Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents

Association of blood pressure response during exercise of cardiometabolic risk factors (CMRF) is demonstrated in adults. The objective was to determine predictors of raised exercise blood pressure (BP) response during aerobic exercise in obese adolescents. The maximal treadmill test using the Bruce...

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Autores principales: L. V. Danilyuk, A. V. Pogodina, L. V. Rychkova, A. V. Mashanskaya
Formato: article
Lenguaje:RU
Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2016
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Acceso en línea:https://doaj.org/article/a6ac3f3895c8442e86dca35018d845d3
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spelling oai:doaj.org-article:a6ac3f3895c8442e86dca35018d845d32021-11-23T06:14:35ZPredictors of exaggerated blood pressure response to aerobic exercise in obese adolescents2541-94202587-959610.12737/23340https://doaj.org/article/a6ac3f3895c8442e86dca35018d845d32016-09-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/268https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Association of blood pressure response during exercise of cardiometabolic risk factors (CMRF) is demonstrated in adults. The objective was to determine predictors of raised exercise blood pressure (BP) response during aerobic exercise in obese adolescents. The maximal treadmill test using the Bruce protocol was performed in 82 normotensive obese adolescents (12-17 y.o., 43 boys). Adolescents were divided into 2 groups: group 1 (n = 68) - children with normal BP response to exercise; group 2 (n = 14) - adolescents who had excessive increase in systolic BP (SBP) during exercise. We used logistic regression analysis to examine the associations between cardiometabolic risk factors (CMRF) and SBP response during exercise with adjustment for baseline SBP, sex, age and duration of exercise test period. We have found exaggerated BP response to exercise in 17.1 % of patients. In adolescents of group 2 baseline SBP was higher than in group 1 (p = 0.01). Glucose level and lipid metabolism disturbances, SDS Z-score, baseline SBP levels only by 24.8 % explained the formation of the hyperreactive SBP response to exercise (χ2 = 13.2; р = 0.068). Only baseline SBP was an independent predictor for exaggerated BP response (p = 0.025) and age was a significant trend towards influence (p = 0.054). Exaggerated BP response to exercise in normotensive obese adolescents is more common for older adolescents who have baseline SBP levels in the range of elevated normal values. Knowing CMRF as well as the degree of excess weight has no effect on excessive BP rise during exercise.L. V. DanilyukA. V. PogodinaL. V. RychkovaA. V. MashanskayaScientific Сentre for Family Health and Human Reproduction Problemsarticlecardiometabolic risktreadmillobesityadolescentsexercise tolerance testblood pressureScienceQRUActa Biomedica Scientifica, Vol 1, Iss 5, Pp 9-14 (2016)
institution DOAJ
collection DOAJ
language RU
topic cardiometabolic risk
treadmill
obesity
adolescents
exercise tolerance test
blood pressure
Science
Q
spellingShingle cardiometabolic risk
treadmill
obesity
adolescents
exercise tolerance test
blood pressure
Science
Q
L. V. Danilyuk
A. V. Pogodina
L. V. Rychkova
A. V. Mashanskaya
Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents
description Association of blood pressure response during exercise of cardiometabolic risk factors (CMRF) is demonstrated in adults. The objective was to determine predictors of raised exercise blood pressure (BP) response during aerobic exercise in obese adolescents. The maximal treadmill test using the Bruce protocol was performed in 82 normotensive obese adolescents (12-17 y.o., 43 boys). Adolescents were divided into 2 groups: group 1 (n = 68) - children with normal BP response to exercise; group 2 (n = 14) - adolescents who had excessive increase in systolic BP (SBP) during exercise. We used logistic regression analysis to examine the associations between cardiometabolic risk factors (CMRF) and SBP response during exercise with adjustment for baseline SBP, sex, age and duration of exercise test period. We have found exaggerated BP response to exercise in 17.1 % of patients. In adolescents of group 2 baseline SBP was higher than in group 1 (p = 0.01). Glucose level and lipid metabolism disturbances, SDS Z-score, baseline SBP levels only by 24.8 % explained the formation of the hyperreactive SBP response to exercise (χ2 = 13.2; р = 0.068). Only baseline SBP was an independent predictor for exaggerated BP response (p = 0.025) and age was a significant trend towards influence (p = 0.054). Exaggerated BP response to exercise in normotensive obese adolescents is more common for older adolescents who have baseline SBP levels in the range of elevated normal values. Knowing CMRF as well as the degree of excess weight has no effect on excessive BP rise during exercise.
format article
author L. V. Danilyuk
A. V. Pogodina
L. V. Rychkova
A. V. Mashanskaya
author_facet L. V. Danilyuk
A. V. Pogodina
L. V. Rychkova
A. V. Mashanskaya
author_sort L. V. Danilyuk
title Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents
title_short Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents
title_full Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents
title_fullStr Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents
title_full_unstemmed Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents
title_sort predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2016
url https://doaj.org/article/a6ac3f3895c8442e86dca35018d845d3
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AT lvrychkova predictorsofexaggeratedbloodpressureresponsetoaerobicexerciseinobeseadolescents
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