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The identification and management of high blood pressure using exercise blood pressure: current evidence and practical guidance
Citation
Schultz, MG and Carrie, KD and Hedman, K and Climie, RE and Maiorana, A and Coombes, JS and Sharman, JE, The identification and management of high blood pressure using exercise blood pressure: current evidence and practical guidance, International Journal of Environmental Research and Public Health, 19, (5) Article 2819. ISSN 1660-4601 (2022) [Refereed Article]
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Copyright Statement
Copyright 2022 The Authors Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/
DOI: doi:10.3390/ijerph19052819
Abstract
High blood pressure (BP) is a leading risk factor for cardiovascular disease (CVD). The identification of high BP is conventionally based on in-clinic (resting) BP measures, performed within primary health care settings. However, many cases of high BP go unrecognised or remain inadequately controlled. Thus, there is a need for complementary settings and methods for BP assessment to identify and control high BP more effectively. Exaggerated exercise BP is associated with increased CVD risk and may be a medium to improve identification and control of high BP because it is suggestive of high BP gone undetected on the basis of standard in-clinic BP measures at rest. This paper provides the evidence to support a pathway to aid identification and control of high BP in clinical exercise settings via the measurement of exercise BP. It is recommended that exercise professionals conducting exercise testing should measure BP at a fixed submaximal exercise workload at moderate intensity (e.g., ~70% age-predicted heart rate maximum, stage 1–2 of a standard Bruce treadmill protocol). If exercise systolic BP is raised (≥170 mmHg), uncontrolled high BP should be assumed and should trigger correspondence with a primary care physician to encourage follow-up care to ascertain true BP control (i.e., home, or ambulatory BP) alongside a hypertension-guided exercise and lifestyle intervention to lower CVD risk related to high BP.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | exercise physiology, exercise testing, blood pressure, cardiovascular disease, exercise, blood pressure |
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Cardiovascular medicine and haematology |
| Research Field: | Cardiology (incl. cardiovascular diseases) |
| Objective Division: | Health |
| Objective Group: | Clinical health |
| Objective Field: | Prevention of human diseases and conditions |
| UTAS Author: | Schultz, MG (Dr Martin Schultz) |
| UTAS Author: | Climie, RE (Dr Rachel Climie) |
| UTAS Author: | Sharman, JE (Professor James Sharman) |
| ID Code: | 149531 |
| Year Published: | 2022 |
| Funding Support: | National Health and Medical Research Council (2009005) |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2022-04-04 |
| Last Modified: | 2022-09-21 |
| Downloads: | 13 View Download Statistics |
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