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Tracking of Elevated Blood Pressure Values in Adolescent Athletes at 1-Year Follow-up

Tracking of Elevated Blood Pressure Values in Adolescent Athletes at 1-Year Follow-up Abstract • Resting blood pressures were measured in 467 adolescents during preparticipation physical examinations for high school sports. Fifty-seven of the athletes (12.2%) had significantly elevated blood pressures. Forty-three (79.6%) of 54 subjects demonstrated significantly and persistently elevated blood pressures at 1-year follow-up. A family history of hypertension was positively associated with elevated blood pressures in 46 (80.7%) of 57 subjects compared with controls (23/410 [5.6%]). Consistent with previous studies, subjects with elevated blood pressures had a greater body weight (94.5 ±25.7 kg) compared with normotensive subjects (75.2 ±14.0 kg). Subjects with elevated blood pressures engaged in heavy resistance weight training (three times a week or more) more often (41/57 [71.9%]) than normotensive subjects (65/410 [15.8%]). These data support the idea that blood pressures measured during routine preparticipation physical examinations for high school sports are a useful tool in screening for elevated blood pressure in adolescents. (AJDC. 1991;145:665-667) References 1. American Heart Association. Heart Facts . Dallas, Tex: American Heart Association; 1988. 2. Kannel WB, Doyle JT, Ostfeld AM, et al. The Framingham Study . Circulation . 1984;70:157A-162A.Crossref 3. Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The 1988 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure . Arch Intern Med. 1988;148:1023-1038.Crossref 4. Tanji JL. Sports safety . In: Hudson TW, ed. Clinical Preventive Medicine . Boston, Mass: Little Brown & Co Inc; 1988:251-259. 5. Smilkstein G. Health evaluation of high school athletes . Phys Sports Med. 1981;9:73-81.Crossref 6. Lieberman E. Hypertension in childhood and adolescence . In: Kaplan NM, ed. Clinical Hypertension . Baltimore, Md: Williams & Wilkins; 1986:447-472. 7. Second Task Force on Blood Pressure Control in Children. Report of the Second Task Force on Blood Pressure Control in Children: 1987 . Pediatrics . 1987;79:1-25. 8. American Heart Association. Recommendations for Human Blood Pressure Determinations by sphygmomanometers . Dallas, Tex: American Heart Association; 1980. 9. American Academy of Pediatrics, Committee on Sports Medicine. Recommendations for participation in competitive sports . Pediatrics . 1988;81:737-739. 10. Tanji JL. The preparticipation physical examination for sports: an update for 1990 . Am Fam Physician . 1990;42:397-402. 11. National Task Force on Anabolic/Androgenic Steroids. Report of the National Consensus Meeting on Anabolic/Androgenic Steroids . Los Angeles, Calif: US Olympic Committee; 1989. 12. Buckley WE, Yesalis CE, Friedl KE, et al. Estimated prevalence of anabolic steroid use among high school seniors . JAMA. 1988;260:3441-3445.Crossref 13. Shroyer J. Getting tough on anabolic steroids . Phys Sports Med. 1990;18:106-118.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Tracking of Elevated Blood Pressure Values in Adolescent Athletes at 1-Year Follow-up

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1991.02160060083026
Publisher site
See Article on Publisher Site

Abstract

Abstract • Resting blood pressures were measured in 467 adolescents during preparticipation physical examinations for high school sports. Fifty-seven of the athletes (12.2%) had significantly elevated blood pressures. Forty-three (79.6%) of 54 subjects demonstrated significantly and persistently elevated blood pressures at 1-year follow-up. A family history of hypertension was positively associated with elevated blood pressures in 46 (80.7%) of 57 subjects compared with controls (23/410 [5.6%]). Consistent with previous studies, subjects with elevated blood pressures had a greater body weight (94.5 ±25.7 kg) compared with normotensive subjects (75.2 ±14.0 kg). Subjects with elevated blood pressures engaged in heavy resistance weight training (three times a week or more) more often (41/57 [71.9%]) than normotensive subjects (65/410 [15.8%]). These data support the idea that blood pressures measured during routine preparticipation physical examinations for high school sports are a useful tool in screening for elevated blood pressure in adolescents. (AJDC. 1991;145:665-667) References 1. American Heart Association. Heart Facts . Dallas, Tex: American Heart Association; 1988. 2. Kannel WB, Doyle JT, Ostfeld AM, et al. The Framingham Study . Circulation . 1984;70:157A-162A.Crossref 3. Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The 1988 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure . Arch Intern Med. 1988;148:1023-1038.Crossref 4. Tanji JL. Sports safety . In: Hudson TW, ed. Clinical Preventive Medicine . Boston, Mass: Little Brown & Co Inc; 1988:251-259. 5. Smilkstein G. Health evaluation of high school athletes . Phys Sports Med. 1981;9:73-81.Crossref 6. Lieberman E. Hypertension in childhood and adolescence . In: Kaplan NM, ed. Clinical Hypertension . Baltimore, Md: Williams & Wilkins; 1986:447-472. 7. Second Task Force on Blood Pressure Control in Children. Report of the Second Task Force on Blood Pressure Control in Children: 1987 . Pediatrics . 1987;79:1-25. 8. American Heart Association. Recommendations for Human Blood Pressure Determinations by sphygmomanometers . Dallas, Tex: American Heart Association; 1980. 9. American Academy of Pediatrics, Committee on Sports Medicine. Recommendations for participation in competitive sports . Pediatrics . 1988;81:737-739. 10. Tanji JL. The preparticipation physical examination for sports: an update for 1990 . Am Fam Physician . 1990;42:397-402. 11. National Task Force on Anabolic/Androgenic Steroids. Report of the National Consensus Meeting on Anabolic/Androgenic Steroids . Los Angeles, Calif: US Olympic Committee; 1989. 12. Buckley WE, Yesalis CE, Friedl KE, et al. Estimated prevalence of anabolic steroid use among high school seniors . JAMA. 1988;260:3441-3445.Crossref 13. Shroyer J. Getting tough on anabolic steroids . Phys Sports Med. 1990;18:106-118.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jun 1, 1991

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