Features of the daily profile of blood pressure in men with arterial hypertension and a sports history

Object and methods of the study. The study included 124 men with essential AH of the II stage. The average age was 43.7±1.0 years, the duration of AH was 6.08±0.73 years. According to the features of the sports history and the nature of physical activity at the time of the examination, they were divided into 3 groups. The 1st group included 40 (32.3%) men with a sports history who had played sports in the past and currently have regular physical activity (physical exercises/sports), the 2nd group included 54 (43.5%) men who had played sports only in the past, and the 3rd group included 30 (24.2%) men who had not previously and currently do not have regular physical activity. All patients underwent daily BP monitoring using a standard method.

Results. Taking into account the attitude to sports in the past and the nature of physical activity currently in men with AH allowed us to determine AH and compare the chronobiological behavior of BP at different times of the day. Men with a sports history in groups 1 and 2 had lower BP and, accordingly, BP load indices than men who had never played sports. However, parameters that worsen the prognosis, such as BP variability, increased BP in the morning hours, and disturbed circadian rhythm, were comparable in the examined men of all groups, regardless of physical activity.

Conclusion. The results of the study demonstrate the need for daily BP monitoring in athletes, both current and former, to detect latent AH. Despite constant physical activity, the cardiovascular risk among men with a sports history did not differ from the risk of people leading a sedentary lifestyle. Therefore, even young physically active men need timely and high-quality diagnostics of AH.

References

1. Щорічний звіт про стан здоров’я населення України та епідемічну ситуацію за 2023 р. (2024) moz.gov.ua/storage/uploads/386da5b2-66ed-4e85-932c-d9828ba76a7a/%D0%A9%D0%BE%D1%80%D1%96%D1%87%D0%BD%D0%B8%D0%B9-%D0%B7%D0%B2%D1%96%D1%82-%D0%B7%D0%B0-2023-%D1%80%D1%96%D0%BA.pdf.
2. Mancia G., Kreutz R., Brunström M. еt al. (2023) 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J. Hypertens., 41(12): 1874–2071. DOI: 10.1097/HJH.0000000000003480.
3. Schweiger V., Niederseer D., Schmied C. еt al. (2021) Athletes and Hypertension. Curr. Cardiol. Rep., 23 (12): 176. doi: 10.1007/s11886-021-01608-x.
4. Würzburger L., Wiech P., Rossi V.A. еt al. (2022) Hypertensive Response to Exercise in Athletes: Unremarkable Finding or Relevant Marker for Future Cardiovascular Complications? Int. J. Hypertens., 2022: 8476751. doi.org/10.1155/2022/8476751.
5. Pressler A., Jahnig A., Halle M., Haller B. (2018) Blood pressure response to maximal dynamic exercise testing in an athletic population. J. Hypertens., 36(9): 1803–1809. DOI: 10.1097/HJH.0000000000001791.
6. Zhang H., Hu L., Wei X. (2020) Prognostic value of left ventricular hypertrophy in hypertensive patients: A meta-analysis of electrocardiographic studies. J. Clin. Hypertens., 22(2): 254–260. DOI: 10.1111/jch.13795.
7. Angeli F., Reboldi G. et al. (2023) Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach. Diagnostics, 13: 1601. doi.org/10.3390/diagnostics13091601.
8. Pelliccia A., Sharma S., Gati S. еt al. (2020) 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease: The Task Force on sports cardiology and exercise in patients with cardiovascular disease of the European Society of Cardiology (ESC). Eur. Heart J., 42(1): 17–96. doi.org/10.1093/eurheartj/ehaa605.
9. Практичні рекомендації щодо ведення пацієнтів з артеріальною гіпертензією (2020) health-ua.com/multimedia/userfiles/files/2020/Cardio_4_2020/ Cardio_4_2020_st25_27.pdf.
10. Антомонов М.Ю. (2018) Математична обробка та аналіз медико-біологічних даних. 2-ге видання, 579 с.
11. Чистик Т. (2022) Лікування артеріальної гіпертензії поза парадигмою офісного вимірювання артеріального тиску. Журнал «Артеріальна гіпертензія та серцево-судинні захворювання», т. 15, № 3–4. http://www.mif-ua.com/archive/article/52125.
12. Каніщева О.В. (2022) Особливості короткострокової варіабельності артеріального тиску у пацієнтів з артеріальною гіпертензією у порівнянні зі здоровими добровольцями. Акт. пробл. сучас. мед., 9: 31–38. DOI: 10.26565/2617-409X-2022-9-04.
13. Bilo G., Grillo A., Guida V., Parati G. (2018) Morning blood pressure surge: pathophysiology, clinical relevance and therapeutic aspects. Integr. Blood Press. Control., 11: 47–56. doi: 10.2147/IBPC.S130277.
14. Pierdomenico S.D., Pierdomenico A.M., Coccina F. еt al. (2017) Prognostic Value of Nondipping and Morning Surge in Elderly Treated Hypertensive Patients With Controlled Ambulatory Blood Pressure. Am. J. Hypertens, 30(2): 159–65. doi.org/10.1093/ajh/hpw145.
15. Kouidi E. (1999) White coat hypertension detected during screening of male adolescent athletes. Am. J. Hypertens., 12(2): 223–226. doi.org/10.1016/S0895-7061(98)00186-1.
16. Trachsel L.D., Carlen F., Brugger N. et al. (2015) Masked hypertension and cardiac remodeling in middle-aged endurance athletes. Journal of Hypertension, 33(6): 1276–1283. DOI: 10.1097/HJH.0000000000000558.
17. Ataman Y., Brizhata I., Pryimenko L., Simonenko I. (2022) Peculiarities of the blood pressure profile in athletes with office prehypertension in the preparatory period of the annual training macrocycle EUMJ, 10( 3): 214–222. doi.org/10.21272/eumj.2022;10(3):214-222.