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Blood Pressure Changes While Hiking at Moderate Altitudes: A Prospective Cohort Study
Ky B Stoltzfus1, David Naylor1, Tessa Cattermole2
1Department of Internal Medicine, University of Kansas Medical Center, Kansas, KS 66160, USA.
Recreational mountain hiking at moderate altitudes is safe for most adults. This study found a slight blood pressure increase, especially in those with hypertension or obesity, but no severe cardiovascular events occurred.
Area of Science:
- Cardiovascular Physiology
- Altitude Medicine
- Sports Medicine
Background:
- Recreational mountain hiking is a popular activity.
- Understanding the cardiovascular response to moderate altitude exposure is crucial.
Purpose of the Study:
- To measure blood pressure (BP) changes during a 10-day moderate-altitude trek.
- To identify risks of uncontrolled hypertension and adverse cardiovascular outcomes.
Main Methods:
- Observational study of 1279 adults during a 10-day hike (6500-13,000 feet).
- Resting BP measured using sphygmomanometer and auscultation at set intervals.
- Collected data on demographics, health status, and lifestyle factors.
Main Results:
- Mean blood pressure increased across the cohort at moderate altitudes.
- Blood pressure elevations were more pronounced in participants with pre-existing hypertension and/or obesity.
- No life-threatening cardiovascular events were observed during the trek.
Conclusions:
- Moderate-altitude hiking appears safe for individuals with controlled blood pressure up to 160/95 mmHg.
- Further monitoring may be beneficial for hikers with hypertension or obesity.
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Alterations in Blood Pressure
Hypertension (High blood pressure)
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Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
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Prepare for the Procedure:
Factors affecting Blood pressure
Physiological Factors:

