Evidence map›Paper›PMID 40901610›Full record

ArticleFrontiers in physiology2025

Autonomic and physiological stress responses in navy divers: the protective role of diving experience.

Yu-Ju Chen, Yuan-Sheng Tzeng, Shih-En Tang, Chi-Rong Li, Shu-Yu Wu, Kun-Lun Huang

Abstract read
In one paragraph

Article in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Yu-Ju ChenNational Defense Medical Center, Taipei, Taiwan.
Yuan-Sheng TzengNational Defense Medical Center, Taipei, Taiwan.
Shih-En TangNational Defense Medical Center, Taipei, Taiwan.
Chi-Rong LiTaichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Shu-Yu WuNational Defense Medical Center, Taipei, Taiwan.
Kun-Lun HuangNational Defense Medical Center, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Deep diving presents significant physiological stress, yet reliable indicators for monitoring autonomic and stress responses remain underdeveloped. This study examined how prior deep diving experience influences autonomic regulation and stress biomarkers during a simulated dive to a depth of 220 feet. Methods: Twenty-eight Navy divers (15 experienced, 13 novice) underwent psychological assessments (perceived stress, anxiety, fear) and salivary biomarker analysis (cortisol, amylase) pre- and post-dive. Heart rate variability (HRV), including linear (rMSSD, HF) and non-linear indices (SD1, SD1/SD2, sample entropy), was measured at four dive stages (pre-dive, bottom, decompression, and post-dive). Results: After adjusting for age and perceived stress, experienced divers exhibited greater post-dive reductions in cortisol ( Discussion: Diving experience facilitates enhanced autonomic control and stress adaptation. These findings support the use of real-time physiological monitoring and experience-based training protocols to mitigate risk during deep dives.

Indexed as

amylase activityautonomic nervous systemdeep divingheart rate variabilitypsychological distresssalivary cortisol

Identifiers

PMID40901610
PMCPMC12399529

What OpenQuestion holds

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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.