Changes to the Cardiovascular System With Exercise
Regular physical activity places increased demands on the cardiovascular system, prompting both immediate and long-term physiological adaptations. Understanding how the heart, blood vessels, and respiratory system respond to exercise is essential for improving fitness performance, cardiovascular health, and overall well-being.

Changes to the Cardiovascular System With Exercise
Cardiovascular
Function at Rest
At rest, the cardiovascular system
operates at a relatively steady and efficient pace. In healthy adults, the resting
heart rate (RHR) typically ranges between 60 and 80 beats per minute
(bpm) (Kenny et al., 2015). Breathing rate at rest averages approximately 15
breaths per minute, allowing the body to meet basic metabolic demands
(Breathe, 2020).
During this resting state, only 15–20%
of the blood pumped by the heart is directed toward skeletal muscles. The
remaining blood flow supports vital organs such as the brain, liver, kidneys,
and digestive system.
Increased
Cardiovascular Demand During Exercise
During physical activity, especially
moderate to high-intensity exercise, the body’s demand for oxygen and nutrients
rises significantly. To meet this increased demand, the cardiovascular system
responds through several coordinated adjustments.
Heart
Rate Response to Exercise
One of the most immediate changes
during exercise is an increase in heart rate (HR). As exercise intensity
rises, the heart beats more frequently to deliver oxygen-rich blood to working
muscles. This increase in heart rate is directly proportional to exercise
intensity and is a key marker of cardiovascular workload (Kenny et al., 2015).
Stroke
Volume and Cardiac Output
In addition to beating faster, the
heart also pumps more blood with each contraction. The amount of blood
ejected from the heart per beat is known as stroke volume. During
exercise, stroke volume increases, meaning the heart is both beating faster and
pumping more blood per beat.
Together, heart rate and stroke
volume determine cardiac output, which is the total volume of blood
pumped by the heart per minute. An increase in cardiac output allows for
enhanced oxygen delivery to active muscles, supporting sustained physical
performance.
Redistribution
of Blood Flow
Exercise also causes a significant redistribution
of blood flow. While blood supply to non-essential organs decreases,
circulation to the working skeletal muscles increases dramatically. During
maximal exercise, approximately 80–85% of cardiac output is directed
toward active muscles, enabling efficient oxygen delivery and waste removal.
Respiratory
Adaptations During Exercise
The respiratory system works closely
with the cardiovascular system to support exercise demands. Breathing rate
(ventilation) increases substantially, rising from about 15 breaths per
minute at rest to as high as 40–60 breaths per minute during intense
exercise (Breathe, 2020).
Additionally, tidal volume—the
amount of air inhaled and exhaled with each breath—also increases. This allows
more oxygen to enter the lungs and more carbon dioxide to be expelled,
enhancing gas exchange efficiency.
Blood
Pressure Changes With Exercise
During an exercise bout, systolic
blood pressure (the pressure exerted when the heart contracts) increases
due to higher cardiac output. This response is normal and necessary to
facilitate increased blood flow to the muscles. In contrast, diastolic blood
pressure typically remains stable or may decrease slightly during aerobic
exercise (Kenny et al., 2015).
Summary
In summary, exercise triggers
several acute changes in the cardiovascular system, including:
- Increased heart rate and stroke volume
- Greater cardiac output
- Redistribution of blood flow to working muscles
- Increased breathing rate and air volume per breath
- Elevated systolic blood pressure
These responses allow the body to efficiently meet the heightened metabolic demands of physical activity. Over time, regular exercise leads to beneficial cardiovascular adaptations, improving heart efficiency, endurance, and overall health.
