Buy (150 RUB)
Generate QR code
Open Access
Subscription or Fee Access
Management of arterial hypertension: practical aspects in young athletes
https://doi.org/10.21508/1027-4065-2022-67-5-130-134
Abstract
Regular physical activity has a positive effect on blood pressure, but despite this fact, arterial hypertension in athletes, including children and adolescents, is a common problem. It is known that an increase in blood pressure is the most common cardiac symptom detected on pre-competition examination or physical performance testing. The risk factors for hypertension in young athletes are generally similar to those in the child and adolescent population as a whole, but some risk factors exist that are specific to athletes. The article discusses the possibilities of admittance of young athletes to sports competitions and the main aspects of drug and non-drug therapy.
About the Authors
D. I. Sadykova
Kazan State Medical University
Russian Federation
Russian Federation
Kazan
I. Ya. Lutfullin
Kazan State Medical Academy, Branch Campus of the Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Kazan
Z. R. Habibrahmanova
Kazan State Medical University
Russian Federation
Russian Federation
Kazan
References
1. Whelton S.P., Chin A., Xin X., He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med 2002; 136(7): 493-503. DOI: 10.7326/0003-4819-136-7-200204020-00006
2. Hu G., Barengo N.C., Tuomilehto J., Lakka T.A., Nissinen A., Jousilahti P. Relationship of physical activity and body mass index to the risk of hypertension: a prospective study in Finland. Hypertension 2004; 43(1): 25-30. DOI: 10.1161/01.HYP.0000107400.72456.19
3. Lee C.D., Folsom A.R., Blair S.N. Physical activity and stroke risk: a meta-analysis Stroke 2003; 34: 2475-2481. DOI: 10.1161/01.STR.0000091843.02517.9D
4. Cornelissen V.A., Fagard R.H., Coeckelberghs E., Vanhees L. Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension 2011; 58: 950-958. DOI: 10.1161/HYPERTENSIONAHA.111.177071
5. Leyk D., Rüther T., Wunderlich M., Sievert A.P., Erley O.M., Löllgen H., Leyk D. Utilization and implementation of sports medical screening examinations: survey of more than 10 000 long-distance runners. Dtsch Arztebl Int 2008; 105(36): 609- 614. DOI: 10.3238/arztebl.2008.0609
6. Corrado D., Pelliccia A., Bjørnstad H.H., Vanhees L., Biffi A., Borjesson M., et al. Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2005; 26(5): 516-524. DOI: 10.1093/eurheartj/ehi108
7. Black H.R., Sica D., Ferdinand K., White W.B. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 6: Hypertension: A Scientific Statement from the American Heart Association and the American College of Cardiology. J Am Coll Cardiol 2015; 66(21): 2393-2397. DOI: 10.1016/j.jacc.2015.09.038
8. Varga-Pintér B., Horváth P., Kneffel Z., Major Z., Osváth P., Pavlik G. Resting blood pressure values of adult athletes. Kidney Blood Press Res 2011; 34(6): 387-395. DOI: 10.1159/000327850
9. MacDonald H.V., Johnson B.T., Huedo-Medina T.B., Livingston J., Forsyth K.C., Kraemer W.J. et al. Dynamic resistance training as standalone antihypertensive lifestyle therapy: a meta-analysis. J Am Heart Assoc 2016; 5(10): e003231. DOI: 10.1161/JAHA.116.003231
10. MacDougall J.D., McKelvie R.S., Moroz D.E., Sale D.G., McCartney N., Buick F. Factors affecting blood pressure during heavy weight lifting and static contractions. J Appl Physiol 1992; 73(4): 1590-1597. DOI: 10.1152/jappl.1992.73.4.1590
11. McCartney N., McKelvie R.S., Martin J., Sale D.G., MacDougall J.D. Weight-training-induced attenuation of the circulatory response of older males to weight lifting. J Appl Physiol 1993; 74(3): 1056-1060. DOI: 10.1152/jappl.1993.74.3.1056
12. O’Farrell A.M., Allwright S.P., Kenny S.C., Roddy G., Eldin N. Alcohol use among amateur sportsmen in Ireland. BMC Res Notes 2010; 3: 313. DOI: 10.1186/1756-0500-3-313
13. Maron B.J., Zipes D.P. Introduction: eligibility recommendations for competitive athletes with cardiovascular abnormalities-general considerations. J Am Coll Cardiol 2005; 45(8): 1318-1321. DOI: 10.1016/j.jacc.2005.02.006
14. Weiner R.B., Wang F., Isaacs S.K., Malhotra R., Berkstresser B., Kim J.H. et al. Blood pressure and left ventricular hypertrophy during American-style football participation. Circulation 2013; 128(5): 524-531. DOI: 10.1161/CIRCULATIONAHA.113.003522
15. Kindermann W. Arterielle Hypertonie. Sportkardiologie. Editors: Kindermann W., Dickhuth H.-H., Niess A., Ricker K., Urhausen A. Steinkopffverlag. Darmstadt, 2003; 145-156
16. Iglesias Cubero G., Batalla A., Rodriguez Reguero J.J., Barriales R., González V., de la Iglesia J.L., Terrados N. 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
17. Smolensky A.V., Zolicheva S.Yu., Mikhailova A.V., Kamaev K.A., Kolbaia L.I. Morphofunctional differences of young rowers with high blood pressure. Physiologiya cheloveka 2005; 4: 107-110. (in Russ.)
18. American Academy of Family Physicians, American College of Sports Medicine, American Medical Society. Preparticipation Physical Evaluation monograph, 4th ed. American Academy of Pediatrics, 2010; 240
19. Leddy J.J., Izzo J. Hypertension in athletes. J Clin Hypertens (Greenwich) 2009; 11(4): 226-233. DOI: 10.1111/j.1751-7176.2009.00100.x
20. Arterial hypertension in children and adolescents: clinical guidelines. Association of Pediatric Cardiologists of Russia. The Union of Pediatricians of Russia. 2016; 56. (in Russ.)
21. Pelliccia A., Sharma S., Gati S., Bäck M., Börjesson M., Caselli S., et al; ESC Scientific Document Group. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur Heart J 2021; 42(1): 17-96. DOI: 10.1093/eurheartj/ehaa605
22. Methodical recommendations of the Federal Medical and Biological Agency of Russia. Development of methodological recommendations on the criteria for admitting minor athletes to training and sports competitions in accordance with the type of sport, sports discipline, gender and age for diseases, pathological conditions and deviations from the cardiovascular system. (in Russ.) https://www.sportfmba.ru/component/jdownloads/send/82-piblic-metodicheskie-rekomendatsii/939-gvaw4523.
23. National recommendations for admittance of athletes with deviations from the cardiovascular system to the training and competitive process. Ratsional’naya farmakoterapiya v kardiologii 2011; 7(6S): 1-59. (in Russ.)
24. Niebauer J., Borjesson M., Carre F., Caselli S., Palatini P., Quattrini F. et al. Recommendations for participation in competitive sports of athletes with arterial hypertension: a position statement from the sports cardiology section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 2018; 39: 3664-3671. DOI: 10.1093/eurheartj/ehy511
25. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1997; 157: 2413-2446. DOI: 10.1001/archinte.157.21.2413
26. Chick T.W., Halperin A.K., Gacek E.M. The effect of antihypertensive medications on exercise performance: a review. Med Sci Sports Exerc 1988; 20: 447-454
Review
For citations:
Sadykova D.I., Lutfullin I.Ya., Habibrahmanova Z.R. Management of arterial hypertension: practical aspects in young athletes. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2022;67(5):130-134. (In Russ.) https://doi.org/10.21508/1027-4065-2022-67-5-130-134
Views:
452
Email this article 