ADJUSTMENT OF BLOOD PRESSURE DURING EXERCISE STRESS TEST IN ELITE RUNNERS FROM MANIPUR, INDIA

Ramananda Ningthoujam, Takhellambam Inaobi Singh

Abstract


Objectives: Adjustment is a short term response in the body that is associated with exercise. The objective of the study was to observe the adjustment in blood pressure during rest, exercise and recovery in Manipuri elite long distance runners. Design: Observational study. Methods: 12 Manipuri elite long distance runners underwent a 12 minutes treadmill stress test following the standard Bruce protocol. Blood pressure monitoring was done at resting (supine, standing, and hyperventilation), during exercise, and recovery stages during treadmill test by mercury sphygmomanometer with auditory confirmation. Descriptive analysis was used to interpret the data and Mann-Whitney U test to compare the mean. Results: In male runners, the mean resting blood pressure (BP rest) was SBP/DBP (±SD); 118/70 (±7/6) mmHg and rose up-to maximum blood pressure (BP max) of SBP/DBP (±SD); 163/90 (±8/0.0) mmHg whereas, in the female runners, mean resting blood pressure was SBP/DBP (±SD); 110/70 (±6/6) mmHg rose up-to maximal blood pressure of 148/86 (±9/5) mmHg. In male runners, DBP increases slightly during exercise and becomes plateau at steady stage at 6 minutes of exercise. The mean recovery blood pressure (BP rec.) value at 3 minutes in male runners indicated higher chances of future hypertension. Rate of perceived exertion of the runners’ measure through Borg CR10 scale rating ranges from 3-5. Conclusions: SBP and DBP value did not change at resting phase i.e. supine, standing, and hyperventilation position. However, SBP increases rapidly with the onset of exercise and the increase in the DBP is slow and steady yet reaches the plateau faster than the SBP. Regular blood pressure monitoring is recommended for athletes to diagnose hypertension and prevent from sudden cardiac arrest during physical training and competition.

 

Article visualizations:

Hit counter

DOI

Keywords


adjustment; stress test; plateau; hypertension

Full Text:

PDF

References


Leddy, J.J. and Izzo, J. Hypertension in Athletes. J Clin Hypertens; 2009, 11: 226–233. doi: 10.1111/j.1751- 7176.2009.00100.x

American College of Sports Medicine: Guidelines for Exercise Testing and Prescription (6th edition). Philadelphia: Lea & Febiger (2000)

Mundal R., Kjeldsen S.E., Sandvik L. et al.. Exercise blood pressure predicts mortality from myocardial infarction. Hypertension; 1996, 27(pt 1): 324–329

M. Jette, K. Sidney, G. Blumchen. Metabolic Equivalents (METS) in Exercise Testing, Exercise Prescription, and Evaluation of Functional Capacity. Clin.Cardiol., 1990;13, 555-565. http://onlinelibrary.wiley.com/doi/10.1002/clc.4960130809/pdf

Salvi P. Pulse Waves, doi: 10.1007/978-88-470-2439-7_2, ©Springer-Verlag Italia 2012

Borg G.A.V. Borg’s Rating of Perceived Exertion and Pain Scales. Champaign, IL: Human Kinetics, 1998

Mark W. Niedfeldt. Managing hypertension in athletes and physically active patients. Am Fam Physician, 2002, 1;66(3):445-452. http://www.aafp.org/afp/2002/0801/p445.html

Grassi G.. Assessment of sympathetic cardiovascular drive in human hypertension: achievements and perspectives. Hypertension;2009; 54(4), 690–697. https://doi.org/10.1161/HYPERTENSIONAHA.108.119883

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.

http://www.aafp.org/afp/2002/0801/p445.html#afp20020801p445-b5

Miguel Chiacchio Sieira, Alberto Omar Ricart, Rafael Suau Estrany Blood pressure response to exercise testing. Apunts Med Esport. ; 2010; 45(167):191-200

Punia, S., Kulandaivelan, S., Singh, V. et al.. Effect of Aerobic Exercise Training on Blood Pressure in Indians: Systematic Review. Int J Chronic Dis.; 2016; pp: 1-8. Article Id: 1370148. http://doi.org/10.1155/2016/1370148

Hulke S.M. Vaidya Y.P., Ratta A.R.. Effects of sixteen weeks exercise training on left ventricular dimensions and function in young athletes. Natl J Physiol Pharm Pharmacol; 2012; 2:152-158.

De Matos L.D., Caldeira N.A., Perlingeiro P.S. et al.. Cardiovascular risk and clinical factors in athletes: 10 years of evaluation. Med Sci Sports Exerc ; 2011; 43:943–950. doi: 10.1249/MSS.0b013e318203d5cb.

Sealy D.P., Pekarek L., Russ D., et al.. Vital signs and demographics in the pre-participation sports exam: Do they help us find the elusive athlete at risk for sudden cardiac death? Curr Sports Med Rep; 2010; 9:338–341. doi: 10.1249/JSR.0b013e3182014ed6.

Corrado D., Basso C., Schiavon M., et al. Pre-participation screening of young competitive athletes for prevention of sudden cardiac death. J Am Coll Cardiol; 2008; 52:1981–1989. doi: 10.1016/j.jacc.2008.06.053.

Berge H.M., Isern C.B., Berge E.. Blood pressure and hypertension in athletes: a systematic review. J Sports Med; 2015; 49:716–723. doı: 10.1136/bjsports-2014-093976

Eşer I., Khorshid L., Güneş U.Y., et al.. The effect of different body positions on blood pressure. J Clin Nurs.; 2007; 16(1):137-140. doı:10.1111/j.1365-2702.2005.01494.x

Singh J.P., Larson M.G., Manolio T.A., et al.. Blood pressure response during treadmill testing as a risk factor for new-onset hypertension: the Framingham Heart Study. Circulation; 1999; 99: 1831–1836. https://www.ncbi.nlm.nih.gov/pubmed/10199879




DOI: http://dx.doi.org/10.46827/ejpe.v0i0.2023

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Ramananda Ningthoujam, Takhellambam Inaobi Singh

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2015 - 2023. European Journal of Physical Education and Sport Science (ISSN 2501 - 1235) is a registered trademark of Open Access Publishing Group. All rights reserved.


This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library (Biblioteca Nationala a Romaniei). All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All authors who send their manuscripts to this journal and whose articles are published on this journal retain full copyright of their articles. All the research works published on this journal are meeting the Open Access Publishing requirements and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License (CC BY 4.0).