Blood Pressure Analysis in the Runner Community towards the Risk of Exercise-Induced Hypertension

Authors

  • Annisaa Fitrah Umara Univeristas Muhammadiyah Tangerang, Indonesia
  • Alpan Habibi Universitas Muhammadiyah Tangerang, Indonesia
  • Eriyono Budi Wijoyo Universitas Muhammadiyah Tangerang, Indonesia
  • Agmalia Fratiwi Universitas Muhammadiyah Tangerang, Indonesia
  • Dhinda Anjas Rananda Universitas Muhammadiyah Tangerang, Indonesia

DOI:

https://doi.org/10.33006/ji-kes.v9i1.897

Abstract

Abstrak

Hipertensi meningkatkan risiko penyakit jantung secara global, sementara olahraga lari telah menjadi populer sebagai langkah pencegahan. Namun, hal ini juga dapat menyebabkan Hipertensi yang Dipicu oleh Olahraga (EIH), terutama pada pelari jarak jauh berusia paruh baya yang menunjukkan tingkat EIH lebih tinggi dibandingkan kelompok usia lain. Studi ini menyelidiki variasi tekanan darah sebelum dan setelah berlari dalam komunitas pelari. Menggunakan desain pra-eksperimental dengan pendekatan pra-tes dan pasca-tes, studi ini melibatkan responden berusia di atas 18 tahun yang berlari lebih dari 1-kilometer dan berlatih setidaknya dua kali seminggu. Sebanyak 36 anggota komunitas dipilih secara purposif. Tekanan darah dan denyut nadi diukur sebelum dan segera setelah berlari. Sebagian besar responden adalah laki-laki (33,3%), muda (52,78%), dan tidak merokok (72,2%). Temuan menunjukkan bahwa berlari tidak secara signifikan mempengaruhi Tekanan Darah Sistolik (p>0,05), tetapi mempengaruhi Tekanan Darah Diastolik (p<0,05). Tidak terdapat perubahan signifikan pada tekanan darah, menunjukkan adanya EIH (tekanan darah istirahat <140/90 mmHg dan maksimum selama olahraga ≥210 mmHg untuk pria dan ≥190 mmHg untuk wanita). Tekanan darah yang stabil atau menurun dikaitkan dengan vasodilatasi metabolik selama olahraga. Pemantauan tekanan darah secara terus-menerus sangat penting untuk mengurangi risiko kesehatan yang potensial.

Kata kunci: hipertensi, latihan fisik, pelari, tekanan darah

 

Abstract

Hypertension increases the risk of heart disease globally, while running has gained popularity as a preventive measure. However, it can also lead to Exercise-Induced Hypertension (EIH), particularly in middle-aged long-distance runners who exhibit higher EIH levels than other age groups. This study investigates blood pressure variations before and after running within a running community. Utilizing a pre-experimental design with a pre- and post-test approach, the study included respondents over 18 years old, who ran more than 1 kilometer and trained at least twice weekly. A purposive sample of 36 community members was selected. Blood pressure and pulse were measured before and immediately after running. The majority of respondents were male (33.3%), young (52.78%), and non-smokers (72.2%). Findings indicated that running did not significantly affect Systolic Blood Pressure (p>0.05), but it did impact Diastolic Blood Pressure (p<0.05). No significant changes in blood pressure were observed, suggesting EIH (resting blood pressure <140/90 mmHg and maximum during exercise ≥210 mmHg for men and ≥190 mmHg for women). The stable or decreased blood pressure is attributed to metabolic vasodilation during exercise. Continuous blood pressure monitoring is essential to mitigate potential health risks.  

Keywords: blood pressure; hypertension; physical exercise; runner

Downloads

Download data is not yet available.

References

Caselli, S., Serdoz, A., Mango, F., Lemme, E., Vaquer Seguì, A., Milan, A., Attenhofer Jost, C., Schmied, C., Spataro, A., & Pelliccia, A. (2019). High blood pressure response to exercise predicts future development of hypertension in young athletes. European Heart Journal, 40(1), 62–68. https://doi.org/10.1093/eurheartj/ehy810

CDC. (2023). Estimated Hypertension Prevalence, Treatment, and Control Among U.S. Adults. https://millionhearts.hhs.gov/data-reports/hypertension-prevalence.html

Deelen, I., Janssen, M., Vos, S., Kamphuis, C. B. M., & Ettema, D. (2019). Attractive running environments for all? A cross-sectional study on physical environmental characteristics and runners’ motives and attitudes, in relation to the experience of the running environment. BMC Public Health, 19(1), 1–15. https://doi.org/10.1186/s12889-019-6676-6

Dhuli, K., Naureen, Z., Medori, M. C., Fioretti, F., Caruso, P., Perrone, M. A., Nodari, S., Manganotti, P., Xhufi, S., Bushati, M., Bozo, D., Connelly, S. T., Herbst, K. L., & Matteo Bertelli, M. (2022). Physical activity for health. Journal of Preventive Medicine and Hygiene, Vol. 63 No. 2S3, E150 Pages. https://doi.org/10.15167/2421-4248/JPMH2022.63.2S3.2756

Edwards, J. M. (2022). Exercise-induced hypertension as a red flag. In Healthline. https://www.healthline.com/health/high-blood-pressure-hypertension/how-long-does-blood-pressure-stay-elevated-after-exercise#takeaway

Feraco, A., Armani, A., Amoah, I., Guseva, E., Camajani, E., Gorini, S., Strollo, R., Padua, E., Caprio, M., & Lombardo, M. (2024). Assessing gender differences in food preferences and physical activity: A population-based survey. Frontiers in Nutrition, 11, 1348456. https://doi.org/10.3389/fnut.2024.1348456

Gerasimuk, D., Malchrowicz-Mośko, E., Stanula, A., Bezuglov, E., Achkasov, E., Swinarew, A., & Waśkiewicz, Z. (2021). Age-Related Differences in Motivation of Recreational Runners, Marathoners, and Ultra-Marathoners. Frontiers in Psychology, 12, 738807. https://doi.org/10.3389/fpsyg.2021.738807

Gibbons, R. J., Balady, G. J., Timothy Bricker, J., Chaitman, B. R., Fletcher, G. F., Froelicher, V. F., Mark, D. B., McCallister, B. D., Mooss, A. N., O’Reilly, M. G., Winters, W. L., Gibbons, R. J., Antman, E. M., Alpert, J. S., Faxon, D. P., Fuster, V., Gregoratos, G., Hiratzka, L. F., Jacobs, A. K., Smith, S. C. (2002). ACC/AHA 2002 guideline update for exercise testing: Summary article. Journal of the American College of Cardiology, 40(8), 1531–1540. https://doi.org/10.1016/S0735-1097(02)02164-2

Gibbs, B. B., Hivert, M. F., Jerome, G. J., Kraus, W. E., Rosenkranz, S. K., Schorr, E. N., Spartano, N. L., & Lobelo, F. (2021). Physical Activity as a Critical Component of First-Line Treatment for Elevated Blood Pressure or Cholesterol: Who, What, and How?: A Scientific Statement From the American Heart Association. Hypertension, 78(2), E26–E37. https://doi.org/10.1161/HYP.0000000000000196

Grajek, M., Sas-Nowosielski, K., Sobczyk, K., Działach, E., Białek-Dratwa, A., Górski, M., & Kobza, J. (2021). Motivation to engage in physical activity among health sciences students. Journal of Physical Education and Sport, 21(1), 140–144. https://doi.org/10.7752/jpes.2021.01019

Hunter, S. K., S. Angadi, S., Bhargava, A., Harper, J., Hirschberg, A. L., D. Levine, B., L. Moreau, K., J. Nokoff, N., Stachenfeld, N. S., & Bermon, S. (2023). The Biological Basis of Sex Differences in Athletic Performance: Consensus Statement for the American College of Sports Medicine. Medicine & Science in Sports & Exercise, 55(12), 2328–2360. https://doi.org/10.1249/MSS.0000000000003300

Igarashi, Y., & Nogami, Y. (2020). Running to Lower Resting Blood Pressure: A Systematic Review and Meta-analysis. Sports Medicine, 50(3), 531–541. https://doi.org/10.1007/s40279-019-01209-3

Irawati, P., Fitri, O. E., & Umara, Annisaa Fitrah. (2024). Pengaruh Terapi Foot Massage terhadap Penurunan Tekanan Darah pada Pasien Hipertensi Urgensi. Jurnal Ilmiah Keperawatan Indonesia [JIKI], 7(2). http://dx.doi.org/10.31000/jiki.v7i2.12212

Kaewmanee, S., Penglee, N., Polyai, N., Rutnosot, G., Sanpoksub, P., Guyot, B. S., Guyot, D. K., Krittayaphong, R., Vanavichit, A., & Thengchaisri, N. (2025). Resistance band exercise outperforms low-intensity exercise in reducing BMI, body fat, and blood glucose levels in patients with non-communicable diseases. Journal of Holistic Nursing Science, 12(1), 49–59. https://doi.org/10.31603/nursing.v12i1.12811

Kaltwasser, J. (2024). Exercise-Induced Hypertension a Risk Factor for Sudden Cardiac Death, Review Finds. In AJM. https://www.ajmc.com/view/exercise-induced-hypertension-a-risk-factor-for-sudden-cardiac-death-review-finds

Kim, C. H., Park, Y., Chun, M. Y., & Kim, Y. J. (2020). Exercise-induced hypertension can increase the prevalence of coronary artery plaque among middle-aged male marathon runners. Medicine (United States), 99(17), E19911. https://doi.org/10.1097/MD.0000000000019911

Kim, J.-Y., Yang, Y., & Sim, Y.-J. (2018). Effects of smoking and aerobic exercise on male college students’ metabolic syndrome risk factors. Journal of Physical Therapy Science, 30(4), 595–600. https://doi.org/10.1589/jpts.30.595

Kim, Y. J., Lee, S. E., & Park, K. M. (2021). Exercise characteristics and incidence of abnormal electrocardiogram response in long-distance runners with exercise-induced hypertension. Journal of Clinical Hypertension, 23(10), 1915–1921. https://doi.org/10.1111/jch.14359

Kim, Y. J., & Park, K. M. (2024). Possible Mechanisms for Adverse Cardiac Events Caused by Exercise-Induced Hypertension in Long-Distance Middle-Aged Runners: A Review. Journal of Clinical Medicine, 13(8). https://doi.org/10.3390/jcm13082184

Kozlovskaia, M., Vlahovich, N., Rathbone, E., Manzanero, S., Keogh, J., & Hughes, D. C. (2019). A profile of health, lifestyle and training habits of 4720 Australian recreational runners—The case for promoting running for health benefits. Health Promotion Journal of Australia, 30(2), 172–179. https://doi.org/10.1002/hpja.30

Kunimatsu, N., Tsukamoto, H., & Ogoh, S. (2024). Exaggerated Blood Pressure Response to Exercise Is a Risk of Future Hypertension Even in Healthy, Normotensive Young Individuals—Potential Preventive Strategies for This Phenomenon? Journal of Clinical Medicine, 13(19). https://doi.org/10.3390/jcm13195975

Mahdaniar, A. H. (2023). Profil Kesehatan Dinas Kesehatan Kota Tangerang Selatan Tahun 2023. Dinkes Kota Tangerang Selatan.

Mohammed, L. (Lina) M., Dhavale, M., Abdelaal, M. K., Alam, A. B. M. N., Blazin, T., Prajapati, D., & Mostafa, J. A. (2020). Exercise-Induced Hypertension in Healthy Individuals and Athletes: Is it an Alarming Sign? Cureus, 12(12). https://doi.org/10.7759/cureus.11988

Monfared, V., Hashemi, M., Kiani, F., Javid, R., Yousefi, M., Hasani, M., Jafari, A., Vakili, M. A., & Hasani, M. (2024). The effect of physical activity intervention on blood pressure in 18 low and middle-income countries: A systematic review and meta-analysis of randomized controlled trials. Clinical Hypertension, 30(1), 22. https://doi.org/10.1186/s40885-024-00281-w

Nishanthi, A., Agilan, P., Vimal, M., & Shanthi, M. (2024). Patterns of Physical Activity and its Association with Gender and Academic Year Among Undergraduate Medical Students. Journal of Pharmacology and Pharmacotherapeutics, 15(1), 61–68. https://doi.org/10.1177/0976500X241236827

Pesova, P., Jiravska Godula, B., Jiravsky, O., Jelinek, L., Sovova, M., Moravcova, K., Ozana, J., Gajdusek, L., Miklik, R., Sknouril, L., Neuwirth, R., & Sovova, E. (2023). Exercise-Induced Blood Pressure Dynamics: Insights from the General Population and the Athletic Cohort. Journal of Cardiovascular Development and Disease, 10(12), 480. https://doi.org/10.3390/jcdd10120480

Pesova, P., Jiravska Godula, B., Jiravsky, O., Jelinek, L., Sovova, M., Moravcova, K., Ozana, J., Ranic, I., Neuwirth, R., Miklik, R., Pekar, M., Sknouril, L., Tuka, V., & Sovova, E. (2024). Peak systolic blood pressure during preparticipation exercise testing in 12,083 athletes: Age, sex, and workload-indexed values and predictors. Frontiers in Physiology, 15, 1456331. https://doi.org/10.3389/fphys.2024.1456331

Pojednic, R., D’Arpino, E., Halliday, I., & Bantham, A. (2022). The Benefits of Physical Activity for People with Obesity, Independent of Weight Loss: A Systematic Review. International Journal of Environmental Research and Public Health, 19(9), 4981. https://doi.org/10.3390/ijerph19094981

Sabbahi, A., Arena, R., Kaminsky, L. A., Myers, J., & Phillips, S. A. (2018). Peak Blood Pressure Responses During Maximum Cardiopulmonary Exercise Testing: Reference Standards From FRIEND (Fitness Registry and the Importance of Exercise: A National Database). Hypertension, 71(2), 229–236. https://doi.org/10.1161/HYPERTENSIONAHA.117.10116

Sharma, G., Ram, V. S., & Yang, E. (2019). Comparison of the ACC/AHA and ESC/ESH Hypertension Guidelines. American College of Cardiology. https://www.acc.org/latest-in-cardiology/articles/2019/11/25/08/57/comparison-of-the-acc-aha-and-esc-esh-hypertension-guidelines#:

Statista. (2024). Running & Jogging—Statistics & Facts. In Statista.com. https://www.statista.com/topics/1743/running-and-jogging/#topicOverview

Uemura, K., Miyagami, T., Saita, M., Uchida, T., Yuasa, S., Kondo, K., Miura, S., Matsushita, M., Shirai, Y., Misawa, R. B., & Naito, T. (2024). Trends in Exercise-Related Internet Search Keywords by Sex, Age, and Lifestyle: Infodemiological Study. JMIR Formative Research, 8, e59395. https://doi.org/10.2196/59395

Valenzuela, P. L., Carrera-Bastos, P., Gálvez, B. G., Ruiz-Hurtado, G., Ordovas, J. M., Ruilope, L. M., & Lucia, A. (2021). Lifestyle interventions for the prevention and treatment of hypertension. Nature Reviews Cardiology, 18(4), 251–275. https://doi.org/10.1038/s41569-020-00437-9

Wang, X., Chen, G., Huang, Z., Zang, Y., Cai, Z., Ding, X., Chen, Z., Lan, Y., Li, W., Fang, W., Wu, W., Chen, Z., Wu, S., & Chen, Y. (2023). Effect of Aerobic Exercise on Arterial Stiffness in Individuals with Different Smoking Statuses. International Journal of Sports Medicine, 44(01), 48–55. https://doi.org/10.1055/a-1925-7588

Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison Himmelfarb, C., DePalma, S. M., Gidding, S., Jamerson, K. A., Jones, D. W., MacLaughlin, E. J., Muntner, P., Ovbiagele, B., Smith, S. C., Spencer, C. C., Stafford, R. S., Taler, S. J., Thomas, R. J., Williams, K. A., Wright, J. T. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Pr. Journal of the American College of Cardiology, 71(19), e127–e248. https://doi.org/10.1016/j.jacc.2017.11.006

WHO. (2023). Hypertension. WHO. https://www.who.int/news-room/fact-sheets/detail/hypertension

Williams, B., Mancia, G., De Backer, G., Dominiczak, A., Cifkova, R., Fagard, R., Germano, G., Grassi, G., Heagerty, A. M., Kjeldsen, S. E., Laurent, S., Narkiewicz, K., Ruilope, L., Rynkiewicz, A., Schmieder, R. E., Boudier, H. A. J. S., & Zanchetti, A. (2018). 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). In European Heart Journal (Vol. 39). https://doi.org/doi:10.1093/eurheartj/ehy339

Downloads

Published

08/21/2025

How to Cite

Umara, A. F., Habibi, A., Wijoyo, E. B., Fratiwi, A., & Rananda, D. A. (2025). Blood Pressure Analysis in the Runner Community towards the Risk of Exercise-Induced Hypertension. JI-KES (Jurnal Ilmu Kesehatan), 9(1), 28–36. https://doi.org/10.33006/ji-kes.v9i1.897

Citation Check

Most read articles by the same author(s)