Hypertension affects one in three adults globally and is the leading modifiable risk factor for cardiovascular disease. While blood pressure measurements at rest are fundamental to the detection and management of hypertension, abnormal blood pressure responses to exercise, namely an exaggerated exercise blood pressure (EEBP), can provide additional independent information about current and future hypertension risk. This paper summarizes a symposium entitled: "The Role of Exercise BP in Hypertension: Measurement, Mechanisms and Management" included at the 2023 American College of Sports Medicine annual meeting, which presented a timely discussion about the clinical utility of EEBP. Here we will summarize the evidence presented by the speakers including considerations for blood pressure measurement during exercise, an overview of EEBP thresholds and discussion about the value of EEBP during submaximal exercise for the identification and management of hypertension, a summary of the potential physiological mechanisms underpinning an EEBP, and a review of exercise prescription guidelines based on new and emerging evidence as they relate to the American College of Sports Medicine's exercise recommendations for hypertension. We conclude by highlighting areas for future research with the overarching goal of improving the measurement and management of hypertension.

中文翻译：

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运动血压在高血压中的作用：测量、机制和管理。


高血压影响全球三分之一的成年人，是心血管疾病的主要可改变危险因素。虽然静息血压测量对于高血压的检测和管理至关重要，但对运动的异常血压反应，即运动血压过高 (EEBP)，可以提供有关当前和未来高血压风险的额外独立信息。本文总结了2023年美国运动医学会年会上题为“运动血压在高血压中的作用：测量、机制和管理”的研讨会，该研讨会对EEBP的临床实用性进行了及时的讨论。在这里，我们将总结演讲者提出的证据，包括运动期间血压测量的注意事项、EEBP阈值概述和次最大运动期间EEBP对于高血压识别和管理的价值的讨论、潜在生理机制的总结EEBP，以及基于新出现的证据对运动处方指南的审查，因为它们与美国运动医学会针对高血压的运动建议相关。最后，我们强调了未来研究的领域，总体目标是改善高血压的测量和管理。