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Updated: Feb 10, 2026
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Conducting Maximal and Submaximal Endurance Exercise Testing to Measure Physiological and Biological Responses to Acute Exercise in Humans
Published on: October 17, 2018
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Blood pressure response to maximal dynamic exercise testing in an athletic population
Axel Pressler1, Angelika Jähnig1, Martin Halle1,2,3
1Department of Prevention, Rehabilitation and Sports Medicine, Klinikum rechts der Isar, Technical University of Munich.
Journal of Hypertension
|May 26, 2018
Summary
Competitive athletes exhibit an exaggerated blood pressure (BP) response during exercise testing, particularly male endurance athletes. This heightened BP response may be linked to cardiac changes, warranting further investigation into long-term cardiovascular implications.
Area of Science:
- Cardiology
- Sports Medicine
- Exercise Physiology
Background:
- Exaggerated blood pressure (BP) response during exercise is associated with adverse cardiac remodeling in athletes.
- Athletes face frequent high BP exposure due to intense training, yet data on exercise BP response is limited.
Purpose of the Study:
- To investigate the magnitude and distribution of BP response during maximal exercise testing in a large cohort of competitive athletes.
- To explore associations between BP response and cardiac dimensions.
Main Methods:
- 2419 athletes (adolescent, professional, master) underwent cycle ergometry for preparticipation screening.
- Exhaustion criteria included maximal heart rate, lactate levels, and perceived exertion.
- Echocardiography was performed to assess cardiac dimensions.
Main Results:
- Systolic blood pressure (SBP) significantly increased to 204 mmHg in men and 180 mmHg in women; diastolic BP (DBP) showed minimal change.
- ESC guidelines for maximal SBP were exceeded by 43% of men and 28% of women.
- Higher SBP response was observed in endurance athletes, with a strong correlation to left ventricular mass (r=0.489).
Conclusions:
- Exercise testing reveals a markedly exaggerated SBP response in competitive athletes, especially males and endurance athletes.
- The prognostic significance of these exaggerated BP responses for long-term cardiovascular health requires further research.
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