The deliberate and therapeutic stimulation of the vagus nerve, the longest nerve of the autonomic nervous system, to increase its regulatory influence, often measured as heart rate variability (HRV). High vagal tone signifies a robust and flexible parasympathetic nervous system, indicating a superior ability to manage stress, regulate inflammation, and promote relaxation. Activating this tone is a fundamental strategy for improving resilience and hormonal homeostasis.
Origin
The term combines “Vagal Tone,” referring to the continuous, inhibitory influence of the vagus nerve on the heart and other organs, with “Activation,” denoting the clinical objective of enhancing this tone. The word vagus is Latin for “wandering,” reflecting the nerve’s extensive path throughout the body. The concept gained prominence with the recognition of the vagus nerve as the primary conduit of the “rest-and-digest” system and the main pathway for the anti-inflammatory reflex.
Mechanism
Activation stimulates the afferent and efferent fibers of the vagus nerve, which communicates with the brainstem and subsequently downregulates the sympathetic nervous system and the HPA axis. The efferent pathway releases acetylcholine onto target organs, which slows heart rate and increases digestive activity. Critically, the vagus nerve’s anti-inflammatory mechanism involves the cholinergic anti-inflammatory pathway, which suppresses cytokine production, linking nervous system regulation directly to immune and hormonal balance.
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