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HRV
Wearables

HRV

Heart rate variability (HRV) measures the small variations in time between each heartbeat, showing how well your body adapts to stress and recovery. A higher HRV reflects better balance in your nervous system and greater resilience, influenced by sleep, exercise, hydration, and emotional wellbeing.

Tracking HRV helps you see how daily habits affect recovery and energy. Consistent monitoring reveals trends in adaptability, allowing early lifestyle adjustments that strengthen long-term wellbeing and performance.

HRV is available in our Continuous Glucose Monitoring program. Order your Vively CGM now for as low as $199.
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What is Heart Rate Variability (HRV)?

HRV measures the variation in time between consecutive heartbeats, providing insight into how your body adapts to stress, activity, and rest. It’s captured through wearable devices that record heartbeat intervals over time.

Why does it matter for long-term health and wellbeing?

HRV reflects how well your nervous system regulates recovery, energy, and stress balance. A stable or improving HRV trend is linked with better adaptability and overall vitality, supporting sustained performance and long-term wellness.

What’s an optimal level of HRV?

The optimal trend is a rise of 5% or more compared with your three-month average.

Typical reference range:

  • 20% = down by 5% or more (Pay attention)
  • 40% = down between 1–5% (Sub-optimal)
  • 60% = between -1% and 1% (Balanced)
  • 80% = up between 1–5% (Optimal)
  • 100% = up by 5% or more (Optimal)

What influences HRV levels?

Lifestyle factors such as stress, sleep quality, hydration, physical activity, and nutrition all impact HRV. Environmental stressors, caffeine, and alcohol can also cause short-term fluctuations.

What does it mean if HRV is outside the optimal range?

A lower or declining HRV trend may indicate your body is under ongoing stress or not recovering fully. This can be a prompt to reassess rest, exercise load, or recovery habits — not a cause for concern but an opportunity for insight and early change.

How can I support healthy HRV levels?

Focus on quality sleep, balanced exercise, hydration, and stress management techniques such as mindfulness or deep breathing. Regular monitoring helps you understand how these habits improve your body’s adaptability over time.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Shaffer, F., & Ginsberg, J. P. (2017). An overview of heart rate variability metrics and norms. Frontiers in Public Health, 5, 258.
  2. Laborde, S., Mosley, E., & Thayer, J. F. (2017). Heart rate variability and cardiac vagal tone in psychophysiological research — Recommendations for experiment planning, data analysis, and data reporting. Frontiers in Psychology, 8, 213.
  3. Besson, C., Baggish, A. L., et al. (2025). Assessing the clinical reliability of short-term heart rate variability: insights from controlled dual-environment and dual-position measurements. Scientific Reports.
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Biological Age
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Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
8 markers

Blood health

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
Cholesterol Ratio
HDL Cholesterol
LDL Cholesterol
Non-HDL Cholesterol
Total Cholesterol
Triglycerides
6 markers

Heart health

Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

Muscle strength

Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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