Heart rate variability in female soccer players, before, during, and after a COVID-19 positive test.

Publication date: Jul 09, 2025

The purpose of this study is to examine the impact of COVID-19 infection on heart rate variability (HRV) in female soccer players, with a focus on identifying changes in autonomic regulation before, during, and after a COVID-19 positive test. Seven elite female soccer players (age: 20. 14 +/- 6. 41 years, height: 162. 43 +/- 4. 32 cm, weight: 51. 73 +/- 5. 65 kg) were included in the analysis after consistently recording their HRV during the specified period. Morning HRV measures were completed using photoplethysmography via the HRV4 training smartphone application, a validated tool for field-based monitoring, along with self-reported data. The players were tracked for at least 30 consecutive days before testing positive for COVID-19 using a polymerase chain reaction (PCR) test. They were also requested to record their HRV while they had COVID-19 until a negative PCR result was obtained. The study presents data on RMSSD, LnRMSSD and HR for the 30 days prior to COVID-19, as well as for the 3 days (day - 3), 2 days (day - 2), and 1 day (day - 1) leading up to COVID-19. Also, data for the first 5 days following a positive COVID-19 test are included. The results of this study indicated that LnRMSSD measurements were significantly lower 2 days (day - 2) and 1 day (day - 1) before the onset of COVID-19, as well as during the first four days following a positive COVID-19 test, compared to baseline. In addition, RMSSD measurements were significantly lower during the first 4 days after a positive COVID-19 test, while resting heart rate was significantly higher during the first and second days following a positive COVID-19 test, compared to baseline. Our findings suggest that reductions in LnRMSSD, reflecting decreased parasympathetic activity, may serve as early indicators of COVID-19 infection in elite female soccer players, potentially allowing for pre-symptomatic detection through daily HRV monitoring.

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Concepts Keywords
Daily Adolescent
Pcr Adult
Photoplethysmography Athletes
Smartphone Autonomic regulation
Soccer COVID-19
Elite athletes
Female
Football players
Heart Rate
Heart rate variability
Humans
Infection
SARS-CoV-2
Soccer
Wearable technology
Young Adult

Semantics

Type Source Name
disease MESH COVID-19
disease MESH infection
disease MESH Long Covid
disease MESH tachycardia
disease MESH syncope
drug DRUGBANK Isoxaflutole
drug DRUGBANK Coenzyme M
disease MESH Viral infections
disease MESH complications
disease MESH myocarditis
disease MESH syndromes
disease IDO symptom
drug DRUGBANK Pentaerythritol tetranitrate
disease MESH psychological stress
disease MESH sleep quality
disease MESH lifestyle
drug DRUGBANK Gold
disease IDO quality

Original Article

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