Acta biomedica scientifica Acta biomedica scientifica Acta biomedica scientifica 2541-9420 2587-9596 14451 10.12737/23340 Клиническая медицина Clinical Medicine Клиническая медицина Predictors of exaggerated blood pressure response to aerobic exercise in obese adolescents Предикторы формирования гипертензивного ответа на физическую нагрузку у подростков с ожирением Рычкова Любовь Владимировна Rychkova Lyubov Vladimirovna zam_gunc@mail.ru

доктор медицинских наук;

doctor of medical sciences;

 Погодина Анна Валерьевна Pogodina Anna Valerievna clinica_zam@inbox.ru

доктор медицинских наук;

doctor of medical sciences;

 Данилюк Любовь Викторовна Danilyuk Lyubov Viktorovna danilyuk-ofd@yandex.ru Машанская Александра Валерьевна Mashanskaya Aleksandra Валерьевна Научный центр проблем здоровья семьи и репродукции человека Россия Scientific Centre for Family Health and Human Reproduction Problems Russian Federation Научный центр проблем здоровья семьи и репродукции человека Иркутск Россия Scientific Centre for Family Health and Human Reproduction Problems Irkutsk Russian Federation Научный центр проблем здоровья семьи и репродукции человека Иркутск Россия Scientific Centre for Family Health and Human Reproduction Problems Irkutsk Russian Federation 09 12 2016 09 12 2016 1 5 9 14 https://zh-szf.ru/en/nauka/article/14451/view

Максимальный тредмил-тест по протоколу Брюса проведён у подростков с избыточным весом и исходно нормальным уровнем артериального давления. Обнаружено, что формирование гипертензивного паттерна реагирования на физическую нагрузку у подростков с ожирением, не страдающих артериальной гипертензией, более свойственно для старших подростков, имеющих донагрузочные уровни систолического артериального давления выше нормальных значений. Нарушение липидного, углеводного обмена, а также степень избытка веса не оказали влияния на формирование данного типа реагирования на физическую нагрузку в этой когорте больных.

Association of blood pressure response during exercise of cardiometabolic risk factors (CMRF) is demonstrated in adults. The objective was to determine predictors of raised exercise blood pressure (BP) response during aerobic exercise in obese adolescents.The maximal treadmill test using the Bruce protocol was performed in 82 normotensive obese adolescents (12–17 y.o., 43 boys). Adolescents were divided into 2 groups: group 1 (n = 68) – children with normal BP response to exercise; group 2 (n = 14) – adolescents who had excessive increase in systolic BP (SBP) during exercise. We used logistic regression analysis to examine the associations between cardiometabolic risk factors (CMRF) and SBP response during exercise with adjustment for baseline SBP, sex, age and duration of exercise test period.We have found exaggerated BP response to exercise in 17.1 % of patients. In adolescents of group 2 baseline SBP was higher than in group 1 (p = 0.01). Glucose level and lipid metabolism disturbances, SDS Z-score, baseline SBP levels only by 24.8 % explained the formation of the hyperreactive SBP response to exercise (χ2 = 13.2; р = 0.068). Only baseline SBP was an independent predictor for exaggerated BP response (p = 0.025) and age was a significant trend towards influence (p = 0.054).Exaggerated BP response to exercise in normotensive obese adolescents is more common for older adolescents who have baseline SBP levels in the range of elevated normal values. Knowing CMRF as well as the degree of excess weight has no effect on excessive BP rise during exercise.

 кардиометаболический риск тредмил ожирение избыточный вес подростки проба с физической нагрузкой артериальное давление cardiometabolic risk treadmill obesity adolescents exercise tolerance test blood pressure

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