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Stress Salivary Biomarkers Variation during the Work Day in Emergencies in Healthcare Professionals

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  • Daniel Pérez-Valdecantos

    (Departamento de Bioquímica, Biología Molecular y Fisiología, Facultad de Ciencias de la Salud, GIR de Ejercicio Físico y Envejecimiento, Campus Universitario “Los Pajaritos”, Universidad de Valladolid, 42004 Soria, Spain)

  • Alberto Caballero-García

    (Departamento de Anatomía y Radiología, Facultad de Ciencias de la Salud, GIR de Ejercicio Físico y Envejecimiento, Campus Universitario “Los Pajaritos”, Universidad de Valladolid, 42004 Soria, Spain)

  • Teodosia Del Castillo-Sanz

    (Gerencia de Emergencias Sanitarias de Castilla y León, UME Soria, Hospital Virgen del Mirón, 42005 Soria, Spain)

  • Hugo J. Bello

    (Departamento de Matemáticas, Escuela de Ingeniería de la Industria Forestal, Agronómica y de la Bioenergía, Campus Universitario “Los Pajaritos”, Universidad de Valladolid, 42004 Soria, Spain)

  • Enrique Roche

    (Instituto de Bioingeniería y Departamento de Biología Aplicada-Nutrición, Universidad Miguel Hernández, 03202 Elche, Spain
    Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain)

  • Alfredo Córdova

    (Departamento de Bioquímica, Biología Molecular y Fisiología, Facultad de Ciencias de la Salud, GIR de Ejercicio Físico y Envejecimiento, Campus Universitario “Los Pajaritos”, Universidad de Valladolid, 42004 Soria, Spain)

Abstract

Objective: The work of health professionals in hospital emergency rooms is highly demanding due to the decisions they must take. In the present study, we consider assessing stress response in emergency health workers, measuring related biomarkers such as cortisol, dehydroepiandrosterone (DHEA) and salivary α-amylase during the whole working day. Method: An analytical, descriptive and cross-sectional study was carried out. The study was conducted in the emergency rooms of two public hospitals. Ninety-seven professionals participated, 45 corresponding to one hospital and 52 to the other. Four salivary samples were obtained according to circadian rhythms: at 8:00, 12:00, 15:00 and 00:00 h/24 h. The data were subsequently analyzed. Results: Cortisol levels decreased throughout the working day, with minimum values being at 24 h. A similar pattern was observed in DHEA. The α-amylase levels increased throughout the working day, reaching its peak at 15:00 h, and decreasing at 24 h, compared to the data from the rest of the working day. Conclusions: Since reference/baseline values are not presented, this work is focused on a stress situation experienced during one regular working day in emergency rooms with no extreme situations. In this context, stress, measured through cortisol and α-amylase, is present in emergency room doctors and nurses. However, the increase in DHEA, due to its anabolic condition, could counteract their effect, suggesting a positive effect on their professional actions.

Suggested Citation

  • Daniel Pérez-Valdecantos & Alberto Caballero-García & Teodosia Del Castillo-Sanz & Hugo J. Bello & Enrique Roche & Alfredo Córdova, 2021. "Stress Salivary Biomarkers Variation during the Work Day in Emergencies in Healthcare Professionals," IJERPH, MDPI, vol. 18(8), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:3937-:d:532702
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    References listed on IDEAS

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    1. Sarah Bedini & François Braun & Laurence Weibel & Michel Aussedat & Bruno Pereira & Frédéric Dutheil, 2017. "Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-15, May.
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    Cited by:

    1. Daniel Pérez-Valdecantos & Alberto Caballero-García & Teodosia del Castillo-Sanz & Hugo J. Bello & Enrique Roche & Alba Roche & Alfredo Córdova, 2021. "Variations in Salivary Stress Biomarkers and Their Relationship with Anxiety, Self-Efficacy and Sleeping Quality in Emergency Health Care Professionals," IJERPH, MDPI, vol. 18(17), pages 1-14, September.
    2. Alfredo Córdova-Martínez & Daniel Pérez-Valdecantos & Alberto Caballero-García & Hugo J. Bello & Enrique Roche & David Noriega-González, 2023. "Relationship between Strength and Professional Quality of Life of Nurses Working Hospital Emergency Departments," IJERPH, MDPI, vol. 20(3), pages 1-10, January.

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