Effects of Acute Strenuous Exercise on Nasal Passage Volume in Young Females: A Cardiovascular Sympathetic Reactivity Perspective
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Original Research
VOLUME: 4 ISSUE: 2
P: 84 - 89
August 2026

Effects of Acute Strenuous Exercise on Nasal Passage Volume in Young Females: A Cardiovascular Sympathetic Reactivity Perspective

Bull Cardiovasc Acad 2026;4(2):84-89
1. Gazi Üniversitesi Tıp Fakültesi, Fizyoloji Anabilim Dalı, Ankara, Türkiye
2. Ufuk Üniversitesi Tıp Fakültesi, Fizyoloji Anabilim Dalı, Ankara, Türkiye
No information available.
No information available
Received Date: 18.07.2026
Accepted Date: 24.08.2026
Online Date: 25.09.2026
Publish Date: 25.09.2026
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Abstract

Objective

This study aims to evaluate the effects of systemic sympathetic activation induced by acute strenuous exercise on nasal passage volume using acoustic rhinometry (AR) in young females, and to examine the emerging regional response within the context of cardiovascular sympathetic reactivity.

Material and Methods

To control the potential effects of age- and sex-related autonomic variations, 23 healthy young female students were enrolled in the study. Sympathetic activation was induced via a treadmill exercise protocol, requiring participants to run for 5 minutes at an intensity that doubled their resting heart rate. Systemic blood pressure, heart rate, and nasal passage volumes via AR were measured before exercise and immediately post-exercise. At 20 minutes post-exercise, nasal measurements were repeated.

Results

Prior to exercise, no statistically significant difference was found between the right and left nasal passage volumes (p>0.05). Following exercise, a significant increase in both nasal passage volumes was observed as a result of sympathetic activation-associated decongestion (p<0.05). The increase in nasal volume on the right side was significantly greater than that on the left (p<0.05). In repeated measurements performed 20 minutes after exercise, the right nasal passage volume remained significantly higher than the left (p<0.05).

Conclusion

This study demonstrates that an asymmetric regional response in favor of the right side occurs in nasal passage volume after acute exercise. This finding suggests that systemic sympathetic activation may induce a response characterized by regional variations in the nasal passage. Therefore, it is considered that nasal passage volume measurements performed with AR, which is a non-invasive and objective method, could be an indirect and potential method for evaluating peripheral responses accompanying sympathetic reactivity in cardiological research.

Keywords:
Acoustic rhinometry, acute exercise, nasal reactivity, cardiovascular sympathetic reactivity, functional asymmetry

References

1
Lacroix JS, Correia F, Fathi M, Grauzmann E. Post exercise nasal vasoconstriction and hyporeactivity: possible involvement of neuropeptide Y. Acta Otolaryngol. 1997;117(4):609-613.
2
Olson LG, Strohl KP. The response of the nasal airway to exercise. Am Rev Respir Dis. 1987;135(2):356-359.
3
Fadel PJ. Arterial baroreflex control of the peripheral vasculature in humans: rest and exercise. Med Sci Sports Exerc. 2008;40(12):2055-2062.
4
Fonseca MT, Voegels RL, Pinto KM. Evaluation of nasal volume by acoustic rhinometry before and after physical exercise. Am J Rhinol. 2006;20(3):269-273.
5
Shafiq MA, Ellingson CA, Krätzig GP, Dorsch KD, Neary JP, Singh J. Differences in heart rate variability and baroreflex sensitivity between male and female athletes. J Clin Med. 2023;12(12):3916.
6
Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation. 1996;93(5):1043-1065.
7
Billman GE. The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance. Front Physiol. 2013;4:26.
8
Martelli D, Silvani A, McAllen RM, May CN, Ramchandra R. The low frequency power of heart rate variability is neither a measure of cardiac sympathetic tone nor of baroreflex sensitivity. Am J Physiol Heart Circ Physiol. 2014;307(7):H1005- H1012.
9
Widdicombe JG. The NANC system and airway vasculature. Arch Int Pharmacodyn Ther. 1990;303:83-99.
10
Hasegawa M, Kern EB. Variations in nasal resistance in man: a rhinomanometric study of the nasal cycle in 50 human subjects. Rhinology. 1978;16(1):19-29.
11
Kayser R. Die exacte messung der luftdurchgängigkeit der nase. Arch Laryngol Rhinol. 1895;3:101-120.
12
Pallanch JF, McCaffrey TV, Kern EB. Evaluation of nasal breathing function. In: Cummings CW, editor. Otolaryngology-head and neck surgery: general, face, nose, paranasal sinuses. 2nd ed. St. Louis: Mosby; 1993. p. 665.
13
Kahana-Zweig R, Geva-Sagiv M, Weissbrod A, Secundo L, Soroker N, Sobel N. Measuring and characterizing the human nasal cycle. PLoS One. 2016;11(10):e0162918.
14
Vardareli ÖS. Nazal pasaj hacimlerinde egzersize bağımlı değişimlerin akustik rinometri ile ölçülmesi. Thesis, Başkent Üniverstiesi, Ankara: 2007.
15
May M, West JW. The “stuffy” nose. Otolaryngol Clin North Am. 1973;6(3):655-674.
16
Hilberg O, Jackson AC, Swift DL, Pedersen OF. Acoustic rhinometry: evaluation of nasal cavity geometry by acoustic reflection. J Appl Physiol (1985). 1989;66(1):295-303.
17
World Health Organization. Everyday actions for better health – WHO recommendations [Internet]. Copenhagen: WHO Regional Office for Europe; 2020. Available from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations
18
Roach AR, Lash D, Loomis E, Sinnen T, DeYoung M. The effects of exercise on reaction time. J Adv Stud Sci (JASS). 2014;1:435.
19
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al.; American College of Sports Medicine. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-1359.
20
Karvonen J, Vuorimaa T. Heart rate and exercise intensity during sports activities. Practical application. Sports Med. 1988;5(5):303-311.
21
Marshall I, Rogers M, Drummonds G. Acoustic reflectometry for airway measurement. Principles, limitations and previous work. Clin Phys Physiol Meas. 1991;12(2):131-141.
22
Şeneldir L. Nazal obstrüksiyon cerrahisinin, gündüz uykululuk hali, akustik rinometri ölçümleri ve SCL-90 R belirti tarama testi ile değerlendirilmesi. Thesis, Trakya Üniversitesi, Edirne: 2009.
23
Hilberg O, Pedersen OF. Acoustic rhinometry: recommendations for technical specifications and standard operating procedures. Rhinol Suppl. 2000;16:3-17. Erratum in: Rhinol 2001;39(2):119.
24
Paulsson BO, Bende M, Ohlin P. Nasal mucosal blood flow at rest and during exercise. Acta Otolaryngol. 1985;99(1-2):140-143.
25
Zandstra TE, Notenboom RGE, Wink J, Kiès P, Vliegen HW, Egorova AD, et al. Asymmetry and heterogeneity: part and parcel in cardiac autonomic ınnervation and function. Front Physiol. 2021;12:665298.
26
Halliwill JR, Buck TM, Lacewell AN, Romero SA. Postexercise hypotension and sustained postexercise vasodilatation: what happens after we exercise? Exp Physiol. 2013;98(1):7-18.
27
Neves FJ, Carvalho ACG, Rocha NG, Silva BM, Sales ARK, de Castro RRT, et al. Hemodynamic mechanisms of the attenuated blood pressure response to mental stress after a single bout of maximal dynamic exercise in healthy subjects. Braz J Med Biol Res. 2012;45(7):610-616.
28
Romero SA, Minson CT, Halliwill JR. The cardiovascular system after exercise. J Appl Physiol (1985). 2017;122(4):925-932.