Professor Neil Smart

Professor in Exercise and Sports Science - School of Science and Technology

Neil Smart

Phone: +61 2 6773 4076



Neil is a researcher and teacher in the degrees of Exercise and Sports Science and Clinical Exercise Physiology. Neil is an Exercise and Sport Science Australia (ESSA) accredited exercise physiologist and ESSA fellow.


  • BSc (Hons), M.Med, PhD
  • ESSA Accredited Exercise Physiologist
  • Level 2 Football (Soccer) License

Teaching Areas

Neil teaches units in exercise physiology, exercise testing, exercise prescription for disease populations, exercise training and patho-physiology of chronic disease.

Research Interests

Neil's main research interests is the management of chronic disease with isometric handgrip exercise (IRT) and high intensity interval exercise (HIIT). Neil has worked extensively with people with heart failure and type II diabetes. Neil has also completed several meta-analyses of the various benefits of exercise training in patients with chronic disease such as heart failure and renal failure. It is hoped that a rehabilitation clinic will be developed at UNE so the local community can access the benefits of regular physical exercise.

Major Grants

2017 National Institute of Health Reserach (U.K.) Health Technology Assessment Programme: Reference: 15/80/30 Exercise-based rehabilitation for chronic heart failure (ExTraMATCH II): An individual participant data meta-analysis of randomised controlled trials. GBP170,000.

2009-2011 National Health and Medical Research Council, Asutralia. Grant ID376601: “Stepforward“ $788K

Other Funding

Healthy Highlanders Lifestyle Program. $570K Awarded to Guyra City Council, NSW for funding period 2012-14.


Selected Publications

Orcid ID
Researcher ID E-6822-2011

  1. Pearson MJ, Smart NA. Aerobic training intensity for improved endothelial function in heart failure patients: A systematic review and meta-analysis. Cardiology Research and Practice. Accepted 7 Feb 2017.
  2. Carlson D, Dieberg G, McFarlane JR, Smart NA. Rate pressure product responses during an acute session of isometric resistance training: A randomized trial. J. Hypertension & Cardiology: 2017; Accepted Feb 1, 2017.
  3. Pearson M, Mungovan S, Smart NA. Effect of exercise on diastolic function in heart failure patients: A systematic review and meta-analysis. Heart Failure Reviews. Accepted Jan 25, 2017.
  4. Pearson M, Smart NA. Effect of exercise training on endothelial function in heart failure patients: A systematic review meta-analysis. Int. J. Cardiol. 2017 Mar 15;231:234-243: doi:10.1016/j.ijcard.2016.12.145.PMID:28089145: ISSN 0167-5273:.
  5. Carlson DJ, Inder JD, Palanisamy SKA, McFarlane JR, Dieberg G, Smart NA. The efficacy of isometric resistance training utilising handgrip exercise for blood pressure management: A randomized trial. Medicine 2016 Dec;95(52):e5791: ISSN 0025-7974; On-line ISSN 1536-5964:PMID:28033302: PMCID:PMC5207598: DOI:10.1097/MD.0000000000005791.
  6. Claes J, Buys R, Budts W, Smart NA, Cornelissen VA. Longer-term effects of home-based exercise interventions on exercise capacity and physical activity in CAD patients: A systematic review and meta-analysis. European Journal of Preventive Cardiology: ISSN: 20474873: 2017 Feb; 24(3):244-256: PMID:27798366DOI: 10.1177/2047487316675823
  7. Epps J, Smart NA. Remote ischaemic conditioning in the context of type 2 diabetes and neuropathy: the case for repeat application as a novel therapy for lower extremity ulceration. Cardiovascular Diabetology; ISSN 1475-2840 2016;15(1):130; Doi 10.1186/s12933-016-0444-z: PMID: 27613524:PMCID; 5018170
  8. Dieberg G., Smart NA & King N. Minimally invasive cardiac surgery: a systematic review and meta-analysis. Int J Cardiol. 2016 Nov 15;223:554-560. doi: 10.1016/j.ijcard.2016.08.227: PMID:27557486: ISSN 0167-5273
  9. Mungovan SF, Singh P, Gass GC, Smart NA, Hirschhorn AD. The effect of physical activity given the first days after cardiac surgery. J. Rehab. Medicine; Jan 19th 2017: 49(1):71-77: PMID:28101566: DOI:10.2340/16501977-2165; ISSN 1650-1977.
  10. Jewiss D., Ostman C., Smart NA. The effect of resistance training on clinical outcomes in heart failure; A systematic Review and Meta-Analysis. Int. J. Cardiol. 2016: 221;674-681: ISSN 0167-5273: Doi:10.1016/j.ijcard.2016.07.046: PMID 27423089
  11. Ostman C, Jewiss D, Smart NA. The Effect of Exercise Training Intensity on Quality of Life in Heart Failure Patients: A Systematic Review and Meta-Analysis. Cardiology 2017;136(2):79-89; DOI: 10.1159/000448088.  ISSN 0008-6312: PMID: 27577715.
  12. Smart NA, King N., McFarlane JR, Graham PL, Dieberg G. The effect of exercise training on liver function in overweight adults: A systematic review and meta-analysis. Brit. J. Sports Med. 2016 Accepted May 31st. Doi 10.1136/bjsports-2016-096197.  Impact Factor 5.0. ISSN 1473 0480. PMID: 27317790
  13. Smart NA, Williams A, Lyndon K.The role and scope of accredited exercise physiologists in the Australian healthcare system. J. Clinical Exercise Physiology. Aug/Sept 2016. 2016;5(2):16–20. ISSN 2165-6193 (print): ISSN 2165-7629 (online).
  14. Hess NCL, Carlson DJ, Inder JD,Jesulola E, McFarlane JR, Smart NA. Clinically Meaningful Blood Pressure Reductions with Low Intensity Isometric Handgrip Exercise. A Randomized Trial. Physiological Research. Accepted Jan 25th 2016. (online) ISSN 1802-9973  (print) ISSN 0862-8408: PMID: 27070747
  15. Inder JD, Carlson DJ, Dieberg G, McFarlane JR, Hess NCL, Smart NA. Isometric Exercise Training for Blood Pressure Management:  A Systematic Review and Meta-analysis to Optimize Benefit. Hypertension Research. 2016 Feb;39(2):88-94. doi: 10.1038/hr.2015.111. Epub 2015 Oct 15. Doi 10.1038/hr.2015.111. ISSN (Print) 0916-9636, (e-ISSN)1348-4214. PMID: 26467494
  16. Pearson MJ, Dieberg, G, Smart NA. Exercise as a therapy for improvement of walking ability in adults with multiple sclerosis:  A meta-analysis. Archives of Physical Medicine & Rehabilitation;2015;Jul;96(7):1339-1348.e7. doi: 10.1016/j.apmr.2015.02.011. ISSN: 0003-9993. PMID:25712347
  17. Smart NA,     Short L, Giallauria F, Vigorito C, Vitelli A, Maresca L, Ehrman JK, Keteyian SJ, Brawner C. Effect of Duration of Data Averaging Interval on Reported Peak VO2 in Patients with Heart Failure. Int J Cardiol. 2015 Mar 1;182:530-3.doi:10.1016/j.ijcard.2014.12.174 [Epub ahead of print]. ISSN 0167-5273. PMID:25665970
  18. Taylor RS, Piepoli M, Smart NA, Coates AJS, Ellis S, Dalal H, O'Connor C, Warren F, Whellan D, Ciani O. Exercise training for chronic heart failure (ExTraMATCH II): protocol for an individual participant data meta-analysis. PROSPERO 2014:CRD42014007170 Available from:
  19. Parmenter B., Dieberg G., Phipps G., Smart NA. Exercise Training for Health Related Quality of Life in Peripheral Arterial Disease: A Systematic Review and Meta-Analysis. Vasc. Med. 2015 Feb;20(1):30-40. doi: 10.1177/1358863X14559092. Print ISSN: 1358-863X; Online ISSN: 1477-0377: PMID:25432991
  20. Parmenter B., Dieberg G., Smart NA. Exercise Training for Management of Peripheral Arterial Disease. A Systematic Review and Meta-Analysis. Sports Medicine. Sports Med. 2015 Feb;45(2):231-44. doi: 10.1007/s40279-014-0261-z ISSN: 0112-1642 (Print). E-pub September 18, 2014 1179-2035 (Online). PMID:25230780. I.F. 5.32
  21. Taylor RS, Piepoli M, Smart NA, Coats AJS, Ellis S, Dalal H, O’Connor CM, Warren FC, Whellan D, Ciani O. Exercise training for heart failure (ExTraMATCH II): Protocol for an individual patient meta-analysis. International Journal of Cardiology 2014;147(3);683-7; e-pub ahead of print. ISSN 0167-5273. PMID:24804902
  22. Haqq L., McFarlane JR., Dieberg G., Smart NA. The Effect of Lifestyle Intervention on Body Composition, Glycaemic Control and Cardio-respiratory Fitness in Women with Polycystic Ovarian Syndrome: A Systematic Review and Meta-Analysis. Int J Sport Nutr Exerc Metab. 2015 Dec;25(6):533-40. doi: 10.1123/ijsnem.2013-0232. Epub 2014 Mar 25 ISSN (Print): 1526-484X. ISSN (electronic): 1543-2742. PMID 2466872. I.F. 1.98
  23. Ismail H, McFarlane JR, Dieberg G, Smart NA. Exercise program characteristics and magnitude of change in functional capacity of heart failure patients. Int. J. Card. 2014: Jan 15;171(1):62-5. doi: 10.1016/j.ijcard.2013.11.045. Epub 2013 Nov 22. ISSN 0167-5273. PMID: 24326210. I.F. 6.175
  24. Carlson D., Dieberg G., Hess C., Millar P., Smart NA. Isometric exercise training for blood pressure management: a systematic review and meta-analysis. Mayo Clinic Proceedings; March 2014;89(3);327-334.DOI 10.1016/j.mayocp.2013.10.030. ISSN: 0025-6196; PMID:24582191. I.F. 5.81.
  25. Smart NA, Dooley L, Dieberg G, Ladani M, Titus T. Early Specialist Nephrology Referral for Preventing Progression to End-Stage Kidney Disease. Cochrane Database of Systematic Reviews. Published Online:18 JUN 2014; doi:10.1002/14651858.CD007333.pub2. PMID 24938824;6: CD007333. I.F. 5.785
  26. Ismail H, McFarlane JR, Nojoumian AH, Dieberg G, Smart NA. Clinical Outcomes and Cardiovascular Responses to Different Exercise Training Intensities in Heart Failure Patients: A Systematic Review and Meta-Analysis. Journal of the American College of Cardiology- Heart Failure. 2013;1(6):514-522 DOI 10.1016/j.jchf.2013.08.006; ISSN 2213-1779: PMID 24622004.  PMID: 24622004. I.F. 15.34.
  27. Smart NA, Williams AD, Levinger, I, Selig S, Howden E, Coombes JS, Fassett RG. Exercise and Sports Science Australia (ESSA) Position Statement on Exercise and Chronic Kidney Disease. Journal of Science and Medicine in Sport;16(5);2013:406-11. doi: 10.1016/j.jsams.2013.01.005. ISSN 1440-2440: PMID:23434075. I.F. 3.079
  28. RS. Taylor, EJ. Davies, R. Davis, P. Doherty, C. Cooper, D.J Holland, K. Jolly, Smart, NA. Effects of Exercise Training for Patients with Heart Failure and Preserved Ejection Fraction: A Systematic Review and Meta-Analysis of Comparative Studies. International Journal Cardiology 2012: Dec 15;162(1):6-13. doi: 10.1016/j.ijcard.2012.05.070. Epub 2012 Jun 2. ISSN 0167-5273:PMID22664368. I.F. 6.175
  29. Smart, NA, Giallauria, Dieberg G. Efficacy of inspiratory muscle training in chronic heart failure patients: A systematic review and meta-analysis. International Journal of Cardiology; 2013 Aug 20;167(4):1502-7 2012 May 3. [Epub ahead of print]. DOI 10.1016/j.ijcard.2012.04.029. ISSN 0167-5273: PMID 22560934. I.F. 6.175
  30. Smart, NA, Haluska, B., Jeffriess, L., Leung, D. Exercise Training in Heart Failure with Preserved Systolic Function: A Randomized, Controlled Trial of the Effects on Cardiac Function and Functional Capacity. Congestive Heart Failure: 2012; Nov-Dec;18(6):295-301. doi: 10.1111/j.1751-7133.2012.00295.x. Epub 2012 Apr 26. ISSN 1751-7133: PMID 22536983. I.F. 0
  31. Crepinsek, MA, Crowe, L, Michener, K, Smart, NA. Interventions for Preventing Mastitis After Childbirth. Cochrane Database of Systematic Reviews. Issue 3;2012 Oct 17;10:CD007239. doi: 10.1002/14651858.CD007239.pub3. ISSN 1465-1858: PMID 23076933. I.F. 5.785
  32. Smart, NA, Dieberg, G., Giallauria, F. Functional Electrical Stimulation for Chronic Heart Failure: A Meta-Analysis. Int. J. Cardiol. 2013 Jul 15;167(1):80-6; E-pub Jan 10, 2012. ISSN 0167-5273: PMID 22236510. I.F. 6.175
  33. Marios, T. Dalton, S and Smart NA. The effect of tele-monitoring on exercise training adherence, functional capacity, quality of life and glycemic control in patients with type II diabetes. Journal of Sport Science and Medicine: Mar 1, 2012;11(1);51-56. ISSN 1303-2968: PMID 24137063. I.F. 0.9
  34. Smart NA, Dieberg G, Giallauria, F. Intermittent versus Continuous Exercise Training in Chronic Heart Failure: A Meta-Analysis. International Journal of Cardiology: 2013 Jun 20;166(2):352-8: E-pub Nov 16, 2011. doi:10.1016/j.ijcard.2011.10.075 ISSN 0167-5273: PMID:22100179. I.F. 6.175
  35. Smart, NA., Steele, Michael. A Comparison of 16 weeks of Continuous versus Intermittent Exercise Training in Chronic Heart Failure Patients. Congestive Heart Failure. Congest Heart Fail. 2012 Jul-Aug;18(4):205-11. DOI: 10.1111/j.1751-7133.2011.00274.x ISSN1751-7133: PMID:22809258. I.F. 0
  36. Lancaster, K., Smart NA. Live-high Train-low Altitude Training on Maximal Oxygen Consumption in Athletes: A systematic review and meta-analysis. International Journal of Sport Science Coaching; 2012; 7(1):1-14; March. DOI: 10.1260/1747-9541.7.1.1 ISSN. 1747-9541. I.F. 0.93
  37. Smart NA, Steele, M.  Exercise Training in Hemodialysis Patients: A Systematic Review and Meta-Analysis. Nephrology 16;626-632; Sep 2011. DOI 10.1111/j.1440-1797.2011.01471.x  ISSN 1440-1797: PMID 21557787. I.F. 1.864
  38. Smart NA, Meyer T, Butterfield JA, Faddy SC, Passino C, Malfatto G, Jonsdottir S, Sarullo F, Wisloff U, Vigorito C, Giallauria F. An individual patient meta-analysis of exercise training effects on systemic brain natriuretic peptide expression in heart failure. European Journal Cardiovascular Prevention and Rehabilitation. 2012 Jun;19(3):428-35. doi: 10.1177/1741826711409171. Epub 2011 May 4. Review. ISSN 1741-8275: PMID:21543459. I.F. 3.69
  39. Smart NA, Titus, T. Outcomes of early versus late nephrology referral in chronic kidney disease – a systematic review. American Journal of Medicine: Nov; 124(11);1073-80;2011. DOI 10.1016/j.amjmed.2011.04.026 : ISSN: 1941-7705: PMID 22017785. I.F. 5.3
  40. SmartNA., Marshall BJ., DaleyM., BoulosE., Windus J., BakerN., Kwok, N. Low-fat diets for acquired hypercholesterolaemia. Cochrane Database Syst Rev. 2011 Feb 16;(2):CD007957. doi: 10.1002/14651858.CD007957.pub2. ISSN 2044-4702: PMID:21328303. I.F. 5.785
  41. Steve Selig, Itamar Levinger, Andrew D Williams, Neil Smart, David Holland, Andrew Maiorana, Daniel J Green, David Hare. Exercise and Sports Science Australia (ESSA) Position Statement on Exercise Training and Chronic Heart Failure. J. Sci. Med. in Sport. 2010 May;13(3):288-94. Epub 2010 Mar 15. doi: 10.1016/j.jsams.2013.01.005; ISSN: 1440-2440: PMed ID  20227917. I.F. 3.079
  42. Smart NA, Steele M. A systematic review of the effect of aerobic and resistance exercise training on systemic brain naturietic peptide (BNP) and N-Terminal BNP expression in heart failure patients. Int. J. Cardiol. 2010 Apr 30;140(3):260-5. Epub 2009 Aug 6: ISSN 0167-5273 PMID 19664831. I.F. 6.175
  43. Smart NA, Jefriess, L, Haluska BH, Marwick TH. Exercise Training in Systolic and Diastolic Dysfunction: Effects on cardiac function, functional capacity and quality of life. American Heart Journal 2007;153 (4) 530-6. ISSN 2047-9980: PMID: 17383289. I.F. 4.56
  44. Smart NA, Jefriess, L, Haluska BH, Case C, Marwick TH. Cardiac contributions to exercise training responses in patients with chronic heart failure: a strain imaging study. Echocardiography. 23(5) 376-82. 2006. ISSN: 1540-8175: PMID: 16686619.
  45. Abelt S, Ritchie C, Smart NA, Einerson J, Johnson M, Appleton G. Evaluation of Pedometer Steps in Patients With Diastolic and Systolic Heart Failure. Journal of Cardiopulmonary Rehabilitation and Prevention: 2005; 25(5);293.
  46. Smart NA, Marwick TH. Predictors of a Sustained Response to Exercise Training in Patients with Heart Failure: Tele-monitoring Study. American Heart Journal 2005;150(6);1240-7.ISSN2047-9980:PMID16338266.I.F. 4.56
  47. Smart NA, Marwick TH. Determinants of Functional Capacity Using Tissue Doppler Measurements. American Heart Journal. 2005;149(1):152-8. ISSN2047-9980: PMID 15660047. I.F. 4.56
  48. Smart NA, Marwick TH. Risks and benefits of exercise in cardiac disease. Heart and metabolism: 26;10-14; 2005. ISSN: 1566-0338
  49. Smart, NA, Marwick TH. Exercise training for patients with heart failure: a systematic review of factors that improve mortality and morbidity. American Journal of Medicine 116(10);693-706. 2004: ISSN: 1941-7705: PMID: 15121496. I.F. 5.3
  50. Smart NA, Marwick TH. Exercise training programmes improve survival and delay hospital admission in people with chronic heart failure.
  51. Commentary on; Piepoli MF, Davos C, Francis DP, Coats AJ; ExTraMATCH Collaborative. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). Journal of Evidence-based Healthcare Aug 2004:8(4);200-201.
  52. Smart, NA, Fang ZY, Marwick TH.  A practical guide to exercise training for heart failure patients.  Journal of Cardiac Failure 9(1):49-58. 2003. ISSN 1532-8414 PMID 12612873