Document Detail


High prevalence of hypertension among collegiate football athletes.
MedLine Citation:
PMID:  24221829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The prevalence of hypertension among collegiate football athletes is not well described.
METHODS AND RESULTS: A retrospective cohort of all male athletes who participated in varsity athletics at a National Collegiate Athletic Association Division I university between 1999 and 2012 was examined through chart review. Mandatory annual preparticipation physical examinations included blood pressure, body mass index, medication use, and supplement use. Prevalence of hypertension was compared between football and nonfootball athletes. A mixed-effects linear regression model examined change in blood pressure over time. Six hundred thirty-six collegiate athletes, including 323 football players, were identified. In the initial year of athletic participation, 19.2% of football athletes had hypertension and 61.9% had prehypertension. The prevalence of hypertension was higher among football athletes than in nonfootball athletes in their initial (19.2% versus 7.0%; P<0.001) and final (19.2% versus 10.2%; P=0.001) years of athletic participation. In adjusted analyses, the odds of hypertension were higher among football athletes in the initial year (adjusted odds ratio, 2.28; 95% confidence interval, 1.21-4.30) but not in the final year (adjusted odds ratio, 1.25; 95% confidence interval, 0.69-2.28). Over the course of their collegiate career, football athletes had an annual decrease in systolic blood pressure (-0.82 mm Hg; P=0.002), whereas nonfootball athletes did not (0.18 mm Hg; P=0.58).
CONCLUSIONS: Hypertension and prehypertension were common among collegiate football athletes, and football athletes were more likely to have hypertension compared with male nonfootball athletes. This presents a potential cardiovascular risk in a young population of athletes. Strategies for increasing awareness, prevention, and treatment are needed.
Authors:
Ashley Rowatt Karpinos; Christianne L Roumie; Hui Nian; Alex B Diamond; Russell L Rothman
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2013-11-12
Journal Detail:
Title:  Circulation. Cardiovascular quality and outcomes     Volume:  6     ISSN:  1941-7705     ISO Abbreviation:  Circ Cardiovasc Qual Outcomes     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-22     Completed Date:  2014-08-15     Revised Date:  2014-11-13    
Medline Journal Info:
Nlm Unique ID:  101489148     Medline TA:  Circ Cardiovasc Qual Outcomes     Country:  United States    
Other Details:
Languages:  eng     Pagination:  716-23     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Athletes*
Blood Pressure
Body Mass Index
Cohort Studies
Football / statistics & numerical data*
Humans
Hypertension / epidemiology*
Male
Prevalence
Retrospective Studies
Time Factors
United States
Young Adult
Grant Support
ID/Acronym/Agency:
P30 CA068485/CA/NCI NIH HHS; P30CA068485/CA/NCI NIH HHS; UL1 TR000445/TR/NCATS NIH HHS; UL1 TR000445/TR/NCATS NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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