Effect of exercise training on the blood pressure and hemodynamic features of hypertensive adolescents

James M. Hagberg, David Goldring, Ali A. Ehsani, Gregory Heath, Antonio Hernandez, Kenneth Schechtman, John O. Holloszy

Research output: Contribution to journalArticle

143 Citations (Scopus)

Abstract

Twenty-five adolescents (aged 16 ± 1 years) whose blood pressure (BP) was persistently above the 95th percentile for their age and sex were studied before and after 6 ± 1 months of exercise training and again 9 ± 1 months after the cessation of training. Maximal oxygen consumption (V̇O22) increased significantly with training. There was no change in body weight or sum of skinfolds. Both systolic and diastolic BP decreased significantly with training; however, complete BP normalization was not achieved. When the subjects were retested 9 ± 1 months after cessation of training, systolic BP and V̇O22 max had returned to pretraining levels; however, diastolic BP was still below pretraining levels in the subjects who had diastolic hypertension initially. Except in subjects who initially had an elevated cardiac output, no consistent hemodynamic changes were found with training or cessation of training to account for the reductions in BP. The subjects whose resting cardiac outputs were high initially had significantly lower cardiac outputs after training as a result of decreases in both heart rate and stroke volume; however, vascular resistance remained unchanged. Sedentary control subjects with similar BP had no significant change in any of the variables measured over a similar period. These data indicate that moderate endurance exercise training can lower BP in otherwise healthy hypertensive adolescents as an initial therapeutic intervention.

Original languageEnglish (US)
Pages (from-to)763-768
Number of pages6
JournalThe American Journal of Cardiology
Volume52
Issue number7
DOIs
StatePublished - Oct 1 1983

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Hemodynamics
Exercise
Blood Pressure
Cardiac Output
High Cardiac Output
Cardiac Volume
Body Weight Changes
Oxygen Consumption
Vascular Resistance
Stroke Volume
Heart Rate
Hypertension

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Effect of exercise training on the blood pressure and hemodynamic features of hypertensive adolescents. / Hagberg, James M.; Goldring, David; Ehsani, Ali A.; Heath, Gregory; Hernandez, Antonio; Schechtman, Kenneth; Holloszy, John O.

In: The American Journal of Cardiology, Vol. 52, No. 7, 01.10.1983, p. 763-768.

Research output: Contribution to journalArticle

Hagberg, James M. ; Goldring, David ; Ehsani, Ali A. ; Heath, Gregory ; Hernandez, Antonio ; Schechtman, Kenneth ; Holloszy, John O. / Effect of exercise training on the blood pressure and hemodynamic features of hypertensive adolescents. In: The American Journal of Cardiology. 1983 ; Vol. 52, No. 7. pp. 763-768.
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