Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring system

Understanding and predicting individual responses to common stressors is essential for optimising performance in high-stress environments. This article outlines a protocol for a study to identify biomarkers that predict performance under heat, musculoskeletal, psychosocial and sleep stress, for futu...

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Main Authors: Cassandra Pattinson, Graham Kerr, Simon S Smith, Chamindie Punyadeera, Ian Stewart, Kerrie Mengersen, Karen A Sullivan, Jonathan M Flintoff, Sarah Ahamed, Shahnewaz Ali, Angus Bagley, Daniel Broszczak, Blair Crewther, Louis de Waal, Shannon L Edmed, Tharindu Fernando, Clinton Fookes, Francesca D Frentiu, Andrew P Hunt, Ottmar V Lipp, Ben McMaster, Luke Ney, Senn L Oon, Ajay Pandey, Parth Pandit, Jonathan M Peake, Muthukuttige Madusha Nuwanthi Perera, Virginie Perlo, Luke Schmidt, Kirsten Spann, Danielle Young, Tony J Parker
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open Sport & Exercise Medicine
Online Access:https://bmjopensem.bmj.com/content/11/1/e002410.full
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author Cassandra Pattinson
Graham Kerr
Simon S Smith
Chamindie Punyadeera
Ian Stewart
Kerrie Mengersen
Karen A Sullivan
Jonathan M Flintoff
Sarah Ahamed
Shahnewaz Ali
Angus Bagley
Daniel Broszczak
Blair Crewther
Louis de Waal
Shannon L Edmed
Tharindu Fernando
Clinton Fookes
Francesca D Frentiu
Andrew P Hunt
Ottmar V Lipp
Ben McMaster
Luke Ney
Senn L Oon
Ajay Pandey
Parth Pandit
Jonathan M Peake
Muthukuttige Madusha Nuwanthi Perera
Virginie Perlo
Luke Schmidt
Kirsten Spann
Danielle Young
Tony J Parker
author_facet Cassandra Pattinson
Graham Kerr
Simon S Smith
Chamindie Punyadeera
Ian Stewart
Kerrie Mengersen
Karen A Sullivan
Jonathan M Flintoff
Sarah Ahamed
Shahnewaz Ali
Angus Bagley
Daniel Broszczak
Blair Crewther
Louis de Waal
Shannon L Edmed
Tharindu Fernando
Clinton Fookes
Francesca D Frentiu
Andrew P Hunt
Ottmar V Lipp
Ben McMaster
Luke Ney
Senn L Oon
Ajay Pandey
Parth Pandit
Jonathan M Peake
Muthukuttige Madusha Nuwanthi Perera
Virginie Perlo
Luke Schmidt
Kirsten Spann
Danielle Young
Tony J Parker
author_sort Cassandra Pattinson
collection DOAJ
description Understanding and predicting individual responses to common stressors is essential for optimising performance in high-stress environments. This article outlines a protocol for a study to identify biomarkers that predict performance under heat, musculoskeletal, psychosocial and sleep stress, for future integration into a wearable sensor system. In Phase I, healthy adults aged between 18 and 45 years (n=104) will be recruited for an intervention trial that involves exposure to one of the four stressors: heat, musculoskeletal, psychosocial or sleep deprivation. Biomarkers will be identified from molecular markers in biological samples (eg, blood, saliva, sweat and stool), physiological measures and psychological assessments to predict cognitive and physical performance under stress. A within-subjects design will determine changes in molecular and non-molecular markers before and after stress exposure. In Phase II, we will use the biomarkers identified in Phase I to develop a wearable sensor to predict and monitor human performance under stress.
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publisher BMJ Publishing Group
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series BMJ Open Sport & Exercise Medicine
spelling doaj-art-24039f2be896425fa05e5f2e81428ac42025-01-21T10:10:12ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472025-01-0111110.1136/bmjsem-2024-002410Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring systemCassandra Pattinson0Graham Kerr1Simon S Smith2Chamindie Punyadeera3Ian Stewart4Kerrie Mengersen5Karen A Sullivan6Jonathan M Flintoff7Sarah Ahamed8Shahnewaz Ali9Angus Bagley10Daniel Broszczak11Blair Crewther12Louis de Waal13Shannon L Edmed14Tharindu Fernando15Clinton Fookes16Francesca D Frentiu17Andrew P Hunt18Ottmar V Lipp19Ben McMaster20Luke Ney21Senn L Oon22Ajay Pandey23Parth Pandit24Jonathan M Peake25Muthukuttige Madusha Nuwanthi Perera26Virginie Perlo27Luke Schmidt28Kirsten Spann29Danielle Young30Tony J Parker31Child Health Research Centre, The University of Queensland, Brisbane, Queensland, AustraliaCentre for Biomedical Technologies, Queensland University of Technology, Brisbane, Queensland, Australia7 Emergency Department, Oxford University Hospitals NHS Trust, Oxford, United Kingdom1The School of Biomedical Sciences, Institute of Health and Biomedical Innovations, Queensland University of Technology, Brisbane, Queensland, AustraliaNHS Lothian, Edinburgh, UKDiscipline of Mathematical Sciences, Faculty of Science and Technology, Queensland University of Technology, Brisbane, AustraliaQueensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Electrical Engineering and Robotics, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Science and Technology, University of New England, Armidale, New South Wales, AustraliaChild Health Research Centre, The University of Queensland, Brisbane, Queensland, AustraliaChild Health Research Centre, The University of Queensland, Brisbane, Queensland, AustraliaSchool of Electrical Engineering and Robotics, Queensland University of Technology, Brisbane, Queensland, AustraliaCentre for Biomedical Technologies, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaCentre for Biomedical Technologies, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Electrical Engineering and Robotics, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaSchool of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, AustraliaUnderstanding and predicting individual responses to common stressors is essential for optimising performance in high-stress environments. This article outlines a protocol for a study to identify biomarkers that predict performance under heat, musculoskeletal, psychosocial and sleep stress, for future integration into a wearable sensor system. In Phase I, healthy adults aged between 18 and 45 years (n=104) will be recruited for an intervention trial that involves exposure to one of the four stressors: heat, musculoskeletal, psychosocial or sleep deprivation. Biomarkers will be identified from molecular markers in biological samples (eg, blood, saliva, sweat and stool), physiological measures and psychological assessments to predict cognitive and physical performance under stress. A within-subjects design will determine changes in molecular and non-molecular markers before and after stress exposure. In Phase II, we will use the biomarkers identified in Phase I to develop a wearable sensor to predict and monitor human performance under stress.https://bmjopensem.bmj.com/content/11/1/e002410.full
spellingShingle Cassandra Pattinson
Graham Kerr
Simon S Smith
Chamindie Punyadeera
Ian Stewart
Kerrie Mengersen
Karen A Sullivan
Jonathan M Flintoff
Sarah Ahamed
Shahnewaz Ali
Angus Bagley
Daniel Broszczak
Blair Crewther
Louis de Waal
Shannon L Edmed
Tharindu Fernando
Clinton Fookes
Francesca D Frentiu
Andrew P Hunt
Ottmar V Lipp
Ben McMaster
Luke Ney
Senn L Oon
Ajay Pandey
Parth Pandit
Jonathan M Peake
Muthukuttige Madusha Nuwanthi Perera
Virginie Perlo
Luke Schmidt
Kirsten Spann
Danielle Young
Tony J Parker
Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring system
BMJ Open Sport & Exercise Medicine
title Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring system
title_full Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring system
title_fullStr Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring system
title_full_unstemmed Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring system
title_short Predictive biomarkers of performance under stress: a two-phase study protocol to develop a wearable monitoring system
title_sort predictive biomarkers of performance under stress a two phase study protocol to develop a wearable monitoring system
url https://bmjopensem.bmj.com/content/11/1/e002410.full
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