SynthesisSports medicine (Auckland, N.Z.)2018
Influence of Regular Physical Activity and Fitness on Stress Reactivity as Measured with the Trier Social Stress Test Protocol: A Systematic Review.
Synthesis in Sports medicine (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
94 citing papers in PubMed, 4 syntheses or guidelines pooled it, 179 citations in OpenAlex.
- Acute exercise for anxiety reduction in children and adolescents: a meta-analysis of developmental, contextual, and modality-specific effects.European journal of pediatrics · 2026Pooled it
- The effects of acute exercise on stress reactivity assessed via a multidimensional approach: a systematic review.Journal of behavioral medicine · 2024Pooled it
- Greenness and chronic respiratory health issues: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Physical Activity as a Treatment for Social Anxiety in Clinical and Non-clinical Populations: A Systematic Review and Three Meta-Analyses for Different Study Designs.Frontiers in human neuroscience · 2021Pooled it
- Changes in repetitive negative thinking and stress perception mediate treatment effects of a transdiagnostic exercise intervention.Psychological medicine · 2026Trial
- Examining cross-sectional associations between Australian parents' physical activity levels and their parenting confidence.BMC public health · 2025Trial
- Does a Single Exercise Session Reduce the Reactivity to Acute Psychosocial Stress in Children?European journal of sport science · 2025Trial
- Trial
- The effects of power posing on neuroendocrine levels and risk-taking.BMC psychology · 2024Trial
- Eight weeks of high-intensity interval training versus stretching do not change the psychoneuroendocrine response to a social stress test in emotionally impulsive humans.European journal of applied physiology · 2024Trial
- Therapeutic Riding or Mindfulness: Comparative Effectiveness of Two Recreational Therapy Interventions for Adolescents with Autism.Journal of autism and developmental disorders · 2022Trial
- Neuroendocrine Response and State Anxiety Due to Psychosocial Stress Decrease after a Training with Subject's Own (but Not Another) Virtual Body: An RCT Study.International journal of environmental research and public health · 2022Trial
- Effects of an Acute Physical Activity Break on Test Anxiety and Math Test Performance.International journal of environmental research and public health · 2020Trial
- Muscle Up: Male Athletes' and Non-Athletes' Psychobiological Responses to, and Recovery From, Body Image Social-Evaluative Threats.American journal of men's healthTrial
- State Laws Supporting Adapted Physical Education Access and Quality for Students With Disabilities.The Journal of school health · 2026Article
- Workplace stress and healthy aging: assessment strategies, research hypotheses, and pilot insights from the Semmelweis study.GeroScience · 2026Review
- The role of physical exercise and resilience in reducing burnout among university students in Lebanon: a cross-sectional study.BMC public health · 2026Article
- Time to Address Eating Disorder Risk Among Medical Students.Behavioral sciences (Basel, Switzerland) · 2026Review
- Does Aerobic Capacity Protect Against Stress? Insights From Two Stress-Induction Paradigms.Psychophysiology · 2026Article
- Does Cardiorespiratory Fitness Predict the Physiological and Psychological Stress Response to a Mathematics Exam in Secondary High School Students?European journal of sport science · 2026Article
34 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychosocial stress is associated with multiple health complaints. Research to date suggests that regular physical activity (PA) and higher cardiorespiratory fitness may reduce stress reactivity and therefore contribute to a reduction of stress-related risk factors. While previous reviews have not differentiated between stressors, we focus on psychosocial stress elicited with the Trier Social Stress Test (TSST).
objectiveOur objective was to examine the effect of regular PA and cardiorespiratory fitness on stress reactivity, with a particular focus on the TSST. The TSST is the laboratory task most widely used to induce socio-evaluative stress and elicits stronger stress reactions than most other cognitive stressor tasks.
methodsA systematic search within various databases was performed in January 2018. The following outcomes were considered: cortisol, heart rate, psychological stress reactivity, and potential moderators (age, sex, exercise intensity, assessment mode, and psychological constructs).
resultsIn total, 14 eligible studies were identified. Cortisol and heart rate reactivity were attenuated by higher PA or better fitness in seven of twelve studies and four of nine studies, respectively. Two of four studies reported smaller increases in anxiety and smaller decreases in calmness in physically active/fitter participants. Three of four studies found that higher PA/fitness was associated with more favorable mood in response to the TSST.
conclusionAbout half of the studies suggested that higher PA/fitness levels were associated with an attenuated response to psychosocial stress. Currently, most evidence is based on cross-sectional analyses. Therefore, a great need for further studies with longitudinal or experimental designs exists.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.