ArticleHeliyon2021
The effects of competitive and interactive play on physiological state in professional esports players.
Article in Heliyon, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Health Consequences of Intensive E-Gaming: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Acute cardiovascular, autonomic and endocrine responses to a one-hour competitive esports session: a randomized controlled crossover study.BMC sports science, medicine & rehabilitation · 2026Article
- Beyond Performance: Cognitive Overload and Related Cognitive, Psychophysiological, and Performance States in Competitive Esports-A Scoping Review.Medical sciences (Basel, Switzerland) · 2026Article
- Musculoskeletal disorders in eSports athletes: A systematic review.Journal of experimental orthopaedics · 2026Review
- The acute effects of esports on heart rate variability: a systematic review and meta-analysis.Frontiers in physiology · 2026Article
- Changes in heart rate variability induced by E-sports activities.Frontiers in physiology · 2025Article
- Psychological readiness of football players for the match and its connection with self-esteem and competitive anxiety.Heliyon · 2024Article
- Article
- The eSports Medicine: Pre-Participation Screening and Injuries Management-An Update.Sports (Basel, Switzerland) · 2023Review
- The impact of videogames on the mood of amateur youth players during consecutive games.Frontiers in sports and active living · 2023Article
- Esports for Seniors: Acute Effects of Esports Gaming in the Community on the Emotional State and Heart Rate among Japanese Older Adults.International journal of environmental research and public health · 2022Article
- An overview of the gaming industry across nations: using analytics with power BI to forecast and identify key influencers.Heliyon · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In esports competitions, both motor skills used to manipulate an avatar and psychological skills are important to achieve optimal performance. Previous studies have investigated the role of psychological skill on computer game performance by observing the modulation of physiological state. However, how physiological state is modulated in esports athletes during an esports match is unclear. In this study, we examined two hypotheses to clarify the effects of competitive and interactive play on the physiological state of esports professionals: (1) the sympathetic nervous system of esports players is activated by competitive play and modulated by the game situation, and (2) the autonomic nervous system activities of players in dyads are synchronized positively/negatively by interpersonal interaction. We measured electrocardiograms (ECGs) in nine professional esports players while they played a fighting video game to investigate changes in physiological state. We compared ECGs collected in the resting state, while playing against a computer, and while playing against other players. We calculated the mean heart rate (HR), temporal pattern of HR, and correlation of temporal HR patterns of the pairs in the player-versus-player condition. The results showed that mean HR was elevated by the presence of a human opponent compared with a computer opponent, and an increase in mean HR was also observed in specific game situations (beginning of the match, toward the end of a game or match). These results suggest that the sympathetic nervous system in esports players is activated by competitive play and is modulated by the game situation. In addition, the temporal HR patterns in the opponent pairs were synchronized, suggesting that autonomic nervous system activity is synchronized in player dyads via interpersonal interaction during competitive play. Our results provide insight regarding the relationship between physiological state and psychological skill in esports professionals during esports competitions.
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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.