Evidence map›Paper›PMID 42865922›Full record

ArticleTranslational sports medicine2026

Cardiac Efficiency as a Potential Marker of Firefighter Expertise: A Pilot Study of Heart Rate Variability Monitoring in Realistic Search-and-Rescue Training.

Xia Zhong, Yu Yan, Haoxiang Gao, Jingyi Wang, Siyuan Tang, Guang Ge, Jinzhen Zhao

Abstract read
In one paragraph

Article in Translational sports medicine, 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

7 authors.

Xia ZhongShanghai Fire Research Institute of Ministry of Emergency Management (MEM) Shanghai 200032 China.ORCID https://orcid.org/0009-0008-9871-682X
Yu YanShanghai Fire Research Institute of Ministry of Emergency Management (MEM) Shanghai 200032 China.
Haoxiang GaoShanghai Fire Research Institute of Ministry of Emergency Management (MEM) Shanghai 200032 China.
Jingyi WangShanghai Fire Research Institute of Ministry of Emergency Management (MEM) Shanghai 200032 China.
Siyuan TangTraining and Service Support Detachment Shanghai Fire and Rescue Corps Shanghai 200336 China.
Guang GeTraining and Service Support Detachment Shanghai Fire and Rescue Corps Shanghai 200336 China.
Jinzhen ZhaoTraining and Service Support Detachment Shanghai Fire and Rescue Corps Shanghai 200336 China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Expertise in high-stakes occupations is typically evaluated through performance outcomes, potentially neglecting physiological efficiency-a dimension critical for career longevity in physically demanding work. In this pilot study, we investigated whether expert firefighters achieve comparable task performance with lower cardiovascular activation and faster autonomic recovery than novices during realistic search-and-rescue operations. Twenty-two male firefighters completed navigation tasks in a high-fidelity training facility under operational conditions (complete darkness, full protective equipment). Using a 2 × 2 quasi-experimental design, we manipulated navigation strategies (route-based vs. survey-based) and continuously recorded heart rate variability across baseline, execution, and recovery periods. Our preliminary data suggest that behavioral outcomes and physiological responses may be largely decoupled in this context. Experts and novices demonstrated equivalent task completion times and accuracy. However, experts exhibited substantially lower heart rate elevation during tasks and 46% greater parasympathetic recovery post-task. Critically, an expertise-by-strategy interaction suggested that experts' efficiency advantages were magnified when employing route-based strategies aligned with training protocols, whereas novices showed no strategy-dependent differences. These findings provide preliminary evidence that physiological efficiency represents a distinct expertise component, suggesting that identical overt performance can mask vastly different internal costs. Heart rate variability monitoring may therefore serve as a useful exploratory tool to help identify individuals requiring additional skill consolidation or recovery support before overt performance degrades.

Indexed as

heart rate variabilityoccupational trainingparasympathetic recoveryphysiological efficiencyspatial navigation

Identifiers

PMID42865922
PMCPMC13655507

What OpenQuestion holds

Textmetadata
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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.