Episode 13 - HRV The Early Warning Sign Most Ultrarunners Ignore

HRV, or heart rate variability, is not a score that tells ultrarunners whether they are fit or unfit on a given day. It is a signal of how well the body is handling overall stress. That stress comes not only from training, but also from sleep, work, travel, fuelling, illness, and life outside running.

The key idea in the episode is that HRV is most useful when viewed as a trend, not as a single daily number. One low reading does not mean much on its own, but a drop over several days, especially alongside tired legs, poor mood, or bad sleep, can be an early warning sign that recovery is slipping.

The episode also explains that runners often misuse HRV by treating it like a green-or-red traffic light. Instead, HRV should be combined with how you feel, your sleep, resting heart rate, and how training is going. It can be especially useful for deciding whether it is the right day for a hard session or whether recovery should come first.

The main takeaway is this: don’t chase a perfect HRV score, use HRV to understand whether your body is absorbing training or just accumulating stress.Key references:

• Buchheit, M. (2014). Monitoring training status with HR measures: do all roads lead to Rome? Frontiers in Physiology.
• Esco, M. R., Flatt, A. A., Nakamura, F. Y., et al. (2025). Monitoring Training Adaptation and Recovery Status in Athletic Populations Using Heart Rate Variability. Sports Medicine / PMC review.
• Düking, P., Zinner, C., Reed, J. L., et al. (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.
• Manresa-Rocamora, A., Sarabia, J. M., Javaloyes, A., et al. (2021). Heart Rate Variability-Guided Training for Enhancing Cardiac-Vagal Modulation, Aerobic Fitness, and Endurance Performance: A Systematic Review with Meta-Analysis. International Journal of Environmental Research and Public Health.
• Schmitt, L., Regnard, J., Parmentier, A.-L., et al. (2015). Monitoring Fatigue Status with HRV Measures in Elite Athletes: An Avenue Beyond RMSSD? Frontiers in Physiology.
• Sammito, S., Böckelmann, I., et al. (2024). Update: factors influencing heart rate variability – a narrative review. Frontiers in Physiology.
• Herzig, D., Eser, P., Omlin, X., et al. (2018). The Association Between Endurance Training and Heart Rate Variability: The Confounding Role of Heart Rate. Frontiers in Physiology.