Evidence map›Paper›PMID 35010291›Full record

ArticleInternational journal of environmental research and public health2021

Endocannabinoids and Heart Rate Variability Alterations after Exposure to Prolonged Intensive Physical Exercise of the Hellenic Navy SEALs.

Stamatis Mourtakos, Georgia Vassiliou, Konstantinos Kontoangelos, Anastassios Philippou, Elias Tzavellas, José Francisco Tornero-Aguilera, Vicente Javier Clemente-Suárez, Charalabos Papageorgiou, Labros S Sidossis, Christos Papageorgiou

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Understanding the Role of Endocannabinoids in Posttraumatic Stress Disorder.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. The Endocannabinoid System and Physical Exercise.International journal of molecular sciences · 2023
    Review
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stamatis MourtakosDepartment of Psychiatry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Georgia VassiliouDepartment of Psychiatry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Konstantinos KontoangelosDepartment of Psychiatry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Anastassios PhilippouDepartment of Physiology, Medical School, National and Kapodistrian University of Athens, 115 27 Athens, Greece.ORCID 0000-0003-0047-3003
Elias TzavellasDepartment of Psychiatry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
José Francisco Tornero-AguileraFaculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.ORCID 0000-0002-0747-8133
Vicente Javier Clemente-SuárezFaculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.ORCID 0000-0002-2397-2801
Charalabos PapageorgiouDepartment of Psychiatry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Labros S SidossisDepartment of Nutrition and Dietetics, Harokopio University of Athens, 115 27 Athens, Greece.
Christos Papageorgiou251 Air Force General Hospital, 115 27 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent research indicates that both endocannabinoids (eCB) and heart rate variability (HRV) are associated with stress-induced experiences. However, these underlying mechanisms are not elucidated. The present study aims to investigate whether exposure to acute and chronic stress conditions can give rise to measurable changes, both to the peripheral eCB ligands and HRV.

methodsThirteen candidates under intense preparation for their enlistment in the Hellenic Navy SEALs (HNS) participated in the study. All subjects underwent mental state examination, while HRV variables in time and frequency domain recordings were acquired. Furthermore, at baseline and 30 days after prolonged and intensive physical exercise, hair was collected to measure eCB ligands, such as anandamide (AEA), 2-arachidonoylglycerol (2-AG), and the

resultsComparing basal hair concentrations of eCB ligands before and after intense physical exercise, we found that AEA, PEA, and OEA were notably increased, whereas no differences were observed regarding the ligand 2-AG. Furthermore, there were observed associations between the concentrations of peripheral eCB ligands, both at baseline and after the prolonged physical exercise and the time and frequency domains of HRV.

conclusionsThese findings suggest that endocannabinoid-HRV interrelations might share a short-term, and long-term adaptability of the changes in self-regulation associated with stress. Further studies will be required to determine the validity of peripheral eCB signaling and HRV as a biomarker for different aspects of the stress response.

Indexed as

EndocannabinoidsStress Disorders, Post-TraumaticExerciseHairHeart RateHumansEndocannabinoidsacute stressendocannabinoidsheart rate variabilityphysical exercisespecial forces

Identifiers

PMID35010291
PMCPMC8750887

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Registered trials

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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.