High-risk individuals for hypertension exhibited delayed cardiovascular recovery from stress compared with low-risk individuals, with small mean effect sizes observed.
Meta-Analysis
Do hypertension risk factors (e.g., race, lack of fitness) delay cardiovascular recovery from stress compared to low-risk individuals?
Hypertension risk factors such as race, hypertension status, and lack of fitness are associated with delayed cardiovascular recovery following stress.
Recent research has suggested that cardiovascular recovery from stress can play a potential role in hypertension pathogenesis. Sixty-nine studies were included in a meta-analytic review to evaluate the effect of various hypertension risk factors (e.g., race, lack of exercise) on cardiovascular recovery from stress. Small mean effect sizes were observed for studies examining hypertension status and race as risk factors associated with delayed diastolic blood pressure recovery. Lack of fitness was also associated with delayed heart rate recovery. These results revealed that, for the specified risk factors and cardiovascular variables, high-risk individuals exhibited delayed cardiovascular recovery as compared with low-risk individuals. Further, the relationships between hypertension status, race, and cardiovascular recovery were typically associated with the use of "active" laboratory stressors. The relationship between lack of fitness and cardiovascular recovery was also associated with the use of "active" and exercise laboratory stressors.
SCHULER et al. (Sat,) conducted a meta-analysis in Hypertension risk factors and cardiovascular recovery. Hypertension risk factors (e.g., race, lack of fitness) vs. Low-risk individuals was evaluated on Cardiovascular recovery from stress (diastolic blood pressure and heart rate recovery). High-risk individuals for hypertension exhibited delayed cardiovascular recovery from stress compared with low-risk individuals, with small mean effect sizes observed.