The relationship between exercise capacity and masked hypertension in sedentary patients with diabetes mellitus

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dc.contributor.authorAkilli, Hakan
dc.contributor.authorKayrak, Mehmet
dc.contributor.authorAribas, Alpay
dc.contributor.authorTekinalp, Mehmet
dc.contributor.authorAyhan, Selim Suzi
dc.contributor.authorGunduz, Mehmet
dc.contributor.authorAlibasic, Hajrudin
dc.date.accessioned2024-02-23T14:34:38Z
dc.date.available2024-02-23T14:34:38Z
dc.date.issued2014
dc.departmentNEÜen_US
dc.description.abstractAim: Although exaggerated blood pressure responses (EBPR) to exercise have been related to future hypertension and masked hypertension (MHT), the relationship between exercise capacity and MHT remains unclear. A sedentary life style has been related to increased cardiovascular mortality, diabetes mellitus (DM), and hypertension. In this study, we aimed to examine the relationship between exercise capacity and MHT in sedentary patients with DM. Methods: This study included 85 sedentary and normotensive patients with DM. Each patient's daily physical activity level was assessed according to the INTERHEART study. All patients underwent an exercise treadmill test, and exercise duration and capacity were recorded. Blood pressure (BP) was recorded during all exercise stages and BP values >= 200/110 mmHg were accepted as EBPR. MHT was diagnosed in patients having an office BP < 140/90 mmHg and a daytime ambulatory BP > 135/85 mmHg. Patients were divided into two groups according to their ambulatory BP monitoring (MHT and normotensive group). Results: The prevalence of MHT was 28.2%. Exercise duration and capacity were lower in the MHT group than in the normotensive group (p < 0.05) and were negatively correlated with age, HbA1c, mean daytime BP, and mean 24 hour BP. Peak exercise systolic BP and the frequency of EBPR were both increased in the MHT group (25.0% and 8.1%, respectively, p = 0.03). According to a multivariate regression, exercise capacity (OR: 0.61, CI95%: 0.39-0.95, p = 0.03), EBPR (OR: 9.45, CI95%: 1.72-16.90, p = 0.01), and the duration of DM (OR: 0.84, CI95%: 0.71-0.96, p = 0.03) were predictors of MHT. Conclusion: Exercise capacity, EBPR, and the duration of DM were predictors of MHT in sedentary subjects with DM.en_US
dc.description.sponsorshipScientific Investigation and Project Foundation of Selcuk University [09102016]en_US
dc.description.sponsorshipThis study was financially supported by the Scientific Investigation and Project Foundation of Selcuk University (Project number: 09102016).en_US
dc.identifier.doi10.3109/10641963.2013.783047
dc.identifier.endpage16en_US
dc.identifier.issn1064-1963
dc.identifier.issn1525-6006
dc.identifier.issue1en_US
dc.identifier.pmid23734826en_US
dc.identifier.scopus2-s2.0-84892583587en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage9en_US
dc.identifier.urihttps://doi.org/10.3109/10641963.2013.783047
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15677
dc.identifier.volume36en_US
dc.identifier.wosWOS:000329838600002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Incen_US
dc.relation.ispartofClinical And Experimental Hypertensionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDiabetes Mellitusen_US
dc.subjectExercise Treadmill Testen_US
dc.subjectExercise Capacityen_US
dc.subjectMasked Hypertensionen_US
dc.subjectSedentary Lifestyleen_US
dc.titleThe relationship between exercise capacity and masked hypertension in sedentary patients with diabetes mellitusen_US
dc.typeArticleen_US

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