fitness device, mobile phone, PDA device, wristop computer or personal computer.
  • High training load and recovery plays an important role in training, particularly in athletic training. There has to be a balance between hard and easy training and rest both within a single training week and within longer training periods. Finding a balance between training load and recovery is a key factor in improving fitness.
  • Periodization is important in training. Usually athletes have several very hard training periods each year, during which both the intensity and volume of training are very high. These kind of overreaching periods are very exhaustive but necessary for athletes to further improve their performance. However, performance can improve only if hard training is followed by adequate recovery.
  • Supercompensation is very incremental improvement of performance level. The results are usually shown over time and multiple training sessions. Every training session is not intended to bring supercompensation. A large part of aerobic endurance training is low intensity long duration training that prepares the capabilities of the body for harder training.
  • FIG 1 shows an example of different kinds of recovery time from the same workout: quick-recovery, normal recovery and slowly recovery. Because the recovery from workout can be very different in different person and even with same person in different situations and depending on time of day, it is very important to determine the body's readiness to exercise during each exercise session.
  • Nissila et al. (US 2011021319A1) have presented an apparatus for metabolic training load, mechanical stimulus, and recovery time calculation.
  • This method's recovery time assessment is based on the measured training load/workload from the whole exercise.
  • the method does not assess user's performance level and therefore does not provide information on the capacity of the user to perform the exercise.
  • the method can provide information only after the exercise, and the method fails to make assessment of recovery time or body's readiness to exercise during exercise.
  • the method does not make an assessment of the readiness of the user to do the exercise during the exercise, the method is not capable of calibrating and providing feedback already during the exercise.
  • Saalasti et al. (US 7,192,401 B2) have presented a method for monitoring accumulated body fatigue for determining recovery during exercise or activity. This method provides recovery information already during exercise, but does not determine person's performance level and thereby does not calibrate the recovery time. The method is not also able to provide feedback to person's readiness to exercise.
  • the invention aims is to estimate daily physiological response to exercise for assessing readiness and recovery, and to provide feedback in order to optimize training.
  • the present invention aims also to avoid the drawbacks of the known methods and systems relating to estimate daily physiological response to exercise. It is intended to provide an improved method and system for assessing readiness and recovery, and providing feedback in order to optimize training.
  • the characteristic features of the method according to the invention are stated in the accompanying Claim 1 and the features of the system implementing the method are stated in Claim 17.
  • the method according to the invention helps in finding a balance between training load and recovery and improves feedback regarding to a body response.
  • the method determines body's readiness to respond to physical exercise and provides feedback to a user, which has an earlier performance level. In the method - the user starts to perform the exercise, wherein measuring of the intensity begins
  • an instant performance level of the user is determined by a relation of exercise intensity and determined external workout, the exercise intensity being determined by measured heart rate,
  • an instant performance level of the user is determined by a relation of measured exercise intensity and determined external workload
  • the determining of the performance level should be understood here widely. It may refer to any body response of a physical exercise, which body response indicates a change of the readiness or recovery time. Preferably it refers to the cardiorespiratory performance level, the relative heart rate being more than 50%. Some background information giving maxHR directly or undirectly is necessary if the absolute performance level (V02max) should be determined. However, the evaluation could be carried also relatively just comparing any later result to previous one, eg. to the first value.
  • the instant performance level is determined during any exercise and compared to an earlier performance level.
  • a recovery time is determined according to the determined readiness index.
  • Readiness index is determined after the started and fully performed exercise or preferably during said started exercise, particularly readiness index is determined frequently.
  • a readiness index is determined mainly by said comparison and optionally with background information and/or training history of the user.
  • user is advised by arrows to increase, maintain or decrease exercise load or intensity.
  • user is advised by voice guiding.
  • the user is advised by the feedback regarding to an aim of the exercise and/or the user is advised by the feedback to choose an exercise type from a preset group of different exercise types.
  • the user is may be advised with a development of the instant performance level.
  • This feature helps exerciser to exercise according to the goal by following only the acute effects of exercise to performance level. For example, if the aim of the exercise is to do easy/recovering workout, the device guide to lighten the load, if the performance level of the user is decreasing. Similarly, the hard exercise drops acutely performance level and intent to exercise like this, the device guides user to a suitable load.
  • a reliability of a value of the instant performance level is detected and each value with a low reliability is automatically excluded. This allows for reliable performance level assessment. For example running in the forest which is much heavier than the road, performance level assessment does not drop down.
  • Preferable exercise modality is detected. This means that the method detects e.g. cycling from running workloads (Fig 4b.). This helps to determine reliable readiness index because the relationship between physiological response and external workload depends on the exercise modality.
  • the method is implemented by a system having CPU and memory and software therein.
  • background data of the user is adapted by feedback. This allows for more individualized feedback and training offered by changes in the performance level does not required to update manually to the device.
  • the instant performance level is determined preferably by the relation between a physiological response and an external workload during the exercise.
  • the start of the performing the exercise is detected automatically. Thus, it may be convenient that it is not necessary to start the procedure manually.
  • Figure 1 presents a typical variation in recovery after same workout of one individual in different times
  • FIG. 2a presents the main logic of the method according to the invention
  • FIG. 2b presents the enhanced main logic of the method
  • Figure 3 presents the flowchart of the recovery advisor according to a preferred embodiment
  • Figure 4a presents the flowchart for the assessment of an instant performance level
  • Figure 4b presents an example of automatic running workouts inclusion and other workouts exclusion
  • Figure 5a shows the relationship between change in performance level and readiness index.
  • Figure 5b shows the relationship between current workout's physiological load and readiness index.
  • Figure 6 presents an example of the recovery time accumulation according to the change in performance level.
  • Figure 7 presents readiness to exercise in different kind of initial situations.
  • Figure 8 presents an example of automatic personalization in one year view and recovery time adaptation according to performance level development.
  • Figure 9 presents the flowchart for the assessment of recovery time during or after exercise
  • Figure 10 presents another implement of recovery advisor in a wristop
  • Figure 11 presents an example of training advisor's feedback.
  • Figure 12 presents a block diagram of the system with additional interfaces.
  • Figures 13a, 13b and 13c present guiding of exercise with different situations.
  • Person's background information includes such as age, weight, height and gender and maximum HR. It refers to ability to perform physical exercise. 'Activity class' belongs to same group. Some background information may be initially assumptions on which the device starts to edit according the data. The required background information depends on what kind of feedback the person will be given. An relative comparison could be carried totally without background information. The absolute performance level in a scale of V02max requires background information.
  • the background information may include also a target which can be a longer-term target or goal of the workout. The long-term goal may be a target time for a specific marathon, weight managements or improving performance level. The workout target can be for example recovering workout or high intensity workout or a specific exercise.
  • Exercise can be any kind of physical activity.
  • the device can automatically detect physical activity and therefore not need a separate start command. It should note that user's ordinary exercise may have different parts:
  • the earlier exercise may be needed in order to determine personal data and training history, particularly activity class, and an earlier performance level.
  • the term 'a exercise regarding determining body's readiness' refers to an exercise where calculation of readiness index is available and possible.
  • Body's internal reaction to the external workload is heart rate (H ), oxygen consumption, energy expenditure or respiration rate or other measured value which determines body's response to external load.
  • the heart rate (HR) is the most preferable variable to get the internal response, because heart rate is easily available and it is accurate to depict the exercise intensity.
  • External workload data can be for example speed and altitude data from GPS or accelerometer, pedaling power or other data created by workload causing energy expenditure.
  • the external workload can be measured or manually inputted such as distance or workload index.
  • the performance level can be presented also with index value.
  • the person's performance level such as V02max or METmax which is determined according to relationship between physiological response and external workload during exercise or estimated on the basis of the background information or inputted manually.
  • Earlier performance level may be initially assumptions on which the device starts to edit according the data.
  • Earlier performance level can be determined from current exercise's past time or from a previous exercise. Results are generally more accurate if the performance level of a previous exercise is known. In other hand the method is flexible if previous data is not necessary. Performance level can be presented also with index value.
  • Training history can include for example information about how much recovery time has left from last workout, current workout training load such as Training effect or TRIMP etc.
  • Readiness index is used to given different kinds of feedback to the user. This is also used for selection of next workout modality and intensity. For example if readiness index is low, exercise feedback guides to an easy exercise to avoid overloading.
  • Recovery information can be given to the user during or after exercise numerically, verbally or visually. Exercise feedback
  • Exercise feedback can include the feedback of the on-going or next workout.
  • the feedback may include model, time, duration and/or intensity of exercise etc.
  • the feedback may also include feedback about the workout in relation to the target.
  • the feedback can be given to the user during or after exercise numerically, verbally or visually e.g. by arrows.
  • Figures 2 show the main logic of the method, where the body's readiness to physical exercise, wherein
  • the instant performance level of the user is determined by a relation of measured exercise intensity and determined external workload earlier performance level is compared to the instant performance level.
  • a readiness index is determined according to the said comparison and optionally with
  • V0 2 max Maximal oxygen consumption
  • V0 2 max is defined as the maximal rate of oxygen intake during exhaustive exercise and denotes person's ultimate capacity for aerobic energy production. Usually this is achieved by stepwise exercise protocol to a voluntary exhaustion (maximal exercise stress test), during which the oxygen uptake is measured.
  • non-exercise methods are available to estimate person's V02max based on individual characteristics such as, for example, age. sex, anthropometric information, history of physical activity, or resting level physiological measurements (e.g. Jackson et al. 1990). Assessment of performance level is more accurate when background data is available.
  • This invention introduces a method for accurate assessment of person's instant performance level during any use performed exercise session.
  • Preferably performance level evaluation is based on the well-known connection between the heart rate and power output (for example running speed or pedalling power). See figure 4. More information Seppanen et al (WO2009/133248A1) and Saalasti et al (WO2012140322A1).
  • cycling power is not known running exercise is automatically detected according heart rate and speed data, e.g., cycling workload gets none or low reliability V02max. See figure 4b how the methods automatically exclude non running exercises (circles). V02max estimation is stopped also for workout when reliability decreases for example due to HR drift in long duration workouts.
  • FIG. 4a presenting the software implementation. After start internal and external exercise workout are read continuously . R-R-intervals are measured by heart rate sensor 12.
  • MaxHR is read from input data (eg. 210 - 0.65 x 'age').
  • maxMET maxMET(HR, maxHR, external exercise workout).
  • instant performance level depicted by V02max can be predicted by relative heart rate and external workload.
  • V02max t (Ci - HR/maxHR) * C 2 * (Speed + C 3 ) * (1 + Grade)
  • the formula of performance level is adapted according to the determined modality (like running, cycling, rowing and walking).
  • the periods are typically 5 seconds, more generally in range 3 - 30 s.
  • There are a set filter for each input value like HR should be at least 70 % HRmax and speed below 7 m/s.
  • the most useful criterion here sets a range for each calculated V02max-value, like
  • the module 44 calculates a median value from reliable maxMET-values.
  • the maxMET-value is calculated in the module 48 by the values of 'instant maxMET', 'history maxMET' and reliability.
  • the 'history maxMET' has always minimum 60 % weight.
  • the 'instant maxMET' has weight of 0 - 40% depending on reliability. If input values or calculated maxMET value is out of range or there are less than preset minimum number, eg. 20 accepted points, the reliability is 0%.
  • the reliability is calculated in module 43. After the minimum number of points has been reached the reliability starts to increase from zero depending on how many accepted points has been detected. The reliability reaches full 100 %, when there are accepted values of matMEX t for 30 minutes.
  • Continuously updated accumulated training history data 50 gives History maxMET-value.
  • 'History maxMet' is 50
  • 'instant maxMet' is 45
  • the duration of reliable data 5 minutes yield maxMET 49. If the duration is 25 minutes, the maxMET would be 46. It can be estimated that there should be at least 10 minutes free exercise or at least 2 minutes for guided exercise, when the first reliable results appear.
  • Figure 4a does not contain exit-module, when the exercise ends.
  • Readiness to exercise is determined according to comparison between person's earlier performance level and instant performance level. Comparison is the main factor in the calculation of Readiness index.
  • the instant performance level is determined preferable automatically with free fitness test from the data which includes heart rate and work rate data.
  • latest workout V02max estimate may have weight of 0 - 40%.
  • Also on-going workout may effect on readiness index.
  • the power output can be described for example with Training effect value which refers to training-induced development of performance level and performance.
  • Training effect value refers to training-induced development of performance level and performance.
  • EPOC excess post-exercise oxygen consumption
  • the activity class value represents the activity level of the previous month.
  • FIG. 5a shows the relationship between changes in performance level and readiness index 1.
  • Figure 5b shows how the on-going workout load effect on readiness index 2 preventing overload when the user has starting with heavy load.
  • the final recovery index can be determined either on the basis of relationship shown in Figure 5a, or by combining the figure 5a and 5b or the ratio by combining the two images and by adding the recovery time which is remaining from previous exercise.
  • Readiness index can calculated with the formula:
  • Readiness index A*recovery time left + B*readiness index 1 + C*readiness index 2
  • the empiric formula has been built so that when readiness index is getting a positive value, the person is ready for the exercise.
  • Readiness index calculation learns from the person's history recovery needs and automatically adapts to their own level. Readiness index calculation takes into account the long-term changes in performance levels and physical activity. For example, if the person does a hard workout but the performance level is, however, higher than in the past, the readiness is could be relatively better than the training effect based readiness. In turn, if person do some easy workout but the performance level is going down (because of acute performance level decrease due to for example tiredness or illness), readiness index be lower than some previously performed a hard training session which is done during increasing performance level. See an example of automatic personalization in figure 8. 4) Training advisor
  • readiness index When readiness index is defined, it can be utilized for various applications and the basis of feedback. These kinds of applications are for example recovery time, exercise guidance and feedback about readiness to exercise. The timing of supercompensation and the recovery needs is an individual and it will greatly be affected of the acute situations, such as training, stress, eating and sleeping. The real recovery is unknown until the recovery has taken place. The best and the only indisputable measure of readiness to exercise is the change of performance.
  • Figures 13a, 13b and 13c show an example of how the following of current workout performance level development can be used to provide feedback about readiness to exercise, recovery time and give exercise guidance.
  • Feedback can be given based on the absolute or relative change in fitness level.
  • Feedback is based on the change in performance level according to exercise. When the performance level has increased or decreased over predetermined value, the feedback is given. Feedback can also be given, if the user's performance level will remain unchanged.
  • Feedback about performance level change takes into account the current exercise load (for example EPOC and TE), exercise duration, training history and fitness level change during previous exercises. Feedback can be given based on current exercise performance level change and also comparing it with the previous exercises' performance level changes.
  • FIG 13a the performance level increases during the exercise and user do easy/recovering exercise.
  • the device tells to the user that the exercise was light and no recovery required.
  • Figure 13b shows an example about heavy exercise. In the beginning of the exercise performance level increases but heavy exercise decrease performance level and causing improving workout.
  • figure 13c the user do the same exercise than figure 13b but in the beginning of the exercise readiness to exercise is in low level and performance level decrease. Despite this the user continues heavy exercise and the exercise causes an acute overload situation to the user.
  • the device tells to the user that the recovery is still in progress, user could be better to take it easy and because the exercise caused overload the recovery need is high.
  • An integral part of the present invention is to give feedback to the user by scaling the recovery time for meaningful interpretation, capacity to respond to the new exercise and training feedback.
  • Feedback can be given during or after exercise visually, verbally or auditory. See on example in figure 10.
  • Figure 9 shows another software implementation of the method for a wristop or other device.
  • the calculation of Readiness index uses input parameters: instant Recovery time left, instant achieved training effect (TE), current and previous performance level (maxMET and History maxMET), minutes of valid data for maxMET (reliability).
  • the difference between current and previous performance level is calculated in module 52.
  • instant Readiness index is calculated in module 54 into the register 56.
  • condition modules 58, 60, 62 According to condition 58 if the workout ends, the final Readiness index is the 5 last instant Readiness Index, otherwise the condition 60 "Warm-up Readiness check already completed?" is executed.
  • Training advisor can include also training recommendations during or after exercise.
  • the feedback may also relate to the target, which can be a longer-term target or goal of the workout.
  • the long- term goal may be a target time for a specific marathon.
  • the objective of the exercise can be for example a "heavy exercise” or "recovery exercise” and the device gives feedback about the success 20 of exercise towards to goal. For example, if the aim is the recovery exercise and performance level seems to decrease during exercise, the device notice to the user about that and give the necessary training instructions. Recommendation can be given by numeric or verbal.
  • An example of training advisor's interpretation and training recommendation Green: “Full recovery”, “Go for it", Full charge. Red: “Ease up a bit”, Drained.
  • the implementation in a typical application (e.g., wristop device) the implementation comprises an assembly built around a central processing unit (CPU) 32.
  • a bus 36 transmits data between the central unit 32 and the other units.
  • the input unit 31, ROM memory 31.1, RAM memory 31.2, keypad 18, PC connection 37, and output unit 34 are connected to the bus.
  • the system main comprise a data logger which can be connected to cloud service. The data logger measure physiological response and/or external workload.
  • the heart rate sensor 12 and some sensor 30 registering external output are connected to the input unit 31, which handles the sensor's data traffic to the bus 36.
  • the PC is connected to a PC connection 37.
  • the output device for example a display 15, is connected to the output unit 34.
  • voice feedback is created with the aid of a voice synthesizer and a loudspeaker 35, instead or, or in addition to the feedback on the display.
  • the sensor 30 measuring external work can, in fact, comprise a group of sensors, which are used together to define the external work done by the user. More specifically the system presented in figure 12 has following minimum parts for determining body's readiness to respond to physical exercise and provide feedback to a user.
  • a heart rate sensor (32) configured to measure the heartbeat of the person, the heart rate signal being representative of the heartbeat of the user;
  • a data processing unit (32) operably coupled to the said sensors (12, 30)
  • a memory 31.1, 31.2 operably coupled to the data processing unit (32)
  • the data processing unit (32) is configured
  • All of the default values of the optional parameters are preferably stored in a ROM memory, or more specifically, e.g. in an EEPROM (Electrically Erasable Programmable Read-Only Memory) memory.
  • ROM Read Only Memory
  • EEPROM Electrically Erasable Programmable Read-Only Memory
  • sex man, age 35 years, weight 75 kg, height 180 cm.
  • the fitness level (V02max) :40 ml/kg/min; Activity class 4.
  • the default values of the parameters are preferably recorded in self-service software.
  • the fitness test according to the invention provides several advantages in terms of automatic updating. It can be completely integrated in many standard-model wristop devices and demands substantially fewer calculation stages than the method according to the WO publication.

Abstract

The invention relates to a method and a system for determining body's readiness to respond to physical exercise and for providing feedback to a user. In the method the user starts to perform an exercise, an earlier performance level is determined before starting a performance check having steps of: an instant performance level of the user is determined, the earlier performance level is compared to the instant performance level, a readiness index is determined according to the said comparison and optionally with background and/or training history of the user, a feedback is given according to the determined readiness index.

Description

Method to determine body's physiological response to physical exercise for assessing readiness and to provide feedback, and system for implementing the method.
The invention relates to an improved method and system for determining body's readiness to respond to physical exercise and provide feedback, wherein
- physiological response is measured
- external workload is measured or entered
- instant performance level of the user is determined
- feedback is given during and/or after exercise. The method could be implemented in any device comprising a processor, memory and software stored therein and an user interface, e.g. heart rate monitor, fitness device, mobile phone, PDA device, wristop computer or personal computer.
Background of the invention
High training load and recovery plays an important role in training, particularly in athletic training. There has to be a balance between hard and easy training and rest both within a single training week and within longer training periods. Finding a balance between training load and recovery is a key factor in improving fitness.
Periodization is important in training. Usually athletes have several very hard training periods each year, during which both the intensity and volume of training are very high. These kind of overreaching periods are very exhaustive but necessary for athletes to further improve their performance. However, performance can improve only if hard training is followed by adequate recovery.
Supercompensation is very incremental improvement of performance level. The results are usually shown over time and multiple training sessions. Every training session is not intended to bring supercompensation. A large part of aerobic endurance training is low intensity long duration training that prepares the capabilities of the body for harder training.
The timing of supercompensation and the recovery needs is an individual and it will greatly be affected of the acute situations, such as training, stress, eating and sleeping. The real recovery is unknown until the recovery has taken place. The best and the only indisputable measure of recovery time is the change of performance. Figure 1 shows an example of different kinds of recovery time from the same workout: quick-recovery, normal recovery and slowly recovery. Because the recovery from workout can be very different in different person and even with same person in different situations and depending on time of day, it is very important to determine the body's readiness to exercise during each exercise session.
The prior art has documented some work on the measurement of exercise workload and recovery. Nissila et al. (US 2011021319A1) have presented an apparatus for metabolic training load, mechanical stimulus, and recovery time calculation. This method's recovery time assessment is based on the measured training load/workload from the whole exercise. The method does not assess user's performance level and therefore does not provide information on the capacity of the user to perform the exercise. Furthermore, as the method is based on analysis of the workload of the whole exercise, the method can provide information only after the exercise, and the method fails to make assessment of recovery time or body's readiness to exercise during exercise. Thus, as the method does not make an assessment of the readiness of the user to do the exercise during the exercise, the method is not capable of calibrating and providing feedback already during the exercise. Saalasti et al. (US 7,192,401 B2) have presented a method for monitoring accumulated body fatigue for determining recovery during exercise or activity. This method provides recovery information already during exercise, but does not determine person's performance level and thereby does not calibrate the recovery time. The method is not also able to provide feedback to person's readiness to exercise.
Prior art has documented work on deriving information on the accumulation of body fatigue and exhaustion as due to physical workload. Bernard et al. (US 4,883,063) have presented a method for monitoring heat stress, as especially occurring in a hot factory environment. The solution includes an assessment of recovery on the basis of heart rate measurement, during which the person has to stay at rest for few minutes. The estimation of the recovery is somewhat problematic in the described method, since it requires few minutes of rest and is not therefore applicable to continuous monitoring of recovery within dynamic changes in exercise phases and intensities. In general, the method does not involve a differential estimation of the recovery component which impairs the estimation of the recovery during dynamic exercise.
Summary of the present invention
The invention aims is to estimate daily physiological response to exercise for assessing readiness and recovery, and to provide feedback in order to optimize training. The present invention aims also to avoid the drawbacks of the known methods and systems relating to estimate daily physiological response to exercise. It is intended to provide an improved method and system for assessing readiness and recovery, and providing feedback in order to optimize training. The characteristic features of the method according to the invention are stated in the accompanying Claim 1 and the features of the system implementing the method are stated in Claim 17. The method according to the invention helps in finding a balance between training load and recovery and improves feedback regarding to a body response. The method determines body's readiness to respond to physical exercise and provides feedback to a user, which has an earlier performance level. In the method - the user starts to perform the exercise, wherein measuring of the intensity begins
- an earlier performance level is determined before a performance check having steps of
- an instant performance level of the user is determined by a relation of exercise intensity and determined external workout, the exercise intensity being determined by measured heart rate,
- an instant performance level of the user is determined by a relation of measured exercise intensity and determined external workload,
- the earlier performance level is compared to the instant performance level,
- a readiness index is determined according to the said comparison and optionally with
background information and/or training history of the user,
- a feedback is given according to the determined readiness index.
The determining of the performance level should be understood here widely. It may refer to any body response of a physical exercise, which body response indicates a change of the readiness or recovery time. Preferably it refers to the cardiorespiratory performance level, the relative heart rate being more than 50%. Some background information giving maxHR directly or undirectly is necessary if the absolute performance level (V02max) should be determined. However, the evaluation could be carried also relatively just comparing any later result to previous one, eg. to the first value.
Also training history is needed in such extent that the recovery state could be registered. However, it is possible start an exercise and generate all necessary parameters for the exercise for determining the Readiness index.
The instant performance level is determined during any exercise and compared to an earlier performance level.
In another embodiment a recovery time is determined according to the determined readiness index. Readiness index is determined after the started and fully performed exercise or preferably during said started exercise, particularly readiness index is determined frequently. A readiness index is determined mainly by said comparison and optionally with background information and/or training history of the user.
In another embodiment the user is advised by the feedback at least with one of the following options:
- to continue training normally (e.g. green colour) if the determined readiness index indicates an improved performance level or being in a previous level ,
- to maintain training intensity (yellow) if the determined readiness index seems not being full recovered or exhausted, - to ease up training (red) if the determined readiness index indicates a decreased performance level. This feature helps exerciser's to choose the right exercise to the current time and optimize the performance level development.
In another embodiment user is advised by arrows to increase, maintain or decrease exercise load or intensity. In another embodiment user is advised by voice guiding.
Preferably the user is advised by the feedback regarding to an aim of the exercise and/or the user is advised by the feedback to choose an exercise type from a preset group of different exercise types. The user is may be advised with a development of the instant performance level. This feature helps exerciser to exercise according to the goal by following only the acute effects of exercise to performance level. For example, if the aim of the exercise is to do easy/recovering workout, the device guide to lighten the load, if the performance level of the user is decreasing. Similarly, the hard exercise drops acutely performance level and intent to exercise like this, the device guides user to a suitable load. In a preferable method a reliability of a value of the instant performance level is detected and each value with a low reliability is automatically excluded. This allows for reliable performance level assessment. For example running in the forest which is much heavier than the road, performance level assessment does not drop down.
Preferable exercise modality is detected. This means that the method detects e.g. cycling from running workloads (Fig 4b.). This helps to determine reliable readiness index because the relationship between physiological response and external workload depends on the exercise modality.
The method is implemented by a system having CPU and memory and software therein.
In another embodiment background data of the user is adapted by feedback. This allows for more individualized feedback and training offered by changes in the performance level does not required to update manually to the device.
The instant performance level is determined preferably by the relation between a physiological response and an external workload during the exercise.
In another embodiment the start of the performing the exercise is detected automatically. Thus, it may be convenient that it is not necessary to start the procedure manually. The invention and its embodiments are described more in detail with reference to following drawings, which present background and preferable embodiments of the invention.
Figure 1 presents a typical variation in recovery after same workout of one individual in different times
Figure 2a presents the main logic of the method according to the invention
Figure 2b presents the enhanced main logic of the method
Figure 3 presents the flowchart of the recovery advisor according to a preferred embodiment Figure 4a presents the flowchart for the assessment of an instant performance level
Figure 4b presents an example of automatic running workouts inclusion and other workouts exclusion
Figure 5a shows the relationship between change in performance level and readiness index. Figure 5b shows the relationship between current workout's physiological load and readiness index.
Figure 6 presents an example of the recovery time accumulation according to the change in performance level.
Figure 7 presents readiness to exercise in different kind of initial situations.
Figure 8 presents an example of automatic personalization in one year view and recovery time adaptation according to performance level development.
Figure 9 presents the flowchart for the assessment of recovery time during or after exercise Figure 10 presents another implement of recovery advisor in a wristop
Figure 11 presents an example of training advisor's feedback.
Figure 12 presents a block diagram of the system with additional interfaces.
Figures 13a, 13b and 13c present guiding of exercise with different situations.
Detailed description of the invention Definitions of the terms Background information
Person's background information includes such as age, weight, height and gender and maximum HR. It refers to ability to perform physical exercise. 'Activity class' belongs to same group. Some background information may be initially assumptions on which the device starts to edit according the data. The required background information depends on what kind of feedback the person will be given. An relative comparison could be carried totally without background information. The absolute performance level in a scale of V02max requires background information. The background information may include also a target which can be a longer-term target or goal of the workout. The long-term goal may be a target time for a specific marathon, weight managements or improving performance level. The workout target can be for example recovering workout or high intensity workout or a specific exercise.
Exercise
Exercise can be any kind of physical activity. The device can automatically detect physical activity and therefore not need a separate start command. It should note that user's ordinary exercise may have different parts:
• a starting part of exercise providing the 'earlier performance level'
• a continuation of exercise for a performance check
The earlier exercise may be needed in order to determine personal data and training history, particularly activity class, and an earlier performance level. The term 'a exercise regarding determining body's readiness' refers to an exercise where calculation of readiness index is available and possible.
Physiological response
Body's internal reaction to the external workload is heart rate (H ), oxygen consumption, energy expenditure or respiration rate or other measured value which determines body's response to external load. The heart rate (HR) is the most preferable variable to get the internal response, because heart rate is easily available and it is accurate to depict the exercise intensity. The maximum value of HR is determined often easily by empirical way; HRmax = (210 -0.65 * AGE). The default value is then adapted according to exercises. External workload
The external work rate. External workload data can be for example speed and altitude data from GPS or accelerometer, pedaling power or other data created by workload causing energy expenditure. The external workload can be measured or manually inputted such as distance or workload index.
Instant performance level
The person's current performance level, preferably as V02max (= 3.5 x METmax), which is determined according to relationship between physiological response and external workload. The performance level can be presented also with index value.
Earlier performance level
The person's performance level such as V02max or METmax which is determined according to relationship between physiological response and external workload during exercise or estimated on the basis of the background information or inputted manually. Earlier performance level may be initially assumptions on which the device starts to edit according the data. Earlier performance level can be determined from current exercise's past time or from a previous exercise. Results are generally more accurate if the performance level of a previous exercise is known. In other hand the method is flexible if previous data is not necessary. Performance level can be presented also with index value.
Training history
Include all information about training in the past: the training information before the start of the current workout and the current workout before instant performance level assessment. Training history can include for example information about how much recovery time has left from last workout, current workout training load such as Training effect or TRIMP etc.
Readiness index
An index value which represent body's readiness for workout. High readiness index represent that body is ready to new workout because of body is recovered and has energy to exercise. Low readiness index represent that body is unrecovered. Readiness index can be determined in different ways:
1) relationship between instant and earlier performance levels
2) relationship between instant and earlier performance levels and combining the personal information.
3) relationship between instant and earlier performance levels and combining the information about training history.
4) ) relationship between instant and earlier performance levels and combining the personal and training history information.
Readiness index is used to given different kinds of feedback to the user. This is also used for selection of next workout modality and intensity. For example if readiness index is low, exercise feedback guides to an easy exercise to avoid overloading.
Readiness to exercise
How ready the body is for a new exercise. Readiness information can be given to the user numerically, verbally or visually.
Recovery estimate
How long time is recommended to recover before next exercise to optimize training. Recovery information can be given to the user during or after exercise numerically, verbally or visually. Exercise feedback
Exercise feedback can include the feedback of the on-going or next workout. The feedback may include model, time, duration and/or intensity of exercise etc. The feedback may also include feedback about the workout in relation to the target. The feedback can be given to the user during or after exercise numerically, verbally or visually e.g. by arrows. Preferred embodiments
Figures 2 show the main logic of the method, where the body's readiness to physical exercise, wherein
- earlier performance level and training history are known before an exercise
- physiological response (heart rate) is measured and external workload are determined
- instant performance level of the user is determined by the relation of them
- earlier performance level is compared to instant performance level
- training history is combined to the change of performance level as a result a variety of applications and feedback such as body's readiness to exercise, recovery time and exercise feedback during and after exercise.
An example of a flowchart for implementing the claimed method is shown in Figure 3.
- An earlier performance level is determined before the starting the exercise regarding determining body's readiness (performance check),
- The user starts to perform the exercise;
- The instant performance level of the user is determined by a relation of measured exercise intensity and determined external workload earlier performance level is compared to the instant performance level.
- A readiness index is determined according to the said comparison and optionally with
background and/or history data of the user,
- A feedback is given according to the determined readiness index
- Exercise end
- Repeat the steps 3 -6
Recovery time reduce in chronological way between exercises 1) Instant performance level assessment Maximal oxygen consumption (V02max) is defined as the maximal rate of oxygen intake during exhaustive exercise and denotes person's ultimate capacity for aerobic energy production. Usually this is achieved by stepwise exercise protocol to a voluntary exhaustion (maximal exercise stress test), during which the oxygen uptake is measured. Also non-exercise methods are available to estimate person's V02max based on individual characteristics such as, for example, age. sex, anthropometric information, history of physical activity, or resting level physiological measurements (e.g. Jackson et al. 1990). Assessment of performance level is more accurate when background data is available. This invention introduces a method for accurate assessment of person's instant performance level during any use performed exercise session. Preferably performance level evaluation is based on the well-known connection between the heart rate and power output (for example running speed or pedalling power). See figure 4. More information Seppanen et al (WO2009/133248A1) and Saalasti et al (WO2012140322A1).
The assessment of the instant performance level used in figure 3 is shown in more detailed in figure 4.
If cycling power is not known running exercise is automatically detected according heart rate and speed data, e.g., cycling workload gets none or low reliability V02max. See figure 4b how the methods automatically exclude non running exercises (circles). V02max estimation is stopped also for workout when reliability decreases for example due to HR drift in long duration workouts.
Referring to figure 4a presenting the software implementation. After start internal and external exercise workout are read continuously . R-R-intervals are measured by heart rate sensor 12.
External workout is obtained by one or more sensors 30 (Here Running speed & altitude). MaxHR is read from input data (eg. 210 - 0.65 x 'age'). MaxMET (=V02max/3.5) is calculated by an empirical equation
maxMET = maxMET(HR, maxHR, external exercise workout). Thus, instant performance level depicted by V02max, can be predicted by relative heart rate and external workload.
The external exercise workload is measured by sensors 30, detecting running speed and altitude. The monitoring of the latter gives the grade (inclination) needed in the equation. Thus, the equation has been modified here: maxMET= maxMET(HR, maxHR, speed, grade) calculated periodically by the module 40. The coefficients C , C2 and C3 are determined using empirical data.
V02maxt = (Ci - HR/maxHR) * C2 * (Speed + C3) * (1 + Grade)
The lower heart rate, the better performance level user has. Whenever the modality of the exercise is determined, the formula of performance level is adapted according to the determined modality (like running, cycling, rowing and walking).
While input values are read periodically by the sensors 12, 30, their quality is checked by preset criteria. The periods are typically 5 seconds, more generally in range 3 - 30 s. There are a set filter for each input value like HR should be at least 70 % HRmax and speed below 7 m/s. However, the most useful criterion here sets a range for each calculated V02max-value, like
20 ml/kg/min < V02max < 90 ml/kg/min
This criterion sets a decent relation between heart rate and the external work out. The module 44 calculates a median value from reliable maxMET-values. The maxMET-value is calculated in the module 48 by the values of 'instant maxMET', 'history maxMET' and reliability. The 'history maxMET' has always minimum 60 % weight. The 'instant maxMET' has weight of 0 - 40% depending on reliability. If input values or calculated maxMET value is out of range or there are less than preset minimum number, eg. 20 accepted points, the reliability is 0%. The reliability is calculated in module 43. After the minimum number of points has been reached the reliability starts to increase from zero depending on how many accepted points has been detected. The reliability reaches full 100 %, when there are accepted values of matMEXtfor 30 minutes.
Continuously updated accumulated training history data 50 gives History maxMET-value. In an example 'History maxMet' is 50, 'instant maxMet' is 45 and the duration of reliable data 5 minutes yield maxMET 49. If the duration is 25 minutes, the maxMET would be 46. It can be estimated that there should be at least 10 minutes free exercise or at least 2 minutes for guided exercise, when the first reliable results appear.
Figure 4a does not contain exit-module, when the exercise ends.
After the instant performance level is detected the result can be used to provide a variety of applications, feedback and guidance to the user. 2) Calculating readiness index
Readiness to exercise is determined according to comparison between person's earlier performance level and instant performance level. Comparison is the main factor in the calculation of Readiness index. The instant performance level is determined preferable automatically with free fitness test from the data which includes heart rate and work rate data. For reliable results, V02max (= 3.5 x maxMET) is updated as reliability weighted average between the latest new workout value and history value. For updated V02max, latest workout V02max estimate may have weight of 0 - 40%.
Also on-going workout may effect on readiness index. The power output can be described for example with Training effect value which refers to training-induced development of performance level and performance. To determine the training effect of a single exercise, peak EPOC achieved during exercise and the activity class of an individual must be known. EPOC (excess post-exercise oxygen consumption) measures the quantity of exercise-induced disturbance of body's homeostasis. The activity class value represents the activity level of the previous month. Read more Saalasti et al. (US 7,192,401 B2) Method for monitoring accumulated body fatigue for determining recovery during exercise or activity. In addition to information of changes in performance level and on-going workout intensity, the recovery time from last exercise can be taken account.
The readiness to exercise is calculated as figure 5a and 5b. Figure 5a shows the relationship between changes in performance level and readiness index 1. Figure 5b shows how the on-going workout load effect on readiness index 2 preventing overload when the user has starting with heavy load. The final recovery index can be determined either on the basis of relationship shown in Figure 5a, or by combining the figure 5a and 5b or the ratio by combining the two images and by adding the recovery time which is remaining from previous exercise.
Readiness index can calculated with the formula:
Readiness index = A*recovery time left + B*readiness index 1 + C*readiness index 2
Example: coefficients A=-l [1/h] ; B=4 and C=-4.
Recovery time left=10h; V02max change = 5 ml/kg/min; Current workout 7 ml/kg/min,
Readiness indexl=5; Readiness index2= 2, wherein
Readiness index= -l*10+4*5+(-4)*2=2 In this example the new exercise started, when there was still recovery time 10 h, but fitness level (performance level) was increased and workout was light (training effect was low, TE=2).
Thus, when Readiness index is used for recovery check feedback, the positive results would yield "Go for it!"
In case performance level) was decreased 5ml/kg/min, then the formula gives -38 meaning the Readiness index being -38 and the feedback could be "Overload ! Rest! High body loads, recovery time 48h"
The empiric formula has been built so that when readiness index is getting a positive value, the person is ready for the exercise.
An example of how instant performance level effect on feedback about readiness to exercise is shown in figure 7. User is warned not being ready to exercise e.g. if the earlier value is low and instant performance level is not improving. The better earlier value, the more likely the user is advised to exercise, even the instant performance level shows keeping the same level.
3) Automatic personalization
Readiness index calculation learns from the person's history recovery needs and automatically adapts to their own level. Readiness index calculation takes into account the long-term changes in performance levels and physical activity. For example, if the person does a hard workout but the performance level is, however, higher than in the past, the readiness is could be relatively better than the training effect based readiness. In turn, if person do some easy workout but the performance level is going down (because of acute performance level decrease due to for example tiredness or illness), readiness index be lower than some previously performed a hard training session which is done during increasing performance level. See an example of automatic personalization in figure 8. 4) Training advisor
When readiness index is defined, it can be utilized for various applications and the basis of feedback. These kinds of applications are for example recovery time, exercise guidance and feedback about readiness to exercise. The timing of supercompensation and the recovery needs is an individual and it will greatly be affected of the acute situations, such as training, stress, eating and sleeping. The real recovery is unknown until the recovery has taken place. The best and the only indisputable measure of readiness to exercise is the change of performance.
Figures 13a, 13b and 13c show an example of how the following of current workout performance level development can be used to provide feedback about readiness to exercise, recovery time and give exercise guidance. Feedback can be given based on the absolute or relative change in fitness level. Feedback is based on the change in performance level according to exercise. When the performance level has increased or decreased over predetermined value, the feedback is given. Feedback can also be given, if the user's performance level will remain unchanged. Feedback about performance level change takes into account the current exercise load (for example EPOC and TE), exercise duration, training history and fitness level change during previous exercises. Feedback can be given based on current exercise performance level change and also comparing it with the previous exercises' performance level changes.
In figure 13a, the performance level increases during the exercise and user do easy/recovering exercise. The device tells to the user that the exercise was light and no recovery required. Figure 13b shows an example about heavy exercise. In the beginning of the exercise performance level increases but heavy exercise decrease performance level and causing improving workout. In figure 13c the user do the same exercise than figure 13b but in the beginning of the exercise readiness to exercise is in low level and performance level decrease. Despite this the user continues heavy exercise and the exercise causes an acute overload situation to the user. The device tells to the user that the recovery is still in progress, user could be better to take it easy and because the exercise caused overload the recovery need is high.
An integral part of the present invention is to give feedback to the user by scaling the recovery time for meaningful interpretation, capacity to respond to the new exercise and training feedback.
Feedback can be given during or after exercise visually, verbally or auditory. See on example in figure 10.
Figure 9 shows another software implementation of the method for a wristop or other device. The calculation of Readiness index uses input parameters: instant Recovery time left, instant achieved training effect (TE), current and previous performance level (maxMET and History maxMET), minutes of valid data for maxMET (reliability). The difference between current and previous performance level is calculated in module 52. Using other input parameters and said change (AmaxMET) instant Readiness index is calculated in module 54 into the register 56. The execution is lead then condition modules 58, 60, 62. According to condition 58 if the workout ends, the final Readiness index is the 5 last instant Readiness Index, otherwise the condition 60 "Warm-up Readiness check already completed?" is executed.
If this check was already completed, the execution returns to module 54 for recalculating Readiness Index otherwise duration of valid data is check by condition 62 "Minutes valid data for maxMETt > 2 min?". In a positive result (yes) Readiness Index is taken as it was at warm-up and the execution goes 10 back to module 54, otherwise (result = 'No') the execution returns directly to module 54 for said recalculating.
Thus, the user is guided as soon as by possible recovery check result until after workout new check is made.
In addition to the absolute readiness index the method provides also verbal feedback. See an 15 example method in figure 11.
Training advisor can include also training recommendations during or after exercise. The feedback may also relate to the target, which can be a longer-term target or goal of the workout. The long- term goal may be a target time for a specific marathon. The objective of the exercise can be for example a "heavy exercise" or "recovery exercise" and the device gives feedback about the success 20 of exercise towards to goal. For example, if the aim is the recovery exercise and performance level seems to decrease during exercise, the device notice to the user about that and give the necessary training instructions. Recommendation can be given by numeric or verbal. An example of training advisor's interpretation and training recommendation. Green: "Full recovery", "Go for it", Full charge. Red: "Ease up a bit", Drained.
25 The system and method according to the invention can be applied in many kinds of device, e.g. a wrist top device with a heart-rate transmitter, generally in a system having CPU, memory and software therein is needed. This kind of hardware assembly was presented in document
WO2007/099206A1 (Coach). However, new software is needed for implementing performance level (Fig 4a), Readiness index (Fig. 9) and the recovery assessment described above. According to Figure
30 12, in a typical application (e.g., wristop device) the implementation comprises an assembly built around a central processing unit (CPU) 32. A bus 36 transmits data between the central unit 32 and the other units. The input unit 31, ROM memory 31.1, RAM memory 31.2, keypad 18, PC connection 37, and output unit 34 are connected to the bus. The system main comprise a data logger which can be connected to cloud service. The data logger measure physiological response and/or external workload.
The heart rate sensor 12 and some sensor 30 registering external output are connected to the input unit 31, which handles the sensor's data traffic to the bus 36. Optionally, the PC is connected to a PC connection 37. The output device, for example a display 15, is connected to the output unit 34. In some embodiments, voice feedback is created with the aid of a voice synthesizer and a loudspeaker 35, instead or, or in addition to the feedback on the display. The sensor 30 measuring external work can, in fact, comprise a group of sensors, which are used together to define the external work done by the user. More specifically the system presented in figure 12 has following minimum parts for determining body's readiness to respond to physical exercise and provide feedback to a user. There are
• a heart rate sensor (32) configured to measure the heartbeat of the person, the heart rate signal being representative of the heartbeat of the user;
• at least one sensor (30) to measure an external workload during an exercise, and
· a data processing unit (32) operably coupled to the said sensors (12, 30) , a memory (31.1, 31.2) operably coupled to the data processing unit (32),
• the memory configured to save background information of a user, said background data
including an earlier performance level. The data processing unit (32) is configured
• to determine an instant performance level of the user by a relation of measured exercise
intensity and external workload;
• to calculate frequently an instant performance level of the user by a relation of measured
exercise intensity and measured external workload;
· to compare the earlier performance level to the calculated instant performance level;
• to calculate a readiness index according to the said comparison , background information and training history; and
• to provide feedback according to the calculated readiness index.
All of the default values of the optional parameters are preferably stored in a ROM memory, or more specifically, e.g. in an EEPROM (Electrically Erasable Programmable Read-Only Memory) memory.
For example, the user's "external" data:
sex: man, age 35 years, weight 75 kg, height 180 cm.
User's more demanding data:
fitness level (V02max) :40 ml/kg/min; Activity class 4. In a web service, the default values of the parameters are preferably recorded in self-service software. In these embodiments, it would be as such also possible to use some other method than that described above as a fitness test. However, the fitness test according to the invention provides several advantages in terms of automatic updating. It can be completely integrated in many standard-model wristop devices and demands substantially fewer calculation stages than the method according to the WO publication.

Claims

Claims
Method for determining body's readiness to respond to physical exercise and provide feedback to a user, wherein the user starts to perform an exercise and where an earlier performance level is determined before a performance check having steps of:
- an instant performance level of the user is determined by a relation of exercise intensity and determined external workload, the exercise intensity being determined by measured heart rate,
- the earlier performance level is compared to the instant performance level,
- a readiness index is determined according to the said comparison and optionally with background information and/or r training history,
- feedback is given according to the determined readiness index.
The method according to claim 1, wherein the earlier exercise precedes immediately the sai exercise regarding determining body's readiness, whereby background data and /or earlier performance level are determined by the earlier exercise.
The method according to claim 1 or 2, wherein the training history includes information from the current performed exercise.
The method according to claim 3, wherein the readiness index is adapted by history data containing a training effect of the performed exercise.
The method according to any of claims 1 - 4, wherein the readiness index is determined after the started and fully performed exercise.
The method according to any of claims 1 - 4, wherein the exercise intensity and the external workload are measured frequently by respective sensors.
The method according to claim 6, wherein instant performance level is calculated as statistically plurality of sequential instant values with preset criterion weighing reliability of each measured instant value.
The method according to claim 7, wherein the input values are filtered by preset criteria
The method according to any of claims 1 - 8, wherein the exercise belongs to a group consisting: walking, biking, running.
The method according to any of claims 1 - 9, wherein the feedback is exercise feedback.
11. The method according to claims 9, wherein the feedback is given towards to a target.
12. The method according to claim 9 or 10, wherein the user is advised by the feedback at least with one of the following options :
a. to continue training normally if the determined readiness index indicates an
improved performance level or being in a previous level ,
b. to ease up training if the determined readiness index indicates a decreased performance level .
13. The method according to any of claims 1 -12, wherein a reliability of a value of the instant performance level is detected and each value with a low reliability is automatically excluded.
14. The method according to any of claims 1-13, wherein an exercise modality is detected.
15. The method according to any of claims 1 - 14, wherein the start of the performing of the exercise is detected automatically.
16. The method according to any of claims 1 - 15, wherein an indication of fatigue is determined based of the change of the performance level using a preset criteria.
17. System for determining body's readiness to respond to physical exercise and provide
feedback to a user, wherein the system includes
• a heart rate sensor (32) configured to measure the heartbeat of the person, the heart rate signal being representative of the heartbeat of the user;
· at least one sensor (30) to measure an external workload during an exercise, and
• a data processing unit (32) operably coupled to the said sensors (12, 30) , a memory (31.1) 31.2) operably coupled to the data processing unit (32),
• the memory configured to save background information of a user, said background data including an earlier performance level;
wherein the data processing unit (32) is configured
• to determine an instant performance level of the user by a relation of measured exercise intensity and external workload;
• to calculate frequently an instant performance level of the user by a relation of
measured exercise intensity and measured external workload;
· to compare the earlier performance level to the calculated instant performance level;
• to calculate a readiness index according to the said comparison , background
information and training history; and
• to provide feedback according to the calculated readiness index.
18. System according to claim 17, characterized in that system is implemented in one of following: heart rate monitor, fitness device, mobile phone, PDA device, wristop computer or personal computer having software for implementing said software means and hardware for execution of the software and giving feedback.
19. System according to claim 17 or 18, characterized in that external workload is measured by position tracking.
PCT/FI2014/050689 2013-09-11 2014-09-10 Method to determine body's physiological response to physical exercise for assessing readiness and to provide feedback, and system for implementing the method WO2015036651A1 (en)

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US16/275,561 US11318351B2 (en) 2013-09-11 2019-02-14 Method to determine body's physiological response to physical exercise for assessing readiness and to provide feedback, and system for implementing the method

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EP3043875B1 (en) 2019-11-06
EP3043875A1 (en) 2016-07-20
US10238915B2 (en) 2019-03-26
US20160184637A1 (en) 2016-06-30
US11318351B2 (en) 2022-05-03
US20190184232A1 (en) 2019-06-20

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