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Related Experiment Videos

Reflex control of the circulation during exercise.

L B Rowell1

  • 1Department of Physiology and Biophysics, University of Washington School of Medicine, Seattle 98195.

International Journal of Sports Medicine
|October 1, 1992
PubMed
Summary
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Central command and the arterial baroreflex explain increased sympathetic nerve activity (SNA) during exercise. This new hypothesis suggests central command resets the baroreflex to elevate blood pressure, influencing cardiovascular responses.

Area of Science:

  • Cardiovascular Physiology
  • Exercise Physiology
  • Autonomic Nervous System

Background:

  • Current theories inadequately explain sympathetic nerve activity (SNA) increases during mild exercise.
  • Central command's role in modulating effector activity is understood, but its direct impact on SNA is unclear.
  • Muscle chemo- and mechanoreflexes are not typically active in mild to moderate dynamic exercise.

Purpose of the Study:

  • To propose a new hypothesis explaining the rise in SNA during exercise.
  • To investigate the role of the arterial baroreflex in exercise-induced circulatory control.
  • To reconcile the effects of central command with observed changes in SNA and blood pressure.

Main Methods:

  • The study proposes a new hypothesis based on existing physiological principles.

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  • It reviews the known functions of central command, arterial baroreflexes, and SNA during exercise.
  • Theoretical analysis of the interplay between cardiac output, blood pressure, and baroreflex resetting.
  • Main Results:

    • The arterial baroreflex is maintained during exercise and reset to a higher blood pressure (BP).
    • A new hypothesis posits central command resets the baroreflex to a higher BP and withdraws vagal activity.
    • This mechanism aims to rapidly increase heart rate, cardiac output, and BP at exercise onset.

    Conclusions:

    • Central command may primarily function by resetting the arterial baroreflex to a higher BP set-point.
    • Rapid increases in cardiac output are crucial to meet the new BP target and prevent baroreflex-mediated corrections.
    • This hypothesis offers a more comprehensive explanation for SNA modulation during dynamic exercise.