Chronic imbalance of the autonomic nervous system is a prevalent and potent risk factor for adverse cardiovascular events, including mortality. Although not widely recognized by clinicians, this risk factor is easily assessed by measures such as resting and peak exercise heart rate, heart rate recovery after exercise, and heart rate variability. Any factor that leads to inappropriate activation of the sympathetic nervous system can be expected to have an adverse effect on these measures and thus on patient outcomes, while any factor that augments vagal tone tends to improve outcomes. Insulin resistance, sympathomimetic medications, and negative psychosocial factors all have the potential to affect autonomic function adversely and thus cardiovascular prognosis. Congestive heart failure and hypertension also provide important lessons about the adverse effects of sympathetic predominance, as well as illustrate the benefits of β-blockers and angiotensin-converting enzyme inhibitors, 2 classes of drugs that reduce adrenergic tone. Other interventions, such as exercise, improve cardiovascular outcomes partially by increasing vagal activity and attenuating sympathetic hyperactivity.

Autonomic tone as a cardiovascular risk factor: The dangers of chronic fight or flight. Editorial

The present research aimed to analyze the effect of combat stress in the psychophysiological response and attention and memory of warfighters in a simulated combat situation. Variables of blood oxygen saturation, heart rate, blood glucose, blood lactate, body temperature, lower body muscular strength manifestation, cortical arousal, autonomic modulation, state anxiety and memory and attention through a postmission questionnaire were analyzed before and after a combat simulation in 20 male professional Spanish Army warfighters. The combat simulation produces a significant increase (p < 0.05) in explosive leg strength, rated perceived exertion, blood glucose, blood lactate, somatic anxiety, heart rate, and low frequency domain of the HRV (LF) and a significant decrease of high frequency domain of the heart rate variability (HF). The percentage of correct response in the postmission questionnaire parameters show that elements more related with a physical integrity threat are the most correctly remembered. There were significant differences in the postmission questionnaire variables when participants were divided by the cortical arousal post: sounds no response, mobile phone correct, mobile phone no response, odours correct. The correlation analysis showed positive correlations: LF post/body temperature post, HF post/correct sound, body temperature post/glucose post, CFFTpre/lactate post, CFFT post/wrong sound, glucose post/AC pre, AC post/wrong fusil, AS post/SC post and SC post/wrong olfactory; and negative correlations: LF post/correct sound, body temperature post/lactate post and glucose post/lactate post. This data suggest that combat stress actives fight-flight system of soldiers. As conclusion, Combat stress produces an increased psychophysiological response that cause a selective decrease of memory, depending on the nature, dangerous or harmless of the objects.

Combat Stress Decreases Memory of Warfighters in Action

We aimed to analyse the effect of combat stress in the psychophysiological responses of elite and non-elite soldiers We analysed heart rate, cortical arousal, skin temperature, blood lactate concentration and lower body muscular strength before and after a tactical combat simulation in 40 warfighters divided in two groups: elite (n: 20; 285 ± 638 years) and non-elite (n:20; 3194 ± 624 years) group Elite presented a significantly higher lactate concentration after combat than non elite soldiers (38 ± 15 vs 66 ± 13 mmol/L) Non-elite soldiers had a higher heart rate pre and post the simulation than elite (829 ± 123 vs 644 ± 11 pre non elite and elite respectively; 930 ± 128 vs 88 ± 138 bpm post non elite and elite respectively) Elite soldiers presented higher lower muscular strength than elite in all test and before and after the combat simulation Cortical arousal was not modified significantly in both groups We conclude elite soldiers presented in combat a higher anaerobic metabolism activation and muscular strength than non-elite soldiers, but cardiovascular, cortical, and muscular strength manifestation presented the same response in both elite and non-elite soldiers

Effect of Combat Stress in the Psychophysiological Response of Elite and Non-Elite Soldiers

Experience modulates the psychophysiological response of airborne warfighters during a tactical combat parachute jump.

The aim of the present study was to explore changes in the autonomic stress response of Psychology students in a Psychology Objective Structured Clinical Examination (OSCE) and their relationship with OSCE performance. Variables of autonomic modulation by the analysis of heart rate variability in temporal, frequency and non-linear domains, subjective perception of distress strait and academic performance were measured before and after the two different evaluations that composed the OSCE. A psychology objective structured clinical examination composed by two different evaluation scenarios produced a large anxiety anticipatory response, a habituation response in the first of the evaluation scenarios and a in the entire evaluation, and a no habituation response in the second evaluation scenario. Autonomic modulation parameters do not correlate with academic performance of students.

/pdf/use-of-portable-digital-devices-to-analyze-autonomic-stress-2oq7ebu085.pdf

Use of Portable Digital Devices to Analyze Autonomic Stress Response in Psychology Objective Structured Clinical Examination

The present research aimed to analyze the effect of experience and psychophysiological modification by combat stress in soldier’s memory in a simulated combat situation. Variables of rate of perceived exertion, blood glucose, blood lactate, lower body muscular strength manifestation, cortical arousal, specific fine motor skills, autonomic modulation, state anxiety, and memory and attention through a postmission questionnaire were analyzed before and after a combat simulation in 15 experienced soldiers of a special operation unit and 20 non-experienced soldiers of light infantry unit from the Spanish Army. The stress of combat simulation produces a significant increase (p < 0.05) in rated perceived exertion, blood glucose, blood lactate, somatic anxiety and a low frequency domain of the heart rate, and a significant decrease of rifle magazine reload time, high frequency domain of the heart rate and somatic anxiety in both groups. The variables of RPE, glucose, CFFT, RMRT, RMSSD, LF/HF, CA, SA and STAI were significantly different in experienced soldiers shown the activation of fight-flight system. The anticipatory anxiety in experienced soldiers shows a cognitive behavioral association by past experiences. The analysis of correct response in the postmission questionnaire show elements more related with the sight and that endanger the physical integrity of soldiers are more remembered, and some significant differences (p < 0.05) in the memory performance of experienced soldiers and non experienced soldiers where experienced soldiers shown a better performance. As conclusion, combat stress produce an increase in the psichophysiological response of soldiers independently of experience, but experienced ones presented a lower negative effect on memory than non experienced.

/pdf/effect-of-experience-and-psychophysiological-modification-by-115ond3auz.pdf

Effect of Experience and Psychophysiological Modification by Combat Stress in Soldier’s Memory

The study of the effect of stress on both combatants physiological and anatomical systems have been poor studied in the specific literature. The present research aimed to study the effect of combat stress in strength manifestations of leg flexor-extensor muscles and the anaerobic metabolism of soldiers. Before and after asymmetrical combat simulation were analyzed parameters of blood lactate concentration, explosive leg strength manifestation and contractile capacity of leg muscle in 186 professional soldiers. Results showed a significant increase (p < 0.05) in blood lactate values (2.23 ± 0.95 vs 7.47 ± 3.67 mmol/L), explosive leg strength (Squat Jump 0.31 ± 0.06 vs 0.35 ± 0.07 m, Countermovement Jump 0.33 ± 0.07 vs 0.36 ± 0.07 m, Abalakov Jump 0.39 ± 0.08 vs 0.41 ± 0.09 m), and a significant decrease of the elastic capacity (0.022 ± 0.04 vs 0.021 ± 0.04) and recruitment and muscle synchronization capability (0.028 ± 0.04 vs 0.026 ± 0.04). This data suggest that combat stress increases the leg strength manifestation despite the significantly increase of muscle acidosis after a combat simulation. This result is probably due to the high activation of the fight-flight system of soldiers which increases the organic response of soldiers and that can compensate the prejudicial effect of acidosis in muscle contraction. These results could be used by officers to improve specific training programs and to improve planning and election of equipment and material for the development of different missions in current theaters of operations.

/pdf/inalambric-biofeedback-devices-to-analyze-strength-3hkvulruo6.pdf

Inalambric Biofeedback Devices to Analyze Strength Manifestation in Military Population

Esta investigacion tiene por objeto analizar la respuesta psicofisiologica de un paracaidista en un salto HAHO.

/pdf/respuesta-psicofisiologica-en-un-salto-tactico-paracaidista-btmr4hdksi.pdf

Rosa Delgado-Moreno

Papers

Combat Stress Decreases Memory of Warfighters in Action

Effect of Experience and Psychophysiological Modification by Combat Stress in Soldier’s Memory

Inalambric Biofeedback Devices to Analyze Strength Manifestation in Military Population

Respuesta psicofisiológica en un salto táctico paracaidista HAHO: caso de Estudio

Amateur endurance triathletes' performance is improved independently of volume or intensity based training.