Clinical Relevance of Exaggerated Exercise Blood Pressure
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Submaximal exercise SBP is associated with CVD outcomes (including hypertension), but the same associations are not universally observed for SBP recorded at maximal exercise intensities.
“Consistent associations between exercise BP and hypertension-related cardiovascular disease (CVD) outcomes are observed at submaximal exercise intensity, not so with maximal exercise intensity.”
From Cardiorespiratory Fitness, Workload, and the Blood Pressure Response to Exercise Testing (2022) · cites this paper as [6]
Figure 1 in “Clinical Relevance of Exaggerated Exercise Blood Pressure” says that all pooled analyses found a significantly increased risk of incident hypertension, whether exercise systolic BP was measured at moderate or peak intensity. The paper therefore supports the submaximal association but makes a contrary point about the claimed lack of a consistent association at maximal intensity. (LLM, conf=0.86)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredExaggerated exercise blood pressure (EEBP) recorded during clinical exercise testing is independently associated with blood pressure-related cardiovascular disease (CVD) outcomes.
“Exaggerated exercise blood pressure recorded during clinical exercise testing is independently associated with blood pressure -related cardiovascular disease outcomes”
From Cardiorespiratory Fitness, Workload, and the Blood Pressure Response to Exercise Testing (2022) · cites this paper as [6]
Recent literature is mostly unanimous that exaggerated exercise blood pressure during submaximal exercise predicts future development of hypertension in general populations without high resting blood pressure.
“Recent literature also is mostly unanimous with respect to the utility of EEBP during submaximal exercise to predict the future development of hypertension in general populations without high resting BP (6,58).”
From Cardiorespiratory Fitness, Workload, and the Blood Pressure Response to Exercise Testing (2022) · cites this paper as [6]
EEBP during moderate intensity exercise is associated with the development of hypertension in populations without high resting BP.
“Indeed, EEBP during moderate intensity exercise is associated with the development of hypertension in populations without high resting BP [20,26].”
From The Identification and Management of High Blood Pressure Using Exercise Blood Pressure: Current Evidence and Practical Guidance (2022) · cites this paper as [20]
EEBP at submaximal exercise intensities may hold stronger associations with CVD risk.
“with research suggesting that EEBP at submaximal exercise intensities may hold stronger associations with CVD risk [5,20].”
From The Identification and Management of High Blood Pressure Using Exercise Blood Pressure: Current Evidence and Practical Guidance (2022) · cites this paper as [20]
For the detection of uncontrolled high BP, the exercise modality of the test is not important because EEBP recorded from all modes of exercise testing has shown association with CVD outcomes.
“For the detection of uncontrolled high BP, the exercise modality of the test is not important since EEBP recorded from all modes of exercise testing (e.g., during a graded treadmill or cycle test or immediately following a six-minute walk test or step test) has shown association with CVD outcomes [5,20].”
From The Identification and Management of High Blood Pressure Using Exercise Blood Pressure: Current Evidence and Practical Guidance (2022) · cites this paper as [20]
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Cites
Schultz, M. G., Otahal, P., Cleland, V. J., Blizzard, L., Marwick, T. H., & Sharman, J. E. (2013) · American Journal of Hypertension · doi:10.1093/ajh/hps053 · Cited by 306 · see citing works
Self-citationExercise blood pressure: Clinical relevance and correct measurement
Sharman, J. E., & LaGerche, A. (2015) · Journal of Human Hypertension · doi:10.1038/jhh.2014.84 · Cited by 142 · see citing works
Masked hypertension is “unmasked” by low-intensity exercise blood pressure
Schultz, M. G., Hare, J. L., Marwick, T. H., Stowasser, M., & Sharman, J. E. (2011) · Blood Pressure · doi:10.3109/08037051.2011.566251 · Cited by 104 · see citing works
Self-citationBarlow, P. A., Otáhal, P., Schultz, M. G., Shing, C. M., & Sharman, J. E. (2014) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2014.08.029 · Cited by 64 · see citing works
Self-citation
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- Vlachopoulos C, Aznaouridis K, Stefanadis C. Aortic stiffness for cardio- vascular risk prediction: just measure it, just do it. J Am Coll Cardiol 2014;63: 647-9.
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Cited by
Sorted by citations
Schultz, M. G., Picone, D. S., Nikolic, S. B., Williams, A. D., & Sharman, J. E. (2016) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2016.04.004 · Cited by 58 · see citing works
Self-citationSeverin, R., Sabbahi, A., Albarrati, A., Phillips, S. A., & Arena, S. (2020) · Physical Therapy · doi:10.1093/ptj/pzaa034 · Cited by 43 · see citing works
Cardiorespiratory Fitness, Workload, and the Blood Pressure Response to Exercise Testing
Schultz, M. G., La Gerche, A., & Sharman, J. E. (2022) · Exercise and Sport Sciences Reviews · doi:10.1249/jes.0000000000000276 · Cited by 36 · see citing works
“Copyright © 2021 by the American College of Sports Medicin (6,9), perhaps owing to a lack of workload standardization.”
BackgroundResultInfluentialSelf-citationHuang, Z., Sharman, J. E., Fonseca, R., Park, C., Chaturvedi, N., Davey Smith, G., Howe, L. D., Lawlor, D. A., Hughes, A. D., & Schultz, M. G. (2020) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.13525 · Cited by 27 · see citing works
Self-citationSchultz, M. G., Currie, K. D., Hedman, K., Climie, R. E., Maiorana, A., Coombes, J. S., & Sharman, J. E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052819 · Cited by 27 · see citing works
Self-citationSubmaximal exercise blood pressure and cardiovascular structure in adolescence
Schultz, M. G., Park, C., Fraser, A., Howe, L. D., Jones, S., Rapala, A., Davey Smith, G., Sharman, J. E., Lawlor, D. A., Chaturvedi, N., et al. (2019) · International Journal of Cardiology · doi:10.1016/j.ijcard.2018.10.060 · Cited by 15 · see citing works
Self-citationHuang, Z., Fonseca, R., Sharman, J. E., Park, C., Chaturvedi, N., Howe, L. D., Hughes, A. D., & Schultz, M. G. (2020) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.13645 · Cited by 13 · see citing works
Self-citationMoore, M. N., Picone, D. S., Callisaya, M. L., Srikanth, V., Sharman, J. E., & Schultz, M. G. (2019) · The Journal of Clinical Hypertension · doi:10.1111/jch.13717 · Cited by 9 · see citing works
Moore, M. N., Climie, R. E., Otahal, P., & Schultz, M. G. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002962 · Cited by 23 · see citing works
Self-citation
- Authors
- Schultz, M. G., Otahal, P., Picone, D. S., & Sharman, J. E.
- Affiliations
- University of Tasmania (AU)
- Corresponding author
- Sharman, James E.
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 66
- Issue
- 16
- Pages
- 1843-1845
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2099542648
- Cited by
- 72
- References
- 4
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 6 · 2023: 7 · 2022: 4 · 2021: 9 · 2020: 10 · 2019: 7 · 2018: 6 · 2017: 7 · 2016: 3
- FWCI
- 3.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- exercise stress testing, blood pressure measurement, cardiovascular risk assessment, hypertension, exercise-induced hypertension, patient monitoring
- MeSH terms
- Blood Pressure, Exercise Test, Humans, Hypertension, Exercise, Risk Assessment
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