Research. Writing. Public work.

Active PhD researcher in cardiovascular physiology, peer-reviewed author, and public communicator on health and performance. The same standard — honesty, mechanism, evidence — runs through all of it.

Neural and autonomic cardiovascular control under physiological stress.

My research centers on neural and autonomic cardiovascular control — specifically how the sympathetic nervous system regulates blood pressure during physiological stress, including exercise, pain, and environmental extremes.

Current projects include investigating muscle sympathetic nerve activity responses to hyperbaric exposure in partnership with the Naval Submarine Medical Research Laboratory, and coordinating a NIH- and AHA-funded randomized clinical trial examining home-based training interventions in adults at cardiovascular risk.

The tools I use in research — Python pipelines, R statistical frameworks, reproducible code published on GitHub — are the same tools I bring to consulting work.

Affiliations

Cardiovascular & Applied Physiology Laboratory, Florida State University

Institute of Sports Sciences and Medicine, FSU

Institute for Successful Longevity, FSU

Active research areas

Cardiovascular stress physiology and exercise blood pressure

Sodium and sweat physiology, passive heat therapy interventions

Autonomic neural signal analysis and reproducibility

AI reliability in clinical and research contexts

Participant phenotyping and classification frameworks

The healthspan gap.

Americans live longer than the global median but spend more of those extra years in reduced health. The gap between total life expectancy and healthy life expectancy is 12.5 years in the United States compared to 9.3 years globally.

This figure was built in R using WHO HALE data. It is used in consulting and coaching work to frame the mission: the goal is not just more years, but more capable years.

The healthspan gap: healthy life expectancy versus total life expectancy, WHO 2021

Click to view source code on GitHub. Built in R with ggplot2. Data: WHO HALE tables, 185 countries, 2021.

Peer-reviewed publications.

Am J Physiol Heart Circ Physiol · 2026

Prognostic Value of Exercise Blood Pressure: Role of Fitness and Exercise Training

Abnormal blood pressure responses to exercise are strong independent predictors of cardiovascular morbidity and mortality. Higher cardiorespiratory fitness is associated with lower submaximal exercise BP across populations. This review synthesizes evidence on the prognostic value of exercise BP, its relation with fitness, and its response to exercise interventions, and proposes a clinical model for integrating exercise BP as a modifiable risk factor.

Hoch JW, Domeier C, Silvestri P, Watso JC. PMID: 41730298

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Exercise pressor reflex dysfunction: physiological and pathological pathways

Figure 2

Exercise pressor reflex dysfunction. Created with BioRender.

Physiological (green) and pathological (red) exercise pressor reflex pathways. The afferent sensitization cascade, baroreflex resetting, and downstream sympathetic dominance driving exaggerated BP responses. Created with BioRender.

Mechanistic overview of dermal sodium excretion and sweat gland kinetics

Figure 4

Sweat sodium loss across temperature and humidity conditions. Built in R.

Mechanistic overview of the "third compartment" and sweat sodium kinetics. The eccrine sweat gland secretory coil utilizes dermal sodium as its precursor fluid. Secretion rate outpaces ductal reabsorption capacity at high flow, leading to progressive net sodium loss. Published in Exerc Sport Sci Rev, 2026.

Exerc Sport Sci Rev · 2026

Can We Protect Our Hearts by Sweating Out Excess Sodium?

Nine in ten adults exceed recommended sodium intake. Excess dietary sodium increases blood pressure during exercise and contributes to future cardiovascular disease. This review synthesizes evidence that sweat-inducing interventions could facilitate meaningful sodium losses through dermal excretion, representing a novel strategy to attenuate cardiovascular strain independently of renal function.

Hoch JW, Watso JC. PMID: 41718617. PMC: 12989138

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Am J Physiol Heart Circ Physiol · 2024

Decoding Exercise Heart Rate Responses Among Patients with Heart Failure

A mechanistic analysis of heart rate response patterns during exercise in heart failure patients, examining the role of autonomic dysfunction and implications for clinical assessment.

Hoch JW, Watso JC. PMID: 39093002

Read the paper

Science Writing

Making the science readable.

Lay-science articles in progress — peer-reviewed research translated for anyone navigating health decisions. First pieces coming soon.

Public communication.

Podcast appearances

The Dr. Joey Munoz Show

Guest appearance

The Dr. Joey Munoz Show

Guest appearance

Feel Strong Fitness

Guest appearance

Invited talks

Invited talk for Florida Department of Law Enforcement

Florida Dept. of Law Enforcement

Health & performance · Invited presenter

Invited talk for Leon County Sheriff's Office

Leon County Sheriff's Office

Health & performance · Invited presenter

Invited talk for Tallahassee Police Department

Tallahassee Police Department

Health & performance · Invited presenter

Client testimonials.

From Hoch Health & Wellness coaching clients, in their own words.

Client testimonial video

Real conversations from clients navigating chronic pain, performance, and long-term health — in their own words.

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Service to the profession.

Ad hoc manuscript reviewer

Heart and Circulatory Physiology

Medicine & Science in Sports & Exercise

Journal of Applied Physiology

Journal of Pain Research

American Journal of Hypertension

Strength and Conditioning Journal

Memberships

American Physiological Society

American College of Sports Medicine

North American Artery

Selected awards

Environmental & Exercise Physiology Section Honor and Impact Award, APS 2026

Partnership for Clean Competition Anti-Doping Pre-Doctoral Research Award ($2,250), APS 2026

Irene Gerlack Scholarship/Fellowship Endowment ($3,000), FSU 2025

Open-source research tools.

All analysis pipelines are published on GitHub with documentation and example data. Built to replace manual processes that were taking hours and introducing error.

MSNA-APD Aggregator

Replaced manual copy-paste across 80+ Excel files. Python, point-and-click GUI, automated Z-score flagging.

DXA Data Extractor

Batch extraction from Hologic DXA PDF reports. Handles four proprietary report variants with font encoding artifacts.

AKI Diagnostic Accuracy Pipeline

Paired DeLong tests, Youden's J, bootstrap confidence intervals, ggplot2 ROC curves. R and Jupyter.

Sweat Sodium Heatmap

Modeled sodium loss across temperature and humidity gradients. Published alongside the ESSR review paper.

View full GitHub profile

Clinical or research background? Let's talk.

The same rigor I apply in the lab applies to the systems I build. If that matters to your organization, let's talk.

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