Evidence mapPaperPMID 42074313Full record

ReviewInternational journal of molecular sciences2026

Biomarkers as Temporal Signals: A Decision-Linked Multi-Layer Framework for Exercise Recovery, Overload, and Adaptation.

Dan Cristian Mănescu, Camelia Daniela Plăstoi, Ancuța Pîrvan, Cristina Daniela Pașcan, Lucian Păun, Ionuț Eduard Sersea, Bogdan Niculescu, Viorela Elena Popescu, Andreea Voinea, Andreea Popescu

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dan Cristian MănescuDepartment of Physical Education and Sport, Bucharest University of Economic Studies, 010374 Bucharest, Romania.ORCID 0009-0004-9406-8555
Camelia Daniela PlăstoiSport and Health Department, Faculty of Medical and Behavioral Sciences, Constantin Brâncuși University of Târgu-Jiu, 210135 Târgu-Jiu, Romania.ORCID 0000-0002-6845-4610
Ancuța PîrvanDepartment of Physical Education and Sports, Faculty of Humanities, Valahia University of Târgoviște, 130105 Târgoviște, Romania.ORCID 0009-0008-0143-9679
Cristina Daniela PașcanDoctoral School of Physical Education and Sports, State University of Physical Education and Sport, MD-2024 Chișinău, Moldova.
Lucian PăunFaculty of Physical Education and Sports, National University of Physical Education and Sports, 060057 Bucharest, Romania.
Ionuț Eduard SerseaFaculty of Physical Education and Sports, National University of Physical Education and Sports, 060057 Bucharest, Romania.
Bogdan NiculescuSport and Health Department, Faculty of Medical and Behavioral Sciences, Constantin Brâncuși University of Târgu-Jiu, 210135 Târgu-Jiu, Romania.
Viorela Elena PopescuDepartment of Physical Education and Sport, Bucharest University of Economic Studies, 010374 Bucharest, Romania.
Andreea VoineaDepartment of Physical Education and Sport, Bucharest University of Economic Studies, 010374 Bucharest, Romania.ORCID 0009-0009-3631-7046
Andreea PopescuSport and Health Department, Faculty of Medical and Behavioral Sciences, Constantin Brâncuși University of Târgu-Jiu, 210135 Târgu-Jiu, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exercise adaptation and training maladaptation arise from overlapping metabolic, redox, inflammatory, endocrine, and tissue-remodeling processes, so the translational question is not whether biomarkers change but when, where, and for which decision they become informative. This narrative review develops a decision-linked framework for minimally invasive biomarkers across the recovery-overload continuum and treats biomarker meaning as a molecule-matrix-time-decision relationship rather than as a stand-alone peak. The framework is organized around five coupled layers: stimulus architecture, signaling and release biology, sampling matrix and pre-analytics, bout-relative kinetics, and the monitoring decision to be supported. Current evidence indicates that no single biomarker reliably separates productive remodeling from delayed recovery, tissue strain, non-functional overreaching, or early maladaptation. Classical chemistry remains useful for bounded tasks, especially delayed tissue strain and stress reactivity; cfDNA appears promising for rapid load sensitivity; targeted metabolite panels are strongest for recovery phenotyping; and circulating RNAs and extracellular-vesicle cargo add mechanistic depth but remain constrained by pre-analytical fragility and incomplete standardization. The central practical implication is that overload is better interpreted as progressive loss of signal resolution than as threshold-crossing and that sparse temporally staggered panels are more likely to aid monitoring decisions than isolated markers or untimed high-dimensional profiles. Progress will depend on purpose-specific panels, transparent analytical standards, and prospective validation against symptoms, performance, and established measures across sex, hormonal, circadian, and training contexts.

Indexed as

Adaptation, PhysiologicalBiomarkersExerciseAnimalsHumansPost-Exercise RecoveryBiomarkersbiomarkerscell-free DNAcirculating RNAexercise adaptationextracellular vesiclesmetabolomicsmulti-omicsoverloadoverreachingrecovery monitoring

Identifiers

PMID42074313
PMCPMC13116998

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.