ArticleSensors (Basel, Switzerland)2020
Heart Rate Variability and Accelerometry as Classification Tools for Monitoring Perceived Stress Levels-A Pilot Study on Firefighters.
Article in Sensors (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Applicability of Physiological Monitoring Systems within Occupational Groups: A Systematic Review.Sensors (Basel, Switzerland) · 2021Pooled it
- Monitoring stress and allostatic load in first responders and tactical operators using heart rate variability: a systematic review.BMC public health · 2021Pooled it
- Fusing Wearable and Environmental Sensors for Context-Aware Firefighter Wellbeing Monitoring.Sensors (Basel, Switzerland) · 2026Article
- Glucose as a Biomarker for Stress in Firefighters.Journal of occupational and environmental medicine · 2026Article
- Enhancing Physiological Complexity Through Mindfulness: A Wearable-Based Intervention for First Responders and Their Partners.Healthcare (Basel, Switzerland) · 2026Article
- Quantifying Mental Stress Using Cardiovascular Responses: A Scoping Review.Sensors (Basel, Switzerland) · 2025Article
- Field Testing Multi-Parametric Wearable Technologies for Wildfire Firefighting Applications.Sensors (Basel, Switzerland) · 2025Article
- Hypothalamic-pituitary-adrenal axis activity and its relationship to the autonomic nervous system in patients with psychogenic erectile dysfunction.Frontiers in endocrinology · 2023Article
- Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research.American journal of industrial medicine · 2022Article
- Leveraging Accelerometry as a Prognostic Indicator for Increase in Opioid Withdrawal Symptoms.Biosensors · 2022Article
- Feelings from the Heart Part II: Simulation and Validation of Static and Dynamic HRV Decrease-Trigger Algorithms to Detect Stress in Firefighters.Sensors (Basel, Switzerland) · 2022Article
- A vision for the future of wearable sensors in spine care and its challenges: narrative review.Journal of spine surgery (Hong Kong) · 2022Review
- Article
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- Experimental Study on the Evaluation and Influencing Factors on Individual's Emergency Escape Capability in Subway Fire.International journal of environmental research and public health · 2021Article
- Preventing and Monitoring Work-Related Diseases in Firefighters: A Literature Review on Sensor-Based Systems and Future Perspectives in Robotic Devices.International journal of environmental research and public health · 2021Review
- Evaluation of Functionality of Warning System in Smart Protective Clothing for Firefighters.Sensors (Basel, Switzerland) · 2021Article
- Gait Analysis under Spatial Navigation Task in Elderly People-A Pilot Study.Sensors (Basel, Switzerland) · 2021Article
- Practical Judgment of Workload Based on Physical Activity, Work Conditions, and Worker's Age in Construction Site.Sensors (Basel, Switzerland) · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chronic stress is the main cause of health problems in high-risk jobs. Wearable sensors can become an ecologically valid method of stress level assessment in real-life applications. We sought to determine a non-invasive technique for objective stress monitoring. Data were collected from firefighters during 24-h shifts using sensor belts equipped with a dry-lead electrocardiograph (ECG) and a three-axial accelerometer. Levels of stress experienced during fire incidents were evaluated via a brief self-assessment questionnaire. Types of physical activity were distinguished basing on accelerometer readings, and heart rate variability (HRV) time series were segmented accordingly into corresponding fragments. Those segments were classified as stress/no-stress conditions. Receiver Operating Characteristic (ROC) analysis showed true positive classification as stress condition for 15% of incidents (while maintaining almost zero False Positive Rate), which parallels the amount of truly stressful incidents reported in the questionnaires. These results show a firm correspondence between the perceived stress level and physiological data. Psychophysiological measurements are reliable indicators of stress even in ecological settings and appear promising for chronic stress monitoring in high-risk jobs, such as firefighting.
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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.