Blood pressure at rest and during maximal dynamic and isometric exercise as predictors of systemic hypertension

Chaney, Robert H.; Eyman, Richard K.

doi:10.1016/0002-9149(88)90548-6

Cited by 65 publications

(41 citation statements)

References 21 publications

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“…However, the model also found a stronger association between exercise BP response and subsequent hypertension than with resting BP. Our results are supported by some studies, 6,8,9,11 whereas several others have suggested that the predictive value of BP measured during exercise for future hypertension is lower than that measured at rest. 7,10,14 Hence, which pressure is more informative and valuable as an early marker of hypertension still remains to be elucidated.…”

Section: Discussionsupporting

confidence: 89%

“…13 However, without taking into consideration the impact of these factors, most studies have chosen to define exaggerated BP response only in terms of some designated BP level at maximal exertion and given submaximal workloads. [7][8][9]11,14 These methodological uncertainties may make it unclear whether the information gathered from exercise BP measurement is valuable for evaluating an individual's hypertensive risk profile. Thus, the validity of an exercise test for predicting future hypertension needs further methodological development and confirmation.…”

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confidence: 99%

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Blood Pressure Response to Heart Rate During Exercise Test and Risk of Future Hypertension

et al. 2002

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Abstract-Previous works have shown that exaggerated blood pressure response to exercise is a valid risk marker for future hypertension, yet the use of an exercise test as a means of early prediction of hypertension still requires methodological development and confirmation. The purpose of this study was to determine abnormal ranges of blood pressure responses in relation to heart rate increase during exercise and to examine the clinical utility of exercise blood pressure measurement in evaluating individual risk for developing hypertension. We examined exercise test data from a population-based sample of 1033 nonmedicated normotensive men (mean age, 42.9Ϯ8.5 years; range, 20 to 59 years). Percentile curves of systolic and diastolic blood pressure responses to relative heart rate increments during submaximal exercise were constructed using a third-order polynomial model with multiple regression analysis. Of the original study sample, a cohort of 726 subjects was followed for hypertensive outcome for an average period of 4.7 years. Progression to hypertension, defined as a blood pressure of Ն140/90 mm Hg or the initiation of antihypertensive therapy, was found in 114 subjects (15.4%). Kaplan-Meier survival estimates showed that the cumulative incidence of hypertension increased progressively with higher percentiles of systolic and diastolic blood pressure response (both, PϽ0.01). A Cox proportional survival analysis revealed a significantly increased risk for developing hypertension associated with exaggerated blood pressure response to exercise after multivariable adjustments for traditional risk factors (relative risk, 3.8; 95% confidence interval, 2.3 to 6.1). These results suggest that an exaggerated blood pressure response to heart rate during exercise is predictive of future hypertension independent of other important risk factors and lend further support to the concept that blood pressure measurement during exercise test is a valuable means of identifying normotensive individuals at high risk for developing hypertension.

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Blood Pressure Response to Heart Rate During Exercise Test and Risk of Future Hypertension

et al. 2002

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“…First, we are unsure that results would have been replicated with a different reactivity procedure or that Samoan children's reactivity is associated with later BP. Although recent data suggest that different stressors may have different hemodynamic effects in children (19,20), prospective research using multiple stressors has not shown differential prediction of follow-up BP (21)(22)(23). Our data indicate that Samoan children were familiar with video games and that the procedure elicited BP and HR reactivity.…”

contrasting

confidence: 53%

Modernization in the Samoas and childrenʼs reactivity: a pilot study.

Murphy

McGarvey

1994

Psychosomatic Medicine

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This investigation studied the potential effects of societal modernization on Samoan children's blood pressure and heart rate reactivity to a standardized television video game procedure. Ethnic Samoan children were sampled from Western Samoa (N = 72), a relatively underdeveloped country with a largely agricultural economy, and American Samoa (N = 70), a territory of the United States that has undergone substantial modernization due to recent economic aid. Results indicated that Western Samoans demonstrated significantly greater systolic blood pressure, diastolic blood pressure, and heart rate reactivity than American Samoans. These data, in conjunction with previous data, suggest that the hemodynamic effects of an acute stressor are inversely associated with societal modernization and an individual's adoption of a lifestyle reflecting integration into a modernized society. Further work is needed to examine the implications of this hypothesis and the associations among concrete measures of modernization and children's cardiovascular risk.

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“…This may possibly be related to the elevated mass of the left ventricle found in some studies, or perhaps the problem is increased sympathetic and decreased parasympathetic activity. 4,[9][10][11][12] What is the pathophysiologic reason for this phenomenon? The fasting glucose level was slightly higher in the ExBPR group, but still in the normal range, and a marginally significant (P = 0.07) higher prevalence of diabetes 5-8 years later.…”

Section: Journal Of Human Hypertensionmentioning

confidence: 99%

The significance of hypertensive response to exercise as a predictor of hypertension and cardiovascular disease

et al. 2001

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Several studies have shown that exaggerated blood pressure (BP) response to exercise can predict the development of hypertension and target organ damage, but others did not. The aim of this study was to evaluate the relationship between exaggerated BP response to exercise (ExBPR) and the development of hypertension or cardiovascular disease. We reviewed the charts of male subjects who, during the years 1991-1994, had a routine check up that included an exercise stress-test. For each subject, the following parameters were noted: age; body mass index (BMI); history of diabetes; cigarette smoking; family history of ischaemic heart disease and lipid profile. BP and heart rate at rest and during exercise were recorded as well. ExBPR was defined whenever peak exercise systolic BP or diastolic BP was over 200 mm Hg or 100 mm Hg respectively. We identified 73 males who exhibited ExBPR and matched them

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Blood pressure at rest and during maximal dynamic and isometric exercise as predictors of systemic hypertension

Cited by 65 publications

References 21 publications

Blood Pressure Response to Heart Rate During Exercise Test and Risk of Future Hypertension

Blood Pressure Response to Heart Rate During Exercise Test and Risk of Future Hypertension

Modernization in the Samoas and childrenʼs reactivity: a pilot study.

The significance of hypertensive response to exercise as a predictor of hypertension and cardiovascular disease

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