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How excess cortisol can decrease heart rate variability
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April 22, 2023

Cortisol is a hormone that plays a critical role in our body’s response to stress. It is released by the adrenal glands in response to various stressors, including physical and psychological stress. Cortisol impacts various physiological systems in the body, including the autonomic nervous system (ANS), which controls heart rate variability (HRV).

HRV is the measure of the variation in time between successive heartbeats. It is a measure of the balance between the sympathetic nervous system (SNS), which prepares the body for action, and the parasympathetic nervous system (PNS), which promotes relaxation and restoration. High HRV is generally considered to be a sign of good health and resilience, whereas low HRV is associated with poor health outcomes, including cardiovascular disease, diabetes, and mental health disorders.

Cortisol impacts HRV by altering the balance between the SNS and PNS. Cortisol activates the SNS, leading to an increase in heart rate and a decrease in HRV. The SNS prepares the body for action by increasing heart rate, blood pressure, and respiration, and reducing digestive activity. This response is known as the fight or flight response, and it is essential for survival in response to immediate threats.

However, chronic activation of the SNS, as seen in chronic stress, can lead to sustained increases in heart rate and blood pressure, and decreased HRV. This can increase the risk of cardiovascular disease and other health problems.

Cortisol also impacts HRV by modulating the activity of the PNS. The PNS promotes relaxation and restoration by decreasing heart rate and blood pressure and increasing digestive activity. Cortisol inhibits the activity of the PNS, leading to a decrease in HRV. This can further exacerbate the negative effects of chronic stress on the body.

Research has shown that acute stress, such as public speaking or undergoing a medical procedure, leads to an increase in cortisol levels and a decrease in HRV. This response is adaptive in the short term, as it prepares the body for action. However, chronic stress, such as work-related stress, relationship stress, or financial stress, can lead to sustained increases in cortisol levels and a decrease in HRV. This can lead to a range of negative health outcomes, including cardiovascular disease, diabetes, and mental health disorders.

The relationship between cortisol and HRV is complex and bidirectional. HRV has been shown to impact cortisol levels, with higher HRV associated with lower cortisol levels. This suggests that promoting good HRV can be an effective strategy for reducing cortisol levels and improving health outcomes.

Several interventions have been shown to improve HRV and reduce the negative impact of cortisol on the body. These include mindfulness meditation, yoga, deep breathing exercises, using XTI Luman Sleep and physical exercise. These interventions promote relaxation and restoration, activating the PNS and reducing the impact of the SNS.

In conclusion, cortisol impacts HRV by altering the balance between the SNS and PNS. Chronic activation of the SNS and inhibition of the PNS can lead to decreased HRV, which is associated with a range of negative health outcomes.