Evidence map›Paper›PMID 40863125›Full record

ReviewMetabolites2025

Impact of Stress on Adrenal and Neuroendocrine Responses, Body Composition, and Physical Performance Amongst Women in Demanding Tactical Occupations: A Scoping Review.

Tunde K Szivak, Erica A Schafer, Hayley V MacDonald, Catherine Saenz

Abstract readReview
In one paragraph

Review in Metabolites, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Tunde K SzivakDepartment of Athletic Training and Exercise Science, School of Health Sciences, Merrimack College, North Andover, MA 01845, USA.ORCID 0000-0002-7974-826X
Erica A SchaferDepartment of Kinesiology, College of Education, The University of Alabama, Tuscaloosa, AL 35487, USA.
Hayley V MacDonaldDepartment of Kinesiology, College of Education, The University of Alabama, Tuscaloosa, AL 35487, USA.ORCID 0000-0002-0985-1958
Catherine SaenzExercise Science, Kinesiology, Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, Columbus, OH 43210, USA.ORCID 0000-0002-7072-2039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThis scoping review critically evaluated existing literature and summarized the impact of occupational, physiological, and psychological stressors on adrenal and neuroendocrine responses, body composition, and physical performance amongst women in tactical occupations.

methodsBoolean searches identified potentially qualifying reports involving: (1) adult women (≥19 y) currently employed or completing their training for a tactical profession; (2) ≥1 marker of "stress"; and (3) ≥1 adrenal, neuroendocrine, body composition, or fitness/performance outcome. Quantitative data (e.g., sample characteristics, outcomes of interest) were extracted and summarized. The completeness of reporting for each study was documented using existing checklists and quantified as: low (<50%), moderate (50-79%), or high (≥80%).

results40 studies (

conclusionsThis review highlights progress in assessing occupational performance in female tactical personnel exposed to diverse stressors; however, our understanding remains incomplete due to methodological and conceptual limitations in the literature. Holistic research strategies are needed to capture the complexity of performance readiness in women, integrating how stress affects key tactical performance aspects such as muscle physiology, reproductive health, and energy and nutrient balance in realistic operational contexts. Integrating such data is vital for informing policy, improving readiness, and enhancing the health and career longevity of female tactical personnel.

Indexed as

body compositionexercise performancescoping reviewstresstactical athletestactical occupationswomen

Identifiers

PMID40863125
PMCPMC12388157

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.