Blood Pressure and Heart Size in Athletes

In 1976, 413 high school runners in Finland competed in a 2000-meter race. At the time of the race and in a follow-up study twenty-five years later, the faster runners had much lower blood pressures than the slower ones (International Journal of Sports Medicine, July-August 2005.)

The researchers wanted to know whether a maximal endurance test to measure aerobic fitness in adolescence would predict hypertension in adults. This is the first study to show that faster teen age runners have lower blood pressures and that the lower blood pressures persist long after they stop running. In their teens, the faster runners were more fit than the slower runners, and their dedication may have persisted into later life; or the faster teen-age runners may have had some physiological advantage that kept their blood pressure lower and made them less likely to suffer heart attacks in later life. Either the faster runners were genetically superior to the slower runners, or something in their lifestyles made them faster as teenagers and also caused them to have lower blood pressures throughout their lives. Either way, the findings of this study should encourage early participation in sports and lifelong exercise habits.

Sometimes doctors mistake a large, strong healthy heart caused by vigorous exercise with the large, weak, sick heart of cardiomyopathy. A report from University College London Hospitals describes the case of a professional athlete who was prohibited from playing football because doctors didn