Key result
Prehypertensive individuals exhibited abnormally enhanced diastolic blood pressure reactions to both emotional and motor stimuli compared with normotensive controls (p<0.0001).
Why the study?
Knowledge regarding blood pressure reactions to aversive stimuli and motor reactions in prehypertension was limited.
Do young prehypertensive individuals exhibit abnormal continuous blood pressure reactions to emotional and motor stimuli compared to normotensive controls?
Observational (n=107)
Yes
Do young prehypertensive individuals exhibit abnormal continuous blood pressure reactions to emotional and motor stimuli compared to normotensive controls?
p-value: p=<0.0001
Young prehypertensive individuals exhibit abnormal autonomic blood pressure reactions to emotional and motor stimuli, which could serve as a behavioral marker to identify those at risk for essential hypertension.
Abnormal DBP reactivity in prehypertensives may signal early autonomic changes; hypothesis-generating for hypertension risk markers and should not yet change practice.
BACKGROUND: Essential hypertension is an important risk factor for cerebrovascular diseases and a major cause of premature death in industrialized societies. A predisposing factor for essential hypertension is prehypertension: blood pressure (BP) values at rest that are at the higher end of the normal range. Abnormally enhanced cardiovascular responses to motor and emotional tasks have been found as predictors of essential hypertension. Yet, knowledge regarding the BP reaction to aversive stimuli and motor reaction in prehypertension is limited. METHODS: We compared the reaction to aversive and neutral stimuli inducing an emotional response (experiment 1) and to the isometric handgrip exercise (IHE) inducing a motor response (experiment 2), between prehypertensive and normotensive controls. BP reactions were measured and analyzed in a continuous fashion, in contrast to previous studies that averaged BP responses across blocks. We applied a multilevel B-spline model, a continuous analysis that enabled a better understanding of the BP time course and the detection of subtle differences between groups. RESULTS: In both tasks, we found that prehypertensive individuals showed enhanced DBP reactions compared with normotensive controls; prehypertensive individuals exhibited lower BP responses to aversive pictures and higher BP responses to the IHE. These results are in line with previous studies with healthy or hypertensive participants and suggest abnormalities already in the prehypertensive stage. CONCLUSION: Considering the high frequency and health risks related to prehypertension, understanding the autonomic reactions to emotional and motor stimuli in this population is of clinical and theoretical importance and could serve as a behavioural marker to identify at-risk groups.
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Wiener et al. (2021) conducted an observational in Prehypertension (n=107). Prehypertension vs. Normotension was evaluated on Continuous diastolic blood pressure reaction to emotional and motor tasks (p=<0.0001). Prehypertensive individuals exhibited abnormally enhanced diastolic blood pressure reactions to both emotional and motor stimuli compared with normotensive controls (p<0.0001).
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