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Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)

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Blood pressure values during stress test in young elite athletes

https://doi.org/10.21508/1027-4065-2022-67-2-109-113

Abstract

It is known the blood pressure in children at rest depend on height, but this fact has not been considered during the exercise stress test.

Purpose. To determine the maximum value of blood pressure in young elite athletes, depending on the height and gender.

Characteristics of children and research methods. The study examined 2313 young elite athletes, members of the national teams of the Russian Federation in 40 sports disciplines (average age — (15,5 ± 1,4) years; 45% of young men). All subjects underwent PWC170 cycle ergometry, blood pressure was measured manually at each stage of testing, and its maxima were registered throughout the testing.

Results. The maximum blood pressure values in boys were higher than in girls: systolic blood pressure (195 ± 25) vs (175 ± 20) mmHg, p<0,001, diastolic blood pressure (80 ± 11) vs (80 ± 10) mmHg, p<0,05. There was relationship between the maximum value of the blood pressure on exercise and height (r=0,55; p<0,001). There were proposed normative tables for the maximum values of systolic blood pressure during exercise, depending on height.

Conclusion. In the young elite athletes, the maximum value of blood pressure during stress test depends not only on the gender, but also on the height. The maximum values of systolic blood pressure during exercise in tall young elite athletes can reach 250 mmHg in boys and 210 mmHg in girls.

About the Authors

V. N. Komoliatova
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency; Russian Medical Academy of Continuous Professional Education
Russian Federation

Moscow



D. A. Besportochnii
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency
Russian Federation

Moscow



L. M. Makarov
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency; Russian Medical Academy of Continuous Professional Education
Russian Federation

Moscow



I. I. Kiseleva
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency
Russian Federation

Moscow



N. V. Aksenova
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency
Russian Federation

Moscow



References

1. The ESC Textbook of Sport Cardiology. Editors Pellicia A., Heinbuchel H., Corrado D., Sharma S. Oxford University Press (UK), 2019; 460

2. Makarov L.M., Fedina N.N., Komoliatova V.N., Besportochnii D.A., Kiselyova I.I. The normal parameters of blood pressure in young elite athletes during exercise test. Pediatriya. Zhurnal im. G.N. Speranskogo 2015; 94(2): 102–105. (in Russ.)

3. Flynn J.T., Kaelber D.C., Baker-Smith C.M., Blowey D., Carroll A.E., Daniels S.R. et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics 2017; 140(3): e20171904.

4. Mitchell J.H., Haskell W., Snell P., Van Camp S.P. Task Force 8: classification of sports. J Am Coll Cardiol 2005; 45(8): 1364–1367. DOI: 10,1016/j.jacc.2005.02.015

5. American College of Sports Medicine ACSM’s Guidelines for Exercise Testing and Prescription. 7th ed. Lippincott Willliams & Wilkins; 2006: 366

6. Daida H., Allison T.G., Squires R.W., Miller T.D., Gau G.T. Peak exercise blood pressure stratified by age and gender in apparently healthy subjects. Mayo Clin Proc 1996; 71: 445–452

7. Shahraki M.R, Mirshekari H., Shahraki A.R., Shahraki E., Naroi M. Arterial blood pressure in female students before, during and after exercise. ARYA Atherosclerosis J 2012; 8(1): 12–15

8. Caselli S., Vaquer Segui A., 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. DOI: 10,1016/j.ahj.2016.04.020

9. Iglesias Cubero G., Batalla A., Rodriguez Reguero J.J., Barriales R., Gonzalez V., de la Iglesia J.L. et al. Left ventricular mass index and sports: the influence of different sports activities and arterial blood pressure. Int J Cardiol 2000; 75(2–3): 261–265. DOI: 10,1016./s0167–5273(00)00342–9

10. Caselli S., Serdoz A., Mango F., Lemme E., Vaquer Seguì A., 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. DOI: 10,1093/eurheartj/ehy810

11. Manolio T.A., Burke G.L., Savage P.J., Sidney S., Gardin J.M., Oberman A. Exercise blood pressure response and 5-year risk of elevated blood pressure in a cohort of young adults: the CARDIA study. Am J Hypertens 1994; 7: 234–241


Review

For citations:


Komoliatova V.N., Besportochnii D.A., Makarov L.M., Kiseleva I.I., Aksenova N.V. Blood pressure values during stress test in young elite athletes. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2022;67(2):109-113. (In Russ.) https://doi.org/10.21508/1027-4065-2022-67-2-109-113

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ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)