Hypertensive response to exercise and exercise training in hypertension: odd couple no more
Abstract The diagnostic and prognostic implication of exaggerated blood pressure response to exercise has been controversial, with opinions ranging from a benign process to a harbinger of potential cardiovascular morbidity. Nonetheless, lowering of blood pressure and prevention of hypertension is in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | Clinical Hypertension |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40885-017-0067-z |
| _version_ | 1818421540268539904 |
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| author | Elisa Caldarone Paolo Severi Mario Lombardi Stefania D’Emidio Andrea Mazza Maria Grazia Bendini Massimo Leggio |
| author_facet | Elisa Caldarone Paolo Severi Mario Lombardi Stefania D’Emidio Andrea Mazza Maria Grazia Bendini Massimo Leggio |
| author_sort | Elisa Caldarone |
| collection | DOAJ |
| description | Abstract The diagnostic and prognostic implication of exaggerated blood pressure response to exercise has been controversial, with opinions ranging from a benign process to a harbinger of potential cardiovascular morbidity. Nonetheless, lowering of blood pressure and prevention of hypertension is in first instance preferable by lifestyle changes, and many studies have shown the inverse association between physical activity level and the incidence of cardiovascular diseases suggesting low aerobic fitness as a strong predictor for future cardiovascular disease and all-cause mortality in both healthy and cardiovascular disease patients, including those with hypertension. Endothelial function, large artery stiffness and neurohormonal response are surely implicated both in the development of exaggerated blood pressure response to exercise and in the positive effect of physical exercise in the prevention and management of hypertension and cardiovascular disease in general. In their interesting and well documented review published in this issue Kim and Ha broadly described the possible pathophysiologic mechanisms of exaggerated blood pressure response to exercise and its clinical implications: in this regard, a very interesting issue could be represented by the role of exercise training. In fact, there is an the ample evidence in the literature that physical activity could positively affect endothelial function, arterial stiffness, neurohormonal response and finally blood pressure levels both in healthy men and in hypertensive patients and so should be considered a very important element in the prevention and management of cardiovascular disease. |
| first_indexed | 2024-12-14T13:11:59Z |
| format | Article |
| id | doaj.art-7d6643469ff44f718bf60123bdbc2657 |
| institution | Directory Open Access Journal |
| issn | 2056-5909 |
| language | English |
| last_indexed | 2024-12-14T13:11:59Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Clinical Hypertension |
| spelling | doaj.art-7d6643469ff44f718bf60123bdbc26572022-12-21T23:00:10ZengBMCClinical Hypertension2056-59092017-06-012311210.1186/s40885-017-0067-zHypertensive response to exercise and exercise training in hypertension: odd couple no moreElisa Caldarone0Paolo Severi1Mario Lombardi2Stefania D’Emidio3Andrea Mazza4Maria Grazia Bendini5Massimo Leggio6Physical Medicine and Neurorehabilitation Operative Unit, Salus Infirmorum ClinicPhysical Medicine and Neurorehabilitation Operative Unit, Salus Infirmorum ClinicPhysical Medicine and Neurorehabilitation Operative Unit, Salus Infirmorum ClinicPhysical Medicine and Neurorehabilitation Operative Unit, Salus Infirmorum ClinicCardiology Division, Santa Maria della Stella HospitalCardiology Division, Santa Maria della Stella HospitalDepartment of Medicine and Rehabilitation, Cardiac Rehabilitation Operative Unit, San Filippo Neri Hospital – Salus Infirmorum ClinicAbstract The diagnostic and prognostic implication of exaggerated blood pressure response to exercise has been controversial, with opinions ranging from a benign process to a harbinger of potential cardiovascular morbidity. Nonetheless, lowering of blood pressure and prevention of hypertension is in first instance preferable by lifestyle changes, and many studies have shown the inverse association between physical activity level and the incidence of cardiovascular diseases suggesting low aerobic fitness as a strong predictor for future cardiovascular disease and all-cause mortality in both healthy and cardiovascular disease patients, including those with hypertension. Endothelial function, large artery stiffness and neurohormonal response are surely implicated both in the development of exaggerated blood pressure response to exercise and in the positive effect of physical exercise in the prevention and management of hypertension and cardiovascular disease in general. In their interesting and well documented review published in this issue Kim and Ha broadly described the possible pathophysiologic mechanisms of exaggerated blood pressure response to exercise and its clinical implications: in this regard, a very interesting issue could be represented by the role of exercise training. In fact, there is an the ample evidence in the literature that physical activity could positively affect endothelial function, arterial stiffness, neurohormonal response and finally blood pressure levels both in healthy men and in hypertensive patients and so should be considered a very important element in the prevention and management of cardiovascular disease.http://link.springer.com/article/10.1186/s40885-017-0067-zHypertensionExercisePrevention and management of cardiovascular disease |
| spellingShingle | Elisa Caldarone Paolo Severi Mario Lombardi Stefania D’Emidio Andrea Mazza Maria Grazia Bendini Massimo Leggio Hypertensive response to exercise and exercise training in hypertension: odd couple no more Clinical Hypertension Hypertension Exercise Prevention and management of cardiovascular disease |
| title | Hypertensive response to exercise and exercise training in hypertension: odd couple no more |
| title_full | Hypertensive response to exercise and exercise training in hypertension: odd couple no more |
| title_fullStr | Hypertensive response to exercise and exercise training in hypertension: odd couple no more |
| title_full_unstemmed | Hypertensive response to exercise and exercise training in hypertension: odd couple no more |
| title_short | Hypertensive response to exercise and exercise training in hypertension: odd couple no more |
| title_sort | hypertensive response to exercise and exercise training in hypertension odd couple no more |
| topic | Hypertension Exercise Prevention and management of cardiovascular disease |
| url | http://link.springer.com/article/10.1186/s40885-017-0067-z |
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