[HN Gopher] Artificial biosensor can better measure the body's m...
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       Artificial biosensor can better measure the body's main stress
       hormone
        
       Author : PaulHoule
       Score  : 69 points
       Date   : 2025-08-08 14:06 UTC (4 days ago)
        
 (HTM) web link (medicalxpress.com)
 (TXT) w3m dump (medicalxpress.com)
        
       | camillomiller wrote:
       | I would apply the usual grain of salt approach to studies like
       | these, but this one sounds insanely promising. Watching it
       | closely
        
       | avidiax wrote:
       | This is certainly an improvement over a lab test, but a
       | continuous monitoring solution would dramatically expand the
       | utility.
       | 
       | You could rate employers on the median cortisol levels of their
       | employees during and after the work day.
       | 
       | At an individual level, those of us that are not very self-aware
       | of our stress levels could monitor it objectively and determine
       | stressors and implement and monitor interventions to reduce
       | stress.
        
         | IHLayman wrote:
         | Oh sure! While we're at it, let's increase the existing
         | dystopia by giving employers the ability to track our stress
         | levels and let them "compensate" as they see fit...
        
           | perching_aix wrote:
           | People being able to measure it on their own != employers
           | being given the right to require doing so and handing over
           | the data. Matter of fact, you could outright ban employers
           | from doing so. But then the topic of moan would become that
           | regulations bad, and this would be then quickly portrayed as
           | an industry backsetting obstacle.
           | 
           | Never a boring day.
        
         | Etheryte wrote:
         | This is one of those ideas that might sound good when you don't
         | think about secondary effects, but is actually commonly
         | accepted to be a bad idea in the medical community. Similar to
         | white coat hypertension [0], measuring your stress can induce
         | stress, whether that's worrying about whether you're in a good
         | range, getting more stressed when you find out you're already
         | stressed, or etc. This is why continuous monitoring is usually
         | applied as little as reasonably possible, unless absolutely
         | necessary like diabetes, ER, etc.
         | 
         | [0] https://en.wikipedia.org/wiki/White_coat_hypertension
        
           | NoPicklez wrote:
           | Smartwatches have been measuring all sorts from our bodies
           | for a long time and whilst some people develop this type of
           | thing, the majority have not. These watches have been
           | monitoring stress in the form of HRV for many years now.
        
             | PaulHoule wrote:
             | A recent studied shows that Garmin watches like the one I
             | have give HRV stress readings that don't correlate well to
             | self-reports of stress
             | 
             | https://www.theguardian.com/technology/2025/aug/08/smartwat
             | c...
             | 
             | The stress paradigm is probably the most holistic idea in
             | medicine and I think any attempt to break it down to a
             | number is reductivist.
        
               | m463 wrote:
               | I have a garmin watch and my take is that stress is not
               | really a spot reading.
               | 
               | However, I am certain that some really bad days I've had
               | have shown very high stress on the watch across the day.
               | 
               | also relaxing can show low stress during a window (like
               | sleep is low stress)
        
             | morkalork wrote:
             | I felt like I was trapped in a cycle of bad sleep -> stress
             | -> worse sleep. And the two things that helped the most
             | were exercising to burn of extra, nervous energy, and my
             | fitbit breaking so I couldn't look at it and worry about
             | how bad my sleep was.
        
           | heisenbit wrote:
           | > as little ...
           | 
           | This is exactly the opposite of what which is written in the
           | quoted wikipedia article:
           | 
           | > Ambulatory blood pressure monitoring and patient self-
           | measurement using a home blood pressure monitoring device is
           | being increasingly used to differentiate those with white
           | coat hypertension or experiencing the white coat effect from
           | those with chronic hypertension
           | 
           | Continuous monitoring is a viable workaround wrt. white coat
           | symptoms. It is just a lot more effort and expensive.
        
             | Etheryte wrote:
             | Measuring your blood pressure at home is not continuous
             | monitoring.
        
               | gessha wrote:
               | _Continuously_ measuring blood pressure at home _is_
               | continuous monitoring.
        
               | Etheryte wrote:
               | Unless you plan to sit at your desk all day and do
               | nothing but press the button on your monitor, it isn't.
               | These are two very different things.
        
               | curmudgeon22 wrote:
               | There are devices called "holter monitors" that a person
               | wears continuously and which measure your blood pressure
               | frequently. I would call this continuous though it's more
               | like every 15 minutes or whatever it's programmed for.
               | It's all without your intervention. My ex bought one when
               | they wanted more data about their high blood pressure.
        
               | PaulHoule wrote:
               | Because I fainted, I wore a holter monitor for a month
               | that did not measure blood pressure but instead my EEG,
               | uploading the data via the cellular network. My
               | cardiologist said it measured about 1 million heatbeats
               | in that time.
        
               | Etheryte wrote:
               | I'm well aware of this, but this is different from what
               | we're discussing here. While Holters measure
               | continuously, they don't give you continuous feedback.
               | The general procedure is that the data is either gathered
               | and downloaded or sent over network and the patient sees
               | it only after the gathering is done.
        
           | amelius wrote:
           | It can be measured in a blind way.
        
           | brookst wrote:
           | This is what the kids call gatekeeping, not a whole lot
           | different from the old "if the proles are allowed to read the
           | religious texts they will get it wrong, better limit such
           | things to priests."
           | 
           | Yes, during the transition phase where information becomes
           | available, some people will handle it badly, misinterpret,
           | and generally be worse off.
           | 
           | But that's a terrible reason to withhold knowledge,
           | especially about peoples' own bodies.
        
           | alphazard wrote:
           | There's no reason to think that continuous monitoring with a
           | comfortable wearable would contribute to a white coat
           | syndrome. The Wikipedia link that you cited actually says
           | that at-home blood pressure readings are more reliable than
           | those taken by a professional in a clinic because (it is
           | believed) that the presence of another human administering a
           | single test is what causes stress concerning the test. With
           | the multiple, self-administered approach, there is no single
           | test to fixate on, and no other human administering it.
           | 
           | > This is why continuous monitoring is usually applied as
           | little as reasonably possible
           | 
           | The reason it is applied as little as possible is because it
           | has been prohibitively expensive. For most things there is a
           | benefit to sampling more often, and what sampling rate is
           | adequate is entirely dependent on the maximum frequency that
           | you need to observe. Another way of phrasing that is if it
           | can change quickly, then you need to sample more often.
        
             | m463 wrote:
             | I wonder why these kinds of arguments gain such wide
             | acceptance.
             | 
             | specifically - measuring x has negative consequences, so
             | don't measure x.
             | 
             | then at some point it becomes, don't bother measuring x
             | ever.
             | 
             | Normally I hear abotu this like tests that can find cancer
             | early, or full body MRIs.
             | 
             | I think these measures might actually be really good to
             | establish a baseline and changes over time, or catch things
             | early.
             | 
             | If the problem is that knowing leads to stress, maybe there
             | could be a solution in the portrayal of the data. Maybe it
             | could be "doctor, don't tell me unless there is a trend"
             | 
             | Doctors frequently give a disclaimer before ordering PSA
             | tests, for example.
        
           | cgannett wrote:
           | I suppose to mitigate that you could have that data not
           | immediately viewable to the patient because seeing "stress
           | line go up" would be pretty stressful and would skew the data
           | anyway.
        
         | pstuart wrote:
         | Obligatory: https://en.wikipedia.org/wiki/Goodhart%27s_law
        
       | grumpy-de-sre wrote:
       | I wonder if a similar technique could be used for Melatonin in
       | saliva so that noninvasive circadian phase testing could be
       | performed outside of the lab.
       | 
       | I'm convinced that if we actually looked at the circadian phase
       | of the general population more closely we'd find A LOT of people
       | with wonky clocks [1][2].
       | 
       | I've come to realize in recent months that I'm rocking a ~3h
       | phase advance. Not terrible but it can sometimes make getting
       | enough total sleep time challenging (bright light therapy in
       | evenings really helps).
       | 
       | 1. https://www.sydney.edu.au/news-
       | opinion/news/2025/07/16/depre...
       | 
       | 2. Circadian Genes, Rhythms, and the Biology of Bipolar Disorder
       | - https://www.youtube.com/watch?v=eSL5hC8bzcU
        
       | bradleyy wrote:
       | As a Type 1 Diabetic, I'd love to have a continuous version of
       | this to pair with my Continuous Glucose Monitor, mainly because
       | I'm convinced that glycogen output from the liver is what's
       | causing a lot of variability, and would explain, e.g. early
       | morning fasting increases in blood sugar.
        
         | ethan_smith wrote:
         | What you're describing is likely the dawn phenomenon -
         | cortisol's morning spike triggers hepatic glucose production,
         | and continuous monitoring could finally give diabetics
         | actionable data to adjust treatment timing accordingly.
        
       | lenerdenator wrote:
       | I was in the study but my patch kept catching on fire when they
       | put it on me.
        
       | strongpigeon wrote:
       | I think it's worth emphasizing that this is a "mix and read" test
       | (like a COVID test), not something you could integrate in a
       | smartwatch for example.
       | 
       | Still cool nonetheless.
        
       | eximius wrote:
       | Oh I don't need this, I'm well aware of how stressed I am.
        
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       (page generated 2025-08-12 23:01 UTC)