Background: Exercise Stress Testing (EST) is traditionally analyzed in prediction of the coronary artery disease (CAD).
Systolic blood pressure (SBP) during recovery was related directly to risk of cardiovascular death after adjustment for age
and other clinical and exercise test variables.
Objective: Determine the relationship between systolic blood pressure recovery ratio (SBPRR) and anthropometric and cardio-metabolic factors from laboratory among menopausal status.
Material and Method: The cross-sectional study was conducted between September 2015 and February 2016. Seventy-six perimenopausal and menopausal participants were recruited from Suranaree University of Technology Hospital in the study. Anthropometric indices, biochemical laboratory, and clinical parameters were measured. All participants underwent exercise as per Bruce protocol EST. The SBPRR was assessed by calculated SBP at 3 min/SBP at peak ratio.
Results: The 76 perimenopausal and menopausal participants had a mean age of 50.26+8.36 years. SBPRR were negatively
correlated with HDL-C (r = -0.29, p = 0.02) and positively correlated with fasting blood sugar (FBS) (r = 0.28, p = 0.01).
There was no difference among groups of SBPRR in perimenopausal/menopausal women except waist-hip ratio (p = 0.02) and HDL-C (p = 0.02). EST parameter peak rate pressure product, heart rate recovery at 1-minute, and functional capacity were not discriminating between SBPRR groups.
Conclusion: SBPRR measurement is non-invasive testing. The value of SBPRR correlate, negatively with HDL-C, positively with FBS and the traditional cardio-metabolic risk factors in perimenopausal/menopausal women.

Keywords: Systolic blood pressure recovery ratio, Exercise treadmill testing, Cardio-metabolic risk factor, Menopausal
status