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Hypertension and Exercise

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Pediatric Hypertension

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

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Abstract

In normal children, the physiologic blood pressure response to exercise is complex, involving increases in stroke volume and heart rate, changes in peripheral resistance, and a response to sympathetic output. With dynamic exercise, the increase in cardiac output is accompanied by a continuous steep rise in heart rate and systolic blood pressure, a small decrease in diastolic blood pressure, and a significant decrease in systemic vascular resistance (1–5). The rise in systolic BP is higher in boys than in girls and it increases in both sexes with increasing age and body size (2). Both lean body mass and fat mass are important hemodynamic determinants of blood pressure (6). Consistent racial differences in the BP response to exercise have not been reported (7). With treadmill exercise testing, systolic BPs as high as 250 mmHg have been recorded in healthy normotensive adolescent males.

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  1. Division of Pediatric Cardiology, University of Rochester Medical Center, Rochester, NY, USA

    Rae-Ellen W. Kavey MD, MPH

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Correspondence to Rae-Ellen W. Kavey MD, MPH .

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  1. , Division of Nephrology, Seattle Children's Hospital, Sand Point Way NE. 4800, Seattle, 98105, Washington, USA

    Joseph T. Flynn

  2. Massachusetts General Hospital, Fruit St. 55, Boston, 02114, Massachusetts, USA

    Julie R. Ingelfinger

  3. Global Clinical Research, Bristol-Myers Squibb, Route 206 & Provinceline Road, Princeton, 08543, New Jersey, USA

    Ronald J. Portman

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© 2011 Springer Science+Business Media, LLC

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Kavey, RE.W. (2011). Hypertension and Exercise. In: Flynn, J., Ingelfinger, J., Portman, R. (eds) Pediatric Hypertension. Clinical Hypertension and Vascular Diseases. Humana Press. https://doi.org/10.1007/978-1-60327-824-9_26

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  • DOI: https://doi.org/10.1007/978-1-60327-824-9_26

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-823-2

  • Online ISBN: 978-1-60327-824-9

  • eBook Packages: MedicineMedicine (R0)

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