Stress hormones and vascular function in firefighters during concurrent challenges
Abstract
The purpose of this study was to examine the effects of concurrent physical and mental challenge on stress hormones and indicators of vascular function in firefighters. Twelve professional firefighters exercised at 60% VO(2max) while participating in a computerized Fire Strategies and Tactics Drill (FSTD-fire strategies condition [FSC]), and again at the same intensity without the mental challenge (EAC). No differences in the amount of work performed between conditions existed, although the FSC resulted in greater perceptions of overall workload. Epinephrine and norepinephrine demonstrated significant interaction effects with elevated levels during the FSC. Cortisol responses were significantly elevated across time and for the FSC. Positive correlations were found between cortisol and interleukin-6, endothelin-1, and thromboxane-B(2), and a negative correlation between interleukin-6 and thromboxane-B(2). These results suggest that concurrent challenges results in exacerbated responses of stress hormones and suggests mechanisms that could contribute to the prevalence of cardiovascular events among firefighters.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Subject E showed a distinct increase in cortisol over time.
“and subject E shows a distinct increase over time.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
Cortisol dynamics did not show consistent behavior across subjects.
“While cortisol did not show such consistent behavior, its behavior was similar between some subjects.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
Epinephrine and norepinephrine follow similar trends across subjects, while cortisol dynamics show more variation across subjects.
“Epinephrine and norepinephrine follow similar trends across subjects, while the dynamics of cortisol show more variation across subjects.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
The subjects of Webb et al.'s study cannot be assumed to be representative of the overall population; they were all male firefighters, which may have different physiological stress responses compared to other groups.
“Additionally, the subjects of the study cannot be assumed to be representative of the overall population. The subjects were all male firefighters, which may have different physiological stress responses when compared to other groups.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
In general, norepinephrine and epinephrine tend to maintain constant levels in the absence of stress, and consistently increase and decrease in accordance with the onset and termination of stress, respectively.
“In general, norepinephrine and epinephrine tend to maintain constant levels in the absence of stress, and consistently increase and decrease in accordance with the onset and termination of stress, respectively.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
After subject-specific parameter estimation, the proposed HPA-SA model shows qualitative agreement and reasonable fits with collected data for cortisol, epinephrine, and norepinephrine.
“After subject-specific parameter estimation, the proposed model that includes both the HPA and SA axes shows qualitative agreement with the collected data.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
The dynamics of epinephrine and norepinephrine observed in the data are reproduced by the model even without subject-specific parameterization of the stress function S(t).
“The dynamics of epinephrine and norepinephrine observed in the data are reproduced by the model even without subject-specific parameterization of the stress function S(t).”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
The data and the simulated curve for Subject A both show near-monotonic decrease in cortisol.
“The data and the simulated curve for Subject A both show near-monotonic decrease in cortisol.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
The data from Webb et al.'s study focused on exercise stress and therefore cannot be assumed to reflect the physiological effects of other types of stress such as psychological or social stress.
“This study focused on exercise stress and therefore cannot be assumed to reflect the physiological effects of other types of stress such as psychological or social stress.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
Subjects A and B showed similar decreasing cortisol behavior.
“Specifically, subjects A and B showed similar decreasing behavior”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
Both subjects C and E exhibited higher levels of cortisol during and after the stress period compared to the other subjects.
“Both subjects C and E exhibited higher levels of cortisol during and after the stress period compared to the other subjects.”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
Subjects C and D showed more fluctuating cortisol dynamics.
“while subjects C and D showed more fluctuating dynamics”
From Subject-specific modeling of response to physical stress via hypothalamic-pituitary-adrenal and sympathoadrenal axes (2026) · cites this paper as [13]
Cites
Development of NASA-TLX (Task Load Index): Results of Empirical and Theoretical Research
(1988) · Advances in Psychology · doi:10.1016/s0166-4115(08)62386-9 · Cited by 15,003 · see citing works
(2014) · Medical Entomology and Zoology · Cited by 9,400 · see citing works
Calculation of percentage changes in volumes of blood, plasma, and red cells in dehydration.
Dill, D. B., & COSTILL, D. L. (1974) · Journal of Applied Physiology · doi:10.1152/jappl.1974.37.2.247 · Cited by 3,391 · see citing works
The Concepts of Stress and Stress System Disorders: Overview of Physical and Behavioral Homeostasis
Chrousos, G. P. (1992) · JAMA · doi:10.1001/jama.1992.03480090092034 · Cited by 2,689 · see citing works
The Hypothalamic–Pituitary–Adrenal Axis and Immune-Mediated Inflammation
Chrousos, G. P. (1995) · New England Journal of Medicine · doi:10.1056/nejm199505183322008 · Cited by 2,579 · see citing works
Endocrinology of the stress response
Charmandari, E., Tsigos, C., & Chrousos, G. (2005) · Annual Review of Physiology · doi:10.1146/annurev.physiol.67.040403.120816 · Cited by 1,799 · see citing works
Tofler, G. H., Brezinski, D., Schafer, A. I., Czeisler, C. A., Rutherford, J. D., Willich, S. N., Gleason, R. E., Williams, G. H., & Muller, J. E. (1987) · New England Journal of Medicine · doi:10.1056/nejm198706113162405 · Cited by 1,072 · see citing works
Hancock, P. A., & Meshkati, N. (1988) · Cited by 954 · see citing works
Hambrecht, R., Adams, V., Erbs, S., Linke, A. H.-P., Kränkel, N., Shu, Y., Baither, Y., Gielen, S., Thiele, H., Gummert, J. F., et al. (2003) · Circulation · doi:10.1161/01.cir.0000074229.93804.5c · Cited by 941 · see citing works
Arousal and physiological toughness: implications for mental and physical health
Dienstbier, R. A. (1989) · Psychological Review · doi:10.1037/0033-295x.96.1.84 · Cited by 909 · see citing works
Muscle‐derived interleukin‐6: mechanisms for activation and possible biological roles
FEBBRAIO, M. A., & PEDERSEN, B. K. (2002) · The FASEB Journal · doi:10.1096/fj.01-0876rev · Cited by 875 · see citing works
Chrousos, G. P. (1998) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1998.tb09006.x · Cited by 713 · see citing works
Emergency Duties and Deaths from Heart Disease among Firefighters in the United States
Kales, S. N., Soteriades, E. S., Christophi, C. A., & Christiani, D. C. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa060357 · Cited by 622 · see citing works
Clinical Implications of Prostaglandin and Thromboxane A2Formation
Oates, J. A., FitzGerald, G. A., Branch, R. A., Jackson, E. K., Knapp, H. R., & Roberts, L. J. (1988) · New England Journal of Medicine · doi:10.1056/nejm198809223191206 · Cited by 444 · see citing works
Cardiovascular Events during World Cup Soccer
Wilbert-Lampen, U., Leistner, D. M., Greven, S., Pohl, T., Sper, S., Völker, C., Güthlin, D., Plasse, A., Knez, A., Küchenhoff, H., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0707427 · Cited by 426 · see citing works
Clinical Implications of Prostaglandin and Thromboxane A2Formation
Oates, J. A., FitzGerald, G. A., Branch, R. A., Jackson, E. K., Knapp, H. R., & Roberts, L. J. (1988) · New England Journal of Medicine · doi:10.1056/nejm198809153191106 · Cited by 378 · see citing works
Cortisol pulsatility and its role in stress regulation and health
YOUNG, E., ABELSON, J., & LIGHTMAN, S. (2004) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2004.07.001 · Cited by 355 · see citing works
Mental Stress Induces Prolonged Endothelial Dysfunction via Endothelin-A Receptors
Spieker, L. E., Hürlimann, D., Ruschitzka, F. T., Corti, R., Enseleit, F., Shaw, S., Hayoz, D., Deanfield, J. E., Lüscher, T. F., & Noll, G. (2002) · Circulation · doi:10.1161/01.cir.0000021598.15895.34 · Cited by 352 · see citing works
Nitric oxide functions as an inhibitor of platelet adhesion under flow conditions.
de Graaf, J. C., Banga, J. D., Moncada, S., Palmer, R. M. J., de Groot, P. G., & Sixma, J. J. (1992) · Circulation · doi:10.1161/01.cir.85.6.2284 · Cited by 338 · see citing works
CHARACTERIZATION OF THE PHYSICAL DEMANDS OF FIREFIGHTING.
Jamnik, V., & Gledhill, N. (1989) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198904001-00032 · Cited by 330 · see citing works
A Healthy Body in a Healthy Mind--and Vice Versa--The Damaging Power of "Uncontrollable" Stress
Chrousos, G. P., & Gold, P. W. (1998) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.83.6.4908 · Cited by 298 · see citing works
Firefighters and on-duty deaths from coronary heart disease: a case control study
Kales, S. N., Soteriades, E. S., Christoudias, S. G., & Christiani, D. C. (2003) · Environmental Health · doi:10.1186/1476-069x-2-14 · Cited by 271 · see citing works
Neuroendocrine responses to experimentally-induced psychological stress in healthy humans
Gerra, G., Zaimovic, A., Mascetti, G. G., Gardini, S., Zambelli, U., Timpano, M., Raggi, M. A., & Brambilla, F. (2001) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(00)00046-9 · Cited by 262 · see citing works
Chrousos, G. P. (2000) · Journal of Allergy and Clinical Immunology · doi:10.1067/mai.2000.110163 · Cited by 258 · see citing works
Smith, D. L., Manning, T. S., & Petruzzello, S. J. (2001) · Ergonomics · doi:10.1080/00140130121115 · Cited by 233 · see citing works
Socioeconomic status and stress-induced increases in interleukin-6
Brydon, L., Edwards, S., Mohamed‐Ali, V., & Steptoe, A. (2003) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2003.09.011 · Cited by 189 · see citing works
Exposure to duty‐related incident stressors in urban firefighters and paramedics
Beaton, R. D., Murphy, S. A., Johnson, C., Pike, K., & Corneil, W. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024461920456 · Cited by 189 · see citing works
Jones, C. J., DeFily, D. V., Patterson, J. L., & Chilian, W. M. (1993) · Circulation · doi:10.1161/01.cir.87.4.1264 · Cited by 182 · see citing works
Puddu, P., Puddu, G. M., Cravero, E., Muscari, S., & Muscari, A. (2010) · Canadian Journal of Cardiology · doi:10.1016/s0828-282x(10)70371-8 · Cited by 179 · see citing works
Occupational injuries among emergency responders
Reichard, A. A., & Jackson, L. L. (2009) · American Journal of Industrial Medicine · doi:10.1002/ajim.20772 · Cited by 167 · see citing works
Coping responses and posttraumatic stress symptomatology in urban fire service personnel
Beaton, R. D., Murphy, S. A., Johnson, C., Pike, K., & Corneil, W. (1999) · Journal of Traumatic Stress · doi:10.1023/a:1024776509667 · Cited by 162 · see citing works
Heart Rate Response of Firefighters to Actual Emergencies
Sothmann, M. S., Saupe, K. W., Jasenof, D., & Blaney, J. (1992) · Journal of Occupational and Environmental Medicine · doi:10.1097/00043764-199208000-00014 · Cited by 144 · see citing works
Cohort mortality study of Philadelphia firefighters
Baris, D., Garrity, T. J., Telles, J. L., Heineman, E. F., Olshan, A. F., & Zahm, S. H. (2001) · American Journal of Industrial Medicine · doi:10.1002/ajim.1040 · Cited by 134 · see citing works
Smith, D. L., & Petruzzello, S. J. (1998) · Ergonomics · doi:10.1080/001401398186441 · Cited by 125 · see citing works
Camsarl, A., Pekdemir, H., Çiçek, D., z, P. G. R., Akkuş, M. N., Döven, O., Cin, V. G., Katlrclbasl, T., & Parmakslz, T. (2003) · Circulation Journal · doi:10.1253/circj.67.1022 · Cited by 120 · see citing works
Effects of chronic exercise and deconditioning on platelet function in women
Wang, J., Jen, C. J., & Chen, H. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.83.6.2080 · Cited by 115 · see citing works
Molecular and cellular interface between behavior and acute coronary syndromes
Gidron, Y. (2002) · Cardiovascular Research · doi:10.1016/s0008-6363(02)00537-0 · Cited by 107 · see citing works
Selected hormonal and immunological responses to strenuous live-fire firefighting drills
Dl, S., Petruzzello, S. J., Chludzinski, M., Reed, J., & Woods, J. (2004) · Ergonomics · doi:10.1080/00140130412331303911 · Cited by 92 · see citing works
Song, C., Kenis, G., Gastel, A. V., Bosmans, E., Lin, A., Jong, R. D., Neels, H. M., Scharpé, S., Janča, A., Yasukawa, K., et al. (1999) · Psychiatry Research · doi:10.1016/s0165-1781(99)00012-8 · Cited by 86 · see citing works
Oleksowicz, L., Mrowlec, Z., Zuckerman, D., ISAACS, R. E., Dutcher, J. P., & Puszkin, E. (1994) · Thrombosis and Haemostasis · doi:10.1055/s-0038-1648857 · Cited by 85 · see citing works
Smith, D. L., Petruzzello, S. J., Kramer, J. M., & Je, M. (1996) · PubMed · Cited by 84 · see citing works
Chrousos, G. P. (1998) · Endocrinology · doi:10.1210/endo.139.2.5857 · Cited by 83 · see citing works
Kraemer, R. R., & Brown, B. S. (1986) · European Journal of Applied Physiology · doi:10.1007/bf00423200 · Cited by 76 · see citing works
The role of interleukin‐6 in the human adrenal gland
Päth, G., Scherbaum, W., & Bornstein, S. (2000) · European Journal of Clinical Investigation · doi:10.1046/j.1365-2362.2000.0300s3091.x · Cited by 72 · see citing works
Choi, B. C. K. (2000) · Journal of Occupational and Environmental Medicine · doi:10.1097/00043764-200010000-00009 · Cited by 68 · see citing works
Establishment of the role of IL‐6 and TNF receptor 1 using gene knockout mice
Bluethmann, H., Rothe, J., Schultze, N., Tkachuk, M., & Koebel, P. (1994) · Journal of Leukocyte Biology · doi:10.1002/jlb.56.5.565 · Cited by 67 · see citing works
Acute Emotional and Cardiovascular Effects of Stressful Mental Work During Aerobic Exercise
Roth, D. L., Bachtler, S. D., & Fillingim, R. B. (1990) · Psychophysiology · doi:10.1111/j.1469-8986.1990.tb03196.x · Cited by 66 · see citing works
Comparison of public safety provider injury rates
Suyama, J., Rittenberger, J. C., Patterson, P. D., & Hostler, D. (2009) · Prehospital Emergency Care · doi:10.1080/10903120903144908 · Cited by 64 · see citing works
CHARACTERIZATION OF THE PHYSICAL DEMANDS OF FIREFIGHTING.
Jamnik, V., & Gledhill, N. (1980) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198004001-00032 · Cited by 63 · see citing works
Perroni, F., Tessitore, A., Cibelli, G., Lupo, C., D'Artibale, E., Cortis, C., Cignitti, L., Rosas, M. D., & Capranica, L. (2009) · Ergonomics · doi:10.1080/00140130802707873 · Cited by 56 · see citing works
New views on the role of endothelin (minireview).
Gorąca, A. (2002) · PubMed · Cited by 55 · see citing works
Occupational Illnesses within Two National Data Sets
Leigh, J. P., & Miller, T. R. (1998) · International Journal of Occupational and Environmental Health · doi:10.1179/oeh.1998.4.2.99 · Cited by 54 · see citing works
Cardiorespiratory Responses of Hi Fit and Low Fit Subjects to Mental Challenge during Exercise
Acevedo, E. O., Webb, H. E., Weldy, M. L., Fabianke, E. C., Orndorff, G. R., & Starks, M. (2006) · International Journal of Sports Medicine · doi:10.1055/s-2006-923902 · Cited by 53 · see citing works
Self-citationOxygen consumption during fire suppression: error of heart rate estimation
Sothmann, M. S., Saupe, K. W., Raven, P. B., Pawelczyk, J. A., DAVIS, P., DOTSON, C., Landy, F. J., & SILIUNAS, M. (1991) · Ergonomics · doi:10.1080/00140139108964890 · Cited by 51 · see citing works
Veldhuis, J. D., Roelfsema, F., Iranmanesh, A., Carroll, B. J., Keenan, D. M., & Pincus, S. M. (2009) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2009-1143 · Cited by 51 · see citing works
Psychological stress during exercise: cardiorespiratory and hormonal responses
Webb, H. E., Weldy, M. L., Fabianke, E. C., Orndorff, G. R., Kamimori, G. H., & Acevedo, E. O. (2008) · European Journal of Applied Physiology · doi:10.1007/s00421-008-0852-1 · Cited by 49 · see citing works
Self-citationIschemic Heart Disease Mortality and Occupation Among 16- to 60-Year-Old Males
Calvert, G. M., Merling, J. W., & Burnett, C. A. (1999) · Journal of Occupational and Environmental Medicine · doi:10.1097/00043764-199911000-00007 · Cited by 47 · see citing works
Pulsatile adrenocorticotropic hormone: An overview
Guðmundsson, A., & Carnes, M. L. (1997) · Biological Psychiatry · doi:10.1016/s0006-3223(96)00005-4 · Cited by 44 · see citing works
Psychological stress during exercise: immunoendocrine and oxidative responses
Huang, C., Webb, H. E., Evans, R. K., McLeod, K. A., Tangsilsat, S. E., Kamimori, G. H., & Acevedo, E. O. (2010) · Experimental Biology and Medicine · doi:10.1258/ebm.2010.010176 · Cited by 43 · see citing works
Self-citationStress as a Medical and Scientific Idea and Its Implications
Chrousos, G. P. (1997) · Advances in pharmacology · doi:10.1016/s1054-3589(08)60810-8 · Cited by 42 · see citing works
Lipid Profile of Firefighters Over Time: Opportunities for Prevention
Soteriades, E. S., Kales, S. N., Liarokapis, D., Christoudias, S. G., Tucker, S. A., & Christiani, D. C. (2002) · Journal of Occupational and Environmental Medicine · doi:10.1097/00043764-200209000-00006 · Cited by 41 · see citing works
Cardiorespiratory response under combined psychological and exercise stress
Rousselle, J. G., Blascovich, J., & Kelsey, R. M. (1995) · International Journal of Psychophysiology · doi:10.1016/0167-8760(95)00026-o · Cited by 41 · see citing works
Webb, H. E., McMinn, D. R., Garten, R. S., Beckman, J. L., Kamimori, G. H., & Acevedo, E. O. (2009) · Applied Ergonomics · doi:10.1016/j.apergo.2009.08.003 · Cited by 39 · see citing works
Self-citationEndothelin-1 and Human Platelets
Jagroop, I. A., Daskalopoulou, S., & Mikhailidis, D. P. (2005) · Current Vascular Pharmacology · doi:10.2174/157016105774329453 · Cited by 34 · see citing works
Regulation of myocardial blood flow response to mental stress in healthy individuals
Schöder, H. M., Silverman, D. H. S., Campisi, R., Sayre, J. W., Phelps, M. E., Schelbert, H. R., & Czernin, J. G. (2000) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.2000.278.2.h360 · Cited by 30 · see citing works
Szabó, A., Péronnet, F., Gauvin, L. I., & Furedy, J. J. (1994) · International Journal of Psychophysiology · doi:10.1016/0167-8760(94)90063-9 · Cited by 28 · see citing works
Sudden cardiac death after manual or automated snow removal
Chowdhury, P. S., Franklin, B. A., Boura, J., Dragovic, L. J., Kanluen, S., Spitz, W. U., Hodak, J., & O’Neill, W. W. (2003) · The American Journal of Cardiology · doi:10.1016/s0002-9149(03)00894-4 · Cited by 28 · see citing works
Neuropeptide chronomics in clinically healthy young adults: circaoctohoran and circadian patterns
Löckinger, A., Köberle, D., König, P., Saria, A., Herold, M., Cornélissen, G., & Franz Halberg, A. (2004) · Peptides · doi:10.1016/j.peptides.2004.02.008 · Cited by 26 · see citing works
Chrousos, G. P. (1998) · Endocrinology · doi:10.1210/en.139.2.437 · Cited by 20 · see citing works
Sm, H. (2007) · PubMed · Cited by 17 · see citing works
Role of Eicosanoids and the Cytokine Network in Transmembrane Signaling in Vascular Cells
Pomerantz, K. B., & Hajjar, D. P. (1991) · Advances in experimental medicine and biology · doi:10.1007/978-1-4684-6024-7_10 · Cited by 6 · see citing works
Flagged first, then by citations
1 of the 72 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Cardiovascular reactivity, stress, and physical activity
Huang, C., Webb, H. E., Zourdos, M. C., & Acevedo, E. O. (2013) · Frontiers in Physiology · doi:10.3389/fphys.2013.00314 · Cited by 305 · see citing works
Self-citationHow mental stress affects endothelial function
Toda, N., & Nakanishi-Toda, M. (2011) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-011-1022-6 · Cited by 132 · see citing works
Firefighters’ occupational exposure: Contribution from biomarkers of effect to assess health risks
Barros, B., Oliveira, M., & Morais, S. (2021) · Environment International · doi:10.1016/j.envint.2021.106704 · Cited by 93 · see citing works
Keshavarz, B., Peck, K. J., Rezaei, S., & Taati, B. (2022) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2022.03.006 · Cited by 83 · see citing works
Shift work and the incidence of injury among police officers.
Violanti, J., Fekedulegn, D., Andrew, M., Charles, L., Hartley, T., Vila, B., & Burchfiel, C. (2012) · American Journal of Industrial Medicine · doi:10.1002/ajim.22007 · Cited by 85 · see citing works
Air Pollution-Induced Vascular Dysfunction: Potential Role of Endothelin-1 (ET-1) System
Finch, J., & Conklin, D. J. (2015) · Cardiovascular Toxicology · doi:10.1007/s12012-015-9334-y · Cited by 75 · see citing works
Endothelin-1 axes in the framework of predictive, preventive and personalised (3P) medicine
Crigna, A. T., Link, B., Samec, M., Giordano, F. A., Kubatka, P., & Golubnitschaja, O. (2021) · The EPMA Journal · doi:10.1007/s13167-021-00248-z · Cited by 71 · see citing works
International society of sports nutrition position stand: tactical athlete nutrition
Gonzalez, D. E., McAllister, M. J., Waldman, H. S., Ferrando, A. A., Joyce, J., Barringer, N., Dawes, J. J., Kieffer, A. J., Harvey, T. M., Kerksick, C. M., et al. (2022) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2022.2086017 · Cited by 68 · see citing works
Siedlik, J. A., Benedict, S. H., Landes, E. J., Weir, J. P., Vardiman, J. P., & Gallagher, P. M. (2016) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2016.04.008 · Cited by 50 · see citing works
Canadian Career Firefighters’ Mental Health Impacts and Priorities
MacDermid, J. C., Lomotan, M., & Hu, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312666 · Cited by 36 · see citing works
Aerobic Fitness Affects Cortisol Responses to Concurrent Challenges
Webb, H. E., Rosalky, D. S., Tangsilsat, S. E., McLeod, K. A., Acevedo, E. O., & Wax, B. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318270b381 · Cited by 35 · see citing works
Self-citationMaximal oxygen uptake of Italian firefighters: laboratory vs. field evaluations
Perroni, F., Cortis, C., Minganti, C., Cignitti, L., & Capranica, L. (2013) · Sport Sciences for Health · doi:10.1007/s11332-013-0142-0 · Cited by 26 · see citing works
Venhorst, A., Micklewright, D. P., & Noakes, T. D. (2018) · Sports Medicine · doi:10.1007/s40279-018-0893-5 · Cited by 25 · see citing works
Prior Acute Mental Exertion in Exercise and Sport
Silva-Júnior, F. L. E., Emanuel, P., Sousa, J., Silva, M. K. F., Teixeira, S. S., Pires, F. O., Machado, S. E. D. C., & Arias-Carrión, Ó. (2016) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901612010094 · Cited by 22 · see citing works
Eken, M. K., Özkaya, E., Tarhan, T., İçöz, Ş., Eroğlu, Ş., Kahraman, Ş. T., & Karateke, A. (2016) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2016.1190826 · Cited by 21 · see citing works
Exogenous Ketone Salts Do Not Improve Cognitive Performance During a Dual-Stress Challenge
Waldman, H. S., Shepherd, B. D., Egan, B., & McAllister, M. J. (2019) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2019-0122 · Cited by 21 · see citing works
Endothelin-1 and Psychosocial Risk Factors for Cardiovascular Disease
Yammine, L., Kang, D.-H., Baun, M. M., & Meininger, J. C. (2014) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000026 · Cited by 20 · see citing works
Beitia, P., Stamatis, A., Amasay, T., & Papadakis, Z. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192215253 · Cited by 18 · see citing works
McAllister, M. J., Basham, S. A., Waldman, H. S., Smith, J. W., Mettler, J. A., Butawan, M. B., & Bloomer, R. J. (2018) · Physiology & Behavior · doi:10.1016/j.physbeh.2018.10.013 · Cited by 17 · see citing works
Modelling the process of falling behind and its psychophysiological consequences
Venhorst, A., Micklewright, D. P., & Noakes, T. D. (2017) · British Journal of Sports Medicine · doi:10.1136/bjsports-2017-097632 · Cited by 13 · see citing works
Aerobic fitness impacts sympathoadrenal axis responses to concurrent challenges
Webb, H. E., Rosalky, D. S., McAllister, M. J., Acevedo, E. O., & Kamimori, G. H. (2017) · European Journal of Applied Physiology · doi:10.1007/s00421-016-3519-3 · Cited by 13 · see citing works
Self-citationResponse to thermal and physical strain during flashover training in Croatian firefighters
Ljubičić, A., Varnai, V. M., Petrinec, B., & Macan, J. (2013) · Applied Ergonomics · doi:10.1016/j.apergo.2013.07.011 · Cited by 11 · see citing works
Siedlik, J. A., Deckert, J. A., Clopton, A. W., Gigliotti, N. M., Chan, M. A., Benedict, S. H., Herda, T. J., Gallagher, P. M., & Vardiman, J. P. (2015) · Physiology & Behavior · doi:10.1016/j.physbeh.2015.11.011 · Cited by 9 · see citing works
Dewald, E., Gube, M., Baumann, R., Bertram, J., Kossack, V., Lenz, K., Reisgen, U., Kraus, T., & Brand, P. (2015) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000000495 · Cited by 9 · see citing works
Effects of Combining Occupationally Relevant Physical and Cognitive Tasks. A Systematic Review
Mixter, S., Mathiassen, S. E., Jahncke, H., Hygge, S., Lyskov, E., Hallman, D., & Lewis, C. (2022) · Annals of Work Exposures and Health · doi:10.1093/annweh/wxac082 · Cited by 8 · see citing works
Young, P. M., Gibson, A. S. C., Partington, E., Partington, S., & Wetherell, M. A. (2014) · Ergonomics · doi:10.1080/00140139.2014.945490 · Cited by 7 · see citing works
Young, P. M., Gibson, A. S. C., Partington, E., Partington, S., & Wetherell, M. A. (2013) · International Journal of Emergency Services · doi:10.1108/ijes-10-2012-0042 · Cited by 6 · see citing works
Nieto-Lima, B., Cano-Martı́nez, A., Rubio-Ruiz, M. E., Pérez-Torres, I., & Guarner‐Lans, V. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00020 · Cited by 4 · see citing works
Park, G.-J., Kong, S. Y., Shin, D.-M., Lee, D. I., Ku, B.-S., Oh, J.-H., & Kim, S. C. (2021) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000002330 · Cited by 4 · see citing works
Gonzalez, D. E., Coles, M. E., Tanksley, P. T., Martaindale, M. H., Martin, S. E., & McAllister, M. J. (2025) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000003389 · Cited by 3 · see citing works
The stress of fire fighting - implications for long term health outcomes
Main, L. C., Raines, J., Della, G. P., Wolkow, A. P., Snow, R. J., & Aisbett, B. (2012) · Deakin Research Online (Deakin University) · Cited by 3 · see citing works
Markers of Fitness, Stress, and Cardiometabolic Disease Risk Among Law Enforcement Officers
McAllister, M. J., Dodge, C., Tanksley, P. T., Martaindale, M. H., Martin, S. E., & Gonzalez, D. E. (2025) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000003357 · Cited by 2 · see citing works
FUNCTIONING OF THE BODYS PHYSIOLOGICAL SYSTEMS WITH PROFESSIONAL BURNOUT SYNDROME
Yanchuk, P. I., Makarchuk, M. Y., & Mukolaichuk, O. (2025) · Fìzìologìčnij žurnal · doi:10.15407/fz71.01.091 · Cited by 2 · see citing works
Relationship of Physical Stress and Hypertension among Cardiovascular Disease Patients
Ali, S., Akhter, H., Altaf, K. F., Noushad, S., Asghar, N., Ahmed, S. S., & Ahmed, S. (2016) · INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH (IJEHSR) · doi:10.29052/ijehsr.v4.i4.2016.45-52 · Cited by 2 · see citing works
A prospective study on local cold injuries in northern Sweden
Moen, K., & Stjernbrandt, A. (2022) · International Journal of Circumpolar Health · doi:10.1080/22423982.2022.2149381 · Cited by 2 · see citing works
Harris, H. A., Chan, D. M., Fix, L. E., Nicholson, B. D., & Acevedo, E. O. (2026) · PLOS One · doi:10.1371/journal.pone.0344981 · Cited by 2 · see citing works
“Sections 3 and 4 discuss the results of the sensitivity analysis (Section 3.1) and parameter optimization with respect to data from a previous study [13] (Section 3.2).”
InfluentialSelf-citationAcute and chronic inflammation in firefighters: A narrative review
Allsopp, G. L., & Main, L. C. (2025) · Mutation Research/Reviews in Mutation Research · doi:10.1016/j.mrrev.2025.108569 · Cited by 1 · see citing works
Nekhoroshkova, J. V. (2012) · Ukrainian Journal of Occupational Health · doi:10.33573/ujoh2012.02.056 · Cited by 1 · see citing works
Young, P. M. (2012) · Northumbria Research Link (Northumbria University)
Effects of Working Time on Physiological Response Wearing Fire Fighting Equipment
Yoo, D.-H., Choi, H., Lee, B., & Bang, C.-H. (2016) · Korean Society of Hazard Mitigation · doi:10.9798/kosham.2016.16.3.189
Physiological Assessment of the State of Mental Stress at Work
Fauquet-Alekhine, P., & Granry, J.-C. (2023) · Springer eBooks · doi:10.1007/978-3-031-27349-0_5
Sutton, N., Martaindale, M. H., Uriegas, S., Dillard, C. C., & McAllister, M. J. (2025) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2025.107628
- Authors
- Webb, H. E., Garten, R. S., McMinn, D. R., Beckman, J. L., Kamimori, G. H., & Acevedo, E. O.
- Affiliations
- Mississippi State University (US)
- University of North Carolina at Greensboro (US)
- University of Mississippi (US)
- Walter Reed Army Institute of Research (US)
- Virginia Commonwealth University (US)
- Corresponding author
- Webb, Heather E.
- Venue
- Biological Psychology
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 87
- Issue
- 1
- Pages
- 152-160
- ISSN
- 0301-0511 (ISSN-L)
- OpenAlex
- W1988039057
- Cited by
- 43
- References
- 72
- Citations by year
- 2026: 1 · 2025: 5 · 2023: 1 · 2022: 5 · 2021: 4 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 5 · 2012: 4
- FWCI
- 11.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- National Center for Research Resources (P20RR0167475-03)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- firefighters, stress hormones, vascular function, epinephrine, norepinephrine, cortisol, interleukin-6, endothelin-1, thromboxane B2, cardiovascular risk, perceived workload
- MeSH terms
- Adult, Analysis of Variance, Cardiovascular Physiological Phenomena, Catecholamines, Employment, Epinephrine, Physical Exertion, Female, Fires, Hematocrit, Hemoglobins, Hormones, Humans, Norepinephrine, Oxygen Consumption, Statistics as Topic, Stress, Psychological, Time Factors, Exercise
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
