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Non-Invasive Physiological Monitoring for Physical Exertion and Fatigue Assessment in Military Personnel: A Systematic Review

Author

Listed:
  • Denisse Bustos

    (Associated Laboratory for Energy, Transports and Aeronautics, (LAETA/PROA), Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal)

  • Joana C. Guedes

    (Associated Laboratory for Energy, Transports and Aeronautics, (LAETA/PROA), Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal)

  • Mário P. Vaz

    (Associated Laboratory for Energy, Transports and Aeronautics, (LAETA/PROA), Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal
    Porto Biomechanics Laboratory, University of Porto, 4200-450 Porto, Portugal)

  • Eduardo Pombo

    (Commando Regiment, Portuguese Army, Serra da Carregueira, 2605-045 Sintra, Portugal)

  • Ricardo J. Fernandes

    (Porto Biomechanics Laboratory, University of Porto, 4200-450 Porto, Portugal
    Center of Research, Education, Innovation and Intervention in Sport, Faculty of Sport, University of Porto, 4200-450 Porto, Portugal)

  • José Torres Costa

    (Associated Laboratory for Energy, Transports and Aeronautics, (LAETA/PROA), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal)

  • João Santos Baptista

    (Associated Laboratory for Energy, Transports and Aeronautics, (LAETA/PROA), Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal
    Porto Biomechanics Laboratory, University of Porto, 4200-450 Porto, Portugal)

Abstract

During operational activities, military personnel face extremely demanding circumstances, which when combined lead to severe fatigue, influencing both their well-being and performance. Physical exertion is the main condition leading to fatigue, and its continuous tracking would help prevent its effects. This review aimed to investigate the up-to-date progress on non-invasive physiological monitoring to evaluate situations of physical exertion as a pre-condition to fatigue in military populations, and determine the potential associations between physiological responses and fatigue, which can later result in decision-making indicators to prevent health-related consequences. Adhering to the PRISMA Statement, four databases (Scopus, Science Direct, Web of Science and PubMed) were used for a literature search based on combinations of keywords. The eligibility criteria focused on studies monitoring physiological variables through non-invasive objective measurements, with these measurements being developed in military field, combat, or training conditions. The review process led to the inclusion of 20 studies. The findings established the importance of multivariable assessments in a real-life context to accurately characterise the effects of military practices. A tendency for examining heart rate variables, thermal responses, and actigraphy measurements was also identified. The objectives and experimental protocols were diverse, but the effectiveness of non-invasive measurements in identifying the most fatigue-inducing periods was demonstrated. Nevertheless, no assessment system for standardised application was presented. Future work may include the development of assessment methods to translate physiological recordings into actionable information in real-time and mitigate the effects of fatigue on soldiers’ performance accurately.

Suggested Citation

  • Denisse Bustos & Joana C. Guedes & Mário P. Vaz & Eduardo Pombo & Ricardo J. Fernandes & José Torres Costa & João Santos Baptista, 2021. "Non-Invasive Physiological Monitoring for Physical Exertion and Fatigue Assessment in Military Personnel: A Systematic Review," IJERPH, MDPI, vol. 18(16), pages 1-28, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8815-:d:618763
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    References listed on IDEAS

    as
    1. Kai Pihlainen & Keijo Häkkinen & Matti Santtila & Jani Raitanen & Heikki Kyröläinen, 2020. "Differences in Training Adaptations of Endurance Performance during Combined Strength and Endurance Training in a 6-Month Crisis Management Operation," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
    2. Shahnawaz Anwer & Heng Li & Maxwell Fordjour Antwi-Afari & Waleed Umer & Arnold Y. L. Wong, 2020. "Cardiorespiratory and Thermoregulatory Parameters Are Good Surrogates for Measuring Physical Fatigue during a Simulated Construction Task," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Graham Marvin & Ben Schram & Robin Orr & Elisa F. D. Canetti, 2023. "Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review," IJERPH, MDPI, vol. 20(22), pages 1-45, November.

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