Evidence map›Paper›PMID 41814784›Full record

Trial reportPhysiological reports2026

Similarities and differences in carotid artery, hemodynamic, and autonomic reactivity induced by mental stress or cold in adults: A randomized crossover study.

Francisco J Fensterseifer, Iara G Teixeira, Welliton Oracz, Richard E Filipini, Francine Stein, Guilherme F Speretta

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Physiological reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Francisco J FensterseiferMulticenter Post-Graduate Program in Physiological Sciences, Biological Sciences Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Iara G TeixeiraPost-Graduate Program in Neurosciences, Biological Sciences Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Welliton OraczDepartment of Physiological Sciences, Biological Sciences Center, Federal University of Santa Catarina, Florianopólis, Brazil.ORCID 0009-0007-8700-343X
Richard E FilipiniPost-Graduate Program in Neurosciences, Biological Sciences Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Francine SteinPost-Graduate Program in Neurosciences, Biological Sciences Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Guilherme F SperettaMulticenter Post-Graduate Program in Physiological Sciences, Biological Sciences Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil.ORCID 0000-0003-3474-1264

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) 307997/2025-1
6 · The paper itself

Abstract

The cold pressor test (CPT) is used to investigate cardiovascular and autonomic responses, while the Stroop color-word test (Stroop) is also used for this purpose, although its vascular effects require further understanding. This randomized crossover study compared vascular, hemodynamic, and autonomic responses induced by cold and mental stress. Twenty participants (10 females; 25.7 ± 5.2 years) underwent the Stroop and CPT. Carotid artery reactivity (CAR) was evaluated using ultrasound. Arterial pressure (AP), heart rate (HR), and R-R intervals (RRi) were continuously recorded. RRi were used to infer autonomic modulation through HR variability. Parametric data are reported as mean ± SD and non-parametric data as median (p25-p75). CAR magnitude did not differ between tests (Stroop: 2.8 ± 3.6; CPT: 4.1 ± 4.2%; p = 0.236), although Stroop elicited a shorter time to peak (66.5 ± 56.5 vs. 99.5 ± 35.1 s; p = 0.020). CPT induced a greater rise in diastolic AP (Stroop: 8.5 (6.2-10.0); CPT: 13.0 (6.2-23.5) mmHg; p = 0.009) and mean AP (Stroop: 8.4 ± 4.2; CPT: 13.5 ± 8.5 mmHg; p = 0.023). Stroop produced a larger HR increase (20.5 (10.2-27.7) vs. 11.0 (5.2-14.7) bpm; p = 0.013) and larger decrease in parasympathetic modulation (RMSSD - Stroop: -21.3 (-39.6 to -10.0); CPT: -12.8 (-22.8 to 0.95) ms; p = 0.026; HF - Stroop: -2.3 ± 1.3; CPT: -0.61 ± 0.74 Ln ms

Indexed as

Autonomic Nervous SystemCarotid ArteriesCold TemperatureHemodynamicsStress, PsychologicalAdultCross-Over StudiesFemaleHeart RateHumansMaleStroop TestYoung Adultcardiovascular riskcold pressor testheart rate variabilityphysical stressStroop color and word test

Identifiers

PMID41814784
PMCPMC13097317

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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.