The physiological regulation of involuntary bodily functions mediated by the sympathetic and parasympathetic nervous systems, maintaining internal equilibrium or homeostasis. This control dictates critical processes such as heart rate variability, respiration, digestion, and glandular secretion, operating largely outside of conscious awareness. Clinical translation of this concept focuses on assessing and influencing the balance between the “fight-or-flight” response and the “rest-and-digest” state to support optimal health and stress adaptation.
Origin
The term “autonomic” originates from the Greek autonomos, meaning “self-governing,” accurately describing this system’s inherent independent regulatory capacity. The understanding of the nervous system’s dualistic control, with distinct sympathetic and parasympathetic divisions, was formalized in the early 20th century by physiologists like John Langley. The modern concept of “control” integrates neuroendocrinology, recognizing the profound bidirectional communication between the autonomic nervous system and the endocrine system in stress response and metabolic regulation.
Mechanism
Autonomic control is executed through efferent pathways originating in the brainstem and spinal cord, utilizing key neurotransmitters like acetylcholine (parasympathetic) and norepinephrine (sympathetic) at target organ synapses. The sympathetic division prepares the body for action, increasing cardiac output and diverting blood flow, while the parasympathetic division conserves energy and facilitates recovery. Proper control involves the central integration of sensory input from the viscera and the coordinated release of hormones and neurotransmitters to rapidly adjust physiological parameters in response to internal and external demands.
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