The Identification and Management of High Blood Pressure Using Exercise Blood Pressure: Current Evidence and Practical Guidance

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Schultz, Martin G.Univ Tasmania, Australia (author)

The Identification and Management of High Blood Pressure Using Exercise Blood Pressure : Current Evidence and Practical Guidance

Article/chapterEnglish2022

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2022-02-28
MDPI,2022
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:liu-183901
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-183901URI
https://doi.org/10.3390/ijerph19052819DOI

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Language:English
Summary in:English

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Funding Agencies|Heart Foundation of Australia Future Leader Fellowship [102553]
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., similar to 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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
exercise physiology; exercise testing; blood pressure; cardiovascular disease

Added entries (persons, corporate bodies, meetings, titles ...)

Currie, Katharine D.Michigan State Univ, MI 48824 USA (author)
Hedman, KristoferLinköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Fysiologiska kliniken US(Swepub:liu)krihe93 (author)
Climie, Rachel E.Univ Tasmania, Australia (author)
Maiorana, AndrewCurtin Univ, Australia; Fiona Stanley Hosp, Australia (author)
Coombes, Jeff S.Univ Queensland, Australia (author)
Sharman, James E.Univ Tasmania, Australia (author)
Univ Tasmania, AustraliaMichigan State Univ, MI 48824 USA (creator_code:org_t)

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In:International Journal of Environmental Research and Public Health: MDPI19:51661-78271660-4601

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