“…However, although some inter-individual variation exists , advancing age impairs the magnitude of the HR and cardiac output responses at the exercise onset, resulting in a larger sympathetic drive to adjust blood pressure (Lalande, Sawicki et al 2014). The mechanism(s) affecting the diminished cardiac response with exercise in aging adults remains unknown but may include either changes in autonomic neural adjustments and/or intrinsic cardiac events , Lester, Sheffield et al 1968, Kino, Lance et al 1975, Seliger, Macek et al 1978, Sheffield, Maloof et al 1978, Yin, Spurgeon et al 1979, Craft and Schwartz 1995, Lalande, Sawicki et al 2014. Diminished HR variability (O'Brien, O'Hare et al 1986, Schwartz, Gibb et al 1991, Agelink, Malessa et al 2001, Bonnemeier, Richardt et al 2003) and a reduced tachycardia following atropine administration ) support the conclusion that age reduces chronic parasympathetic restraint of HR, suggesting that this effect may be a fundamental determinant of impaired cardiac acceleration with exercise in aging adults.…”