Usefulness of ambulatory blood pressure monitoring in former athletes and exercise practitioners
Keywords:
Risk factors; Blood pressure monitoring, ambulatory; arterial hypertension; Cardiovascular riskAbstract
Introduction: Former athletes and those who exercise regularly generally have a favorable cardiovascular profile, although they may exhibit masked hypertension or abnormal blood pressure patterns. Ambulatory blood pressure monitoring offers a more accurate assessment than conventional clinical measurements. Objective: To evaluate the effects of physical exercise on blood pressure using ambulatory blood pressure monitoring in former athletes and physical activity practitioners with a history of arterial hypertension. Material and Methods: A cross-sectional and analytical study was carried out from January to December 2023 with 76 former athletes and practitioners of hypertensive exercises. Ambulatory blood pressure was measured by 24-hour monitoring and in office. The effect of risk factors on blood pressure control was evaluated using non-parametric tests and odds ratio. Results: 80.3% of patients had controlled blood pressure. The ambulatory measurement of these values had lower results than those of office. Smoking was the most frequent cardiovascular risk factor with a 27.6% and the only one significantly associated with uncontrolled blood pressure. Conclusions: Ambulatory blood pressure monitoring showed that regular physical exercise significantly contributes to blood pressure control in former athletes and those who engage in physical activity. In this population, the prevalence of cardiovascular risk factors was low.
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1. Niebauer J, Börjesson M, Carre F, Caselli S, Palatini P, Quattrini F, et al. Recommendations for participation in competitive sports of athletes with arterial hypertension: summary of a position statement from the sports cardiology section of the european association of preventive cardiology (EAPC). European Heart Journal. [Internet]. 2018 [citado 21 ago 2025];39(40):3664-3671. Disponible en: https://doi.org/10.1093/eurheartj/ehy511
2. Würzburger L, Wiech P, Rossi VA, Neunhäuserer D, Caselli S, Schmied CM, et al. Hypertensive response to exercise in athletes: unremarkable finding or relevant marker for future cardiovascular complications? Int J Hypertens. [Internet]. 2022 [citado 21 ago 2025]; 2022: 8476751. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678482/
3. McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C et al. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. Eur Heart J. 2024;45(38):3912-4018. DOI: 10.1093/eurheartj/ehae178. Errata en: Eur Heart J. 2025;46(14):1300. DOI: 10.1093/eurheartj/ehaf031. Errata en: Eur Heart J. 2025;46(45):4949. DOI: 10.1093/eurheartj/ehaf659.
4. Daniel W. Jones, Chair; Keith C Ferdinand, Sandra J. Taler, Heather M. Johnson, Daichi Shimbo, Marwah Abdalla, Martine Altieri, et al. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ ACPM/AGS/AMA/ASPC/NMA/PCNA/ SGIM Guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a report of the american college of cardiology/american heart association joint committee on clinical practice guidelines. Circulation. 2025;152:e114–e218. DOI: 10.1161/CIR.0000000000001356
5. Schweiger V, Niederseer D, Schmied C, Attenhofer-Jost C, Caselli S. Athletes and hypertension. Current Cardiology Reports. [Internet]. 2021 [citado 21 ago 2025];23(12):176. Disponible en: https://doi.org/10.1007/s11886-021-01608-x
6. Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Brazilian guidelines of hypertension - 2020. Arq Bras Cardiol. [Internet]. 2021 [citado 23 ago 2025];116(3):516-658. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/33909761/
7. Correia D. Influence of resistance training on ambulatory blood pressure monitoring: a brief review. Arterial Hypertension. [Internet]. 2022 [citado 23 ago 2025];26(4):180–186. Disponible en: https://doi.org/10.5603/AH.a2022.0019
8. O'Keefe JH, O'Keefe EL, Lavie CJ. The goldilocks zone for exercise: not too little, not too much. Missouri Medicine. [Internet]. 2018 [citado 30 ago 2025];115(2):98-105. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139866/
9. Runacres A, Mackintosh KA, McNarry MA. Health consequences of an elite sporting career: long-term detriment or long-term gain? a meta-analysis of 165,000 former athletes. Sports Medicine. [Internet]. 2021 [citado 30 ago 2025];51(2):289-301. Disponible en: https://link.springer.com/article/10.1007/s40279-020-01379-5
10. Pérez Caballero MD, León Álvarez JL, Dueñas Herrera A, Alfonzo Guerra JP, Navarro Despaigne DA, de la Noval García R, et al. Guía cubana de diagnóstico, evaluación y tratamiento de la hipertensión arterial. Rev Cubana Med [Internet]. 2017 [citado 30 ago 2025];56(4):242–321. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232017000400001
11. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the american college of cardiology/american heart association task force on clinical practice guidelines. J Am Coll Cardiol [Internet]. 2018 [citado 11 ago 2025];71(19):e127–248. Disponible en: https://doi.org/10.1016/j.jacc.2017.11.006
12. Muntner P, Shimbo D, Carey RM, Charleston JB, Gaillard T, Misra S, et al. Measurement of blood pressure in humans: a scientific statement from the american heart association. Hypertension. [Internet]. 2019 [citado 11 ago 2025];73(5):e35-e66. Disponible en: https://doi.org/10.1161/HYP.0000000000000087
13. Médica Mundial A. Declaración de helsinki de la asociación médica mundial. principios éticos para las investigaciones médicas en seres humanos. An Sist Sanit Navar [Internet]. 2009 [citado 20 ago 2025];24(2):209-12. Disponible en: https://recyt.fecyt.es/index.php/ASSN/article/view/5964
14. Colectivo de autores. Consejo de cardiología del ejercicio. Consenso argentino de rehabilitación cardiovascular. Rev Arg Card. [Internet]. 2019 [citado 2 sep 2025]; 87(3):1-57. Disponible en: https://www.metodologo.com/wp-content/uploads/Consenso-de-Rehabilitacion-Cardiovascular-2019.pdf
15. Boeno FP, Ramis TR, Munhoz SV, Farinha JB, Moritz CEJ, Leal-Menezes R, et al. Effect of aerobic and resistance exercise training on inflammation, endothelial function and ambulatory blood pressure in middle-aged hypertensive patients. Journal of Hypertension. [Internet]. 2020 [citado 11 ago 2025];38(12):2501-2509. Disponible en: https://doi.org/10.1097/HJH.0000000000002581
16. Edwards JJ, Deenmamode AHP, Griffiths M, Arnold O, Cooper NJ, Wiles JD, et al. Exercise training and resting blood pressure: a large-scale pairwise and network meta-analysis of randomised controlled trials. Br J Sports Med [Internet]. 2023 [citado 14 dic 2025];57(20):1317-1326. Disponible en: https://bjsm.bmj.com/content/bjsports/57/20/1317.full.pdf
17. Yang WY, Melgarejo JD, Thijs L, Zhang ZY, Boggia J, Wei FF, et al. Association of office and ambulatory blood pressure with mortality and cardiovascular outcomes. JAMA. [Internet]. 2019 [citado 11 ago 2025];322(5):409-420. Disponible en: https://doi.org/10.1001/jama.2019.9811
18. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the european society of cardiology (ESC) and the european society of hypertension (ESH). European Heart Journal. [Internet]. 2018 [citado 11 ago 2025];39(33):3021-3104. Disponible en: https://doi.org/10.1093/eurheartj/ehy339
19. Parati G, Omboni S, Staessen J, Thijs L, Fagard R, Ulian L, et al. Limitations of the difference between clinic and daytime blood pressure as a surrogate measure of the 'white- coat' effect. Journal of Hypertension. [Internet]. 1998 [citado 2 feb 2024];16(1):23-9. Disponible en: https://journals.lww.com/jhypertension/abstract/1998/16010/limitations_of_the_difference_bet ween_clinic_and.5.aspx
20. Ferrari R, de Oliveira Carpes L, Domingues LB, Jacobsen A, Frank P, Jung N, et al. Effect of recreational beach tennis on ambulatory blood pressure and physical fitness in hypertensive individuals (BAH study): rationale and study protocol. BMC Public Health. [Internet]. 2021 [citado 2 sep 2025];21(1):56. Disponible en: https://doi.org/10.1186/s12889-020-10117-5
21. Saco-Ledo G, Valenzuela PL, Ruiz-Hurtado G, Ruilope LM, Lucia A. Exercise reduces ambulatory blood pressure in patients with hypertension: a systematic review and meta- analysis of randomized controlled trials. J Am Heart Assoc. [Internet]. 2020 [citado 2 sep 2025];9(24):e018487. Disponible en: https://doi.org/10.1161/JAHA.120.018487
22. Cao L, Li X, Yan P, Wang X, Li M, Li R, Shi X, Liu X, Yang K. The effectiveness of aerobic exercise for hypertensive population: A systematic review and meta-analysis. J Clin Hypertens [Internet]. 2019 [citado 2 sep 2025];21(7):868-876. Disponible en: https://doi.org/10.1111/jch.13583
23. Lopes S, Mesquita-Bastos J, Garcia C, Bertoquini S, Ribau V, Teixeira M, et al. Effect of exercise training on ambulatory blood pressure among patients with resistant hypertension: a randomized clinical trial. JAMA Cardiol. [Internet]. 2021 [citado 2 sep 2025];6(11):1317-1323. Disponible en: https://doi.org/10.1001/jamacardio.2021.2735
24. Becerra N, García-Padilla P, Gil F, Vergara A. Características biopsicosociales relacionadas con el consumo de cigarrillo y la intención de cesación en fumadores en un entorno universitario. Rev. Fac. Med. [Internet]. 2020 [citado 2 sep 2025];68(4):517-526. Disponible en: https://revistas.unal.edu.co/index.php/revfacmed/article/view/77666
25. Hernández YZ, Fernández JE, Montero T, Bacallao J. Impacto del tabaquismo en la aterosclerosis coronaria de fallecidos por muerte violenta. Rev. cuban. med. mil. [Internet]. 2018 [citado 2 sep 2025];47(4):369-379. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/202/245
26. Larsson SC, Burgess S. Appraising the causal role of smoking in multiple diseases: a systematic review and meta-analysis of mendelian randomization studies. EBioMedicine. [Internet]. 2022 [citado 11 sep 2025];82:104154. Disponible en: https://doi.org/10.1016/j.ebiom.2022.104154
27. Zhou Y, Feng W, Guo Y, Wu J. Effect of exercise intervention on smoking cessation: a meta-analysis. Front Physiol [Internet]. 2023 Aug [citado 14 dic 2025]; 14:1221898. Disponible en: https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2023.1221898/full
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Copyright (c) 2026 Agustín Paramio Rodríguez, Myder Hernández Navas, Emérito Pérez Acosta, Cesia Rivera Garmendia

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