Evidence mapPaperPMID 32861944Full record

ReviewAutonomic neuroscience : basic & clinical2020

Recent advances in exercise pressor reflex function in health and disease.

Ann-Katrin Grotle, Vaughan G Macefield, William B Farquhar, Donal S O'Leary, Audrey J Stone

Open access · greenAbstract readReview
In one paragraph

Review in Autonomic neuroscience : basic & clinical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
6.4field-weighted citation impact, top 2% of its field
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

58 citing papers in PubMed, 4 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Prognostic value of exercise blood pressure: role of fitness and exercise training.American journal of physiology. Heart and circulatory physiology · 2026
    Review
  11. Article
  12. Review
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  14. Obligatory neural feedback control of exercise cardiorespiratory function and performance.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Review
  15. Review
  16. Review
  17. Physical Exercise Before Long-Term Electrocardiogram May Enhance the Assessment of Nocturnal Heart Rate Variability in Young Individuals With Type 1 Diabetes Melltius.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    Article
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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

5 authors at 4 institutions in 2 countries.

Ann-Katrin GrotleDepartment of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States of America.
Vaughan G MacefieldBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
William B FarquharDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States of America.
Donal S O'LearyDepartment of Physiology, Wayne State University School of Medicine, Detroit, MI, United States of America.
Audrey J StoneDepartment of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States of America. Electronic address: audrey.stone@austin.utexas.edu.
The University of Texas at Austin · USBaker Heart and Diabetes Institute · AUUniversity of Delaware · USWayne State University · US

Funding

BLOOD PRESSURE CONTROL DURING EXERCISE IN HEART FAILURER01HL055473 · WAYNE STATE UNIVERSITY · 1996 to 2005
$1.8M
Temporal effects of inflammation on the autonomic control of circulation during exercise in type 2 diabetic ratsR01HL144723 · NHLBI · UNIVERSITY OF TEXAS AT AUSTIN · PI Audrey J Stone · 2022 to 2023
$944k
NHLBI NIH HHS R01 HL055473NHLBI NIH HHS R01 HL126706NHLBI NIH HHS R01 HL128388NHLBI NIH HHS R01 HL144723
6 · The paper itself

Abstract

Autonomic alterations at the onset of exercise are critical to redistribute cardiac output towards the contracting muscles while preventing a fall in arterial pressure due to excessive vasodilation within the contracting muscles. Neural mechanisms responsible for these adjustments include central command, the exercise pressor reflex, and arterial and cardiopulmonary baroreflexes. The exercise pressor reflex evokes reflex increases in sympathetic activity to the heart and systemic vessels and decreases in parasympathetic activity to the heart, which increases blood pressure (BP), heart rate, and total peripheral resistance through vasoconstriction of systemic vessels. In this review, we discuss recent advancements in our understanding of exercise pressor reflex function in health and disease. Specifically, we discuss emerging evidence suggesting that sympathetic vasoconstrictor drive to the contracting and non-contracting skeletal muscle is differentially controlled by central command and the metaboreflex in healthy conditions. Further, we discuss evidence from animal and human studies showing that cardiovascular diseases, including hypertension, diabetes, and heart failure, lead to an altered exercise pressor reflex function. We also provide an update on the mechanisms thought to underlie this altered exercise pressor reflex function in each of these diseases. Although these mechanisms are complex, multifactorial, and dependent on the etiology of the disease, there is a clear consensus that several mechanisms are involved. Ultimately, approaches targeting these mechanisms are clinically significant as they provide alternative therapeutic strategies to prevent adverse cardiovascular events while also reducing symptoms of exercise intolerance.

Indexed as

AnimalsDiabetes MellitusExerciseHeart FailureHumansHypertensionMuscle, SkeletalReflexSympathetic Nervous SystemBlood pressureDiabetesHeart failureHypertensionNeural control of circulationSympathetic overactivity

Identifiers

PMID32861944
PMCPMC7503782
OpenAlexW3046094094

What Socratic holds

Textmetadata
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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.