Green · Cold Spring Harbor perspectives in medicine 2018 · narrative review · n=?

Effects of Exercise on Vascular Function, Structure, and Health in Humans.

Cited 194 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing mechanisms and clinical concepts without systematic review methodology.

PubMed 28432115 · doi:10.1101/cshperspect.a029819 · record verified 2026-08-28

What was done

This narrative review summarizes literature regarding how acute and chronic physical activity alters arterial function and structure in humans, synthesizing mechanisms related to training load, exercise-induced inflammation, oxidative stress, shear stress, and mechanotransduction.

What was found

The abstract reports no numerical data or effect sizes. It states qualitatively that acute exercise induces immediate functional arterial changes, regular exercise leads to chronic structural remodeling, and these adaptations reduce the incidence of atherosclerosis, cardiovascular events (myocardial infarction, stroke), and chronic conditions linked to vascular etiology like diabetes and dementia.

Why it matters

It emphasizes that exercise acts directly as vascular medicine through hemodynamic and cellular mechanisms rather than solely through indirect improvements in traditional cardiovascular risk factors.

Limits

The abstract describes a broad narrative synthesis rather than a systematic review with defined search protocols, quality assessments, or meta-analytic data. No specific participant numbers, effect magnitudes, or exercise dose-response parameters are provided.

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