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The value of blood pressure during physical activity in young elite athletes.

Session Poster Session 1

Speaker Associate Professor Vera Komoliatova

Congress : EuroPrevent 2019

  • Topic : preventive cardiology
  • Sub-topic : Sports Cardiology
  • Session type : Poster Session
  • FP Number : P243

Authors : V Komoliatova (Moscow,RU), L Makarov (Moscow,RU), D Besportochnii (Moscow,RU), I Kiseleva (Moscow,RU), N Fedina (Moscow,RU)

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Authors:
V Komoliatova1 , L Makarov1 , D Besportochnii1 , I Kiseleva1 , N Fedina1 , 1Centre for Syncope & Cardiac Arrhythmias in Children & Adolescents of the Federal Medical-Biolo - Moscow - Russian Federation ,

Citation:

Background: It has been shown in athletes the maximum systolic blood pressure (SBP) in physical activity depends on gender and it is 220 mmHg among men and 200 mmHg among women (Caselli S, 2016). In children the value of SBP depends on height. But this aspect does not consider at the load. Propose: to determine the BP in young elite athletes depending on height. Methods: we examined 2305 (age 16±1.3 years, 45% men) young elite athletes of the members of the National teams with normal  BP at the rest. The men's  height was 179±13 cm and women's 168±10 cm. All of them were conducted bicycle ergometry using the PWC170 protocol with an initial load of 1 W/kg with a subsequent load increase every 3 minutes by 25 W until the pulse 170 bpm or physical fatigue. BP was measured manually at maximum load. Results: The tolerance of physical exercise in men was higher than in women (2.5±0.4 W/kg vs 2.2±0.4 W/kg, p<0.001). The maximum heart rate (HR) were reached in 38% (873, 41% men), 62% did not reach it, there HR - 155±11 bpm in men and 154±11 bpm in women. The values of the maximum BP were significantly higher in men: SBP 195±25 vs 175±20 mmHg, p<0.001; diastolic blood pressure (DBP) 80±11 vs 80±10 mmHg, p<0.05. We revealed correlations between BP at height (SBP: r=0.55, p<0.001; DBP: r=0.18, p<0.001). The percentile values of the maximum SBP in young elite athletes depending on height presented in table. Conclusion: In young elite athletes the maximum value of BP during physical activity depends not only on gender, but also on height.

Men
cm 140-149 (n=26) 150-159 (n=55) 160-169 (n=308) 170-179 (n=326) 180-189 (n=326) 190-199 (n=167) 200-209 (n=37)
95% 188 188 208 233 234 240 251
75% 158 171 192 208 214 221 224
50% 150 159 178 195 202 207 209
25% 138 144 164 181 190 196 195
5% 122 132 142 160 171 174 171
Women
cm 140-149 (n=31) 150-159 (n=195) 160-169 (n=500) 170-179 (n=375) 180-189 (n=149) 190-199 (n=22) 200-209 (n=1)
95% 184 191 206 211 216 211
75% 168 177 187 191 194 202
50% 153 164 174 179 185 188 233
25% 138 151 162 167 172 176
5% 119 130 138 149 152 168

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