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How accurate is HRV?

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How accurate is the HRV in the health metrics?

 

 

Moderator edit: updated subject for clarity

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I believe I'll be changing products also.
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Yes the Apple Watch accurate plus it has EKG

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11 pages without any comment from fitbit about this issue shows what kind of professionals they are:). They just made a toy what you can replace for 20 USD with a no name product from China. Same same.

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This feature came to Garmin now, however I still need to verify accuracy. From last night, the Fitbit HRV was 67ms while from Garmin 74ms. Neither may be true but Garmin gives me a little more data so I can try to verify it against other devices:

Screenshot_20220828-073205_Connect.jpg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

It looks like HRV overnight is all over the shop and that could be the case for Fitbit, too. Correct or not, Garmin gives me a time domain and actual data from the night (including same graph I can view on the watch right after waking up). I'm sceptical about the accuracy (in general, I consider wrist sensors being of lower accuracy) and will check it against chest strap HRV. I like direction Garmin took that feature and Fitbit again has something to catch up with.

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Well I’m stuck with Fitbit til funds come available for apple each or something better
Sure gonna do my research before buying again bc this Fitbit has sent me over edge with the low reading
Got me thinking Something is wrong with my heart !!!!

Very upsetting

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I’ve contacted them over and over

No response!!!!

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I was wondering the same thing, since mine seems super low, just as other people are mentioning.

 

But my understanding from the wording in the app is that Fitbit measures HRV during sleep only. And I believe that HRV is generally lower during sleep? When we’re looking at the “normal” HRV charts we find posted online, or at people’s measurements using other devices, are these recordings instead based on awake people? Or even averages over 24 hours? Basically I’m wondering if we’re comparing apples to oranges here by comparing asleep to awake HRV?

 

Based on quickly perusing the literature, my understanding is that HRV is thought to be kind of a measure of how your body is responding to stress (as opposed to being directly associated with other indicators of “fitness” per se). The idea is that the lower your HRV is, the more the heart rate is on “autopilot”, which tends to happen the more you are in “fight or flight mode”, associated with being stressed. But it seems that the heart rate would also be more likely to be on “auto-pilot” during sleep (when it wouldn’t really be responsive to changes in environmental stimuli or situations, thoughts or feelings going through your mind, or movements etc).

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My best friend has the Ionic Fitbit
Her HRV is 75
Mine is lower 20s with charge 4

I exercise 5x week plus ride bike

It’s not accurate at all !!!!

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@Loboto the HR will be lower during sleep. However, it is a common misconception that HRV also would be lower. It doesn't have to be as it is derived from the different data sets. In fact, R-R intervals may have more variability during rest as there is more time between each beat. If you test HRV during or after activity, you will notice that this is the time when HRV goes way low. It makes sense at the data source but then the RMSSD comes into the picture and the way it is calculated. So no, HRV doesn't have to be lower during sleep. The HRV is calculated within a certain time domain (in Fitbit it is unknown). My night HRV is in fact quite high (60+, sometimes over 80ms). Lower than what Garmin tracks but not by much and it's pretty much in the range of statistical error.

 

If I compare averages on both platform the trend line shows very similar shape:

Screenshot_20220908-093634.jpg

 

Screenshot_20220908-093741_Connect.jpg

 

The Garmin Connect values are given at the bottom (didn't include in the picture) and they are: 87ms, 75ms, 75ms, 86ms, 73ms, 83ms, and 72ms. Also, for the last two days I have had no rolling average (blue point) because of the new watch (should be back tomorrow). This is in fact a quite good result. It is very unlikely two devices would agree and be both wrong. If results would be much different (looking at the trend line) then it's inconclusive as both devices may be wrong or only one may be right. Right now, my spot HRV (2min domain) is 88ms but that will vary during the day and won't be much different from my sleep HRV (sometimes my sleep HRV is higher).

 

For the same HR, the HRV may vary a lot. It all depends on the context of taking measurements. Here's a simple example. I took an HRV snapshot with EliteHRV after the cooldown. 

Left - cooldown after HIIT run, Right - Morning readiness at  restLeft - cooldown after HIIT run, Right - Morning readiness at rest

 

 

For a very similar range of HR, there are two vastly different RMSSD outputs. And yet, in the 5min domain, I sometimes get HRV over 100ms during sleep (last night the highest 5min RMSSD was 120ms).

 

What does it all mean? It means only that HRV is a very complex metric and understanding it isn't so simple. It isn't the same as resting HR when we know exactly that lower RHR is better, higher is worse. HRV depends on many things and the way it's measured may affect the values greatly. Panic over HRV makes no sense. There is a reason why machine learning algorithms are used in order to analyze the HRV data and draw conclusions from it. Because humans can't do it. Humans look for simplicity and binary answers but HRV won't deliver it.

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53212602-3400-49A9-9F70-A8940BB86CD4.png

 I’ve done CrossFit for 12 years 

I workout all

the time !!

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@Shelly0872 the fact that you are fit doesn't automatically affect your HRV. It may not be accurate but if you don't have another way of verifying the data then it's all just a guess. Low reading (true or not) doesn't mean there is something wrong with your heart. It means pretty much nothing if taken out of context. For example, there is a very big chance that somebody working out hard almost every day and not getting enough rest, despite being fit will have lower HRV due to lingering fatigue. This is just an example showing that HRV isn't just yet another score. In my response above one of the measurements show an RMSSD of 34.61ms. I'm fit (athlete fit) and do hard workouts and that affects my HRV a lot. If taken out of context I may think that something is not right when normally my HRV is 60+ and suddenly I see a 50% drop. Now, when you add a device that may or may not be accurate and you have no way to verify the readings it may get very confusing. If you can't tell whether readings are correct best is to ignore them.  HRV is nowadays a new gimmick. Even scientists are not quite sure yet how to use it and what it really means to our health. You may try to get a chest strap and EliteHRV app for your mobile phone to find out what is your real on-the-spot HRV (in the 2-5min time domain). Otherwise, best to ignore the feature if you don't trust it (and even if you did, what does it tell you? how would you interpret it?).

 

By the way, you said: "I workout all the time !!". This may make your HRV lower. This is how a workout affects HRV (I'm simplifying). It's the rest that recovers it.

 

 

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Here's another example from Today:

Left - before HIIT run, Middle - After 10th (last) interval, Right - After 10min cooldownLeft - before HIIT run, Middle - After 10th (last) interval, Right - After 10min cooldown

 

RMSSD is 92.7ms, 2.39ms, 37.47ms.

 

The middle one is taken right after the 10th interval (1min nearly-all-out + 1min recovery). The conclusion could be that the higher HR, the lower HRV and it makes sense as with high HR there is little room left for R-R intervals. This means that during the night we should be getting the highest RMSSD because when we sleep the heart slows down even more. That's not the case. As much as right after intense exertion the RMSSD will drop, for other states there is no real connection between HRV and HR other than whatever comes out of R-R intervals. The only conclusion I may think of is that if RMSSD was high during intense intervals then that could indicate skipping heartbeats. Anyway, notice the huge drop in RMSSD between pre-workout and post-workout readings. That's why "working out all time" may in fact be counter-productive and get reflected in HRV.

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Too much confusion for the Fitbit watch and myself !!!!
Just want kinda corrext readings that’s all 🥹

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I get plenty of rest
In bed at 830 every night

I’m very well organized on my sleep and workout patterns
I stay for and eat right and sleep right !!!!

I don’t drink either !!!

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So get a chest strap, EliteHRV and check it. I have no other advice for you.

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So glad I found this thread as was panicking that my HRV was too low! I run regularly and walk every day but Google said low HRV showed underlying health conditions! Thank you everyone for confirming that the HRV readings on Fitbit sense are inaccurate! Fitbit should sort this out

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🙌

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I have the Versa 2 as well and my hrv is extremely low as well. Did yours change after a week? Seriously though I am super healthy. Low blood pressure not many stressors. So now that my HRV is Low kinda freaking out. LOL. 

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Yes I freaked out too my HRV is so low .. 17 this morning but it’s not correct… crazy
Apple Watch is the most accurate watch from the investing I’ve done
Good luck


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What fitbit device are you using?  I'm curious as my HRV has been showing in the 20's for the two years since the Versa 2 started to report as shown on here by many of the women that are using the Versa 2.  I have a resting heart rate in the 50's,  I am in my 50's, teach skiing, ride mountain bike 2 to 3 hours a day on single track, work for Amazon warehouse in the off season to stay in shape loading trucks and such (3000 to 4000 calorie burn on work or ski days) have a normal bmi, a cardio fitness score of 45 though i'm a 57 year old female, and the HRV looks very low even for my age so I do not believe it is accurate on my device.  But as I owned a device that had very poor heart rate recording (the inspire I think it was) , the alta had an accurate hr when I measured against a chest strap, the versa 2 is pretty accurate for me when worn correctly compared but I don't see this HRV as very accurate and many of the women that said it was in the 20's and they are fit I noticed were using the versa 2.

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