| Masked hypertension: different blood pressure measurement methodology and risk factors in a working population. | |
| | |
MedLine Citation:
|
PMID: 19444141 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To estimate the prevalence of masked hypertension when the same ambulatory device is used for both manual and ambulatory blood pressure measurements and to measure associations with lifestyle risk factors in a working population. METHODS: White-collar workers were recruited from three public organizations. Blood pressure was measured at the workplace using Spacelabs 90207 for manual measurements (mean of the first three readings taken by a trained assistant) followed by ambulatory measurements (mean of every other reading obtained during the working day). Masked hypertension was defined as manual blood pressure measurement of less than 140/90 mmHg and ambulatory blood pressure measurement of at least 135/85 mmHg. Smoking, alcohol intake, BMI and leisure physical activity were also assessed. RESULTS: Blood pressure measurements were obtained from 2370 workers (80% participation, 61% women; mean age = 44 years). Masked hypertension was diagnosed in 15.02% of the participants. The prevalence was higher in men [adjusted odds ratio (OR) = 2.38, 95% confidence interval (CI) = 1.86-3.05]. The prevalence in men increased with age (adjusted OR = 2.08 for 40-49 years, 95% CI = 1.33-3.26 and adjusted OR = 1.91 for > or =50 years, 95% CI = 1.20-3.04) and BMI (adjusted OR = 1.78 for BMI > or = 27, 95% CI = 1.21-2.64). The prevalence in women increased with BMI (adjusted OR = 1.65 for BMI > or =27, 95% CI = 1.14-2.39) and alcohol intake (adjusted OR = 2.12 for at least six drinks per week, 95% CI = 1.34-3.35). CONCLUSION: Masked hypertension is frequent and still present when blood pressure is measured out of the office, using the same device for manual and ambulatory measurements. Sex, age, BMI and alcohol intake are associated with masked hypertension. |
| | |
Authors:
|
Xavier Trudel; Chantal Brisson; Brigitte Larocque; Alain Milot |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of hypertension Volume: 27 ISSN: 1473-5598 ISO Abbreviation: J. Hypertens. Publication Date: 2009 Aug |
Date Detail:
|
Created Date: 2009-07-22 Completed Date: 2009-09-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8306882 Medline TA: J Hypertens Country: England |
Other Details:
|
Languages: eng Pagination: 1560-7 Citation Subset: IM |
Affiliation:
|
Unité de recherché en santé des populations, Departement de médecine sociale et préventive, Université Laval, Centre hospitalier affilié universitaire de Québec, 1050 Chemin Ste-Foy, Quebec City, QC G1S 4L8, Canada. xavier.trudel.1@ulaval.ca |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Alcohol Drinking Blood Pressure Determination / methods* Blood Pressure Monitoring, Ambulatory Body Mass Index Diastole Female Humans Hypertension / diagnosis*, epidemiology, etiology Male Prevalence Risk Factors Systole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Measuring Electroencephalographic Seizure Adequacy During Electroconvulsive Therapy: A Comparison of...
Next Document: Aliskiren-based therapy lowers blood pressure more effectively than hydrochlorothiazide-based therap...