Janssens, Kristel and Foulkes, Stephen J and Mitchell, Amy M and Dausin, Christophe and Van Soest, Sofie and Spencer, Luke and Rowe, Stephanie J and D’Ambrosio, Paolo and Elliott, Adrian D and Van Puyvelde, Tim and Parr, Evelyn B and Willems, Rik and Heidbuchel, Hein and Claessen, Guido and La Gerche, Andre (2025) Blood pressure response to graded bicycle exercise in males and females across the age and fitness spectrum. European Journal of Preventive Cardiology, 32 (1). pp.43-51. ISSN 2047-4873
Full text not available from this repository.Abstract
Abstract Aims
Blood pressure (BP) responses to exercise are frequently measured, with the concern that greater increases are a marker of disease. We sought to characterize the normal exercise BP response in healthy adults and its relationships with age, sex, and fitness.
Methods and results
Five hundred and eighty-nine participants [median age 46 (interquartile range 24–56) years, 81% male] underwent cardiopulmonary exercise testing with repeated, automated BP measures. An exaggerated maximal systolic BP (SBPmax) was defined from current guidelines as ≥210 mmHg in males and ≥190 mmHg in females. Individual linear regression analyses defined the relationship between BP and workload (W; SBP/W-slope and DBP/W-slope). Participants with or without an exaggerated SBPmax and above- or below-median SBP/W-slope were compared. An exaggerated SBPmax was found in 51% of males and 64% of females and was more prevalent in endurance-trained athletes (males 58%, females 72%, P < 0.001). The mean SBP/W-slope was lower in males (0.24 ± 0.10 mmHg/W) than females (0.27 ± 0.12 mmHg/W, P = 0.031). In both sexes, peak oxygen uptake (VO2peak) was inversely correlated with SBP/W-slope (P < 0.01). Those with an exaggerated SBPmax and below-median SBP/W-slope were 10 years younger and had a 20% higher VO2peak, on average (P < 0.001). A non-exaggerated SBPmax and above-median SBP/W-slope was observed in older individuals with the lowest VO2peak.
Conclusion
In a large cohort of healthy individuals, an exaggerated SBPmax was common and associated with higher fitness. In contrast, higher SBP indexed to W was associated with older age, lower fitness, and female sex. Thus, sex, age, and fitness should be considered when evaluating BP response to exercise.
Registration
Pro@Heart: NCT05164328, ACTRN12618000716268; ProAFHeart: ACTRN12618000711213; Master@Heart: NCT03711539
| Item Type: | Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Depositing User: | Repository Administrator |
| Date Deposited: | 05 May 2025 00:49 |
| Last Modified: | 05 May 2025 00:49 |
| URI: | https://eprints.victorchang.edu.au/id/eprint/1661 |
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