Evidence map›Paper›PMID 24756637›Full record

ReviewThe Journal of physiology2014

Autonomic neural control of heart rate during dynamic exercise: revisited.

Daniel W White, Peter B Raven

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in The Journal of physiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03068182 (Cardiovascular Responses to Arm Crank Exercise Versus to Treadmill Exercise in Adult Subjects), which is not on this map. Cited by 158 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 3 pooled it
9.3field-weighted citation impact, top 1% 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.

NCT03068182 nacompletednot on this mapstarted 2015, after this paper: background citation

Cardiovascular Responses to Arm Crank Exercise Versus to Treadmill Exercise in Adult Subjects

TypeinterventionalSponsorImam Abdulrahman Bin Faisal UniversityRan2015 to 2017Enrolled130ConditionsHeart Rate VariabilityArmsArm crank, Treadmill, Exercise
3 · Its place in the literature

Who cites it

158 citing papers in PubMed, 3 syntheses or guidelines pooled it, 301 citations in OpenAlex.

  1. Transcutaneous vagus nerve stimulation and exercise-induced autonomic regulation: a systematic review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Pooled it
  2. High-intensity interval aerobic exercise delays recovery from heart rate variability: a systematic review with meta-analysis.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Acute effects of bolus water intake on post-exercise orthostatic hypotension and cardiovascular hemodynamics.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Trial
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  10. Eight weeks of device-guided slow breathing decreases sympathetic nervous reactivity to stress in posttraumatic stress disorder.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Trial
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  15. Article
  16. Review
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  18. Sports Cardiology in Practice: Exercise as Stressor, Signal, and Therapy.Journal of cardiovascular development and disease · 2026
    Article
  19. Article
  20. Article

98 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

Daniel W WhiteDepartment of Integrative Physiology and Cardiovascular Research Institute, University of North Texas Health Science Center, Fort Worth, TX, USA dwwhite@uic.edu.
Peter B RavenDepartment of Integrative Physiology and Cardiovascular Research Institute, University of North Texas Health Science Center, Fort Worth, TX, USA.
University of North Texas · USUniversity of North Texas Health Science Center · US

Funding

ARTERIAL BAROREFLEX CONTROL OF BLOOD PRESSURE-- EXERCISER01HL045547 · NHLBI · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI RAVEN, PETER BERNARD · 1994 to 2006
$2.3M
NHLBI NIH HHS HL-045547
6 · The paper itself

Abstract

unlabelledThe accepted model of autonomic control of heart rate (HR) during dynamic exercise indicates that the initial increase is entirely attributable to the withdrawal of parasympathetic nervous system (PSNS) activity and that subsequent increases in HR are entirely attributable to increases in cardiac sympathetic activity. In the present review, we sought to re-evaluate the model of autonomic neural control of HR in humans during progressive increases in dynamic exercise workload. We analysed data from both new and previously published studies involving baroreflex stimulation and pharmacological blockade of the autonomic nervous system. Results indicate that the PSNS remains functionally active throughout exercise and that increases in HR from rest to maximal exercise result from an increasing workload-related transition from a 4 : 1 vagal-sympathetic balance to a 4 : 1 sympatho-vagal balance. Furthermore, the beat-to-beat autonomic reflex control of HR was found to be dependent on the ability of the PSNS to modulate the HR as it was progressively restrained by increasing workload-related sympathetic nerve activity. IN

conclusion(i) increases in exercise workload-related HR are not caused by a total withdrawal of the PSNS followed by an increase in sympathetic tone; (ii) reciprocal antagonism is key to the transition from vagal to sympathetic dominance, and (iii) resetting of the arterial baroreflex causes immediate exercise-onset reflexive increases in HR, which are parasympathetically mediated, followed by slower increases in sympathetic tone as workloads are increased.

Indexed as

Autonomic Nervous SystemExerciseHeart RateHumansParasympathetic Nervous System

Identifiers

PMID24756637
PMCPMC4080933
OpenAlexW1603215891

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.