Prevention & lipidsRandomised controlled trial

Non-invasive vagus nerve stimulation and exercise capacity in healthy volunteers: a randomized trial

Eur Heart JPublished

  • Randomised controlled trial
  • single-centre
  • double-blind
  • sham-controlled
  • crossover

Authors' conclusion

Non-invasive vagal stimulation improves measures of cardiorespiratory fitness and attenuates inflammation, offering an inexpensive, safe, and scalable approach to improve exercise capacity.

Study context

Population
Healthy volunteerscrossover
Participants
28 volunteers
Comparison
Transcutaneous auricular vagus nerve stimulation vs sham stimulation
Primary endpoint
VO2peak during progressive exercise to exhaustion
Follow-up
After 7 days

Primary result

As reported in the abstract

VO2peak change

Transcutaneous vagus nerve stimulation (tVNS)

1.04

95% CI .34-1.73 · mL/kg/min

Sham

−0.54

95% CI −1.52 to .45 · mL/kg/min

Secondary outcomes

Outcomeincrease (W) (95% CI)P value
Peak exercise measures — tVNS vs Sham · work rate6 (2–10)P = 0.006
Outcomeincrease (bpm) (95% CI)P value
Peak exercise measures — tVNS vs Sham · heart rate4 (1–7)P = 0.011
Outcomeincrease (breaths/min) (95% CI)P value
Peak exercise measures — tVNS vs Sham · respiratory rate4 (2–6)P < 0.001

Whole blood transcriptomic response to lipopolysaccharide (5 participants)

tVNS reduced the inflammatory response

Original publication

Non-invasive vagus nerve stimulation and exercise capacity in healthy volunteers: a randomized trial. Eur Heart J. Published 19 February 2025. doi:10.1093/eurheartj/ehaf037

Summarised from the published abstract; every number is checked against it