Aug 13, 2002

Blood pressure response after two-step exercise as a powerful predictor of hypertension: the Osaka Health Survey

Journal of Hypertension
Kei TsumuraKunio Okada

Abstract

To investigate the relationship between blood pressure at 4 min after exercise using a Master's two-step and the risk for hypertension. Prospective cohort study. Work site in Osaka, Japan. A total of 6557 Japanese men, aged 35-63 years with systolic blood pressure (SBP) < 140 mmHg and diastolic blood pressure (DBP) < 90 mmHg, and no history of hypertension or diabetes at baseline. Blood pressure was measured by standard techniques, using 160/95 mmHg for diagnosis of hypertension. Normotension was defined as no history of hypertension, and SBP < 130 mmHg and DBP < 85 mmHg. High normal blood pressure was defined as no history of hypertension and SBP >or= 130 and < 140 mmHg or DBP >or= 85 and < 90 mmHg. During the 63 696 person-years follow-up period, we confirmed 660 cases of hypertension. SBP and DBP after exercise were associated with an increased risk for developing hypertension. The multiple-adjusted relative risk for SBP and DBP after exercise were 1.55 per 10 mmHg (confidence interval, 1.42-1.69) and 1.55 per 10 mmHg (confidence interval, 1.42-1.69), respectively. These associations were independent of resting SBP and DBP. Even after stratifying subjects according to blood pressure at rest, SBP or DBP at 4 min after exercis...Continue Reading

Mentioned in this Paper

Diastolic Blood Pressure Measurement
Exercise, Isometric
Systolic Blood Pressure Measurement
Diastolic Blood Pressure
Incidence Studies
Cardiopulmonary Exercise Test
Hypertensive Disease
Blood Pressure
Health Surveys
Rest

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