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01-05-2020 | Sudden Cardiac Death | Review

Recommendations for exercise and screening for safe athletic participation in hypertensive youth

Authors: Carissa M. Baker-Smith, Nicholas Pietris, Laide Jinadu

Published in: Pediatric Nephrology | Issue 5/2020

Abstract

Physical activity is an important component of ideal cardiovascular health. Current guidelines recommend that youth with hypertension participate in competitive sports once hypertensive target organ effects and risks have been assessed and that children with hypertension receive treatment to lower BP below stage 2 thresholds (e.g., < 140/90 mmHg or < 95th percentile + 12 mmHg) before participating in competitive sports. Despite these recommendations, pediatricians and pediatric subspecialists continue to struggle with how best to counsel their patients regarding appropriate forms of physical activity, the impact of exercise on blood pressure, and how best to screen for cardiovascular conditions that place youth at risk for sudden cardiac death. This review provides a summary of our current knowledge regarding the safety and utility of exercise in the management of high blood pressure in youth. We review determinants of blood pressure during exercise, the impact of blood pressure on cardiovascular health and structure, mechanisms for assessing cardiometabolic fitness (e.g., exercise stress test), contraindications to athletic participation, and how best to plan for athletic participation among hypertensive youth. Greater knowledge in these areas may offer clarity to providers faced with the challenge of prescribing exercise recommendations for hypertensive youth.

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Title: Recommendations for exercise and screening for safe athletic participation in hypertensive youth
Authors: Carissa M. Baker-Smith
Nicholas Pietris
Laide Jinadu
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Sudden Cardiac Death
Hypertension
Hypertension
Published in: Pediatric Nephrology / Issue 5/2020
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-019-04258-y

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Recommendations for exercise and screening for safe athletic participation in hypertensive youth

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