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a Coronel Institute
for Occupational and Environmental Health, Academic Medical Center,
University of Amsterdam, Amsterdam, The Netherlands, b University of Groningen, Experimental and Work
Psychology, Groningen, The Netherlands
Correspondence to: Dr Judith Sluiter, Coronel Institute for Occupational and Environmental Health, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands email j.sluiter{at}amc.uva.nl
Accepted 29 November
1999
OBJECTIVES
To review
occupational health, laboratory, and sports literature on
neuroendocrine reactivity and recovery from mental, combined mental and
physical, or physical tasks.
METHODS
A systematic
literature search was performed in eight databases. Studies with
catecholamines or cortisol as effect variables measured in blood,
urine, or saliva were included.
RESULTS
After
application of inclusion and exclusion criteria, 77 studies from the
initial 559 identified were taken into account. In occupational
settings it was found that relatively few studies were conclusive about
recovery, which formed a contrast with sports research. For reactivity
and recovery up to 1 hour after performing the task, half of the
studies considered physical tasks and more than two thirds showed
incomplete recovery compared with baseline excretion of catecholamines
and cortisol. Recovery extending to 3 days after the task was performed
was often incomplete for cortisol after combined mentally and
physically demanding tasks, and less often after solely mental or
physical tasks. This type of recovery was more often incomplete for
adrenaline (epinephrine) than for noradrenaline (norepinephrine), which
was the case after mental as well as combined mental and physical tasks.
CONCLUSIONS
The
results from laboratory and sports research may be transferable to some
occupations, but more research is needed on the course of recovery
relative to health effects in occupational settings.
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