Evaluation of exercise hypertension in healthy young adults: an observational study


  • Aurobinda Chinara Department of Physiology, Maharaja Krishna Chandra Gajapati Medical College, Berhampur, Odisha, India
  • Prasanta Purohit Multi-Disciplinary Research Unit, Maharaja Krishna Chandra Gajapati Medical College, Berhampur, Odisha, India
  • Bibhupada Mahapatra Department of Physiology, Maharaja Krishna Chandra Gajapati Medical College, Berhampur, Odisha, India




Blood pressure, Diastolic blood pressure, Exercise, Gender, Hypertension


Background: The prevalence of hypertension is increasing globally as well as in Indian subcontinent. Exercise leads to an increase in the blood pressure especially systolic blood pressure. However, an increase in the diastolic blood pressure after exercise remarks for a risk of cardio-vascular disease. This study was undertaken to evaluate the exercise hypertension among the healthy young adults.

Methods: This prospective study was undertaken in a tertiary health care facility. A total of 150 healthy students were finally included in this study for analysis. The study subjects were belonging to 18-22 years old of both genders. The blood pressure was measured by sphygmomanometer. Author used two stair equipment for exercise in which students are allowed to step-up and step down for 5 minutes without any rest. The statistical analyses were carried out by using Graph-Pad Instate. 

Results: The mean age of the students was 19.8±1.3 years and 92(61.33%) being males. The mean systolic blood pressure was 117.1±7.74 mmHg in resting condition which was significantly increased to 140.0±13.9 mm Hg after exercise (p<0.0001). In contrast, the diastolic blood pressure in resting condition was 78.3±7.89 mm Hg which was significantly reduced to 71.85±7.96 mm Hg after exercise (p<0.0001). The decrease in the diastolic blood pressure was inconsistence and 9 students had increased value after exercise which was found to be normal.

Conclusions: Both systolic and diastolic blood pressure measured during resting condition and after exercise was significantly differs. These differences were found to be normal which remarks for a better cardio-logical status in healthy young students.



Ibrahim MM, Damasceno A. Hypertension in developing countries. Lancet. 2012;380(9841):611-9.

Diet and nutritional status of population and prevalence of hypertension among adults in rural areas. National Nutrition Monitoring Bureau. Technical Report No. 24. 2006..

Nair T. Systolic and diastolic blood pressure: Do we add or subtract to estimate the blood pressure burden. Hyperten J. 2016;2:221-4.

Wilcox RG, Bennett T, Brown AM, Macdonald IA. Is exercise good for high blood pressure?. Br Med J. 1982;285(6344):767-9.

Kaufman FL, Hughson RL, Schaman JP. Effect of exercise on recovery blood pressure in normotensive and hypertensive subjects. Med Sci Spor Exerc. 1987;19(1):17-20.

Pescatello LS, Fargo AE, Leach Jr CN, Scherzer HH. Short-term effect of dynamic exercise on arterial blood pressure. Circulat. 1991;83(5):1557-61.

Cléroux J, Kouame N, Nadeau A, Coulombe D, Lacourciere Y. Aftereffects of exercise on regional and systemic hemodynamics in hypertension. Hypertension. 1992;19(2):183-91.

Forjaz CL, Matsudaira Y, Rodrigues FB, Nunes N, Negrão CE. Post-exercise changes in blood pressure, heart rate and rate pressure product at different exercise intensities in normotensive humans. Brazil J Med Biolog Res. 1998;31(10):1247-55.

Izzo Jr JL, Levy D, Black HR. Importance of systolic blood pressure in older Americans. Hypertension. 2000;35(5):1021-4.

Wolthuis RA, Froelicher Jr VF, Fischer JO, Triebwasser JH. The response of healthy men to treadmill exercise. Circulat. 1977;55(1):153-7.

Paraskevaidis IA, Kremastinos DT, Kassimatis AS, Karavolias GK, Kordosis GD, Kyriakides ZS. Increased response of diastolic blood pressure to exercise in patients with coronary artery disease: an index of latent ventricular dysfunction?. Heart. 1993;69(6):507-11.

Brett SE, Ritter JM, Chowienczyk PJ. Diastolic blood pressure changes during exercise positively correlate with serum cholesterol and insulin resistance. Circulat. 2000;101(6):611-5.

Kubozono T, Koike A, Nagayama O, Tajima A, Aizawa T, Fu LT, et al. High diastolic blood pressure during exercise is associated with hypercholesterolemia in patients with coronary artery disease. Intern heart J. 2005;46(1):79-87.




How to Cite

Chinara, A., Purohit, P., & Mahapatra, B. (2019). Evaluation of exercise hypertension in healthy young adults: an observational study. International Journal of Research in Medical Sciences, 7(12), 4553–4556. https://doi.org/10.18203/2320-6012.ijrms20195517



Original Research Articles