Blood pressure response to dynamic exercise testing in adolescent elite athletes, what is normal?

Abstract

BackgroundIn general, only few studies are dedicated to blood pressure behavior under physical stress in children and adolescents. Even less is published about the blood pressure behavior of young high-performance athletes on the ergometer. For this reason, we evaluated the blood pressure behavior under stress compared to non-athletes in a large collective (n = 739) of young high-performance athletes (age 10–20 years, mean 15.8 years, male 442, female 297) of different sports. A complete echocardiographic examination was available in all athletes.ResultRegardless of gender, the young competitive athletes achieved significantly higher maximum blood pressure values than investastigated populations from previous studies. Based on the data obtained, blood pressure percentiles are now defined explicitly for junior athletes across sports as well as age- and gender-dependent, which did not exist in this form of normal values for the special clientele of young competitive athletes. The echocardiographic examinations demonstrated stress-induced cardiac adaptation adaptations in the majority of athletes, which thus correlate with the comparatively higher stress blood pressures compared to non-athletes.ConclusionFor the first time, blood pressure percentiles for exercise tests on the ergometer for age groups and gender in high performance athletes are defined based on a comparatively large collective of young competitive athletes. Upper limits were determined, in particular for systolic blood pressure under stress, and categorized according to gender and age. Performance diagnosticians and physicians are now enabled to make a more accurate assessment of the corresponding blood pressure regulation of young athletes under exercise conditions.

Exercise-Induced Electrocardiographic Changes in Healthy Young Males with Early Repolarization Pattern

“…Participants in both groups displayed similar chronotropic and pressor responses to high-intensity exercise. The heart rate and blood pressure were within the expected ranges for high-intensity exercise, indicating no significant deviations from standard physiological responses in young men [19]. Our findings indicate that the presence of ERP does not affect the chronotropic and pressor responses during exercise.…”

„Tauglich für Wettkämpfe?“

“…Normwerte zum Blutdruckverhalten jugendlicher Athleten unter dynamischer Belastung wurden vor Kurzem publiziert [10]. Eine Spiroergometrie liefert zusätzlich Daten zur Ventilation und zum Gasaustausch.…”

“…Normwerte zum Blutdruckverhalten jugendlicher Athleten unter dynamischer Belastung wurden vor Kurzem publiziert 10 .…”

Occurrence of dystonic-type response to physical stress in soccer players

“…There are a few reports that focus on the behavior of blood pressure during exercise and specifically during bicycle ergometer testing in young elite athletes (Wuestenfeld et al, 2022;Romanchuk et al, 2023). In adults and athletes, we found no studies on the occurrence of this phenomenon except for a few studies (Viru, 1985;Wilburne, 1945) and our works (Mykhalyuk et al, 2022a;Mykhaliuk et al, 2023).…”