Is Only Resting Blood Pressure Monitoring Sufficient in Obese Hypertensive Individuals?

Authors : Mahmut Esat Elbistan, Hakan Ozer, İsmail Baloğlu, Yasin Öztürk, Mehmet Akif Düzenli, Halil Zeki Tonbul

Pages : 219-225

View : 33 | Download : 34

Publication Date : 2024-06-30

Article Type : Research Paper

Abstract :Objective: Both intraday blood pressure changes and blood pressure response to exercise differ in obese and non-obese individuals. Blood pressure changes in exercise pose an increased risk for cardiovascular events independent of resting blood pressure. In this study, we evaluated the effect of exercise on blood pressure variability in obese and non-obese hypertensive (HT) individuals whose resting blood pressures were within normal ranges with medical treatment. Methods: This retrospective study included 30 obese and non-obese (total 60) patients, each undergoing 24-hour ambulatory blood pressure monitoring (24h ABPM) and Bruce protocol exercise testing. All patients\' mean resting blood pressures at 24h ABPM were within the normal range. The two groups\' blood pressure changes in the exertion test were compared. Results: Systolic and diastolic blood pressure increases were higher in obese than in non-obese at all three levels of the exercise test. Although it varies according to the stages of the exercise test, the increase in systolic blood pressure in obese was 1.3-2 times that of non-obese, and the increase in diastolic blood pressure was 2-2.5 times. When the factors associated with the blood pressure changes in the patients\' exertion test were investigated, the BMI was correlated with the blood pressure changes in all 3 stages of the exercise test. Conclusion: It seems that evaluation with resting blood pressure alone is insufficient in the follow-up of obese HT patients. Therefore, treatment strategies aimed at weight loss in patients should be an absolute and continuous part of blood pressure control with antihypertensives. In addition, exercise programs such as antihypertensive treatments should be determined individually for these patients.
Keywords : Hipertansiyon, obezite, egzersiz kan basıncı değişkenliği, 24 saat ambulatuvar kan basıncı monitoziasyonu