Prevalence of arterial hypertension in young elite athletes with a hypertensive type of response to physical activity
https://doi.org/10.47529/2223-2524.2023.4.5
Abstract
Aim of the study: to assess the prevalence of arterial hypertension in athletes with high BP values during an exercise test.
Methods: out of 2313 athletes 14–18 (15.5 ± 1.4) years old, according to the results of VEM, 128 (6 %; 60 m) people with high blood pressure values at maximum load were identified, 86 (67 %) of them underwent ABPM. The patient were divided into 2 groups: with normal — 62 (72 %) and high office BP – 24 (28 %).
Results: athletes with high office BP values had a significantly higher BMI. We did not note any significant differences in ABPM between the two groups. 71 % had arterial hypertension, 65 % had masked arterial hypertension.
Conclusions: in young elite athletes with high values of BP during exercise, 71 % are diagnosed arterial hypertension according to ABPM; in 65% masked arterial hypertension has detected, which dictates the need for ABPM in this group of athletes.
About the Authors
V. N. Komoliatova
Federal Scientific and Clinical Center for Children and Adolescents. Center for Syncope and Cardiac Arrhythmias; Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Vera N. Komoliatova, Dr. Sci. (Med.); Professor of Department of Pediatrics
115409, Moscow, Moskvorechye str., 20;
Moscow, Barrikadnaya str., 2/1, bld. 1
D. A. Besportochnii
Federal Scientific and Clinical Center for Children and Adolescents. Center for Syncope and Cardiac Arrhythmias
Russian Federation
Russian Federation
Dmitriy A. Besportochnii, doctor
115409, Moscow, Moskvorechye str., 20
L. M. Makarov
Federal Scientific and Clinical Center for Children and Adolescents. Center for Syncope and Cardiac Arrhythmias; Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Leonid M. Makarov, M.D., Ph.D. (Medicine), Head; Professor of Department of Pediatrics
115409, Moscow, Moskvorechye str., 20;
Moscow, Barrikadnaya str., 2/1, bld. 1
I. I. Kiseleva
Federal Scientific and Clinical Center for Children and Adolescents. Center for Syncope and Cardiac Arrhythmias
Russian Federation
Russian Federation
Irina I. Kiseleva, Cand. Sci. (Med.)
115409, Moscow, Moskvorechye str., 20
N. V. Aksenova
Federal Clinical Center for High Medical Technologies, treatment and rehabilitation “OKA” of the Federal Medical and Biological Agency
Russian Federation
Russian Federation
Natalya V. Aksenova, Chef Medical department
140570, Moscow Region, Ozersk district, Tarbushevo village
References
1. Mazic S., Lazic J., Dekleva M., Antic M., Soldatovic I., Djelic M., et al. The impact of elevated blood pressure on exercise capacity in elite athletes. Int. J. Cardiol. 2015;180:171–177. https://doi.org/10.1016/j.ijcard.2014.11.125
2. Caselli S., Serdoz A., Mango F., Lemme E., Sequi A.V., Milan A., et al. High blood pressure response to exercise predicts future development of hypertension in young athletes. Eur. Heart J. 2019;40(1):62–68. https://doi.org/10.1093/eurheartj/ehy810
3. Lurbe E., Agabiti-Rosei E., Kennedy Cruickshank J., Dominiczak A., Erdine S., Hirth A., et al. European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents. J. Hypertens. 2016;34(10):1887–1920. https://doi.org/10.1097/HJH.0000000000001039
4. Aleksandrov A.A., Kisliak O.A., Leontyeva I.V. Clinical guidelines on arterial hypertension diagnosis, treatment and prevention in children and adolescents. Systemic Hypertension. 2020;17(2):7–35. (In Russ.). https://doi.org/10.26442/2075082X.2020.2.200126
5. Urbina E., Alpert B., Flynn J., Hayman L., Harshfield G.A., Jacobson M., et al. Ambulatory blood pressure monitoring in children and adolescents: recommendations for standard assessment a scientific statement from the American heart association atherosclerosis, hypertension, and obesity in youth committee of the council on cardiovascular disease in the young and the council for high blood pressure research. Hypertension. 2008;52(3):433–451. https://doi.org/10.1161/HYPERTENSIONAHA.108.190329
6. Casseli S., Sequi A.V., Lemme E., Quattciui F., Milan A., D`Ascenzi F., et al. Prevalence and management of systemic hypertension. Am. J. Card. 2017;119(10):1616–1622. https://doi.org/10.1016/j.amjcard.2017.02.011
7. Berge H.M., Isern C.B., Berge E. Blood pressure and hypertension in athletes: a systematic review. Br. J. Sports Med. 2015;49(11):716–723. https://doi.org/10.1136/bjsports-2014-093976
8. Balykova L.A., Klyuchnikov S.O., Ivyansky S.A., Shirokova A.A., Soldatov O.M., Soldatov Yu.O., et al. Complex diagnosis of arterial hypertension in athletes specializing in various sports. Rossiyskiy Vestnik Perinatologii i Pediatrii = Russian Bulletin of Perinatology and Pediatrics. 2022;67:(3):73–80. (In Russ.). https://doi.org/10.21508/1027-4065-2022-67-3-73-80
9. Seeman T., Sulakova T., Stabouli S. Masked hypertension in healthy children and adolescents: who should be screened? Curr. Hypertens. Rep. 2023;25(9):231–242. https://doi.org/10.1007/s11906-023-01260-6
10. Caselli S., Seguia V., Quattrini F., Di Gacinto B., Milan A., Assorgi R., et al. Upper normal values of blood pressure response to exercise in Olympic athletes. Am. Heart. J. 2016;177:120–128. https://doi.org/10.1016/j.ahj.2016.04.020
11. Komoliatova V.N., Besportochnii D.A., Makarov L.M., Kiseleva I.I., Aksenova N.V. Parameters of blood pressure during stress test in young elite athletes. Sports medicine: research and practice. 2022;12(1):86–91. (In Russ.). https://doi.org/10.47529/2223-2524.2022.1.10
12. Le V.V., Mitiku T., Sungar G., Myers J., Froelicher V. The blood pressure response to dynamic exercise testing: a systematic review. Prog. Cardiovasc. Dis. 2008;51(2):135–160. https://doi.org/10.1016/j.pcad.2008.07.001
13. Schultz M.G., Hordern M.D., Leano R., Coombes J.S., Marwick T.H., Sharman J.E. Lifestyle change diminishes a hypertensive response to exercise in type 2 diabetes. Med. Sci Sports Exerc. 2011;43(5):764–769. https://doi.org/10.1249/MSS.0b013e3181fcf034
14. Kramer C.K., Leitao C.B., Canani L.H., Ricardo E.D., Pinto L.C., Gross J.L. Blood pressure responses to exercise in type II diabetes mellitus patients with masked hypertension. J. Hum. Hypertens. 2009;23(9):620–622. https://doi.org/10.1038/jhh.2009.24
15. Thanassoulis G., Lyass A., Benjamin E.J., Larson M.G., Vita J.A., Levy D., et al. Relations of exercise blood pressure response to cardiovascular risk factors and vascular function in the Framingham Heart Study. Circulation. 2012;125(23):2836–2843. https://doi.org/10.1161/CIRCULATIONAHA.111.063933
16. Schultz M.G., Otahal P., Cleland V.J., Blizzard L., Marwick T.H., Sharman J.E. Exercise-induced hypertension, cardiovascular events, andmortality in patients undergoing exercise stress testing: a systematic review and meta-analysis. Am. J. Hypertens. 2013;26(3):357–366. https://doi.org/10.1093/ajh/hps053
17. Laurent S., Cockcroft J., Van Bortel L., Boutouyrie P., Giannattasio C., Hayoz D., et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur. Heart J. 2006;27(21):2588–2605. https://doi.org/10.1093/eurheartj/ehl254
18. Vlachopoulos C., Aznaouridis K., Stefanadis C. Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis. J. Am. Coll. Cardiol 2010;55(13):1318–1327 https://doi.org/10.1016/j.jacc.2009.10.061
19. Tzemos N., Lim P.O., MacDonald T.M. Exercise blood pressure and endothelial dysfunction in hypertension. Int. J. Clin. Pract. 2009;63(2):202–206. https://doi.org/10.1111/j.1742-1241.2008.01922.x
20. Stewart K.J., Sung J., Silber H.A., Fleg J.L., Kelemen M.D., Turner K.L., et al. Exaggerated exercise blood pressure is related to impaired endothelial vasodilator function. Am. J. Hypertens. 2004;17(4):314–320. https://doi.org/10.1016/S0895-7061(03)01003-3
21. Brett S.E., Ritter J.M., Chowienczyk P.J. Diastolic blood pressure changes during exercise positively correlate with serum cholesterol and insulin resistance. Circulation. 2000;101(6):611–615. https://doi.org/10.1161/01.cir.101.6.611
Supplementary files
Review
For citations:
Komoliatova V.N., Besportochnii D.A., Makarov L.M., Kiseleva I.I., Aksenova N.V. Prevalence of arterial hypertension in young elite athletes with a hypertensive type of response to physical activity. Sports medicine: research and practice. 2023;13(4):5-11. (In Russ.) https://doi.org/10.47529/2223-2524.2023.4.5
Views:
1118
Email this article 