Acute stress responses in salivary alpha-amylase predict increases of plasma norepinephrine
Abstract
Current biobehavioral research increasingly employs salivary alpha-amylase (sAA) as a surrogate marker for sympathetic nervous system (SNS) activity. While different lines of evidence point to the validity of this assumption, the literature is inconsistent with regard to associations of sAA with well-established SNS indicators, such as plasma norepinephrine (NE) or epinephrine (E). Small samples as well as application of different stress paradigms might be responsible. This study therefore set out to examine the relation between stress-induced sAA activity with NE and E by exposing a larger and less constrained sample to an effective stress protocol. Sixty-six healthy participants (mean age 24.30±4.24 yrs), including n=40 women, n=26 men, n=18 oral contraceptive (OC) users, and n=15 habitual smokers, were recruited and subjected to the Trier Social Stress Test (TSST). Saliva and blood samples were taken at four time points throughout the experiment for later analysis of sAA activity and NE/E concentration, respectively. As expected, sAA, NE, and E showed significant increases in response to the acute stress induction (all p<0.001). Regression analyses (controlling for age, BMI, sex, smoking and OC) revealed that stress responses in sAA significantly predicted stress responses in NE (r=0.326; p=0.025). Interestingly, stress responses in E predicted NE to a lesser extend (β=0.265; p=0.064). E responses showed no association with sAA (β=0.265; p=0.064). Higher sAA levels were found in habitual smokers (F=4.27; p=0.043) and in individuals with lower BMI (F=2.81; p=0.099). In conclusion, current data clearly show an association between stress responses of sAA and plasma NE. This relationship is stronger than the association of norepinephrine and epinephrine responses, thus placing the predictive power of sAA well within the expected range for different SNS markers.
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?
Salivary alpha-amylase (sAA) is a biochemical index for sympathetic nervous system (SNS) activity.
“Salivary alpha-amylase (sAA) is a novel biochemical index for sympathetic nervous system (SNS) activity [16–19].”
From The Effect of Music on the Human Stress Response (2013) · cites this paper as [18]
Cites
Dickerson, S. S., & Kemeny, M. E. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.3.355 · Cited by 5,881 · see citing works
Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-D
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30622-6 · Cited by 5,403 · see citing works
Nater, U. M., & Rohleder, N. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.01.014 · Cited by 1,370 · see citing works
Self-citationA mechanism converting psychosocial stress into mononuclear cell activation
Bierhaus, A., Wolf, J., Andrassy, M., Rohleder, N., Humpert, P. M., Petrov, D., Ferstl, R., von Eynatten, M., Wendt, T., Rudofsky, G., et al. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0438019100 · Cited by 926 · see citing works
Self-citationDeterminants of the diurnal course of salivary alpha-amylase
Nater, U. M., Rohleder, N., Schlotz, W., Ehlert, U., & Kirschbaum, C. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.02.007 · Cited by 631 · see citing works
Self-citationNater, U. M., La Marca, R., Florin, L., Moses, A., Langhans, W., Koller, M. M., & Ehlert, U. (2006) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2005.05.010 · Cited by 630 · cited 1× · see citing works
“sAA levels with measures of sympatho-vagal balance (Nater et al., 2006), with increases in heart rate (HR), and negative correlations with decreases in heart rate variability (HRV) (Bosch et al.”
BackgroundHuman salivary alpha-amylase reactivity in a psychosocial stress paradigm
Nater, U. M., Rohleder, N., Gaab, J., Berger, S., Jud, A., Kirschbaum, C., & Ehlert, U. (2005) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2004.09.009 · Cited by 618 · see citing works
Self-citationBrunner, E. J., Hemingway, H., Walker, B. R., Page, M., Clarke, P., Juneja, M., Shipley, M. J., Kumari, M., Andrew, R., Seckl, J. R., et al. (2002) · Circulation · doi:10.1161/01.cir.0000038364.26310.bd · Cited by 539 · see citing works
How to assess sympathetic activity in humans
Grassi, G., & Esler, M. (1999) · Journal of Hypertension · doi:10.1097/00004872-199917060-00001 · Cited by 455 · see citing works
Salivary alpha amylase as marker for adrenergic activity during stress: Effect of betablockade
van Stegeren, A., Rohleder, N., Everaerd, W., & Wolf, O. T. (2006) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2005.05.012 · Cited by 419 · see citing works
Self-citationRohleder, N., Wolf, J. M., Maldonado, E. F., & Kirschbaum, C. (2006) · Psychophysiology · doi:10.1111/j.1469-8986.2006.00457.x · Cited by 321 · see citing works
Self-citationEngert, V., Vogel, S., Efanov, S. I., Duchesne, A., Corbo, V., Ali, N., & Pruessner, J. C. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.02.018 · Cited by 232 · see citing works
Salivary α-Amylase Levels after Yohimbine Challenge in Healthy Men
Ehlert, U., Erni, K., Hebisch, G., & Nater, U. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-0461 · Cited by 155 · see citing works
The stress–response-dampening effects of placebo
Balodis, I. M., Wynne-Edwards, K. E., & Olmstead, M. C. (2011) · Hormones and Behavior · doi:10.1016/j.yhbeh.2011.01.004 · Cited by 39 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wearable and flexible electronics for continuous molecular monitoring
Yang, Y., & Gao, W. (2019) · Chemical Society Reviews · doi:10.1039/c7cs00730b · Cited by 1,315 · see citing works
Shields, G. S., Sazma, M. A., & Yonelinas, A. P. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.06.038 · Cited by 818 · see citing works
Biological and psychological markers of stress in humans: Focus on the Trier Social Stress Test
Allen, A. P., Kennedy, P. J., Cryan, J. F., Dinan, T. G., & Clarke, G. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.11.005 · Cited by 734 · see citing works
The Effect of Music on the Human Stress Response
Thoma, M. V., La Marca, R., Brönnimann, R., Finkel, L., Ehlert, U., & Nater, U. M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070156 · Cited by 520 · see citing works
“Salivary alphaamylase (sAA) is a novel biochemical index for sympathetic nervous system (SNS) activity [16–19].”
BackgroundSelf-citationCognitive emotion regulation fails the stress test
Raio, C. M., Orederu, T. A., Palazzolo, L., Shurick, A. A., & Phelps, E. A. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1305706110 · Cited by 302 · see citing works
Optimizing stress responses with reappraisal and mindset interventions: an integrated model
Jamieson, J. P., Crum, A. J., Goyer, J. P., Marotta, M. E., & Akinola, M. (2018) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2018.1442615 · Cited by 265 · see citing works
Sleep deprivation potentiates HPA axis stress reactivity in healthy adults.
Minkel, J., Moreta, M., Muto, J., Htaik, O., Jones, C., Basner, M., & Dinges, D. (2014) · Health Psychology · doi:10.1037/a0034219 · Cited by 261 · see citing works
Biomarkers of stress in behavioural medicine
Nater, U. M., Skoluda, N., & Strahler, J. (2013) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e328363b4ed · Cited by 125 · see citing works
Capitalizing on Appraisal Processes to Improve Affective Responses to Social Stress
Jamieson, J. P., Hangen, E. J., Lee, H. Y., & Yeager, D. S. (2018) · Emotion Review · doi:10.1177/1754073917693085 · Cited by 111 · see citing works
Kuras, Y. I., McInnis, C. M., Thoma, M. V., Chen, X., Hanlin, L., Gianferante, D., & Rohleder, N. (2017) · Developmental Psychobiology · doi:10.1002/dev.21470 · Cited by 46 · see citing works
Self-citationIeda, M., Miyaoka, T., Wake, R., Liaury, K., Tsuchie, K., Fukushima, M., Araki, T., Ezoe, S., Inagaki, T., & Horiguchi, J. (2014) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-013-0411-6 · Cited by 41 · see citing works
Coulon, N., Brailly-Tabard, S., Walter, M., & Tordjman, S. (2016) · Journal of Physiology-Paris · doi:10.1016/j.jphysparis.2017.05.002 · Cited by 28 · see citing works
Ghosn, F., Almansa, B., Moreno-Giménez, A., Sahuquillo-Leal, R., Serrano-Lozano, E., Hervás, D., Diago, V., Cháfer-Pericás, C., Vento, M., & García Blanco, A. (2019) · European Journal of Psychotraumatology · doi:10.1080/20008198.2019.1601990 · Cited by 17 · see citing works
Blekić, W., Rossignol, M., Wauthia, E., & Felmingham, K. L. (2021) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2021.09.009 · Cited by 9 · see citing works
- Authors
- Thoma, M. V., Kirschbaum, C., Wolf, J. M., & Rohleder, N.
- Affiliations
- Brandeis University (US)
- Technische Universität Dresden (DE)
- Corresponding author
- Thoma, Myriam V.
- Venue
- Biological Psychology
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 91
- Issue
- 3
- Pages
- 342-348
- ISSN
- 0301-0511 (ISSN-L)
- OpenAlex
- W2118352161
- Cited by
- 211
- References
- 14
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 10 · 2023: 20 · 2022: 8 · 2021: 10 · 2020: 21 · 2019: 14 · 2018: 23 · 2017: 17 · 2016: 17 · 2015: 22 · 2014: 18 · 2013: 16
- FWCI
- 7.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychology (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Funders
- Deutsche Forschungsgemeinschaft
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Physiology › Salivary Gland Disorders and Functions
- Keywords
- salivary amylase, plasma norepinephrine, plasma epinephrine, acute stress response, sympathetic activity, Trier Social Stress Test, stress biomarkers, smoking, oral contraceptive use, body mass index
- MeSH terms
- Adult, Age Factors, Epinephrine, Female, Humans, Male, Norepinephrine, Predictive Value of Tests, Smoking, Social Behavior, Social Environment, Stress, Psychological, Salivary alpha-Amylases
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