Review Article

Effect of Stress on Autonomic and Cardiovascular Systems in Military Population: A Systematic Review

Table 2

Summary of articles about stress regulation.

Authors and yearStudy titleSex/participants/ageAim of study/assessmentMain outcomes

Grant et al. (2018) [24]The difference between exercise-induced autonomic and Fitness changes measured after 12 and 20 weeks of medium-to-high intensity military training154 healthy recruits (male = 89, female = 65, age = 20.91 ± 1.29 with a body mass index of 22.85 ± 2.78 kg/m2)To compare the physical fitness, based on VO2max and exercise-induced cardiac autonomic changes, measured by heart rate variability of 12 weeks with 20 weeks of training in the South African National Defence ForceCardiorespiratory fitness (VO2max) did not increase during the 12- to 20-week period although heart rate and sympathetic cardiac control decreased with a simultaneous increase in vagal cardiac control

Campos et al. (2018) [25]Influence of autonomic control on the specific intermittent performance of judo athletesSixteen judo athletes of both sexes (12 men and 4 women, age of 19.6 ± 2.9 years, body mass of 67.9 ± 12.1 kg)To verify the correlation between heart rate variability at rest with performance in the special judo fitness testThe rates of vagal tone in the time domain of resting heart rate variability correlated positively with the performance of judo athletes (number of throws)

Gantt et al. (2017) [26]The effect of binaural beat technology on the cardiovascular stress response in military service members with postdeployment stress74 military service members with a complaint of continued stress following a deploymentTo assess the efficacy of embedded theta brainwave frequency in music using binaural beat technology compared to music alone on the cardiovascular stress response in military service members with postdeployment stressParticipants who used music with embedded binaural beat technology displayed a decrease in sympathetic responses and an increase in parasympathetic responses, while participants who used music alone had the opposite effect

Tegeler et al. (2017) [27]Successful use of closed-loop allostatic neurotechnology for post-traumatic stress symptoms in military personnel: self-reported and autonomic improvementsEighteen service members or recent veterans (15 active duty and 3 veterans, most from special operations, 1 female, age = 40.9 ± 6.9 years) and symptoms of posttraumatic stress disorder from 1 to 25 yearsTo document changes in self-reported symptoms, autonomic, and functional measures after use of a closed-loop acoustic stimulation neurotechnologyThere were significant improvements in multiple measures of heart rate variability in both time and frequency domains

Binsch et al. (2017) [28]No effects of successful bidirectional SMR feedback training on objective and subjective sleep in healthy subjects62 participants, all military working at the Dutch Ministry of DefenceTo analyse to what extent participants could gain voluntary control over sleep-related parameters and secondarily to assess possible influences of this training on sleep metricsAfter the training, the heart rate variability values improved, but no effects were found on sleep spindles, actigraphy, sleep diaries, and self-reported sleep quality

Wahbeh et al. (2016) [30]Mechanistic pathways of mindfulness meditation in combat veterans with posttraumatic stress disorder102 combat veterans with posttraumatic stress disorderTo evaluate the effect of two common components of meditation (mindfulness and slow breathing) on potential mechanistic pathwaysMeditation helped to improve posttraumatic stress disorder and related symptoms, although there were no different effects between groups

Hourani et al. (2016) [31]Toward preventing post-traumatic stress disorder: development and testing of a pilot predeployment stress inoculation training program351 active duty male Marines scheduled for imminent deployment for combat operationsTo design, develop, and evaluate a predeployment stress inoculation training preventive intervention to enable deploying personnel to cope better with combat-related stressors and mitigate the negative effects of trauma exposureThe predeployment stress inoculation training protected against post-traumatic stress disorders among Marines without baseline mental health problems. This strategy could be used as a potential preventive strategy in the military personnel
Lamb et al. (2017) [32]Non-invasive vagal nerve stimulation effects on hyperarousal and autonomic state in patients with posttraumatic stress disorder and history of mild traumatic brain injury: preliminary evidenceParticipants diagnosed with posttraumatic stress disorder (n = 12, 30.4 ± 5.4 years) and healthy combat controls (n = 10, age = 29.7 ± 7.0 years)To evaluate noninvasive vagal nerve stimulation on hyperarousal and autonomic state in patients with posttraumatic stress disorderThe stimulation improved the vagal tone and moderated the autonomic response to startle and stress in this population