Heart Rate Variability (HRV) Sebagai Indikator Adaptasi Fisiologis Terhadap Latihan Fisik: Systematic Literature Review

Authors

  • Irpan Alwi Sopyan Universitas Singaperbangsa Karawang
  • Reza Muhamad Ikhlas Universitas Singaperbangsa Karawang
  • Warya Universitas Singaperbangsa Karawang
  • Jonni Siahaan Universitas Singaperbangsa Karawang
  • Qorry Armen Gemael Universitas Singaperbangsa Karawang

DOI:

https://doi.org/10.31539/15wftf47

Keywords:

Adaptasi Fisiologis, Heart Rate Variability, Latihan Fisik, Sistem Saraf Otonom

Abstract

This study aimed to evaluate heart rate variability (HRV) as an indicator of physiological adaptation to physical training using a systematic literature review (SLR) approach. The method followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, with literature searches conducted in Scopus, PubMed, and Google Scholar databases from 2020 to 2025. Article selection was performed using the PICOS framework, resulting in eight eligible studies. The findings indicate that vagal-related HRV indices, particularly RMSSD and Ln rMSSD, are widely used to monitor training responses and to guide training prescription in both athletes and non-athletes. HRV-guided training produced similar or greater improvements in fitness and performance compared with predefined training, often with fewer high-intensity sessions and fewer low responders. However, changes in resting HRV did not always parallel performance improvements, and no additional benefit of HRV guidance was observed for resistance training or high-intensity functional training. In conclusion, HRV has potential as a non-invasive indicator for monitoring and individualizing training adaptation; however, its interpretation is influenced by training type, measurement methods, baseline HRV, and subject characteristics. Therefore, HRV is best used longitudinally and combined with training load and perceived recovery measures rather than as a single indicator.

Keywords: Physiological Adaptation, Heart Rate Variability, Physical Training, Autonomic Nervous System

References

Bellenger, C. R., Fuller, J. T., Thomson, R. L., Davison, K., Robertson, E. Y., & Buckley, J. D. (2016). Monitoring athletic training status through autonomic heart rate regulation: A systematic review and meta-analysis. Sports Medicine, 46(10), 1461–1486. https://doi.org/10.1007/s40279-016-0484-2

Bittencourt, D., de Oliveira, R. M., da Silva, D. G., Bergamasco, J. G. A., Cesar, M. C., Godoi Jacomassi, D., de Camargo, J. B. B., Kingsley, J. D., & Libardi, C. A. (2024). Effects of individualized resistance training prescription with heart rate variability on muscle strength, muscle size and functional performance in older women. Frontiers in Physiology, 15, Article 1472702. https://doi.org/10.3389/fphys.2024.1472702

Buchheit, M. (2014). Monitoring training status with HR measures: Do all roads lead to Rome? Frontiers in Physiology, 5, Article 73. https://doi.org/10.3389/fphys.2014.00073

Carrasco-Poyatos, M., González-Quílez, A., Martínez-González-Moro, I., & Granero-Gallegos, A. (2020). HRV-guided training for professional endurance athletes: A protocol for a cluster-randomized controlled trial. International Journal of Environmental Research and Public Health, 17(15), 5465. https://doi.org/10.3390/ijerph17155465

Carrasco-Poyatos, M., González-Quílez, A., Altini, M., & Granero-Gallegos, A. (2022). Heart rate variability-guided training in professional runners: Effects on performance and vagal modulation. Physiology & Behavior, 244, 113654. https://doi.org/10.1016/j.physbeh.2021.113654

Carrasco-Poyatos, M., López-Osca, R., Martínez-González-Moro, I., & Granero-Gallegos, A. (2024). HRV-guided training vs traditional HIIT training in cardiac rehabilitation: A randomized controlled trial. GeroScience, 46(2), 2093–2106. https://doi.org/10.1007/s11357-023-00951-x

Casanova-Lizón, A., Manresa-Rocamora, A., Peña-González, I., & Moya-Ramón, M. (2025). Impact of heart rate variability-based exercise prescription: Self-guided by technology and trainer-guided exercise in sedentary adults. Frontiers in Sports and Active Living, 7, Article 1578478. https://doi.org/10.3389/fspor.2025.1578478

DeBlauw, J. A., Drake, N. B., Kurtz, B. K., Crawford, D. A., Carper, M. J., Wakeman, A., & Heinrich, K. M. (2021). High-intensity functional training guided by individualized heart rate variability results in similar health and fitness improvements as predetermined training with less effort. Journal of Functional Morphology and Kinesiology, 6(4), 102. https://doi.org/10.3390/jfmk6040102

Düking, P., Zinner, C., Trabelsi, K., Reed, J. L., Holmberg, H.-C., Kunz, P., & Sperlich, B. (2021). Monitoring and adapting endurance training on the basis of heart rate variability monitored by wearable technologies: A systematic review with meta-analysis. Journal of Science and Medicine in Sport, 24(11), 1180–1192. https://doi.org/10.1016/j.jsams.2021.04.012

Flatt, A. A., & Esco, M. R. (2016). Evaluating individual training adaptation with smartphone-derived heart rate variability in a collegiate female soccer team. Journal of Strength and Conditioning Research, 30(2), 378–385. https://doi.org/10.1519/JSC.0000000000001095

González-Fernández, F. T., Silva, A. F., Castillo Rodriguez, A., Onetti-Onetti, W., & Clemente, F. M. (2024). Effects of 8 weeks pre-season training on physical fitness, heart rate variability and cognition in women soccer players. Heliyon, 10(2), e24955. https://doi.org/10.1016/j.heliyon.2024.e24955

Granero-Gallegos, A., González-Quílez, A., Plews, D., & Carrasco-Poyatos, M. (2020). HRV-based training for improving VO2max in endurance athletes: A systematic review with meta-analysis. International Journal of Environmental Research and Public Health, 17(21), 7999. https://doi.org/10.3390/ijerph17217999

Hebisz, P. (2021). An attempt to predict changes in heart rate variability in the training intensification process among cyclists. International Journal of Environmental Research and Public Health, 18(14), 7636. https://doi.org/10.3390/ijerph18147636

Javaloyes, A., Sarabia, J. M., Lamberts, R. P., & Moya-Ramon, M. (2019). Training prescription guided by heart-rate variability in cycling. International Journal of Sports Physiology and Performance, 14(1), 23–32. https://doi.org/10.1123/ijspp.2018-0122

Javaloyes, A., Sarabia, J. M., Lamberts, R. P., Plews, D., & Moya-Ramon, M. (2020). Training prescription guided by heart rate variability vs. block periodization in well-trained cyclists. Journal of Strength and Conditioning Research, 34(6), 1511–1518. https://doi.org/10.1519/JSC.0000000000003337

Kiviniemi, A. M., Hautala, A. J., Kinnunen, H., & Tulppo, M. P. (2007). Endurance training guided individually by daily heart rate variability measurements. European Journal of Applied Physiology, 101(6), 743–751. https://doi.org/10.1007/s00421-007-0552-2

Manresa-Rocamora, A., Sarabia, J. M., Javaloyes, A., Flatt, A. A., & Moya-Ramon, M. (2021). Heart rate variability-guided training for enhancing cardiac-vagal modulation, aerobic fitness, and endurance performance: A methodological systematic review with meta-analysis. International Journal of Environmental Research and Public Health, 18(19), 10299. https://doi.org/10.3390/ijerph181910299

Morales, J., Roman, V., Yáñez, A., Solana-Tramunt, M., Álamo, J., & Fíguls, A. (2019). Physiological and psychological changes at the end of the soccer season in elite female athletes. Journal of Human Kinetics, 66, 99–109. https://doi.org/10.2478/hukin-2018-0051

Nuuttila, O.-P., Nummela, A., Häkkinen, K., Seipäjärvi, S., & Kyröläinen, H. (2021). Monitoring training and recovery during a period of increased intensity or volume in recreational endurance athletes. International Journal of Environmental Research and Public Health, 18(5), 2401. https://doi.org/10.3390/ijerph18052401

Nuuttila, O.-P., Nummela, A., Korhonen, E., Häkkinen, K., & Kyröläinen, H. (2022). Individualized endurance training based on recovery and training status in recreational runners. Medicine & Science in Sports & Exercise, 54(10), 1690–1701. https://doi.org/10.1249/MSS.0000000000002968

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., . . . Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, Article n71. https://doi.org/10.1136/bmj.n71

Plews, D. J., Laursen, P. B., Kilding, A. E., & Buchheit, M. (2012). Heart rate variability in elite triathletes, is variation in variability the key to effective training? A case comparison. European Journal of Applied Physiology, 112(11), 3729–3741. https://doi.org/10.1007/s00421-012-2354-4

Plews, D. J., Laursen, P. B., Kilding, A. E., & Buchheit, M. (2013). Evaluating training adaptation with heart-rate measures: A methodological comparison. International Journal of Sports Physiology and Performance, 8(6), 688–691. https://doi.org/10.1123/ijspp.2013-0298

Plews, D. J., Laursen, P. B., Le Meur, Y., Hausswirth, C., Kilding, A. E., & Buchheit, M. (2014). Monitoring training with heart-rate variability: How much compliance is needed for valid assessment? International Journal of Sports Physiology and Performance, 9(5), 783–790.

Sanchez-Sanchez, J., Botella, J., Felipe Hernandez, J. L., Leon, M., Paredes-Hernandez, V., Colino, E., Gallardo, L., & Garcia-Unanue, J. (2021). Heart rate variability and physical demands of in-season youth elite soccer players. International Journal of Environmental Research and Public Health, 18(4), 1391. https://doi.org/10.3390/ijerph18041391

Shaffer, F., & Ginsberg, J. P. (2017). An overview of heart rate variability metrics and norms. Frontiers in Public Health, 5, Article 258. https://doi.org/10.3389/fpubh.2017.00258

Stanley, J., Peake, J. M., & Buchheit, M. (2013). Cardiac parasympathetic reactivation following exercise: Implications for training prescription. Sports Medicine, 43(12), 1259–1277.

Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. (1996). Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Circulation, 93(5), 1043–1065. https://doi.org/10.1161/01.CIR.93.5.1043

Vesterinen, V., Nummela, A., Heikura, I., Laine, T., Hynynen, E., Botella, J., & Häkkinen, K. (2016). Individual endurance training prescription with heart rate variability. Medicine & Science in Sports & Exercise, 48(7), 1347–1354.

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Published

2026-10-30