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Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study
Home blood pressure (BP) monitoring is a useful tool for hypertension management. BP variability (BPV) has been associated with an increased risk of cardiovascular events. However, little is known about the correlation between BPV and different measurement patterns of long‐term home BP monitoring. T...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8029514/ https://www.ncbi.nlm.nih.gov/pubmed/33336887 http://dx.doi.org/10.1111/jch.14134 |
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author | Lin, Jia‐You Kuo, Kuan‐Liang Kuo, Yi‐Hsin Wu, Kun‐Pin Chu, Kuo‐Chung Jiang, Yan‐Chen Chuang, Yi‐Fang Cheng, Hao‐Min |
author_facet | Lin, Jia‐You Kuo, Kuan‐Liang Kuo, Yi‐Hsin Wu, Kun‐Pin Chu, Kuo‐Chung Jiang, Yan‐Chen Chuang, Yi‐Fang Cheng, Hao‐Min |
author_sort | Lin, Jia‐You |
collection | PubMed |
description | Home blood pressure (BP) monitoring is a useful tool for hypertension management. BP variability (BPV) has been associated with an increased risk of cardiovascular events. However, little is known about the correlation between BPV and different measurement patterns of long‐term home BP monitoring. This longitudinal cohort study aimed to assess the associations between dynamic BP measurement patterns and BPV. A total of 1128 participants (mean age, 77.4 ± 9.3 years; male, 51%) with 23 269 behavior measuring units were included. We used sliding window sampling to classify the home BP data with a regular 6‐month interval into units in a sliding manner until the data are not continuous. Three measurement patterns (stable frequent [SF], stable infrequent [SI], and unstable [US]) were assessed based on the home BP data obtained within the first 3 months of the study, and the data in the subsequent 3 months were used to assess the BPV of that unit. We used linear mixed‐effects model to assess the association between BP measurement patterns and BPV with adjustment for possible confounding factors including average BP. Average real variability and coefficient variability were used as measures of the BPV. No significant differences were observed in average BP between the SF, SI, and US patterns. However, BPV in the SF group was significantly lower than that in the US and SI groups (all p‐values < .05). The BPV in SI and US groups was not significantly different. A stable and frequent BP measuring pattern was independently associated with a lower BPV. |
format | Online Article Text |
id | pubmed-8029514 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80295142021-12-16 Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study Lin, Jia‐You Kuo, Kuan‐Liang Kuo, Yi‐Hsin Wu, Kun‐Pin Chu, Kuo‐Chung Jiang, Yan‐Chen Chuang, Yi‐Fang Cheng, Hao‐Min J Clin Hypertens (Greenwich) New Directions of Hypertension Research in Asia Home blood pressure (BP) monitoring is a useful tool for hypertension management. BP variability (BPV) has been associated with an increased risk of cardiovascular events. However, little is known about the correlation between BPV and different measurement patterns of long‐term home BP monitoring. This longitudinal cohort study aimed to assess the associations between dynamic BP measurement patterns and BPV. A total of 1128 participants (mean age, 77.4 ± 9.3 years; male, 51%) with 23 269 behavior measuring units were included. We used sliding window sampling to classify the home BP data with a regular 6‐month interval into units in a sliding manner until the data are not continuous. Three measurement patterns (stable frequent [SF], stable infrequent [SI], and unstable [US]) were assessed based on the home BP data obtained within the first 3 months of the study, and the data in the subsequent 3 months were used to assess the BPV of that unit. We used linear mixed‐effects model to assess the association between BP measurement patterns and BPV with adjustment for possible confounding factors including average BP. Average real variability and coefficient variability were used as measures of the BPV. No significant differences were observed in average BP between the SF, SI, and US patterns. However, BPV in the SF group was significantly lower than that in the US and SI groups (all p‐values < .05). The BPV in SI and US groups was not significantly different. A stable and frequent BP measuring pattern was independently associated with a lower BPV. John Wiley and Sons Inc. 2020-12-18 /pmc/articles/PMC8029514/ /pubmed/33336887 http://dx.doi.org/10.1111/jch.14134 Text en © 2020 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://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 | New Directions of Hypertension Research in Asia Lin, Jia‐You Kuo, Kuan‐Liang Kuo, Yi‐Hsin Wu, Kun‐Pin Chu, Kuo‐Chung Jiang, Yan‐Chen Chuang, Yi‐Fang Cheng, Hao‐Min Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study |
title | Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study |
title_full | Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study |
title_fullStr | Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study |
title_full_unstemmed | Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study |
title_short | Association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community‐based blood pressure variability study |
title_sort | association between real‐world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: a community‐based blood pressure variability study |
topic | New Directions of Hypertension Research in Asia |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8029514/ https://www.ncbi.nlm.nih.gov/pubmed/33336887 http://dx.doi.org/10.1111/jch.14134 |
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