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Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study

BACKGROUND: Home blood pressure is a more accurate prognosticator than office blood pressure and allows the observation of day‐to‐day blood pressure variability. Information on blood pressure change during the life course links the prediction of blood pressure elevation with age. We prospectively as...

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Autores principales: Satoh, Michihiro, Metoki, Hirohito, Asayama, Kei, Murakami, Takahisa, Inoue, Ryusuke, Tsubota‐Utsugi, Megumi, Matsuda, Ayako, Hirose, Takuo, Hara, Azusa, Obara, Taku, Kikuya, Masahiro, Nomura, Kyoko, Hozawa, Atsushi, Imai, Yutaka, Ohkubo, Takayoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761623/
https://www.ncbi.nlm.nih.gov/pubmed/31333055
http://dx.doi.org/10.1161/JAHA.119.012121
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author Satoh, Michihiro
Metoki, Hirohito
Asayama, Kei
Murakami, Takahisa
Inoue, Ryusuke
Tsubota‐Utsugi, Megumi
Matsuda, Ayako
Hirose, Takuo
Hara, Azusa
Obara, Taku
Kikuya, Masahiro
Nomura, Kyoko
Hozawa, Atsushi
Imai, Yutaka
Ohkubo, Takayoshi
author_facet Satoh, Michihiro
Metoki, Hirohito
Asayama, Kei
Murakami, Takahisa
Inoue, Ryusuke
Tsubota‐Utsugi, Megumi
Matsuda, Ayako
Hirose, Takuo
Hara, Azusa
Obara, Taku
Kikuya, Masahiro
Nomura, Kyoko
Hozawa, Atsushi
Imai, Yutaka
Ohkubo, Takayoshi
author_sort Satoh, Michihiro
collection PubMed
description BACKGROUND: Home blood pressure is a more accurate prognosticator than office blood pressure and allows the observation of day‐to‐day blood pressure variability. Information on blood pressure change during the life course links the prediction of blood pressure elevation with age. We prospectively assessed age‐related trends in home blood pressure, home pulse rate, and their day‐to‐day variability evaluated as a coefficient of variation. METHODS AND RESULTS: We examined 1665 participants (men, 36.0%; mean age, 56.2 years) from the general population of Ohasama, Japan. A repeated‐measures mixed linear model was used to estimate the age‐related trends. In a mean of 15.9 years, we observed 5438 points of measurements including those at baseline. The home systolic blood pressure linearly increased with age and was higher in men than in women aged <70 years. There was an inverse‐U‐shaped age‐related trend in home diastolic blood pressure. The day‐to‐day home systolic blood pressure linearly increased with age in individuals aged >40 years. However, an U‐shaped age‐related trend in day‐to‐day diastolic blood pressure variability with the nadir point at 65 to 69 years of age was observed. No significant sex differences in the day‐to‐day blood pressure variability were observed (P≥0.22). The average and day‐to‐day variability of home pulse rate decreased with age but were lower and higher, respectively, in men than in women. CONCLUSIONS: The current descriptive data are needed to predict future home blood pressure and pulse rate. The data also provide information on the mechanism of day‐to‐day blood pressure and pulse rate variability.
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spelling pubmed-67616232019-09-30 Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study Satoh, Michihiro Metoki, Hirohito Asayama, Kei Murakami, Takahisa Inoue, Ryusuke Tsubota‐Utsugi, Megumi Matsuda, Ayako Hirose, Takuo Hara, Azusa Obara, Taku Kikuya, Masahiro Nomura, Kyoko Hozawa, Atsushi Imai, Yutaka Ohkubo, Takayoshi J Am Heart Assoc Original Research BACKGROUND: Home blood pressure is a more accurate prognosticator than office blood pressure and allows the observation of day‐to‐day blood pressure variability. Information on blood pressure change during the life course links the prediction of blood pressure elevation with age. We prospectively assessed age‐related trends in home blood pressure, home pulse rate, and their day‐to‐day variability evaluated as a coefficient of variation. METHODS AND RESULTS: We examined 1665 participants (men, 36.0%; mean age, 56.2 years) from the general population of Ohasama, Japan. A repeated‐measures mixed linear model was used to estimate the age‐related trends. In a mean of 15.9 years, we observed 5438 points of measurements including those at baseline. The home systolic blood pressure linearly increased with age and was higher in men than in women aged <70 years. There was an inverse‐U‐shaped age‐related trend in home diastolic blood pressure. The day‐to‐day home systolic blood pressure linearly increased with age in individuals aged >40 years. However, an U‐shaped age‐related trend in day‐to‐day diastolic blood pressure variability with the nadir point at 65 to 69 years of age was observed. No significant sex differences in the day‐to‐day blood pressure variability were observed (P≥0.22). The average and day‐to‐day variability of home pulse rate decreased with age but were lower and higher, respectively, in men than in women. CONCLUSIONS: The current descriptive data are needed to predict future home blood pressure and pulse rate. The data also provide information on the mechanism of day‐to‐day blood pressure and pulse rate variability. John Wiley and Sons Inc. 2019-07-23 /pmc/articles/PMC6761623/ /pubmed/31333055 http://dx.doi.org/10.1161/JAHA.119.012121 Text en © 2019 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Research
Satoh, Michihiro
Metoki, Hirohito
Asayama, Kei
Murakami, Takahisa
Inoue, Ryusuke
Tsubota‐Utsugi, Megumi
Matsuda, Ayako
Hirose, Takuo
Hara, Azusa
Obara, Taku
Kikuya, Masahiro
Nomura, Kyoko
Hozawa, Atsushi
Imai, Yutaka
Ohkubo, Takayoshi
Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study
title Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study
title_full Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study
title_fullStr Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study
title_full_unstemmed Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study
title_short Age‐Related Trends in Home Blood Pressure, Home Pulse Rate, and Day‐to‐Day Blood Pressure and Pulse Rate Variability Based on Longitudinal Cohort Data: The Ohasama Study
title_sort age‐related trends in home blood pressure, home pulse rate, and day‐to‐day blood pressure and pulse rate variability based on longitudinal cohort data: the ohasama study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761623/
https://www.ncbi.nlm.nih.gov/pubmed/31333055
http://dx.doi.org/10.1161/JAHA.119.012121
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