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

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

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

Název periodika

Frontiers in Physiology

ISSN

—

e-ISSN

1664-042X

Svazek periodika

15

Číslo periodika v rámci svazku

November

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

13

Strana od-do

1456331

Kód UT WoS článku

001371612100001

EID výsledku v databázi Scopus

2-s2.0-85211639905