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Physiol. Nutr. Metab."],"published-print":{"date-parts":[[2026,1,1]]},"abstract":"<jats:p>\n                    Elevated exercise systolic blood pressure (SBP) predicts future hypertension, but its association with cardiorespiratory fitness (V\u0307O\n                    <jats:sub>2peak<\/jats:sub>\n                    ) can confound risk assessment. Indexing SBP per metabolic equivalent (MET) reduces this influence but whether treadmill-derived thresholds (6.2\u20139.0 and\u00a0&gt;9.0\u2009mmHg\/MET) translate to cycle ergometry remains unclear. Healthy adults (22\u00a0\u00b1\u00a04 years, 49% female) completed maximal treadmill ( n\u00a0=\u00a0143) or cycle ( n\u00a0=\u00a073) tests, with 21 completing both. Despite lower V\u0307O\n                    <jats:sub>2peak<\/jats:sub>\n                    during cycling, peak SBP was similar, producing a higher SBP\/MET slope in between-group ( p\u00a0=\u00a00.03) and paired analyses ( p\u00a0=\u00a00.002). Cycling showed high sensitivity\/specificity for detecting\u00a0&gt;9.0\u2009mmHg\/MET but more false positives between 6.2\u20139.0\u2009mmHg\/MET, supporting modality-specific thresholds.\n                  <\/jats:p>","DOI":"10.1139\/apnm-2025-0502","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T21:34:57Z","timestamp":1779831297000},"page":"1-5","update-policy":"https:\/\/doi.org\/10.1139\/csp-crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing the systolic blood pressure per metabolic equivalent response during treadmill and cycle ergometer exercise testing: implications for translating risk cut-offs"],"prefix":"10.1139","volume":"51","author":[{"given":"Natalie I.","family":"Miners","sequence":"first","affiliation":[{"name":"University of Guelph","place":["Guelph, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan 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