scholarly journals Excessive Exercise Habits in Marathoners as Novel Indicators of Masked Hypertension

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Young-Joo Kim ◽  
Yongbum Park ◽  
Duk-Ho Kang ◽  
Chul-Hyun Kim

Background. Excessive exercise such as marathon running increases the risk of cardiovascular events that may be related to myocardial infarction and sudden death. We aimed to investigate that the exercise characteristics can be used as a novel indicator of masked hypertension. Methods. A total of 571 middle-aged recreational male marathoners were assigned to a high blood pressure group (HBPG; n=214) or a normal blood pressure group (NBPG; n=357). A graded exercise test was used to examine the hemodynamic response and cardiac events, and the personal exercise characteristics were recorded. Results. Systolic blood pressure and diastolic blood pressure were higher in the HBPG than in the NBPG (p<0.05, all). The marathon history, exercise intensity, and time were longer and higher, whereas the marathon completion duration was shorter in the HBPG than in NBPG (p<0.05, all). HBPG showed a higher frequency of alcohol consumption than NBPG (p<0.05). Conclusion. More excessive exercise characteristics than the normative individuals. If the individuals exhibit high blood pressure during rest as well as exercise, the exercise characteristics could be used as a novel indicator for masked hypertension.

1968 ◽  
Vol 46 (2) ◽  
pp. 179-188 ◽  
Author(s):  
D. Ostrovsky ◽  
F. R. Papsin ◽  
A. G. Gornall

For several weeks after partial constriction of one renal artery, the fate of this "clipped" kidney seems to exert a determining influence on blood pressure. Rats that remained hypertensive throughout the experiment almost invariably had clipped kidneys averaging 0.16 to 0.22% of body weight. Below 0.1%, this kidney was usually quite atrophic, and its presence was consistent with falling or normal blood pressure. The untouched kidney in such rats was, on the average, heavier in the hypertensive than in the normotensive animals. Since the latter also had less renal tissue on the clipped side, it appears that factors leading to high blood pressure stimulated hypertrophy beyond the level provoked by renoprival factors. In rats on a high salt intake, 5 μg/day of D-aldosterone for 3 months stimulated significant true renal hypertrophy in the absence of a rise in blood pressure. Such hypertrophy was more pronounced in similar rats that had been getting 250 μg DOCA/day for 3 months but were also normotensive. Rats that developed hypertension on this latter regimen had still heavier kidneys. Renal hypertrophy appears to be a prehypertensive phenomenon which persists and can become even more pronounced in hypertension. The highest levels of renal hypertrophy were usually associated with significant adrenal hypertrophy. Endocrine functions may be involved in renal hypertrophy. This concept is discussed in relation to a phospholipid "renin inhibitor" recently isolated from dog and hog kidneys.


2009 ◽  
Vol 1 (1) ◽  
pp. 1 ◽  
Author(s):  
Yasuhiro Manabe ◽  
Syoichiro Kono ◽  
Tomotaka Tanaka ◽  
Hisashi Narai ◽  
Nobuhiko Omori

This study aimed to evaluate the prognostic value of acute phase blood pressure in patients with acute ischemic stroke by determining whether or not it contributes to clinical outcome. We studied 515 consecutive patients admitted within the first 48 hours after the onset of ischemic strokes, employing systolic and diastolic blood pressure measurements recorded within 36 hours after admission. High blood pressure was defined when the mean of at least 2 blood pressure measurements was ≥200 mmHg systolic and/or ≥110 mmHg diastolic at 6 to 24 hours after admission or ≥180 mmHg systolic and/or ≥105 mmHg diastolic at 24 to 36 hours after admission. The high blood pressure group was found to include 16% of the patients. Age, sex, diabetes mellitus, hypercholesterolemia, atrial fibrillation, ischemic heart disease, stroke history, carotid artery stenosis, leukoaraiosis, NIH Stroke Scale (NIHSS) on admission and mortality were not significantly correlated with either the high blood pressure or non-high blood pressure group. High blood pressure on admission was significantly associated with a past history of hypertension, kidney disease, the modified Rankin Scale (mRS) on discharge and the length of stay. On logistic regression analysis, with no previous history of hypertension, diabetes mellitus, atrial fibrillation, and kidney disease were independent risk factors associated with the presence of high blood pressure [odds ratio (OR), 1.85 (95% confidence interval (CI): 1.06-3.22), 1.89 (95% CI: 1.11-3.22), and 3.31 (95% CI: 1.36-8.04), respectively]. Multi-organ injury may be presented in acute stroke patients with high blood pressure. Patients with high blood pressure had a poor functional outcome after acute ischemic stroke.


2003 ◽  
Vol 28 (5) ◽  
pp. 699-709 ◽  
Author(s):  
Catrine Tudor-Locke ◽  
Barbara E. Ainsworth ◽  
Melicia C. Whitt ◽  
Raymond W. Thompson ◽  
Cheryl L. Addy ◽  
...  

The purpose of this study was to explore the relationship between objectively determined ambulatory activity and simple cardiorespiratory parameters (heart rate and blood pressure at rest and during submaximal exercise) in individuals who were stratified for self-reported participation (yes/any vs. no/none) in vigorous physical activity (PA). Ninety-eight subjects (African Americans: 7 M, 16 F; Caucasians: 33 M, 42 F; mean age 46.4 ± 15.4 yrs; mean BMI 26.7 ± 4.8) wore a pedometer for 21 consecutive days and completed a 10-min submaximal treadmill graded exercise test with HR (beats/min) and BP (mmHg) measured while walking at 4.8 km/hr and a 10% grade. Subjects averaged 7,618 ± 3,045 steps/day. There were no differences in steps/day by self-reported vigorous PA strata. There was an inverse relationship (r = −0.35, p = 0.03) between steps/day and resting HR in subjects who reported no vigorous PA. There was an inverse relationship (r = −0.22, p = 0.04) between steps/day and submaximal HR in all subjects. When stratified for self-reported vigorous PA, the inverse relationship between steps/day and submaximal HR was stronger for those reporting no vigorous PA (r = −0.39, p = 0.01) vs. those reporting any vigorous PA (r = 0.28, p = 0.05). There was no relationship between steps/day and BP at rest or during exercise in this normotensive sample. Key words: walking, blood pressure, heart rate


2010 ◽  
Vol 28 ◽  
pp. e77
Author(s):  
JL Llisterri ◽  
J Alonso ◽  
M Gorostidi ◽  
P Galvez ◽  
J Closas ◽  
...  

2016 ◽  
Vol 48 (3) ◽  
pp. 142
Author(s):  
Saloma Klementina Saing ◽  
Oke Rina ◽  
Rafita Ramayati ◽  
Rusdidjas Rusdidjas

Background High blood pressure remains a public healthproblem. High blood pressure in children and adolescent is amajor risk for cardiovascular disease in adulthood which cancause high morbidity and mortality. Listening to the classicalmusic can be used as an alternative in reducing high bloodpressure.Objective To investigate the effect of classical music in reducingblood pressure in children with high normal blood pressure andor hypertension.Methods Eighty eight students of Sidorame Senior High SchoolMedan with blood pressure 2: 120/80 mmHg or blood pressure2: 90 percentile Task Force were included in this study. TheVivaldi's Four Seasons was played for 30 minutes using Sony stereocassette recorder and earphone. The students' blood pressure weremeasured after listening to the music.Results The reduction of students' blood pressure in the classicalmusic group was greater than control group (L'ISBP, L'IDBP9.4lmmHg, 6.05mmHg versus 4.37mmHg, 2.23mmHg) andshowed statistically difference.Conclusion Listening to the classical music can reduce bloodpressure in children with high blood pressure.


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