Abstract
Objectives
Assessing the systolic and diastolic blood pressure during acute physical exertion
can allow the discovery of many cardiovascular diseases even at a young age. However,
this response depends on the age, sex of the subject, and the modality of the graded
exercise test. This study aims to provide sex-and age-related normative values of
peak and recovery blood pressure performance and to develop a predicted model of systolic
and diastolic blood pressure peak in young athletes.
Design
Retrospective-study.
Methods
We analyzed 8224 young athletes (5516 males and 2708 females) aged between 8 and 18.
Anthropometric and blood pressure parameters related to the effort are reported. Then,
according to sex, graded exercise test modality, and age were calculated 1) the fifth,
tenth, fiftieth, ninetieth, and ninety-fifth percentiles for the systolic and diastolic
blood pressure at peak and after 1 min of recovery and 2) predictive equations of
systolic and diastolic blood pressure at the peak.
Results
Younger athletes show lower peak blood pressure values, gradually increasing as they
age. Males showed higher peak systolic blood pressure values starting at 12–13 years
on the cycle ergometer and 10–11 years on the treadmill, while there was no difference
in peak diastolic blood pressure values.
Conclusions
Sex, age, and the specificity of the movement performed must be considered in assessing
the blood pressure response in the young population. In addition, providing reference
values and predictive equations of blood pressure response to acute physical exertion
may allow for a better functional assessment of young athletes.
Keywords
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Article info
Publication history
Published online: November 04, 2022
Accepted:
November 3,
2022
Received in revised form:
October 30,
2022
Received:
August 11,
2022
Identification
Copyright
© 2022 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.
