Hypertension is associated with increased post-exercise albuminuria, which may be attenuated by an active lifestyle

Ayelet Grupper*, Michal Ehrenwald, Doron Schwartz, Shlomo Berliner, Moshe Shashar, Roni Baruch, Idit F. Schwartz, Ori Rogowski, David Zeltser, Itzhak Shapira, Shani Shenhar-Tsarfaty

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Albuminuria is a known marker for endothelial dysfunction and cardiovascular events, even below the threshold of moderately increased albuminuria (MIA). Post-exercise increased albuminuria may precede the appearance of rest MIA, enabling detection of early injury. Modifying lifestyle for a population at risk for MIA is therefore of interest. Our aim was to evaluate post-exercise albuminuria in hypertensive compared with normotensive individuals and to analyze the effect of an active lifestyle on rest and post-exercise albumin excretion. The study cohort consisted of 3931 adults who participated in a health-screening program. Albuminuria was measured as urine albumin-to-creatinine ratio (ACR). Lifestyle was divided into three groups: non-active, less-active, and active according to regular sport activity, categorized as follows: none, <2.5 and ≥2.5 hours per week. Mean age was 47.7 years, and 31.2% (n = 1228) were diagnosed with hypertension. Both rest and post-exercise ACR were higher in hypertensive compared to normotensive participants. Rest ACR was higher in non-active compared to less-active and active hypertensive participants. Hypertensive participants with an active lifestyle had significantly lower post-exercise and delta ACR compared to less-active and non-active hypertensive participants. Parameters related to delta ACR in hypertensive participants were increased age, BMI, and diabetes, while active lifestyle and fitness (measured as METS achieved by a stress test) were protective. In conclusion, there is an association between hypertension and increased albumin excretion post-exercise, which can be attenuated with an active lifestyle.

Original languageEnglish
Pages (from-to)1171-1179
Number of pages9
JournalJournal of Clinical Hypertension
Issue number8
StatePublished - 2019


  • endothelial dysfunction
  • hypertension
  • urine albumin excretion
  • urine albumin-to-creatinine ratio


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