Halliwill · Experimental physiology 2013 · narrative review · n=?

Postexercise hypotension and sustained postexercise vasodilatation: what happens after we exercise?

Cited 387 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of physiological mechanisms without systematic methodology or new empirical data

PubMed 22872658 · doi:10.1113/expphysiol.2011.058065 · record verified 2026-08-28

What was done

This narrative review synthesized research on the neural, local, and receptor-level mechanisms responsible for postexercise hypotension and sustained postexercise vasodilatation following a single bout of aerobic exercise.

What was found

The abstract reports no numerical findings or effect sizes. It describes qualitative physiological mechanisms: arterial blood pressure falls after exercise due to a combination of centrally mediated reductions in sympathetic nerve activity, diminished transduction of sympathetic signals into vasoconstriction, and local vasodilator actions. Key specific mechanisms noted include skeletal muscle afferents mediating baroreflex resetting via receptor alterations in the nucleus tractus solitarii, and sustained vasodilatation in exercised muscle driven primarily by histamine H1 and H2 receptor activation.

Why it matters

Clarifying the physiological pathways underlying postexercise hemodynamic changes helps explain the vascular benefits of exercise training and identifies recovery periods as potential targets for therapeutic interventions in hypertension and diabetes.

Limits

The abstract provides no empirical data, sample sizes, effect magnitudes, or systematic review search criteria. As a mechanistic overview, it does not evaluate patient-oriented clinical outcomes.

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