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The motor dysfunctions are the hallmark of the disease, but patients also experience non-motor impairments, and over 40% of the patients experience coexistent abnormalities, such as orthostatic hypotension. Exercise training has been suggested as a coping resource to alleviate Parkinson\u2019s disease symptoms and delay disease progression. However, the body of knowledge is showing that the cardiovascular response to exercise in patients with Parkinson\u2019s disease is altered. Adequate cardiovascular and hemodynamic adjustments to exercise are necessary to meet the metabolic demands of working skeletal muscle properly. Therefore, since Parkinson\u2019s disease affects parasympathetic and sympathetic branches of the autonomic nervous system and the latter are crucial in ensuring these adjustments are adequately made, the understanding of these responses during exercise in this population is necessary. Several neural control mechanisms are responsible for the autonomic changes in the cardiovascular and hemodynamic systems seen during exercise. In this sense, the purpose of the present work is to review the current knowledge regarding the cardiovascular responses to dynamic and isometric\/resistance exercise as well as the mechanisms by which the body maintains appropriate perfusion pressure to all organs during exercise in patients with Parkinson\u2019s disease. Results from patients with Parkinson\u2019s disease and animal models of Parkinson\u2019s disease provide the reader with a well-rounded knowledge base. Through this, we will highlight what is known and not known about how the neural control of circulation is responding during exercise and the adaptations that occur when individuals exercise regularly.<\/jats:p>","DOI":"10.1177\/2050312120921603","type":"journal-article","created":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T01:23:12Z","timestamp":1588814592000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Altered cardiorespiratory regulation during exercise in patients with Parkinson\u2019s disease: A challenging non-motor feature"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8482-5135","authenticated-orcid":false,"given":"Jeann L","family":"Sabino-Carvalho","sequence":"first","affiliation":[{"name":"NeuroV\u0307ASQ\u0307\u2014Integrative Physiology Laboratory, Faculty of Physical Education, University of Bras\u00edlia, Bras\u00edlia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5747-0295","authenticated-orcid":false,"given":"Lauro C","family":"Vianna","sequence":"additional","affiliation":[{"name":"NeuroV\u0307ASQ\u0307\u2014Integrative Physiology Laboratory, Faculty of Physical Education, University of Bras\u00edlia, Bras\u00edlia, Brazil"},{"name":"Graduate Program in Medical Sciences, Faculty of Medicine, University of Bras\u00edlia, Bras\u00edlia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.27063"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.14.2.223"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-008-5004-3"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00007758"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26077"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/cphy.c130026"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.09.091"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000188052.69549.e4"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181ea1597"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0190160"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2017.12.027"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10286-014-0236-z"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00698"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.01277.2013"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2016.04.002"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bandc.2018.01.002"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00813.2016"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1152\/jn.01067.2015"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.04.031"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1985.tb03164.x"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00314190"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.12.020"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00308.2018"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1113\/EP087620"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-097X.2011.01055.x"},{"key":"e_1_3_3_27_2","first-page":"H980","article-title":"Is the muscle metaboreflex important in control of blood flow to ischemic active skeletal muscle in dogs","volume":"268","author":"O\u2019Leary DS","year":"1995","unstructured":"O\u2019Leary DS, Sheriff DD. 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