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Assessment of Cardiovascular Functional Capacity and Response to Exercise in Normotensive Offsprings of Hypertensive Parents


Affiliations
1 Shree Swaminarayan Physiotherapy College, Surat, Kadodara Char Rasta, NH No 8 & 6, Gujarat, India
2 Dept of Physiology K S Hegde Medical Academy, Medical College campus, NITTE University Campus, Deralakatte, Mangalore, India
3 Dept of Physiology K S Hegde Medical Academy, India
4 Dept of Physiology, K.S Hegde Medical Academy, India
5 College of Physiotherapy, Medical Trust Institute of Medical Sciences, Cochin, India
     

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Study compared the cardiovascular functional capacity as well as the heart rate (HR) and blood pressure responses to a 6 minute walk test (6MWT) between normotensive offsprings of normotensive parents (NTP) and hypertensive parents (HTP). 60 subjects within the age group of 18 to 25 years were studied. Basal Heart Rate (BHR), Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) were noted before the 6MWT. After performing 6MWT, the peak HR, SBP, DBP and the recovery pattern of these parameters and distance covered were recorded. The study revealed that resting DBP was significantly higher in the offspring of hypertensive parents. There was decreased DBP response to exercise in the offspring of the hypertensive parents. However, the cardiovascular functional capacity as measured by the distance covered during the 6MWT did not differ between the two study groups. The study concludes that there is an early trend in higher blood pressure in the offspring of hypertensive parents. Offsprings of hypertensive parents also exhibit an abnormal pattern of HR and BP recovery from the exercise.

Keywords

Heart Rate, Systolic Blood Pressure, Diastolic Blood Pressure, 6MWT
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  • Barlassina C, Lanzani C, Manunta P, and Bianchi G Genetics of essential Hypertension: from families to genes. J Am Soc Nephrology 2002; 13 Suppl 3: S155-S164.

  • Geller DS.A genetic predisposition to Hypertension. Hypertension 2004; 44: 27-28.

  • Blonde CV, Webber LS, Foster TA, Berenson GS. Parental History and Cardiovascular Disease Risk Factor variables in children. Prev Med; 1981, 10: 25-37.

  • Burke E, Cecil J Hypertension-a Practice Nurse Protocol. Practitioner 1991; 235: 651-655.

  • Matthews CE, Pate RR, Jackson KL, Ward DS, Macera CA, Kohl HW, Blair SN. Exaggerated Blood Pressure response to dynamic exercise and risk of future Hypertension. J Clin Epidemiol. 1998; 51: 29-35

  • Parmer RJ, Cervenka JH, Stone RA. Baroreflex sensitivity and heredity in essential Hypertension. Circulation 1992; 85: 497-503.

  • Jerome L et al, Assessment of functional capacity in clinical and research applications. An Advisory form the committee on exercise, Rehabilitation and Prevention, Council on Clinical Cardiology, American Heart Association. Circulation 2000; 102:1591-1597

  • Singh JP, Larson MG, Manolio TA, O’Donnell CJ, Lauer M, Evans JC, Levy D. Blood pressure response during treadmill testing as a risk factor for new-onset Hypertension. The Framingham heart study. Circulation 1999; 99: 1831-1836.

  • Alexandra Hough.physiotherapy in Respiratory care, Third Edition 2005, UK, Nelson Thorneslt: 289.

  • Cashs Textbook of Chest, Heart and Vascular Disorders for Physiotherapists, Fourth Edition: p 448.

  • Wada K et al. Association between Parental histories of Hypertension, Diabetes and Dyslipidemia and the clustering of these disorders in offspring .Prev Med 2006 May; 42(5):358-63.

  • Narkiewicz et al, endurance training in mild Hypertension – Effects on Ambulatory Blood Pressure and Neural Circulatory Control. Blood Press Monit. 1997 Oct; 2(5):229-235.

  • Roya Kelishadi et al. Blood Pressure in children of hypertensive and normotensive parents. Indian Journal of Peadiatrics Vol.41-Jan 17, 2004;73-77.

  • Goble MM, Scieken RM. Blood Pressure response to exercise: A marker for future Hypertension. American Journal of Hypertension 1994;4:617-20.

  • Leischuh M et al. High Normal Blood Pressure progression to Hypertension in the Framingham Heart study. Hypertension 1991; 17:22-7.

  • Balke B.A Simple field test for the assessment of physical fitness. CARI Report 1963; 63:18.

  • Paul L Enright, The Six Minute Walk Test . Resp Care.August 2003; 48(8):783-785.

  • Davrath et al. Early autonomic malfunction in normotensive individuals with a genetic predisposition to essential Hypertension. Am J physiol Heart Circ Physiol 2003; 285:H1697-1704.

  • Wilson MF et al, Exaggerated pressure response to exercise in men at risk for systemic Hypertension. Am J Cardiol 1990; 66:731-6.

  • Jackson AS et al, Prediction of future resting Hypertension from exercise blood pressure. Journal of Cardiopulmonary Rehabilitation 1983; 3:263-8.

  • Chaney RH et al., Blood Pressure at rest and maximal dynamic and isometric exercise as predictors of systemic Hypertension. AM Journal of cardiology 1988;62:1058-61.

  • Wilson NV et al, Early prediction of Hypertension using exercise blood pressure. Prev Med 1981; 10:62-8.

  • Barlassina C, Lanzani C, Manunta P, and Bianchi G Genetics of essential Hypertension: from families to genes. J Am Soc Nephrology 2002; 13 Suppl 3: S155-S164.

  • Geller DS.A genetic predisposition to Hypertension. Hypertension 2004; 44: 27-28.

  • Blonde CV, Webber LS, Foster TA, Berenson GS. Parental history and cardiovascular disease risk factor variables in children. Prev Med; 1981, 10: 25-37.

  • Burke E, Cecil J Hypertension- A Practice Nurse Protocol. Practitioner 1991; 235: 651-655.

  • Matthews CE, Pate RR, Jackson KL, Ward DS, Macera CA, Kohl HW, Blair SN. Exaggerated blood pressure response to dynamic exercise and risk of future Hypertension. J Clin Epidemiol. 1998; 51: 29-35

  • Parmer RJ, Cervenka JH, Stone RA .Baroreflex Sensitivity and Heredity in essential Hypertension. Circulation 1992; 85: 497-503.

  • Weihang Bao, Sathanur R, Srinivasan, Wendy A, Wattigney, Gerald S, Berenson. The relation of parental cardiovascular disease to risk factors in children and young adults. circu.ahajournals.org/cgi/content/abstracts/ 91/2/365.

  • Jerome L et al, Assessment of functional capacity in clinical and research applications. An Advisory form the committee on exercise, rehabilitation and Prevention, council on clinical cardiology, American heart association. Circulation 2000; 102:1591-1597

  • Singh JP, Larson MG, Manolio TA, O’Donnell CJ, Lauer M, Evans JC, Levy D. Blood pressure response during treadmill testing as a risk factor for new-onset Hypertension. The Framingham heart study. Circulation 1999; 99: 1831-1836.

  • Monolino TA, Burke GL, Savage PJ, Sidney S, Gardin JM, Oberman A. Exercise Blood Pressure response and 5 year risk of elevated blood pressure in a cohort of young adults: the CARDIA study . Am J Hypertension 1994; 7:234-41.


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  • Assessment of Cardiovascular Functional Capacity and Response to Exercise in Normotensive Offsprings of Hypertensive Parents

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Authors

Tarpan Shah
Shree Swaminarayan Physiotherapy College, Surat, Kadodara Char Rasta, NH No 8 & 6, Gujarat, India
Shailaja Modithaya
Dept of Physiology K S Hegde Medical Academy, Medical College campus, NITTE University Campus, Deralakatte, Mangalore, India
H. N. Harsha
Dept of Physiology K S Hegde Medical Academy, India
A. M. Mirajkar
Dept of Physiology, K.S Hegde Medical Academy, India
P. Sreekumaran
College of Physiotherapy, Medical Trust Institute of Medical Sciences, Cochin, India

Abstract


Study compared the cardiovascular functional capacity as well as the heart rate (HR) and blood pressure responses to a 6 minute walk test (6MWT) between normotensive offsprings of normotensive parents (NTP) and hypertensive parents (HTP). 60 subjects within the age group of 18 to 25 years were studied. Basal Heart Rate (BHR), Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) were noted before the 6MWT. After performing 6MWT, the peak HR, SBP, DBP and the recovery pattern of these parameters and distance covered were recorded. The study revealed that resting DBP was significantly higher in the offspring of hypertensive parents. There was decreased DBP response to exercise in the offspring of the hypertensive parents. However, the cardiovascular functional capacity as measured by the distance covered during the 6MWT did not differ between the two study groups. The study concludes that there is an early trend in higher blood pressure in the offspring of hypertensive parents. Offsprings of hypertensive parents also exhibit an abnormal pattern of HR and BP recovery from the exercise.

Keywords


Heart Rate, Systolic Blood Pressure, Diastolic Blood Pressure, 6MWT

References