Abstract
It has been suggested that the systolic blood pressure (SBP) response to exercise may be useful in predicting future hypertension. However, controversy exists as to whether the SBP response to exercise in borderline hypertensives is actually greater than normotensives or merely increases equally but from a higher resting value. Our aim was to determine the influence of resting SBP, age and sex on changes of SSP during exercise for both healthy subjects and untreated mild hypertensives. Three hundred and eighteen (230 males) underwent a self limited exercise protocol. SBP was measured at baseline and between the 2nd and 3rd minutes of each exercise stage. Age was positively related to SBP at rest and during exercise. The magnitude of SBP change induced by exercise was similar irrespective of the level of resting SBP. The relationship between resting SBP and the absolute SBP change which occurred during exercise was independent of sex. Our findings indicate that (i) age is positively related to SBP at rest and during exercise, (ii) SBP rises equally during exercise irrespective of its resting level and (iii) males and females have a similar pattern of BP response to exercise.
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References
Sammersedt, R. Haemodynamic response to exercise in patients with arterial hypertension. Acta Med. Scand. 1966; 180 (Suppl. 458): 1–70.
Julius, S., Whitlock, L. S., Conway, J. Influence of hypertension on the haemodynamic response to exercise. Circulation 1967; 36: 231–237.
Molineux, D., Steptoe, A. Exaggerated blood pressure response to submaximal exercise in normotensive adolescents with a family history of hypertension. Journal of Hypertension 1988; 6: 361–365.
Schutz, W., Hortnagel, H., Magometschnigg, D. Function of the autonomic nervous system in young, untreated hypertensive patients. Int. J. Cardiol. 1986; 10: 133–140.
Welsh, K., Ward, A., Hanson, P. Exercise blood pressure and baroreflex function in borderline hypertensive and normotensive young men. Clin. Sci. 1985; 68: 631–638.
Benbassat, J., Froome, P. Blood pressure response to exercise as a predictor of hypertension. Arch Int. Med. 1986; 146: 2053–2055.
Gonzales, M., de Chomplain, J., Lebeau, R., Nadeau, R. A. Symphato-adrenal and cardiovascular responses to isometric exercise in normotensive (NT) and hypertensive (HT) patients. Hypertension 1987; 9: 546 (abst.).
Watson, R. D., Stallard, T. J., Flynn, R. M., Littler, W. A. Factors determining arterial pressure and its variability in hypertensive man. Hypertension 1980; 2: 233–341.
Mancia, G., Ferrari, G., Zancetti, A. Blood pressure variability in man: its relation to high blood pressure, age, and barofeflex sensitivity. Clin. Sci. 1980; 50: 401s-405s.
Mancia, G., Parati, G., Pomidossi, G., Casadei, R., Di Rienzo, M., Zancetti, A. Arterial baroreflexes and blood pressure and heart rate variability in humans. Hypertension 1985; 8: 147–153.
Kannel, W. B. Host and environmental determinants of hypertension. Perspective from the Framington Study. In: Kesteloot, H., Joossens, J. V., eds. Epidemiology of arterial blood pressure. The Hague: Martinus Nijhoff, 1; 1980; 265–296.
Masoro, E. J., Adellman, R. C, Roth, G. S. Handbook of Physiology in Ageing. Boca Raton: CRC Press, 1981; pp. 76–155.
Abrams, W. B. Pathophysiology of hypertension in older subjects. Am. J. Med. 1988; 85 (Suppl. 3B): 7–13.
Tuck, M. L. The sympathetic nervous system in essential hypertension. Am. Heart. J. 1986; 12: 877–886.
Tell, G. S., Rutan, G. H., Kronmal, R. A., Bild, D. E., Polak, J. S., Wong, N. D., Borhani, N. O., For the Cardiovascular Health Study (CHS) Collaborative Research Group. Correlates of Blood Pressure in Community-Dwelling Older Adults. Hypertension 1994; 23: 59–67.
Bennett, T., Wilcox, R. G., MacDonald, I. A. Post-exercise reduction of blood pressure in hypertensive men is not due to acute impairment of baroreflex function. Clin. Sci. 1984; 67: 97–103.
Kaufman, F. L., Hughson, R. L., Shaman, J. P. Effect of exercise on recovery blood pressue in normotensive and hypertensive subjects. Med. Sci. Sports Exerc. 1987; 19: 17–20.
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Sullivan, P.A., Crowley, M. & Grosch, C. Blood pressure and heart rate dynamics during and after exercise in an unselected population. I J M S 165, 250–253 (1996). https://doi.org/10.1007/BF02943082
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DOI: https://doi.org/10.1007/BF02943082