Document Detail


Home blood pressure measurements associated with better blood pressure control: the J-HOME study.
MedLine Citation:
PMID:  18172452     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The usefulness of self-measurements of blood pressure (BP) at home (home BP measurements) in hypertensive patients has been reported by many studies. Several national guidelines recommend the use of home BP measurements to achieve better hypertension control. The objective of this study was to clarify the association between home BP measurements and hypertension treatment among 2363 essential hypertensive patients taking antihypertensive drugs. Compared to the 543 (23.0%) patients who had not taken home BP measurements, the 1820 (77.0%) patients who had taken home BP measurements were significantly older, included a higher proportion of males, included a higher proportion with a family history of hypertension, took a greater number of antihypertensive drugs and alpha blockers and took antihypertensive drugs more often in the evening. Home BP measurements were associated with significantly better control of home and office BP levels. Compared to patients who had not taken home BP measurements, the adjusted odds ratios for good control of morning home BPs, evening home BPs and office BPs in patients who had taken home BP measurements were 1.46 (95% confidential interval (CI) 1.33-1.57), 1.35 (95% CI 1.21-1.47) and 1.23 (95% CI 1.06-1.37), respectively. Home BP measurements were associated with good hypertensive management. Our findings suggest that it is important that physicians recommend home BP measurements to their patients.
Authors:
T Obara; T Ohkubo; K Asayama; H Metoki; R Inoue; M Kikuya; T Kato; K Tanaka; A Hara; J Hashimoto; K Totsune; Y Imai;
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-01-03
Journal Detail:
Title:  Journal of human hypertension     Volume:  22     ISSN:  0950-9240     ISO Abbreviation:  J Hum Hypertens     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-14     Completed Date:  2008-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8811625     Medline TA:  J Hum Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  197-204     Citation Subset:  IM    
Affiliation:
Department of Clinical Pharmacology and Therapeutics, Tohoku University Graduate School of Pharmaceutical Sciences and Medicine, Sendai, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Antihypertensive Agents / therapeutic use
Blood Pressure Monitoring, Ambulatory / methods*
Chi-Square Distribution
Cross-Sectional Studies
Female
Humans
Hypertension / diagnosis*,  drug therapy*
Japan
Logistic Models
Male
Middle Aged
Risk Factors
Chemical
Reg. No./Substance:
0/Antihypertensive Agents
Investigator
Investigator/Affiliation:
Yutaka Imai / ; Masatoshi Fujishima / ; Takao Saruta / ; Kazuaki Shimamoto / ; Toshiro Fujita / ; Kazuyuki Shimada / ; Toshio Ikeda / ; Iwao Kuwajima / ; Satoru Kuriyama / ; Kazuomi Kario / ; Takayoshi Ohkubo / ; Taku Obara / ; Masahiro Kikuya / ; Kei Asayama / ; Hirohito Metoki / ; Kayo Murai / ; Rie Komai / ; Testuo Kato / ; Koji Tanaka / ; Tsuyoshi Horikawa / ; Azusa Hara / ; Takuya Oikawa / ; Kazuhito Totsune / ; Junichiro Hashimoto /
Comments/Corrections
Comment In:
J Hum Hypertens. 2008 Mar;22(3):159-62   [PMID:  18216866 ]

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