About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

What Should be the Ideal Blood Pressure While Taking Exercise Tests?

by Rishika Gupta on February 14, 2018 at 5:22 PM
Font : A-A+

What Should be the Ideal Blood Pressure While Taking Exercise Tests?

Guideline to evaluate a person's highest blood pressure during a cardiopulmonary exercise test needs to be revised, suggests a new study. The findings of this study are published in the journal Hypertension.

"This is the first systemic effort to establish maximum exercise blood pressure norms in more than 20 years," said Shane Phillips, professor and associate head of physical therapy at the UIC College of Applied Health Sciences.

Advertisement


Cardiologists use cardiopulmonary exercise testing when patients complain of symptoms of cardiac stress, like unexplained shortness of breath, and by physical therapists when it is important to establish a patient's capacity for exercise.

Phillips, who is corresponding author on the study, and his colleagues in the Integrative Physiology Laboratory analyzed blood pressure response data collected over 30 years by FRIEND, also known as the Fitness Registry and the Importance of Exercise: A National Database, during exercise tests of 1,605 healthy men and 1,312 healthy women between the ages of 20 and 79. The researchers determined percentiles of maximal systolic and diastolic blood pressure for each decade of life.
Advertisement

The researchers found that peak systolic blood pressure, the first number of a blood pressure measurement that tracks the pressure in blood vessels when the heart beats, increased with age in both men and women up to age 60, after which there was a plateau.

They also found that neither group came close to reaching the current threshold of 90th percentile maximum systolic blood pressure during exercise to be considered exercise hypertension and at risk -- 210 for men and 190 for women -- until after the 4th decade.

"The data we saw was a bit lower than what older studies have shown," Phillips said. "This suggests there could be a valid case for lowering the threshold, especially in younger adults, in order to accurately identify someone with a borderline response who might benefit from preventive treatment."

The study also showed that men and women followed different patterns when it came to diastolic blood pressure, the second number that measures pressure in blood vessel between heartbeats.

"We found the trajectory of peak diastolic blood pressure with age is different between men and women," Phillips said. "Women showed a continued increase through the lifespan instead of reaching a plateau."

Phillips said this variation reflects differences in vascular physiology, like the greater worsening of ventricular diastolic stiffness with age in women, when compared with men.

Like systolic measurements, peak diastolic blood pressure measurements in the current study were lower than in previous studies.

"I think the take-home message from this study is that a one-size-fits-all approach does not work when it comes to cardiopulmonary exercise testing," Phillips said. "Peak blood pressure changes as we age and our standards evaluating a vascular response to exercise should better reflect norms by both age and gender."

Philips believes that more studies are needed before these results can be applied to the general public, as 94 percent of the subjects in this study identified as white and there were significantly fewer subjects in the last age group, between the ages of 70 and 79. Still, "the case is strong for further validation of these results to improve use and accuracy of exercise testing for diagnostics and screening," Phillips said.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Health Benefits of Giloy
Breast Cancer Awareness Month 2021 - It's time to RISE
First-Ever Successful Pig-To-Human Kidney Transplantation
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
High Blood Pressure Thalassemia Diet Lifestyle and Heart Disease Diet and High Blood Pressure Stress and the Gender Divide Tips to Live Longer Quiz on Hypertension Heart Attack- Lifestyle Risks Exercise and Fitness Lifestyle Modification: No Big Deal! 

Recommended Reading
High Blood Pressure can Lead to Organ Damage Among Teens
High BP in youth is defined differently than it is in adults. In childhood, high blood pressure is ....
Study Reveals What Dropping Blood Pressure may Mean for the Elderly
It's normal for blood pressure to trend lower in the elderly, but it could be a foreshadow of ......
Systolic Blood Pressure is a Useful Predictor for Patients Experiencing STEMI
STEMI is one type of myocardial infarction in which a part the heart muscle (myocardium) has died .....
Regular Sauna Bathers can Keep Their Blood Pressure in Check
Elevated blood pressure risks of frequent sauna bathers were found to be 50% lower to men who had .....
Diet and High Blood Pressure
High blood pressure or hypertension is defined as a blood pressure of above 140 mm Hg (systolic) and...
Exercise and Fitness
Exercise is about revamping your lifestyle, not just weight loss. Exercise to get healthy – that way...
Heart Attack- Lifestyle risks
Heart attack is the death of the heart muscle due to loss of blood supply. Simple guidelines to avoi...
High Blood Pressure
High blood pressure or hypertension is a chronic condition, which usually lasts a lifetime once it i...
Lifestyle Modification: No Big Deal!
Simple and practically possible lifestyle changes can make a huge difference in improving our health...
Stress and the Gender Divide
Stress has become entwined in the current lifestyle of a young working couple and has resulted in th...
Thalassemia
Thalassemia is an inherited blood disorder passed on through parental genes causing the body to prod...
Tips to Live Longer
Though life is temporary and short, it is possible to maximize the span of our existence by living h...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use