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Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension

Ethnic differences in the profiles of hypertension and cardiovascular risk have been reported between Asians and Westerners. However, blood pressure (BP) profiles and the risk factors for cardiovascular disease might differ even among different Asian populations because of the diversity of cultures,...

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Autores principales: Tomitani, Naoko, Wanthong, Sirisawat, Roubsanthisuk, Weranuj, Buranakitjaroen, Peera, Hoshide, Satoshi, Kario, Kazuomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8029532/
https://www.ncbi.nlm.nih.gov/pubmed/33225613
http://dx.doi.org/10.1111/jch.14107
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author Tomitani, Naoko
Wanthong, Sirisawat
Roubsanthisuk, Weranuj
Buranakitjaroen, Peera
Hoshide, Satoshi
Kario, Kazuomi
author_facet Tomitani, Naoko
Wanthong, Sirisawat
Roubsanthisuk, Weranuj
Buranakitjaroen, Peera
Hoshide, Satoshi
Kario, Kazuomi
author_sort Tomitani, Naoko
collection PubMed
description Ethnic differences in the profiles of hypertension and cardiovascular risk have been reported between Asians and Westerners. However, blood pressure (BP) profiles and the risk factors for cardiovascular disease might differ even among different Asian populations because of the diversity of cultures, foods, and environments. We retrospectively examined differences in 24‐h BP profiles between 1051 Japanese (mean age, 62.5 ± 12.4 years; medicated hypertension, 75.7%) and 804 Thai (mean age, 56.9 ± 18.5 years; medicated hypertension, 65.6%) by using the Japanese and Thai ambulatory BP monitoring (ABPM) databases, in order to check the BP control status in treated hypertensives and to inform the clinical diagnosis of hypertension. The two populations had similar office systolic BP (SBP) (142.7 ± 20.0 vs 142.3 ± 20.6 mm Hg, p = .679). However, the Japanese population had higher 24‐hr average and daytime SBP, and the Thai population had higher nighttime SBP even after adjusting for cardiovascular risk factors (all p < .05). Greater morning BP surge was observed in Japanese (31.2 vs 22.8 mm Hg, p < .001). Regarding nocturnal BP dipping status, the prevalence of riser status (higher nighttime than daytime SBP) was higher in the Thai population (30.5% vs 10.9%). These findings suggest that a substantial difference in 24‐hr BP profiles exists between even neighboring countries in Asia.
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spelling pubmed-80295322021-12-16 Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension Tomitani, Naoko Wanthong, Sirisawat Roubsanthisuk, Weranuj Buranakitjaroen, Peera Hoshide, Satoshi Kario, Kazuomi J Clin Hypertens (Greenwich) New Directions of Hypertension Research in Asia Ethnic differences in the profiles of hypertension and cardiovascular risk have been reported between Asians and Westerners. However, blood pressure (BP) profiles and the risk factors for cardiovascular disease might differ even among different Asian populations because of the diversity of cultures, foods, and environments. We retrospectively examined differences in 24‐h BP profiles between 1051 Japanese (mean age, 62.5 ± 12.4 years; medicated hypertension, 75.7%) and 804 Thai (mean age, 56.9 ± 18.5 years; medicated hypertension, 65.6%) by using the Japanese and Thai ambulatory BP monitoring (ABPM) databases, in order to check the BP control status in treated hypertensives and to inform the clinical diagnosis of hypertension. The two populations had similar office systolic BP (SBP) (142.7 ± 20.0 vs 142.3 ± 20.6 mm Hg, p = .679). However, the Japanese population had higher 24‐hr average and daytime SBP, and the Thai population had higher nighttime SBP even after adjusting for cardiovascular risk factors (all p < .05). Greater morning BP surge was observed in Japanese (31.2 vs 22.8 mm Hg, p < .001). Regarding nocturnal BP dipping status, the prevalence of riser status (higher nighttime than daytime SBP) was higher in the Thai population (30.5% vs 10.9%). These findings suggest that a substantial difference in 24‐hr BP profiles exists between even neighboring countries in Asia. John Wiley and Sons Inc. 2020-11-22 /pmc/articles/PMC8029532/ /pubmed/33225613 http://dx.doi.org/10.1111/jch.14107 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
Tomitani, Naoko
Wanthong, Sirisawat
Roubsanthisuk, Weranuj
Buranakitjaroen, Peera
Hoshide, Satoshi
Kario, Kazuomi
Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension
title Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension
title_full Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension
title_fullStr Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension
title_full_unstemmed Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension
title_short Differences in ambulatory blood pressure profiles between Japanese and Thai patients with hypertension /suspected hypertension
title_sort differences in ambulatory blood pressure profiles between japanese and thai patients with hypertension /suspected hypertension
topic New Directions of Hypertension Research in Asia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8029532/
https://www.ncbi.nlm.nih.gov/pubmed/33225613
http://dx.doi.org/10.1111/jch.14107
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