Green · Physiological reviews 2017 · narrative review · n=?

Vascular Adaptation to Exercise in Humans: Role of Hemodynamic Stimuli.

Cited 782 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing mechanistic and human physiological studies without systematic review methodology.

PubMed 28151424 · doi:10.1152/physrev.00014.2016 · record verified 2026-08-28

What was done

The authors reviewed human literature examining hemodynamic stimuli (blood flow, luminal shear stress, blood pressure, and tangential wall stress) generated during exercise and the resulting vascular functional and structural adaptations across conduit, resistance, and microvascular beds.

What was found

The abstract presents a qualitative overview of mechanistic relationships without reporting numerical outcomes or effect sizes. Exercise-induced hemodynamic stimuli transduce alterations in arterial diameter, wall thickness, and vasomotor function, which collectively improve oxygen delivery, blood pressure regulation, and atherosclerotic risk profiles.

Why it matters

This synthesis outlines the mechanical pathways by which physical activity directly remodels human blood vessels, providing a physiological basis for exercise-driven cardiovascular risk reduction.

Limits

The abstract describes a narrative review and does not provide quantitative data, meta-analytic estimates, or a systematic search strategy. Specific exercise modalities, doses, and patient population differences are not detailed.

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