Wijnen J A, Tan E S, van Baak M A, Bovens A M, Vrencken J G, Verstappen F T, Schim van der Loeff M
Department of Pharmacology, University of Limburg, Maastricht, The Netherlands.
Int J Sports Med. 1995 Jan;16(1):61-5. doi: 10.1055/s-2007-972965.
Considerable interindividual variation in the response of blood pressure to exercise has been found. Factors independently contributing to this variation are insufficiently evaluated. This is especially true for women and older age groups. Reference values of progressive maximal exercise testing in middle-aged, active subjects, especially in women, are scarce. In this study, the response of systolic arterial blood pressure during a progressive maximal cycle ergometer test was investigated in 871 physically active female subjects aged 40 years or older with normal, borderline elevated and elevated blood pressure. The influence of 14 different subject characteristics on this response was studied: 63% of variation in exercise systolic blood pressure (eSBP) could be explained by work load, pre-eSBP, age and exercise heart rate. No difference in eSBP with increasing work load was found between the three groups. Subjects with higher exercise heart rates had higher systolic blood pressures at the same work load compared to subjects with lower exercise heart rates. Maximal working capacity (Wmax) was significantly lower in the elevated blood pressure group although maximal heart rate and lactate were similar. Wmax was age-dependent. Other subject variables were not significantly associated with eSBP. Values of eSBP for reference purposes are presented.
已发现血压对运动的反应存在显著的个体间差异。对造成这种差异的独立因素评估不足。对于女性和老年群体而言尤其如此。中年、活跃受试者（尤其是女性）进行渐进性最大运动测试的参考值很少。在本研究中，对871名40岁及以上、血压正常、临界升高和升高的身体活跃女性受试者进行渐进性最大蹬车测力计测试时，研究了收缩期动脉血压的反应。研究了14种不同受试者特征对该反应的影响：运动收缩压（eSBP）变化的63%可由工作量、运动前收缩压、年龄和运动心率来解释。三组之间未发现随着工作量增加eSBP有差异。与运动心率较低的受试者相比，运动心率较高的受试者在相同工作量下收缩压更高。尽管最大心率和乳酸水平相似，但高血压组的最大工作能力（Wmax）显著更低。Wmax与年龄有关。其他受试者变量与eSBP无显著关联。给出了用于参考的eSBP值。
