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The autonomous response of fighter and attack pilots who attend sessions in a flight simulator will be evaluated by measuring and analyzing heart rate variability (HRV).
The autonomous response of fighter and attack pilots during emergency situations in a flight simulator will be assessed by measuring and analysing heart rate variability (HRV). Eighteen pilots with instructor or student status assigned at the time of the evaluation to the ALA 23 district of the Talavera la Real Air Base of the Ministry of Defence of the Spanish Government (Badajoz) were studied during emergency situations in flight simulator. Subjects were assigned by non-probabilistic randomisation to an instructor group (IG; 7 subjects), and to a student group (AG; 11 subjects).
The recording of the parameters indicated corresponds to the emergency situations described above. Data collection was made in three different moments:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Instructors group | Group of flight instructors at the reactor school. |
| |
| Students group | Group of students at the reactor school. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Analysis of heart rate variability | Device | The HR HRV interval of the heartbeat (variations in the time interval between beats) was used as a measure of autonomous modulation, and the Firstbeat Bodyguard monitor (Firstbeat Technologies, Jyväskylä, Finland) was used to record HRV data during the session with emergency situations in the flight simulator. Data was downloaded from the devices to a computer using Firstbeat Uploader software (Firstbeat Technologies), and all R-R interval series were imported into the Kubios software package (University of Eastern Finland, Kuopio, Finland). To calculate the autonomous equilibrium, the commonly used HRV method based on the Poincaré graph was used (Brennan et al., 2001; Mourot et al., 2004). |
| Measure | Description | Time Frame |
|---|---|---|
| Root Mean Square of the Successive Differences (RMSSD) | It indicates the degree of activation of the Parasympathetic Nervous System on the cardiovascular system. It is obtained from the square root of the mean value of the sum of the squared differences of all successive RR intervals. This parameter reports the short-term variations of the RR intervals. It is directly associated with short-term variability. | 1 week |
| Stress Score | It is an index described by Naranjo-Orellana et al. to facilitate physiological interpretation of Poincaré plot. It is expressed as the inverse of the SD2 diameter multiplied by 1000 and is considered directly proportional to the sympathetic activity in the sinus node. | 1 week |
| Sympathetic/parasympathetic ratio (S/PS) | It is also described by Naranjo-Orellana et al., S/PS is expressed as the quotient of SS and SD1, and it is considered to reflect autonomic balance - that is, the relationship between sympathetic and parasympathetic activity | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Standard Deviation 1 (SD1) | It indicates the sensitivity of short-term variability in HRV non-linear spectrum. It is considered an indicator of parasympathetic activity. | 1 week |
| Standard Deviation 2 (SD2) |
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Inclusion Criteria:
Exclusion Criteria:
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The selection of the sample was made in the accessible population of the Talavera la Real Air Base (Badajoz).
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| Name | Affiliation | Role |
|---|---|---|
| Luis Espejo-Antúnez, PhD | Universidad de Extremadura | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad de Extremadura | Badajoz | 06006 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26792776 | Background | de la Cruz Torres B, Albornoz Cabello M, Garcia Bermejo P, Naranjo Orellana J. Autonomic responses to ultrasound-guided percutaneous needle electrolysis of the patellar tendon in healthy male footballers. Acupunct Med. 2016 Aug;34(4):275-9. doi: 10.1136/acupmed-2015-010993. Epub 2016 Jan 20. | |
| 24610637 | Background |
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It is a diameter from Poincaré plot which indicates the degree of longitudinal dispersion. It is thought to reflect long-term changes in RR intervals and it is considered an inverse indicator of parasympathetic activity.
| 1 week |
| Min_HR | Minimum heart rate variability. | 1 week |
| Max_HR | Maximum heart rate variability. | 1 week |
| Mean_HR | It corresponds to the interval between two beats (R peaks on the ECG). | 1 week |
| pNN50 | Percentage of consecutive RR intervals that differ by more than 50 ms from each other. A high value of pNN50 provides valuable information about high spontaneous HR. | 1 week |
| Low Frequency Power (LF) | Situated between 0.04 and 0.15 Hz. In long-term recordings it provides us with more information about the activity of the SNS. | 1 week |
| High Frequency Power (HF) | They are located between 0.15 and 0.4 Hz. HF is clearly related to PNS activity and has a relaxation-related effect on HR2. | 1 week |
| Low/High Frequency ratio (HF/LF) | From low frequency and high frequency ratio of the HRV spectral analysis result we can estimate the vagal (related to relaxation and HF) and sympathetic (related to stress and LF) influence. Thus we can estimate sympathetic-vagal balance. | 1 week |
| Kitagawa Y, Kimura K, Yoshida S. Spectral analysis of heart rate variability during trigger point acupuncture. Acupunct Med. 2014 Jun;32(3):273-8. doi: 10.1136/acupmed-2013-010440. Epub 2014 Mar 7. |
| 12955518 | Background | Mourot L, Bouhaddi M, Perrey S, Rouillon JD, Regnard J. Quantitative Poincare plot analysis of heart rate variability: effect of endurance training. Eur J Appl Physiol. 2004 Jan;91(1):79-87. doi: 10.1007/s00421-003-0917-0. Epub 2003 Sep 4. |
| Background | Gil-Rodas F, Pedret C, Ramos-Castro J, Capdevila-Ortís L. Variabilidad de la frecuencia cardíaca: concepto, medidas y relación con aspectos clínicos (I). Arch Med Deporte Rev Fed Esp Med Deporte Confed Iberoam Med Deporte. 2008;(123):41-8. |
| Background | Malik M. Heart rate variability: Standards of measurement, physiological interpretation, and clinical use: Task force of the European Society of Cardiology and the North American Society for Pacing and Electrophysiology. Ann Noninvasive Electrocardiol. 1996;1(2):151-81. |
| 25364865 | Background | Naranjo Orellana J, de la Cruz Torres B, Sarabia Cachadina E, de Hoyo M, Dominguez Cobo S. Two new indexes for the assessment of autonomic balance in elite soccer players. Int J Sports Physiol Perform. 2015 May;10(4):452-7. doi: 10.1123/ijspp.2014-0235. Epub 2014 Oct 29. |
| 36585028 | Derived | Fernandez-Morales C, Espejo-Antunez L, Clemente-Suarez VJ, Tabla-Hinojosa FB, Albornoz-Cabello M. Analysis of heart rate variability during emergency flight simulator missions in fighter pilots. BMJ Mil Health. 2024 Jul 24;170(4):296-302. doi: 10.1136/military-2022-002242. |