Document Detail


Exercise blood pressure and the risk of future hypertension.
MedLine Citation:
PMID:  22129608     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The aim of this prospective cohort study was to identify which blood pressure measurement during exercise is the best predictor of future hypertension. Further we aimed to create a risk chart to facilitate the evaluation of blood pressure reaction during exercise testing. A number (n=1047) of exercise tests by bicycle ergometry, performed in 1996 and 1997 were analysed. In 2007-2008, 606 patients without hypertension at the time of the exercise test were sent a questionnaire aimed to identify current hypertension. The response rate was 58% (n=352). During the 10-12 years between exercise test and questionnaire, 23% developed hypertension. The strongest predictors of future hypertension were systolic blood pressure (SBP) before exercise (odds ratios (OR) 1.63 (1.31-2.01) for 10 mm Hg difference) in combination with the increase of SBP over time during exercise testing (OR 1.12 (1.01-1.24) steeper increase for every 1 mm Hg min(-1)). A high SBP before exercise and a steep rise in SBP over time represented a higher risk of developing hypertension. A risk chart based on SBP before exercise, increase of SBP over time and body mass index was created. SBP before exercise, maximal SBP during exercise and SBP at 100 W were significant single predictors of future hypertension and the prediction by maximal SBP was improved by adjusting for time/power at which SBP max was reached during exercise testing. Recovery ratio (maximal SBP/SBP 4 min after exercise) was not predictive of future hypertension.Journal of Human Hypertension advance online publication, 1 December 2011; doi:10.1038/jhh.2011.99.
Authors:
L Holmqvist; L Mortensen; C Kanckos; C Ljungman; K Mehlig; K Manhem
Related Documents :
10347778 - Evaluation of electromyographic activity and heart rate responses to isometric exercise...
10601158 - Oxygen-conserving effects of apnea in exercising men.
18025778 - Femoral localization and higher ultrafiltration rate but not concentration of heparin u...
6342218 - Six-day kidney preservation in a canine model. influence of a one-to-four-hour ex vivo ...
10933078 - Frequency and determinants of exaggerated bronchoconstriction during shortened methacho...
17991788 - The use of functional mri to evaluate cervical flexor activity during different cervica...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-01
Journal Detail:
Title:  Journal of human hypertension     Volume:  -     ISSN:  1476-5527     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8811625     Medline TA:  J Hum Hypertens     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Emergency and Cardiovascular Medicine, Institute of Medicine, Sahlgrenska University Hospital/Ostra, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Distinct effects of fixed combinations of valsartan with either amlodipine or hydrochlorothiazide on...
Next Document:  Gender differences in the prevalence of metabolic syndrome in 50-year-old Swedish men and women with...