Peak Systolic Blood Pressure During Preparticipation Exercise
Testing in 12,083 Athletes: Age, Sex, and Workload-Indexed
Values and Predictors

J 2024

Peak Systolic Blood Pressure During Preparticipation Exercise Testing in 12,083 Athletes: Age, Sex, and Workload-Indexed Values and Predictors

PESOVA, Petra; Bogna JIRAVSKA GODULA; Otakar JIRAVSKÝ; Libor JELINEK; Marketa SOVOVA et. al.

Základní údaje

Originální název

Peak Systolic Blood Pressure During Preparticipation Exercise Testing in 12,083 Athletes: Age, Sex, and Workload-Indexed Values and Predictors

Autoři

PESOVA, Petra (203 Česká republika); Bogna JIRAVSKA GODULA (203 Česká republika); Otakar JIRAVSKÝ (203 Česká republika, domácí); Libor JELINEK (203 Česká republika); Marketa SOVOVA (203 Česká republika); Katarina MORAVCOVA (203 Česká republika); Jaromir OZANA (203 Česká republika); Ivan RANIC (203 Česká republika); Radek NEUWIRTH (203 Česká republika, domácí); Roman MIKLÍK (203 Česká republika); Matej PEKAŘ (703 Slovensko, domácí); Libor SKNOURIL (203 Česká republika); Vladimir TUKA (203 Česká republika) a Eliska SOVOVA (203 Česká republika)

Vydání

FRONTIERS IN PHYSIOLOGY, LAUSANNE, FRONTIERS MEDIA SA, 2024, 1664-042X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30105 Physiology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.400

Kód RIV

RIV/00216224:14110/24:00137683

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.3389/fphys.2024.1456331

UT WoS

001371612100001

EID Scopus

2-s2.0-85211639905

Klíčová slova anglicky

blood pressure; exercise testing; athletes; SBP/WR slope; SBP/WR ratio

Štítky

14110211, 14110515, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 23. 1. 2025 12:51, Mgr. Tereza Miškechová

Anotace

V originále

Aim: Assessment of blood pressure during exercise is routine in athletes, but normal values remain equivocal. This study examines the response of systolic blood pressure (SBP) to exercise in a large cohort of athletes and establishes normative values by sex and age. Methods: Competitive athletes free of cardiovascular disease underwent pre-participation exercise testing on a bicycle ergometer. Resting (SBPrest) and peak blood pressure (SBPpeak), heart rate (HRrest and HRpeak), and power output (WR) were recorded. Workload indexed values were calculated. Results: The cohort included 12,083 athletes (median age 15 years, 26.9% female). Median peak exercise SBP was similar between sexes, but WR-indexed measures including SBP/WR ratio and SBP/(WR/kg) slope were higher in females (0.9 vs. 0.7, p < 0.001; 10.94 vs. 9.52, p < 0.001). Univariate analyses revealed significant associations between SBPpeak and several predictors, including sex, age, weight, height, SBPrest, DBPrest, HRrest, HRpeak, and WR (all p < .001). Multivariate analysis showed that SBPrest (beta = 0.353, 95% CI [0.541, 0.609], p < 0.001), height (beta = 0.303, 95% CI [0.360, 0.447], p < 0.001), WR (beta = 0.171, 95% CI [0.029, 0.045], p < 0.001), and age (beta = 0.093, 95% CI [0.162, 0.241], p < 0.001) were the strongest predictors of SBPpeak. Conclusion: This study provides reference values for the interpretation of SBP responses to exercise in athletes. Multivariate analyses highlight the complex interplay of factors influencing peak SBP, including SBPrest, height, WR, age, DBPrest, sex, endurance sport category, and weight. In future studies, these findings may inform the development of personalised training strategies and risk stratification models in athletic populations.

Citovat

PESOVA, Petra; Bogna JIRAVSKA GODULA; Otakar JIRAVSKÝ; Libor JELINEK; Marketa SOVOVA; Katarina MORAVCOVA; Jaromir OZANA; Ivan RANIC; Radek NEUWIRTH; Roman MIKLÍK; Matej PEKAŘ; Libor SKNOURIL; Vladimir TUKA a Eliska SOVOVA. Peak Systolic Blood Pressure During Preparticipation Exercise Testing in 12,083 Athletes: Age, Sex, and Workload-Indexed Values and Predictors. FRONTIERS IN PHYSIOLOGY. LAUSANNE: FRONTIERS MEDIA SA, 2024, roč. 15, November 2024, s. 1-13. ISSN 1664-042X. Dostupné z: https://doi.org/10.3389/fphys.2024.1456331.

@article{2453187,
   author = {Pesova, Petra and Jiravska Godula, Bogna and Jiravský, Otakar and Jelinek, Libor and Sovova, Marketa and Moravcova, Katarina and Ozana, Jaromir and Ranic, Ivan and Neuwirth, Radek and Miklík, Roman and Pekař, Matej and Sknouril, Libor and Tuka, Vladimir and Sovova, Eliska},
   article_location = {LAUSANNE},
   article_number = {November 2024},
   doi = {https://doi.org/10.3389/fphys.2024.1456331},
   keywords = {blood pressure; exercise testing; athletes; SBP/WR slope; SBP/WR ratio},
   language = {eng},
   issn = {1664-042X},
   journal = {FRONTIERS IN PHYSIOLOGY},
   title = {Peak Systolic Blood Pressure During Preparticipation Exercise Testing in 12,083 Athletes: Age, Sex, and Workload-Indexed Values and Predictors},
   url = {https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1456331/full},
   volume = {15},
   year = {2024}
}

TY  - JOUR
ID  - 2453187
AU  - Pesova, Petra - Jiravska Godula, Bogna - Jiravský, Otakar - Jelinek, Libor - Sovova, Marketa - Moravcova, Katarina - Ozana, Jaromir - Ranic, Ivan - Neuwirth, Radek - Miklík, Roman - Pekař, Matej - Sknouril, Libor - Tuka, Vladimir - Sovova, Eliska
PY  - 2024
TI  - Peak Systolic Blood Pressure During Preparticipation Exercise Testing in 12,083 Athletes: Age, Sex, and Workload-Indexed Values and Predictors
JF  - FRONTIERS IN PHYSIOLOGY
VL  - 15
IS  - November 2024
SP  - 1-13
EP  - 1-13
PB  - FRONTIERS MEDIA SA
SN  - 1664042X
KW  - blood pressure
KW  - exercise testing
KW  - athletes
KW  - SBP/WR slope
KW  - SBP/WR ratio
UR  - https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1456331/full
N2  - Aim: Assessment of blood pressure during exercise is routine in athletes, but normal values remain equivocal. This study examines the response of systolic blood pressure (SBP) to exercise in a large cohort of athletes and establishes normative values by sex and age. Methods: Competitive athletes free of cardiovascular disease underwent pre-participation exercise testing on a bicycle ergometer. Resting (SBPrest) and peak blood pressure (SBPpeak), heart rate (HRrest and HRpeak), and power output (WR) were recorded. Workload indexed values were calculated. Results: The cohort included 12,083 athletes (median age 15 years, 26.9% female). Median peak exercise SBP was similar between sexes, but WR-indexed measures including SBP/WR ratio and SBP/(WR/kg) slope were higher in females (0.9 vs. 0.7, p < 0.001; 10.94 vs. 9.52, p < 0.001). Univariate analyses revealed significant associations between SBPpeak and several predictors, including sex, age, weight, height, SBPrest, DBPrest, HRrest, HRpeak, and WR (all p < .001). Multivariate analysis showed that SBPrest (beta = 0.353, 95% CI [0.541, 0.609], p < 0.001), height (beta = 0.303, 95% CI [0.360, 0.447], p < 0.001), WR (beta = 0.171, 95% CI [0.029, 0.045], p < 0.001), and age (beta = 0.093, 95% CI [0.162, 0.241], p < 0.001) were the strongest predictors of SBPpeak. Conclusion: This study provides reference values for the interpretation of SBP responses to exercise in athletes. Multivariate analyses highlight the complex interplay of factors influencing peak SBP, including SBPrest, height, WR, age, DBPrest, sex, endurance sport category, and weight. In future studies, these findings may inform the development of personalised training strategies and risk stratification models in athletic populations.
ER  -

PESOVA, Petra; Bogna JIRAVSKA GODULA; Otakar JIRAVSKÝ; Libor JELINEK; Marketa SOVOVA; Katarina MORAVCOVA; Jaromir OZANA; Ivan RANIC; Radek NEUWIRTH; Roman MIKLÍK; Matej PEKAŘ; Libor SKNOURIL; Vladimir TUKA a Eliska SOVOVA. Peak Systolic Blood Pressure During Preparticipation Exercise Testing in 12,083 Athletes: Age, Sex, and Workload-Indexed Values and Predictors. \textit{FRONTIERS IN PHYSIOLOGY}. LAUSANNE: FRONTIERS MEDIA SA, 2024, roč.~15, November 2024, s.~1-13. ISSN~1664-042X. Dostupné z: https://doi.org/10.3389/fphys.2024.1456331.

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