TY - JOUR
AU - Jiravsky, 0
AB - Background/IntroductionExercise blood pressure response during pre-participation screening provides valuable cardiovascular risk information, yet the influence of body composition remains poorly understood.PurposeTo evaluate the relationship between body fat percentage and peak systolic blood pressure (SBP) during exercise in athletes undergoing pre-participation screening.MethodsWe analysed 3,403 athletes (89.6% male, median age 14 years) (Figure 1) who underwent standardised pre-participation screening including exercise testing and 4-pole bioimpedance analysis. Athletes participated in mixed (76.0%), endurance (15.8%), power (5.7%), and skill-based sports (2.5%). We performed multivariate regression analysis to identify determinants of peak exercise SBP.ResultsFemale athletes demonstrated higher median body fat percentage versus males (22.5% vs 13.0%, p<0.001). Initial correlation analysis showed a weak negative association between body fat percentage and peak SBP (r=-0.154, 95% CI: -0.187 to -0.121, p<0.001). Multivariate regression analysis explained 55.3% of peak SBP variance, with work rate (β=0.421, p<0.001) and resting SBP (β=0.258, p<0.001) as strongest predictors. Body fat percentage maintained a significant negative association with peak SBP (β=-0.047, p=0.011) after adjusting for confounders, while BMI showed a positive relationship (β=0.071, p=0.004) (Figure2).ConclusionIn pre-participation screening of young athletes, exercise work rate and resting SBP are the strongest determinants of peak exercise SBP. While body composition parameters show significant but opposing associations (negative for body fat, positive for BMI), their contribution to peak SBP variance is relatively small. These findings suggest that exercise capacity rather than body composition is the primary determinant of blood pressure response during pre-participation screening.DemographyMultivariate analysis
TI - Body fat percentage and exercise blood pressure response in athletes: analysis from a large-scale pre-participation screening programme
JF - European Journal of Preventive Cardiology
DO - 10.1093/eurjpc/zwaf236.400
DA - 2025-05-19
UR - https://www.deepdyve.com/lp/oxford-university-press/body-fat-percentage-and-exercise-blood-pressure-response-in-athletes-ZITPWDhuBh
VL - 32
IS - Supplement_1
DP - DeepDyve
ER -