Evidence map›Paper›PMID 27497097›Full record

ArticleInternational journal of cardiology2016

Exercise training bradycardia is largely explained by reduced intrinsic heart rate.

Samira Bahrainy, Wayne C Levy, Janet M Busey, James H Caldwell, John R Stratton

Abstract read
In one paragraph

Article in International journal of cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Guidelines for rigor and reproducibility of heart rate variability within human cardiovascular research.American journal of physiology. Heart and circulatory physiology · 2026
    Review
  6. Article
  7. Article
  8. Any old iron, man.Experimental physiology · 2025
    Article
  9. Article
  10. Physical exercise is essential for increasing ventricular contractility in hypertensive rats treated with losartan.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Genetics and the heart rate response to exercise.Cellular and molecular life sciences : CMLS · 2019
    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

5 authors.

Samira BahrainyDivision of Cardiology, Department of Medicine, VA Medical Center and University of Washington, Seattle, WA, United States. Electronic address: samira11@uw.edu.
Wayne C LevyDivision of Cardiology, Department of Medicine, VA Medical Center and University of Washington, Seattle, WA, United States.
Janet M BuseyDepartment of Radiology, University of Washington, Seattle, WA, United States.
James H CaldwellDivision of Cardiology, Department of Medicine, VA Medical Center and University of Washington, Seattle, WA, United States; Division of Nuclear Medicine, VA Medical Center and University of Washington, Seattle, WA, United States; Department of Radiology, University of Washington, Seattle, WA, United States.
John R StrattonDivision of Cardiology, Department of Medicine, VA Medical Center and University of Washington, Seattle, WA, United States.

Funding

AGING TRAINING AND CARDIAC SYMPATHETIC FUNCTIONR01AG015462 · NIA · UNIVERSITY OF WASHINGTON · PI STRATTON, JOHN R · 1998 to 2002
$992k
PET ASSESSMENT OF MYOCARDIAL OXYGENATION AND ENERGETICSR01HL050239 · NHLBI · UNIVERSITY OF WASHINGTON · PI CALDWELL, JAMES H · 1992 to 2001
$956k
NHLBI NIH HHS R01 HL050239NIA NIH HHS R01 AG015462
6 · The paper itself

Abstract

introductionResting heart rate (RHR) declines with exercise training. Possible mechanisms include: 1) increased parasympathetic tone, 2) decreased responsiveness to beta-adrenergic stimulation, 3) decreased intrinsic heart rate or 4) combination of these factors.

objectiveTo determine whether an increase in resting parasympathetic tone or decrease in response to beta-adrenergic stimulation contributes to the decrease in RHR with training.

methods51 screened healthy subjects aged 18-32 (n=20, mean age 26, 11 female) or 65-80 (n=31, mean age 69, 16 female) were tested before and after 6months of supervised exercise training. Heart rate response to parasympathetic withdrawal was assessed using atropine and beta-adrenergic responsiveness during parasympathetic withdrawal using isoproterenol.

resultsTraining increased VO2 max by 17% (28.7±7.7 to 33.6±9.20ml/kg/min, P<0.001). RHR decreased from 62.8±6.6 to 57.6±7.2 beats per minute (P<0.0001). The increase in heart rate in response to parasympathetic withdrawal was unchanged after training (+37.3±12.8 pre vs. +36.4±12.2 beats per min post, P=0.41). There was no change in the heart rate response to isoproterenol after parasympathetic blockade with training (+31.9±10.9 pre vs. +31.0±12.0 post beats per min, P=0.56). The findings were similar in all four subgroups.

conclusionsWe did not find evidence that an increase in parasympathetic tone or a decrease in responsiveness to beta-adrenergic activity accounts for the reduction in resting heart rate with exercise training. We suggest that a decline in heart rate with training is most likely due to decrease in the intrinsic heart rate.

Indexed as

BradycardiaAdrenergic beta-1 Receptor AntagonistsAdrenergic beta-AgonistsAdultAgedAge FactorsAutonomic Nervous SystemExerciseFemaleHealthy VolunteersHeart RateHumansIsoproterenolMaleMetoprololReceptors, Adrenergic, betaAdrenergic beta-1 Receptor AntagonistsAdrenergic beta-AgonistsIsoproterenolMetoprololReceptors, Adrenergic, betaAutonomic controlExercise trainingResting heart rate

Identifiers

PMID27497097
PMCPMC5042852

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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 OpenQuestion graph.