Peak systolic blood pressure during preparticipation exercise testing in 12,083 athletes: age, sex, and workload-indexed values and predictors

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F24%3A10158873" target="_blank" >RIV/00098892:_____/24:10158873 - isvavai.cz</a>

Result on the web

<a href="https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1456331/full" target="_blank" >https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1456331/full</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3389/fphys.2024.1456331" target="_blank" >10.3389/fphys.2024.1456331</a>

Result language

angličtina

Original language name

Peak systolic blood pressure during preparticipation exercise testing in 12,083 athletes: age, sex, and workload-indexed values and predictors

Original language description

Aim: Assessment of blood pressure during exercise is routine in athletes, but normal values remain equivocal. This study examines the response of systolic blood pressure (SBP) to exercise in a large cohort of athletes and establishes normative values by sex and age. Methods: Competitive athletes free of cardiovascular disease underwent pre-participation exercise testing on a bicycle ergometer. Resting (SBPrest) and peak blood pressure (SBPpeak), heart rate (HRrest and HRpeak), and power output (WR) were recorded. Workload indexed values were calculated. Results: The cohort included 12,083 athletes (median age 15 years, 26.9% female). Median peak exercise SBP was similar between sexes, but WR-indexed measures including SBP/WR ratio and SBP/(WR/kg) slope were higher in females (0.9 vs. 0.7, p &lt; 0.001; 10.94 vs. 9.52, p &lt; 0.001). Univariate analyses revealed significant associations between SBPpeak and several predictors, including sex, age, weight, height, SBPrest, DBPrest, HRrest, HRpeak, and WR (all p &lt; .001). Multivariate analysis showed that SBPrest (beta = 0.353, 95% CI [0.541, 0.609], p &lt; 0.001), height (beta = 0.303, 95% CI [0.360, 0.447], p &lt; 0.001), WR (beta = 0.171, 95% CI [0.029, 0.045], p &lt; 0.001), and age (beta = 0.093, 95% CI [0.162, 0.241], p &lt; 0.001) were the strongest predictors of SBPpeak. Conclusion: This study provides reference values for the interpretation of SBP responses to exercise in athletes. Multivariate analyses highlight the complex interplay of factors influencing peak SBP, including SBPrest, height, WR, age, DBPrest, sex, endurance sport category, and weight. In future studies, these findings may inform the development of personalised training strategies and risk stratification models in athletic populations.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Frontiers in Physiology

ISSN

—

e-ISSN

1664-042X

Volume of the periodical

15

Issue of the periodical within the volume

November

Country of publishing house

CH - SWITZERLAND

Number of pages

13

Pages from-to

1456331

UT code for WoS article

001371612100001

EID of the result in the Scopus database

2-s2.0-85211639905