Document Detail


Relationship between hot flashes and ambulatory blood pressure: the Hilo women's health study.
MedLine Citation:
PMID:  21183716     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To examine ambulatory blood pressure (BP) differences between women who report hot flashes (HFs) and those who do not, and to observe whether an objectively measured HF is associated with transient changes in BP. HFs have been associated with elevated BP, but studies have not examined the relationship between objectively measured HFs and blood pressure during normal daily activities.
METHODS: A sample of 202 women in Hilo, Hawaii, aged 45 to 55 years, were asked to fill out a questionnaire that included demographic information and an inventory of symptoms. The women underwent simultaneous 24-hour monitoring of ambulatory BP and HFs, at the same time keeping a diary that included mood and HF reports.
RESULTS: No significant difference was present in mean BP between women who reported having an HF during the last 2 weeks and those who did not. When measurements controlled for negative mood reports and posture, there was a highly significant elevation in Z scores of systolic BP when a measured, objective HF occurred within 10 minutes before a BP reading, and a significant elevation of Z scores of diastolic BP when a subjectively reported HF occurred within 10 minutes after a BP reading.
CONCLUSIONS: These results suggest that objectively measured HFs precede transient elevations of systolic BP, but it is unclear if there is a causal relationship. These results also suggest that women experience subjective HFs within 10 minutes after a transient increase in diastolic BP. Again, the causal relationship is not understood.
Authors:
Daniel E Brown; Lynnette L Sievert; Lynn A Morrison; Nichole Rahberg; Angela Reza
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural     Date:  2010-12-23
Journal Detail:
Title:  Psychosomatic medicine     Volume:  73     ISSN:  1534-7796     ISO Abbreviation:  Psychosom Med     Publication Date:    2011 Feb-Mar
Date Detail:
Created Date:  2011-02-10     Completed Date:  2011-04-12     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  0376505     Medline TA:  Psychosom Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  166-72     Citation Subset:  IM    
Affiliation:
Department of Anthropology, University of Hawaii at Hilo, Hilo, Hawaii 96720-4091, USA. dbrown@hawaii.edu
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living / psychology
Affect / physiology
Blood Pressure / physiology*
Blood Pressure Monitoring, Ambulatory / statistics & numerical data*
Circadian Rhythm / physiology
Female
Hawaii / epidemiology
Hot Flashes / diagnosis*,  epidemiology,  psychology
Humans
Menopause / physiology*,  psychology
Middle Aged
Perimenopause / physiology
Questionnaires
Women's Health*
Grant Support
ID/Acronym/Agency:
S06 GM008073-36/GM/NIGMS NIH HHS; S06-GM08073-35/GM/NIGMS NIH HHS
Comments/Corrections

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