Post-exercise systolic blood pressure recovery and adiposity in adults

To determine the incidence of abnormal or delayed systolic blood pressure recovery (SBPR) in relation to the level of adiposity in the adult population; the risk of delayed SBPR in overweight/obese adults relative to their non-overweight/obese controls; and the best predictor of third-minute systolic blood pressure (SBP) ratio and delayed SBPR among four obesity indices – body mass index (BMI), waist circumference, waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR). Two hundred and ninety-six apparently healthy adults aged 18–48 years participated in the study. Anthropometric variables were measured, and subjects performed cycle ergometer exercise at 80% age-predicted maximum heart rate. Blood pressure (BP) and heart rate were measured before and during exercise. BP was further measured immediately after exercise and subsequently at 2 min intervals until recovery to resting position. The incidence and risk of delayed SBPR were higher in the overweight/obese individuals than those in the non-overweight/obese controls. Multivariable regression analyses revealed that BMI in males and WHtR and WHR in females had the strongest relationships (P < 0.05) with post-exercise SBPR. WHtR and BMI had the strongest associations with increased risk of delayed SBPR in the non-overweight/obese and the overweight/obese individuals, respectively. The present findings suggest that WHtR in the non-obese individuals and BMI in the overweight/obese individuals may be the best obesity variables for the prediction of abnormal post-exercise SBP response. Our findings further suggest that a reduction in body weight through healthy activities such as exercise may reduce the incidence and increased risk of delayed SBPR and its associated cardiovascular risks.