Are Expensive, High-Tech Wearables for Babies Taking Advantage of Parents?


In a recent perspective piece published in the BMJ, pediatrician Dr. David King argues that expensive wearable monitors designed for babies are implying benefits that they can’t back up.

Mimo

A recent CNN Money piece, boldly titled “Connected babies = more sleep for you,” highlights the buzz surrounding these devices. The piece describes the$199 high-tech, Bluetooth-connected Mimo onesiefrom Rest Devices that monitors breathing, body movements, and sleep. According to Rest co-founder Dulcie Madden, Mimo gives parents peace of mind about their baby.

There are a number of other devices on the market that offer similar functionality, like Owlet’s smart sock, which will cost $250, or Sproutling’s baby band, which is currently sold out. Owlet describes its value to parents this way:

At Owlet, we are focusing on what matters most to you. We have spent thousands of hours honing our algorithms and utilizing the most advanced health monitoring technology so that you can have one less thing to worry about.

And according to Sproutling,

Get notified [by Sproutling] if something out of the ordinary happens. If there’s a significant change in your baby’s heart rate or skin temperature, or if your newborn rolls over while sleeping, you’ll be alerted immediately.

OwletSproutlingNone of these devices makes specific claims about specific outcomes, such as a reduction in sudden infant death syndrome. That is left to parents to infer from the descriptions of these devices, like those above, that frame them as constantly on watch for concerning changes in breathing, heart rate, and so on.

King points out that there is no published data that suggests any benefit in any metric from these devices. He also recalls that using apnea monitors to prevent SIDS was the rage about 20 years ago — until studies showed no benefit and professional bodies like the American Academy of Pediatrics recommended against home cardiorespiratory monitoring.

I can certainly empathize with parents who buy these devices; intuitively, it seems like monitoring my child more closely must be a good thing. Frankly, as I reviewed these products, I found myself on the fence about whether the parent side of me would buy one. Anything that could help me keep my child safe seems like a no-brainer.

The physician side of me, on the other hand, is less conflicted — I wouldn’t recommend them to a parent. That said, if a parent came to me asking about a device, we’d have a discussion — I don’t think the risks are high enough where I’d outright recommend against it.

There are several points I’d highlight in that conversation. While some aspects of these monitors (like for sleep training) seem fairly benign and potentially helpful, I’m concerned about the continuous monitoring of heart rate, respiratory rate, and temperature. In an ABC News article on Owlet, Dr. Chris Retajczyk, a California neonatologist, expresses that concern like this

For example, heart rate. There’s a huge variation in newborns, from slow heart rate to very high heart rate,” says Retajczyk. “So if the parents see these trends, does that become worrisome when in reality it’s quite normal?

I’d also caution parents that there’s no data to support claims that these devices will really sound an alarm if something bad is about to happen. And there’s the risk that these devices will provide false reassurance when a child is actually sick, preventing a call to the pediatrician that a parent may otherwise have made.

Then there’s the issue of what to do with the data being captured. Unlike say a blood pressure monitor in a hypertensive adult or an AliveCor in someone with palpitations, these devices are capturing a lot of physiologic data in healthy infants. While use of activity tracking in sleep training (the most commonly cited use case) at least seems intuitively plausible to me, a lot of the other data is information we just don’t know how to use in this context (continuous monitoring of healthy infants) and could expose kids to unneeded downstream testing.

That said, I’m encouraged that at least one of these companies is pursuing clinical evaluation. Although we contacted all three companies, Owlet is the only one that responded. The company described two specific, very interesting studies underway:

  • Seattle Children’s: Evaluation of the device in children with congenital heart disease, specifically monitoring children in the period between staged corrective surgeries, during which mortality risks are particularly high
  • University of Arizona: Prospective study comparing frequency of desaturation events in healthy infants, preterm infants, infants with Down’s Syndrome, and infants at risk for autism

Owlet should be commended for supporting clinical testing of its products — these kinds of studies will help physicians figure out how to guide parents in effective use of these devices. That commitment should be something we highlight to set the company apart in what will surely be a crowded space. And the studies’ findings could very well change the discussion I have with parents about these devices.

At the end of the day, it’s up to individual parents to make a decision as to whether they think these products will be helpful or harmful for their own children. But hopefully their pediatricians and family physicians will be important advisers, helping parents understand the issues so they can make informed decisions.

According to scientists, This is the most relaxing tune ever recorded.


This eight minute song is a beautiful combination of arranged harmonies, rhythms and bass lines and thus helps to slow the heart rate, reduce blood pressure and lower levels of the stress. The song features guitar, piano and electronic samples of natural soundscapes.

A study was conducted on 40 women, who were connected to sensors and had been given challenging puzzles to complete against the clock in order to induce a level of stress. Different songs were then played, to test their heart rate, blood pressure, breathing and brain activity. The results showed that the song Weightless was 11 per cent more relaxing than any other song and even caused drowsiness among women in the lab. It induced a 65 per cent reduction in overall anxiety and brought them to a level 35 per cent lower than their usual resting rates. 

Moreover, sound therapies have been used for thousands of years to help people relax and improve health and well-being. Among indigenous cultures, music has been the heart of healing and worship. The song, weightless is ideal for unwinding and putting an end to a stressful day.

According to Dr David Lewis-Hodgson, from Mindlab International, which conducted the research, this song induced the greatest relaxation, higher than any other music tested till date. In accordance to the Brain imaging studies, music works at a very deep level within the brain, stimulating not only those regions responsible for processing sound but also ones associated with emotions. The song Weightless can make one drowsy and hence should not be heard while driving.

Richard Talbot, from Marconi Union, was fascinated to work with a therapist to learn how and why certain sounds affect people’s mood. Though he always knew the power of music, they had previously written songs using only their gut feeling.

The study conducted by bubble bath and shower gel firm, Radox Spa found the song was even more relaxing than a massage, walk or cup of tea. According to Cassie Shuttlewood, from Radox Spa, it is understandable not to spend hundreds of pounds on massages, spa weekends and yoga retreats to reduce stress levels.


The top ten relaxing songs are known to be 

1. Marconi Union – Weightless 
2. Airstream – Electra 
3. DJ Shah – Mellomaniac (Chill Out Mix) 
4. Enya – Watermark
5. Coldplay – Strawberry Swing
6. Barcelona – Please Don’t Go 
7. All SaintsPure Shores 
8. Adelev Someone Like You 
9. Mozart – Canzonetta Sull’aria 
10. Cafe Del Mar – We Can Fly
[SOURCE: www.telegraph.co.uk]


According to Lyz Cooper, founder of the British Academy of Sound Therapy, the song has been created using various scientific theories and make use of musical principles that are known to have individually calming effects. Hence these elements have been combined together by Marconi Union to make the perfect relaxing song ever. The song comprises of a sustaining rhythm that starts at 60 beats per minute and gradually slows to around 50. Thus, while listening to the song, your heartbeat automatically comes to match that beat. She even adds that it is necessary for the song to be eight minutes long because it takes about five minutes for entertainment to occur. The gaps between the notes have been chosen to create a feeling of euphoria and comfort. In addition, there are no repetitive melodies in the song which allows one’s brain to completely switch off since one is no longer trying to predict what is next. The random chimes in the song help induce a deeper sense of relaxation and the final element in the song is the low, whooshing sounds and hums, those like the Buddhist chants.

         

Esmolol May Stabilize Heart Rate in Septic Shock Patients.


For patients in septic shock who have an excessively high heartbeat, use of the beta blocker esmolol helped to lower and maintain heartbeat rates without adverse effects.

Andrea Morelli, MD, from the Department of Anesthesiology and Intensive Care, University of Rome, “La Sapienza,” Italy, and colleagues conducted a randomized phase 2 trial at the University of Rome hospital intensive care unit between November 2010 and July 2012. The researchers randomly assigned 154 patients whose heartbeats exceeded 95 beats per minute (BPM) and who required high doses of norepinephrine to receive either continuous infusion of esmolol to maintain heart rate between 80 and 94 BPM (n = 77) or to receive standard treatment (n = 77) of norepinephrine during intensive care unit stays.

The target heartbeat rate was achieved in all patients in the esmolol group and was significantly lower than for patients in the control group. The median heart rate reduction came to −28 BPM for the esmolol group compared with −6 BPM for the control group (P < .001). The median continuously infused dose for esmolol was 100 mg/h (interquartile range [IQR], 50 – 300 mg/h).

The mortality rate for the esmolol group came to 49.4% for the esmolol group compared with 80.5% for the control group (P < .001). Stroke volume index was significantly higher in the esmolol group (P = .02), as was the left ventricular stroke work index (P = .03). Fluid requirements were reduced in the esmolol group compared with controls (P < .001), although no clinically relevant differences existed between groups for some other cardiopulmonary variables.

“Compared with standard treatment, esmolol also increased stroke volume, maintained [mean arterial pressure], and reduced norepinephrine requirements without increasing the need of inotropic support or causing adverse effects on organ function,” the researchers write.

Because esmolol is short-acting and has a half-life of about 2 minutes, it enables rapid resolution of any potential adverse effects. These new findings, the researchers write, suggest esmolol “allows better ventricular filling during diastole, hence, improving stroke volume and thereby improving the efficiency of myocardial work and oxygen consumption.”

Limitations of the study include selection of a predefined arbitrary heart rate threshold and the requirement that the study be nonblinded and not placebo-controlled. In addition, results might not be similar in a less at-risk population.

Paves the Way

“This is the unblindable trial. There’s no way to blind this trial. That will always be a limitation of whatever comes down the road,” R. Phillip Dellinger, MD, professor and head of critical care medicine at Cooper University Hospital in Camden, New Jersey, told Medscape Medical News. Dr. Dellinger is first author of a recent articleon treatment guidelines for sepsis.

The new study, Dr. Dellinger said, “clears the way for a larger phase 3 trial, and it offers support for moving the physiology in the direction that would, on the surface, look beneficial. It shows that it’s safe. The secondary outcomes all moved in a positive direction or didn’t move at all. So there are no signals here of potential problems with doing this; instead there is evidence that it helps cardiac function.”

Some aspects of this phase 2 trial differ from many phase 2 trials, he added. “This trial picked a population that would be predicted to more likely benefit from beta blockage, which is requiring very high doses of norepinephrine and being tachycardic.” Limiting the trial population may be better than including a large population in a study and dividing them up in subgroup analyses, he said, but the results might not be generalizable to a larger population.

In summary, Dr. Dellinger said, “Even though the trial was small, I think it was encouraging.”

This research was funded by the Department of Anesthesiology and Intensive Care of the University of Rome, “La Sapienza.” Dr. Morelli reports receiving honoraria for speaking at Baxter symposia. One coauthor reports serving as a consultant for and receiving honoraria from speaking at Baxter. The other authors and Dr. Dellinger have disclosed no relevant financial relationships.

Five Reasons to Eat Watermelon Studies link the summer treat to many health benefits.


Big, sloppy slices of watermelon served at a picnic table are the quintessential summer snack—sweet enough to be dessert but, as several recent studies remind us, good for our health as well. (And only 84 caloriesper wedge!)

1. It soothes sore muscles.

According to a new study in the Journal of Agricultural Food and Chemistry, drinking watermelon juice before a hard workout helped reduce athletes’ heart rate and next-day muscle soreness. That’s because watermelon is rich in an amino acid called L-citrulline, which the body converts to L-arginine, an essential amino acid that helps relax blood vessels and improve circulation.

The study’s seven participants, all men, were given 17 ounces (500 mL) of either natural watermelon juice, watermelon juice enriched with additional citrulline, or a placebo drink an hour before their workouts. Interestingly, the natural juice was just as effective as the enriched juice. The researchers also determined that intestinal cells can absorb more citrulline from watermelon juice than from citrulline supplements, especially when the juice is unpasteurized.

watermelon-benefits-boy-archive_70572_600x450

2. It helps heart health.

Postmenopausal women experienced improved cardiovascular health after six weeks of taking commercially available watermelon extract supplements containing citrulline and arginine, according to a study published earlier this year by Florida State University physiologist Arturo Figueroa.

And in a 2012 study—also led by Figueroa—such supplements helped alleviatehigh blood pressure in obese, middle-aged adults.

3. It could be a natural Viagra.

Improved circulation can benefit more than just the heart, as at least onewatermelon researcher has pointed out. But you’d probably have to eat an awful lot to achieve the desired effect–and eating too much could cause unfortunate side effects, since watermelon has long had a reputation as a natural diuretic.

4. It’s rich in vitamins and minerals, but low in calories.

Given its name, you might assume the fruit has little nutritional value—and it ismore than 90 percent water. But a 10-ounce (300-mL) wedge of watermelon packs in about one-third of the recommended daily value of vitamins A and C, as well as a modest amount of potassium (9 percent of the daily value).

5. It could even combat cancer.

Watermelon is among the best dietary sources of lycopene, an antioxidant linked to both the prevention and treatment of prostate cancer, although scientists are still investigating the details of that connection.

More Reasons To Eat Fruit.



Strawberries
 can help fight against cancer and aging!

Bananas are great for athletes because they give you energy!

fruit

Cherries help calm your nervous system!

Grapes relax your blood vessels!

Pineapples help fight arthritis!

Blueberries protect your heart!

Peaches are rich in potassium fluoride and iron! (not that you need more fluoride!)

Apples help your body develop resistance against infections!

Kiwis increase bone bass!

Mangos protect against several kinds of cancer!

Watermelon helps control your heart rate!

Oranges help maintain great skin and vision!

We hope this helps!

Source: http://www.naturalcuresnotmedicine.com

Sarah Garfinkel, consciousness researcher, on your sixth sense.


There’s a new area of scientific study that has uncovered a skill that could be considered our sixth sense. It’s called interoception and it’s the ability to monitor your own internal organs. For instance, how interoceptive you are can be measured by your ability to accurately count your heart beat, by just tuning into it.

websitephotogarfinkel1

So it’s a skill, or talent, that involves being quite in tune with one’s body. And this ability is associated with some interesting and useful traits. Those who are highly interoceptive are also highly intuitive and aware of their “gut” feelings. They also apparently have a better memory for emotional information and are more emotional overall. Awareness of one’s emotional and physiological state may also reward people with an ability to control it. For instance, one study has found that those who have good interoceptive ability are also less anxious when speaking in public.

SmartPlanet caught up with Sarah Garfinkel, a post-doc researcher at the Sackler Centre for Consciousness Science at the University of Essex, and asked her to explain interoception, how it is measured and how one might be able to improve their own interoceptive ability.

SmartPlanet: How do we measure interoception? Or in the case of heart rate, how do we count our heart beats?

Sarah Garfinkel: Heartbeat is the measurement of interoception that I’ve been interested in. There are two ways to test people’s ability to count their own heartbeat. You give set periods of time and you have people count how many heartbeats they’ve perceived in that space of time.

The other way people have done it is to present tones or some sort of external signal, like a flashing light, and the tones exactly match the beating heart, or they’re time-shifted slightly and people have to say whether the tones are in sync or out of sync with their heartbeats.

That sounds hard.

It’s really hard. The majority of people, maybe 80 percent of people can’t tell if their heart beat is in sync with the tones. It’s so difficult because it involves integrating an outside signal with an inside process. People tend to be better at counting their heart beats [within a specific time frame.] Because most can do it, the counting one gives a really lovely spread of sort of bad, intermediate and good.

So some people are good at it, some people are bad at it. How do people typically try to count their heart beat? Most of us only “feel” our heart beat when it races during exercise or a highly emotional event.

So just to clarify, [the test] always happens at rest. Because you are right, if you’re doing physical exercise or if we scare anyone beforehand then everyone will have an enhanced ability to detect a heart beat.

To measure their accuracy we create a ratio of actual heart rate relative to perceived rate. So a ratio of one would be perfect. A ratio of 0.7 is considered good.

Are some types of people better than others, on average?

Yes, fitter young men tend to be very good. Fitness is an indicator, one of the many indicators of whether you’re good or bad.

What is another indicator?

Age. People get worse as they get older. Although heartbeat perception is considered a stable trait, age has a declining effect on it.

You’ve mentioned before that there is an association between interoception and the ability to remember emotions. How do we even know this?

I love these sorts of experiments. They just blow my mind. First of all, people who are more interoceptive tend to have a richer emotional experience.

If you record people’s physiological responses or get them to rate emotional pictures, people with higher interoception will rate them as more emotionally intense.

Why is this?

Well theories of emotion, such as the James-Lange theory of emotion, state that fear or emotion perception arises from the detection of changes of internal bodily sensations.

So the emotion itself is “the noticing of a physical change” in one’s body?

Yes, some argue emotions arise from the detection of changes in the body. It reminds us of the famous question from William JamesDo you run from the bear because you’re afraid, or are you afraid because you run?

And he would argue that you’re afraid because you run because you feel all the physiological changes of the body. So if you then extrapolate from that: Those people who are better able to detect physiological changes [e.g., heart rate changes] they are going to report the experience as being more emotional.

This makes sense.

We tend to remember something if it’s more emotional. But now people with interoception find things more emotional. So this can suddenly start impacting our cognitive processes. And why they tend to remember emotions.

Apparently those who are highly interoceptive also have better intuition?

At the Sackler Centre for Consciousness Science, we are interested in what it means to have conscious knowledge.

Our gut instinct, or intuition, is where you know something is right but we just don’t know why. But everything in one’s gut tells us that it’s right. This is because your body can also hold information.

How?

Right. What gives rise to that feeling of knowing? It can be represented in the autonomic nervous system, so your body can have an enhanced arousal response. Like a sweat response. Or your pupils can also change size, they can dilate. And this can happen with regard to true information or previously encountered experiences.

And then the degree to which you can articulate or know you know it is an extra level of consciousness. So if you believe this premise that our body reacts to things and reacts to things correctly, and that can happen detached from your conscious awareness, then that means that those people who are better able to tap into those autonomic bodily channels are better able to use that as a cue to guide them.

On one hand we’ve heard these things anecdotally over and over again. That is “gut instinct.” But now science is putting this structure around it.

I know, I love it. I really love it. We’ve all had this experience where you bump into someone and you know you know them. Everything in your body says that you’ve had an encounter before, but you can’t recall when or where. But you feel it. And now we’re able to understand that those who are interoceptive are better at detecting [the gut feeling.] It’s been shown experimentally.

Also I have heard that interoceptive people have less anxiety speaking in public than the rest of us?

Yes that is from a published experiment. But that experiment was slightly contrary to all the other body of experiments that have shown that those with high anxiety tend to be interoceptive.

So why do you think this study showed less anxiety speaking in public?

Well if you are aware of how your body is changing and you can feel it and predict it, then that does potentially make it more manageable.

So it’s the idea that if you are aware of something you can control it more?

Yes. I published a study this year with Hugo Critchley called, “What the Heart Forgets.” We show that if you process words when your heart is beating — meaning exactly when your heart beats, as opposed to the off-beat, you’re less able to remember words that were presented when your heart beats. It has an interference effect if you see a word exactly during a heart beat. You forget them much more easily.

However, if you are interoceptive you are good at detecting your internal bodily signals, and better able to eliminate the interferences effect of heart beats on memory.

This fits with the idea that if you are able to detect a bodily process and you’re more able to protect against its interfering or detrimental influences.

That is amazing. You’ve mentioned that people can be trained to get better at interoception. How?

Based on our own observations, there is a potential in some people to learn. Because people sometimes don’t know what to focus on. For example, I was terrible when I started. I kept trying to focus on my chest. And actually people don’t necessarily feel their heart beat in their chest. They can feel it in other parts of their body.

So once you’re aware of that, then you can start focusing on other parts and maybe then you’ll be more sensitive to a signal. That is where the training component can come in. But that might only true for people who have the ability to tap into the signal but just don’t know where to focus. Whereas there are others who can never feel the signal, it doesn’t matter where they’re focusing on.

I have heard that biofeedback can sometimes help people tap into interoceptive ability.

Yes this is based on a process by Yoko Nagai. Basically people can watch a caterpillar move on a screen, and their body is wired up to a device that measures their skin conductance [which measures sweat as a signal of arousal]. When you’re relaxed the caterpillar will go in one direction and when you’re not relaxed the caterpillar will go in another direction.

This is based on the premise that people may think they’re in a relaxed state, but actually their body is not relaxed. So having this external manifestation of bodily states can help potentially train people to understand what it really means to have your body in a relaxed state or not.

So they get a sense of it, of what “relaxed” is supposed to feel like.

Yes, exactly. So that even if they may be bad at understanding their internal bodily process, they can learn it based on external cues and then emulate it in the future.

Source: Smart Planet

How the heart reacts at 200mph.


How does the human heart react to the most extreme forms of stress?

Using sports science technology, three very different riders at the International North West 200 motorbike festival, put this question to the test.

With top speeds hitting 208mph, on closed public roads around the coast of Northern Ireland, the North West 200 is one of the fastest road races in the world. The motorbikes are often just inches from each other.

Three competitors were fitted with a heart strap and wireless sensor to measure their heart rate over every inch of the course.

The riders were ‘the Champion’ Alastair Seeley, 33, ‘the Novice’ Gareth Keys, 22, and ‘the Veteran’ Jeremy McWilliams, 49.

heart

Heart stress

The average adult heart:

  • Beats 72 times a minute
  • 100,000 times a day
  • 2.5 billion times in a lifetime
  • Weighs 250-350 grams
  • Pumps over 9,000 litres of blood through 60,000 miles of blood vessels every day
  • Is made of cardiac muscle, which never tires

Dr Sean Roe, from the Centre for Biomedical Science Education at Queen’s University Belfast, explains what causes the heart stress and some of the factors that influence the results.

“The heart is controlled largely by two centres in the brain,” said Dr Roe.

“The sympathetic ‘fight or flight’ response or the parasympathetic ‘rest and digest’ response.

“On occasions that require extra cardiac output the sympathetic nervous system kicks in, which speeds up the heart. Cardiac output, which is the amount of blood put out by the heart every minute, increases allowing the additional demands to be met.

“Alternatively when someone is relaxing, the parasympathetic nervous system is to the fore, reducing cardiac output by reducing heart rate, and increasing blood flow to the digestive system, taking it away from the muscles.

“Anything that increases fight or flight, such as exercise or emotional stress, will increase stress on the heart.”

Harder, faster, stronger

 

Cardiac function is related to fitness and age. The better your heart is at pushing blood around the body, the less relative stress it will be under when your heart rate goes up.

Dr Roe explained how exercise can help the heart cope with stress.

“One of the effects of training is to increase the volume of cardiac chambers. To increase cardiac output a certain amount, a fit heart would need to increase heart rate only a small amount compared to an unfit heart, because the fit heart is pumping more with each beat.”

He considers emotional stress to be among the main factors increasing heart rate for competitors in road racing.

“How stressful you interpret the situation to be would contribute to how fast your heart rate goes,” he said.

The results

Results of the heart rate test were taken on each of the rider’s first laps of evening racing, when the competitors had to battle difficult conditions after a typical torrential downpour at the North West 200.

The Champion, Alastair Seeley, had the lowest heart rate, with an average beats per minute (bpm) of 134, which is 71% of his maximum heart rate. There were minimal ‘spikes’ (moments of sharply increased output) throughout the lap.

Dr Roe was impressed by such a low, consistent heart rate.

The heart under stress

  • Body goes into ‘fight or flight’ mode
  • Brain releases adrenaline and cortisol
  • Heart rate rises
  • Blood flow increases – raising blood pressure
  • Fatty acids and glucose are released into the bloodstream for energy

“The Champion clearly didn’t perceive the situation as stressful. He is an ‘ice man’. An average bpm of 134 equates to a brisk walk for most people, and his breathing techniques may well have helped him.”

By contrast, the Novice, Gareth Keys, had an average heart rate of 185bpm.

“That is the equivalent of Sir Bradley Wiggins climbing Alpe d’Huez in the Tour de France. Such is the level of physiological stress… we calculated it as 94% of his maximum heart rate. This indicates a very large physiological stress stemming from his perception of the situation being quite threatening,” said Dr Roe.

The Veteran, Jeremy McWilliams, is somewhere in between the two riders, with an average heart rate of 164 bpm.

“The Veteran has the experience of having been there and done that, taking away some of the emotional stress. But an average heart rate 164bpm is 96% of his maximum heart rate.”

What makes road racers risk life and limb on motorbikes at speeds in excess of 200mph?

No matter how meticulously a rider prepares it is impossible to cover every eventuality. There is a thrilling unpredictability to road racing and this race was no exception.

The Novice was faced with a dog running out in front of him, causing his bpm to peak at 204bpm, while the Veteran had to contend with a fellow rider coming off his bike at high speed just metres in front of him, resulting in a huge spike of 220bpm.

Good core muscular strength is vital in road racing.

“A rider’s core muscles have to withstand the forces of acceleration and braking and after a number of laps those muscles get tired. Tired muscles are harder to control and can lead to more mistakes later in the race,” said Dr Roe.

Minimising the risk of mistakes is imperative in a road race, where the slightest error can have serious, even fatal, consequences. Dr Roe puts the risk road racers take in stark terms.

“Human reaction time is between 150 and 300 milliseconds. If a rider is travelling at 200mph, he is travelling 90 metres per second. In the one-fifth of a second he takes to react, he will have travelled about 18 metres. This means that if anything unexpected happens within 20 metres of a rider, a high speed collision can be unavoidable.”

Preparing for the unexpected

 “Start Quote

We all know it’s a dangerous sport and we accept that. The danger element is the reason I do it.”

Guy Martin,

Road racer

“It is important to train to certain zones to be within 160, 170, 180 beats per minute. Train your heart to the particular zone you’re going to be in when you’re racing,” explained Alastair Seeley, who won the feature Superbike race at the North West 200 in 2012.

Many competitors also ride motocross bikes in deep sand during the winter to prepare themselves for the physical rigours of road racing.

Gio Capello, a strength and conditioning coach who worked with Seeley, explained the benefits of carefully tailored training.

“During races, a rider’s heart can get up to 180bpm at certain points so you want to develop more capacity to cope with those rates. We worked with Alastair on improving his aerobic fitness and increasing his VO2 max [the volume of oxygen you can consume while exercising at your maximum capacity].”

Psychological pressure

The Veteran is adamant that stress and pressure are always there in the build-up to a race.

“That’s the side of racing that’s not pleasant, the nervous energy, not knowing what’s around the corner. Once the flag drops it becomes so much easier, all of that is gone.”

The Novice prepares for the race by attempting to blank everything out and focus on the task ahead.

“I’ll spend about a minute alone with the bike just thinking about who’s in front of me and stay as calm as I can.”

The Champion explains how there are practical steps a rider can take during the race to keep their heart rate down.

“Round the coast road section of the North West 200, it’s quite busy and sometimes you maybe hold your breath for that bit too long, which then upsets the rhythm of the heart. But once I get on the big straights here I consciously take some big gulps of air and calm myself down again.”

Life at 200mph

Despite the many factors that influence cardiac performance at high speeds, perhaps the most important thing for any road racer to have in their hearts is a love of the sport. Without this, it’s unlikely they would take on such big risks at such high speeds.

Guy Martin, a regular rider at road racing events, said the risk factor goes some way to explaining the sport’s attraction: “We all know it’s a dangerous sport and we accept that. Probably the danger element is the reason I do it – I like the buzz.”

Source: BBC