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Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment

Epidemiologic studies assessing the relationship between blood pressure (BP), body mass and cardiovascular events have primarily been based on office BP measurements, and few data are available in the elderly. The aim of the present study was to evaluate the relationship between body mass index (BMI...

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Autores principales: Baird, Stacy W., Jin, Zhezhen, Okajima, Kazue, Russo, Cesare, Schwartz, Joseph E., Elkind, Mitchell S.V., Rundek, Tatjana, Homma, Shunichi, Sacco, Ralph L., Di Tullio, Marco R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826780/
https://www.ncbi.nlm.nih.gov/pubmed/29203908
http://dx.doi.org/10.1038/s41371-017-0021-2
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author Baird, Stacy W.
Jin, Zhezhen
Okajima, Kazue
Russo, Cesare
Schwartz, Joseph E.
Elkind, Mitchell S.V.
Rundek, Tatjana
Homma, Shunichi
Sacco, Ralph L.
Di Tullio, Marco R.
author_facet Baird, Stacy W.
Jin, Zhezhen
Okajima, Kazue
Russo, Cesare
Schwartz, Joseph E.
Elkind, Mitchell S.V.
Rundek, Tatjana
Homma, Shunichi
Sacco, Ralph L.
Di Tullio, Marco R.
author_sort Baird, Stacy W.
collection PubMed
description Epidemiologic studies assessing the relationship between blood pressure (BP), body mass and cardiovascular events have primarily been based on office BP measurements, and few data are available in the elderly. The aim of the present study was to evaluate the relationship between body mass index (BMI) and BP values obtained by ambulatory blood pressure monitoring (ABPM) as compared to office BP measurements, and the effect of anti-hypertensive treatment on the relationship. The study population consisted of 813 subjects participating in the Cardiovascular Abnormalities and Brain Lesions (CABL) study who underwent 24-hour ABPM. Office BP (mean of 2 measurements) was found to be associated with increasing BMI, for both SBP (p≤0.05) and DBP (p≤0.001). In contrast, there was no association seen of increasing BMI with ABPM parameters in the overall cohort, even after adjusting for age and gender. However, among subjects not on anti-hypertensive treatment, office SBP and DBP measurements were significantly correlated with increasing BMI (p≤0.01) as were daytime SBP and 24-hour SBP, although with a smaller spread across BMI subgroups compared with office readings. In treated hypertensives, there was only a trend toward increasing office DBP and increasing DBP variability with higher BMI. Our results suggest that body mass may be a less significant influence on BP values in the elderly when ABPM rather than office measurements are considered, particularly in patients receiving anti-hypertensive treatment.
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spelling pubmed-58267802018-06-04 Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment Baird, Stacy W. Jin, Zhezhen Okajima, Kazue Russo, Cesare Schwartz, Joseph E. Elkind, Mitchell S.V. Rundek, Tatjana Homma, Shunichi Sacco, Ralph L. Di Tullio, Marco R. J Hum Hypertens Article Epidemiologic studies assessing the relationship between blood pressure (BP), body mass and cardiovascular events have primarily been based on office BP measurements, and few data are available in the elderly. The aim of the present study was to evaluate the relationship between body mass index (BMI) and BP values obtained by ambulatory blood pressure monitoring (ABPM) as compared to office BP measurements, and the effect of anti-hypertensive treatment on the relationship. The study population consisted of 813 subjects participating in the Cardiovascular Abnormalities and Brain Lesions (CABL) study who underwent 24-hour ABPM. Office BP (mean of 2 measurements) was found to be associated with increasing BMI, for both SBP (p≤0.05) and DBP (p≤0.001). In contrast, there was no association seen of increasing BMI with ABPM parameters in the overall cohort, even after adjusting for age and gender. However, among subjects not on anti-hypertensive treatment, office SBP and DBP measurements were significantly correlated with increasing BMI (p≤0.01) as were daytime SBP and 24-hour SBP, although with a smaller spread across BMI subgroups compared with office readings. In treated hypertensives, there was only a trend toward increasing office DBP and increasing DBP variability with higher BMI. Our results suggest that body mass may be a less significant influence on BP values in the elderly when ABPM rather than office measurements are considered, particularly in patients receiving anti-hypertensive treatment. 2017-12-04 2018-02 /pmc/articles/PMC5826780/ /pubmed/29203908 http://dx.doi.org/10.1038/s41371-017-0021-2 Text en Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use: http://www.nature.com/authors/editorial_policies/license.html#terms
spellingShingle Article
Baird, Stacy W.
Jin, Zhezhen
Okajima, Kazue
Russo, Cesare
Schwartz, Joseph E.
Elkind, Mitchell S.V.
Rundek, Tatjana
Homma, Shunichi
Sacco, Ralph L.
Di Tullio, Marco R.
Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment
title Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment
title_full Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment
title_fullStr Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment
title_full_unstemmed Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment
title_short Relationship Between Body Mass and Ambulatory Blood Pressure: Comparison with Office Blood Pressure Measurement and Effect of Treatment
title_sort relationship between body mass and ambulatory blood pressure: comparison with office blood pressure measurement and effect of treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826780/
https://www.ncbi.nlm.nih.gov/pubmed/29203908
http://dx.doi.org/10.1038/s41371-017-0021-2
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