
Marco Altini
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Sep 8, 2026
VO₂max, HRV, Lab Testing: What Actually Changes Your Training | Marco Altini, Running Coach, Scientist, Founder of HRV4Training, Advisor at Oura and augo
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6:15BrunaHOST
Can you tell us a little bit about that? Why RPE?

Marco AltiniGUEST
One, I think that in the long term as athletes, I think one of our goals should be to be in good tune with our body and understand what effort means and how long can we sustain an effort, and that can help us in, you know, in racing, but also in training so that we make the right choices and, you know, we don't burn too many matches too early, but at the same also we don't underperform, right? There's always two sides of it.

Marco AltiniGUEST
So I think being in tune with our body is key, and to get there, training by perceived effort is a useful tool because we start to pay more attention to how different things feel, and then we develop a bit that skill.

Marco AltiniGUEST
At the same time, I think being overly prescriptive with other metrics, um, fails a bit to recognize that there is a lot of variability in the day-to-day into what easy means, for example, right? So if we go for an easy run or an easy ride, even if our power or our pace for an easy run is a certain intensity typically, it could be that we are just more sore or less sore, or it's warmer, or there is anything else that is happening that makes that feeling actually hard if we were to try to maintain a certain external load that comes from, you know, zones or whatever is our frame of reference.

Marco AltiniGUEST
While if we pay attention to how we feel, then we just naturally slow down and, and take it super easy, and I think that's also how many of the good athletes that are out there train because, you know, you need to pay attention to how you feel.
9 MINS LATER
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16:46BrunaHOST
Really?
#178 | Marco Altini | HRV4 Training
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25:29DonnieHOST
So maybe you can explain to us about the difference in the measurement protocols, how you can track your HRV, and what the difference in the quality of the tracking method is, let's say.

Marco AltiniGUEST
So I would say there are two ways in which we can measure our resting physiology in a way that is accurate and reflects what we care about, which is our stress response.

Marco AltiniGUEST
And that can be done either measuring throughout the night, which is what you would get typically with a wearable, or first thing in the morning using a nap as you do.

Marco AltiniGUEST
I think the most obvious one is that, of course, the night comes before the morning.

Marco AltiniGUEST
So, typically, night data is a bit more reflective of our behavior the previous night, especially if maybe we have a late dinner or we drink some alcohol or we have some stressful events.
25 MINS LATER
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51:06DonnieHOST
And then a lot of devices and apps will give you a kind of a proprietary algorithm number to say whether the HRV is high or low, right? So what is the difference? What do these numbers mean? RMSSD, SDNN, which one is, if an athlete only had to look at one single metric on their data sheet, which one should it be? And just a bonus question is, what do you think about the wearables of the Garmin or the Suunto or whatever it is, them having their own algorithm to determine the recommendations?
HRV for Runners: What Your Morning Number Actually Means — Marco Altini
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9:25JoostHOST
Yeah, for

Marco AltiniGUEST
I think one of the main ones probably is that it needs to be higher, right? The highest possible.
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26:22JoostHOST
Is there a best practice?
All about HRV - with Marco Altini
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23:40Dan Osborn-NashHOST
Could you talk us through in your mind what is the gold standard for capturing heart rate variability?

Marco AltiniGUEST
Yeah, I would say that we have two protocols that I would consider accepted, and that is first thing in the morning and through the night.

Marco AltiniGUEST
So we just need to be aware of the differences when we use this data for ourselves or if we work with other people, athletes or whoever, because there are differences.

Marco AltiniGUEST
And I think it's just important to understand, for example, that obviously the night comes before the morning.

Marco AltiniGUEST
So typically night data might be more tightly coupled to your behavior, what you did in the evening prior to measure.

Marco AltiniGUEST
Because for example, if you drink some alcohol or if you eat quite late, or if you're out with your friends, it could be that it just takes some hours for your physiology to renormalize.

Marco AltiniGUEST
So if you measure in the night, that might be captured as a suppression or slightly more elevated heart rate.
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40:04Dan Osborn-NashHOST
So how do you in your own training and how do you recommend other athletes interpret and use heart rate variability to make training decisions?
HRV Explained: The Metric You Are Reading Wrong
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Simon GilchristHOST
So is it just important that you're reliable in how you're measuring it or is there a more ideal time to measure it over this longer timeframe?

Marco AltiniGUEST
Yeah, so I think that first we need to think about why we are measuring it and what we are trying to capture.

Marco AltiniGUEST
So the ones that have a bit of a stronger impact on our physiology, while we don't want to capture all the almost irrelevant stressors that we face during the day and that impact our physiology, but not in a way that if we're looking at it would represent our overall state.

Marco AltiniGUEST
And to simplify, I could say, if I have coffee and then I measure, I will just see the effect of that coffee, that excitement, but that is really not representative, you know, my state as a stressed person or my inability to capture, you know, yesterday's workout and things like that.
18 MINS LATER