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Published on: March 15, 2019
Exercise and vascular adaptation in asymptomatic humans
Daniel J Green1, Angela Spence, John R Halliwill
1Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Henry Cotton Campus, 15-21 Webster Street, Liverpool, UK. d.j.green@ljmu.ac.uk
Exercise training improves blood vessel function in healthy individuals, particularly through nitric oxide pathways. However, increased resting vasoconstrictor tone may offset some benefits, highlighting complex vascular adaptations.
Area of Science:
- Cardiovascular Physiology
- Exercise Science
- Vascular Biology
Background:
- Exercise training benefits are well-documented in individuals with cardiovascular disease.
- Evidence in apparently healthy subjects is less consistent.
- Understanding exercise impacts on vasculature in asymptomatic individuals is crucial.
Purpose of the Study:
- To review the effects of exercise training on conduit and resistance vessel function and structure in asymptomatic subjects.
- To explore mechanisms underlying these vascular adaptations.
- To discuss the influence of training intensity, volume, and modality.
Main Methods:
- Review of existing literature on exercise training and vascular function in healthy individuals.
- Focus on in vivo studies of arterial function, endothelial nitric oxide pathways, and autonomic control.
- Examination of studies on arterial compliance and venous function.
Main Results:
- Exercise training generally improves endothelial nitric oxide-mediated vasodilation.
- Magnitude of benefit may depend on training intensity, volume, and inflammatory/oxidative balance.
- Training can increase basal vasoconstrictor tone, potentially counterbalancing vasodilation.
- Arterial and venous compliance may increase, especially in older adults.
- Shear stress is a key signaling mechanism for vascular adaptation.
Conclusions:
- Exercise training induces complex vascular adaptations in asymptomatic individuals.
- Improvements in vasodilator function may be counteracted by increased resting vasoconstrictor tone.
- Shear stress and hemodynamic changes during exercise are critical.
- Different exercise modalities yield distinct vascular responses.
- Further research with advanced technology is needed to fully characterize these effects.
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