Green · Experimental physiology 2011 · Narrative review · n=?

Exercise and vascular adaptation in asymptomatic humans.

Cited 171 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing existing literature without systematic methodology or meta-analysis.

PubMed 20971800 · doi:10.1113/expphysiol.2009.048694 · record verified 2026-08-28

What was done

This narrative review synthesized evidence on the effects of exercise training on conduit and resistance vessel structure and function (including endothelial nitric oxide dilation, autonomic balance, and compliance) in asymptomatic, apparently healthy humans.

What was found

The abstract reports no numerical values or effect sizes. It qualitatively reports that exercise training generally enhances endothelial nitric oxide dilator function and increases both arterial and venous compliance (especially in older adults). However, findings in healthy subjects are less uniform than in clinical populations, partly because increases in basal vasoconstrictor tone can counterbalance intrinsic vasodilator improvements and arterial remodeling at rest.

Why it matters

The review outlines how vascular adaptations to exercise in healthy populations differ from diseased cohorts, highlighting hemodynamic patterns and shear stress as central drivers of systemic vessel remodeling.

Limits

The abstract provides no quantitative data, sample sizes, or study count. As a narrative review, it lacks systematic search criteria, quality appraisal, and meta-analytic pooling.

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