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Blood pressure response to maximal dynamic exercise testing in an athletic population
Abstract
Objective Exaggerated blood pressure (BP) response to exercise testing has been linked to left ventricular hypertrophy and myocardial fibrosis in competitive athletes. Due to frequent training, athletes are particularly exposed to high BP levels, but data on the magnitude and distribution of BP response to exercise in athletic populations is scarce. Methods Cycle ergometry was performed in 2419 healthy competitive adolescent, professional and master athletes (age 26 ± 12 years, range 9-74, 27% women, 84 disciplines) for preparticipation screening. Fulfilling both subjective and at least two out of three objective exhaustion criteria (maximal heart rate >85% predicted, lactate ≥7 mmol/l, rate of perceived exertion ≥17) was required. Echocardiography was also performed. Results Maximal workload was 305 ± 59 W (mean ± SD) in men and 218 ± 40 in women. SBP increased significantly (men, Δ80 ± 20; women, Δ67 ± 16 mmHg; P 210 mmHg) and 28% in women (>190 mmHg). SBP response was more pronounced in endurance athletes, whereas DBP was slightly higher in strength athletes. Among cardiac dimensions, the strongest association for maximal SBP was found for left ventricular mass (r = 0.489; P Conclusion SBP response to exercise testing is markedly exaggerated particularly in male endurance athletes. The prognostic significance of these findings regarding long-term cardiovascular alterations requires further clarification.
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“Despite this, EEBP in athletes at maximal workloads seems to occur generally in the absence of resting cardiovascular abnormalities (46,48).”
From Cardiorespiratory Fitness, Workload, and the Blood Pressure Response to Exercise Testing (2022) · cites this paper as [46]
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Metadata
- Authors
- Pressler, A., Jähnig, A., Halle, M., & Haller, B.
- Affiliations
- TUM Klinikum (DE)
- Corresponding author
- Pressler, Axel
- Venue
- Journal of Hypertension
- Published
- 2018-09
- Volume
- 36
- Issue
- 9
- Pages
- 1803-1809
- ISSN
- 0263-6352 (ISSN-L)
- OpenAlex
- W2804107099
- Cited by
- 47
- References
- 26
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 13 · 2021: 8 · 2020: 5 · 2019: 6 · 2018: 1
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- blood pressure response to exercise, competitive athletes, left ventricular hypertrophy, left ventricular mass, endurance athletes, strength athletes, pre-participation screening, cycle ergometry, systolic blood pressure, diastolic blood pressure, sex differences, cardiovascular risk in athletes
- MeSH terms
- Adolescent, Adult, Aged, Blood Pressure, Child, Exercise Test, Female, Humans, Hypertension, Male, Middle Aged, Sports, Cohort Studies, Exercise, Hypertrophy, Left Ventricular, Young Adult, Athletes
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