Epidemiology of Masked and White-Coat Hypertension: The Family-Based SKIPOGH Study.

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Version: author
Serval ID
serval:BIB_D41F9D70978B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Epidemiology of Masked and White-Coat Hypertension: The Family-Based SKIPOGH Study.
Journal
Plos One
Author(s)
Alwan H., Pruijm M., Ponte B., Ackermann D., Guessous I., Ehret G., Staessen J.A., Asayama K., Vuistiner P., Younes S.E., Paccaud F., Wuerzner G., Pechere-Bertschi A., Mohaupt M., Vogt B., Martin P.Y., Burnier M., Bochud M.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
9
Number
3
Pages
e92522
Language
english
Notes
Publication types: Journal Article
Abstract
OBJECTIVE: We investigated factors associated with masked and white-coat hypertension in a Swiss population-based sample.
METHODS: The Swiss Kidney Project on Genes in Hypertension is a family-based cross-sectional study. Office and 24-hour ambulatory blood pressure were measured using validated devices. Masked hypertension was defined as office blood pressure<140/90 mmHg and daytime ambulatory blood pressure≥135/85 mmHg. White-coat hypertension was defined as office blood pressure≥140/90 mmHg and daytime ambulatory blood pressure<135/85 mmHg. Mixed-effect logistic regression was used to examine the relationship of masked and white-coat hypertension with associated factors, while taking familial correlations into account. High-normal office blood pressure was defined as systolic/diastolic blood pressure within the 130-139/85-89 mmHg range.
RESULTS: Among the 652 participants included in this analysis, 51% were female. Mean age (±SD) was 48 (±18) years. The proportion of participants with masked and white coat hypertension was respectively 15.8% and 2.6%. Masked hypertension was associated with age (odds ratio (OR) = 1.02, p = 0.012), high-normal office blood pressure (OR = 6.68, p<0.001), and obesity (OR = 3.63, p = 0.001). White-coat hypertension was significantly associated with age (OR = 1.07, p<0.001) but not with education, family history of hypertension, or physical activity.
CONCLUSIONS: Our findings suggest that physicians should consider ambulatory blood pressure monitoring for older individuals with high-normal office blood pressure and/or who are obese.
Pubmed
Web of science
Open Access
Yes
Create date
01/05/2014 17:58
Last modification date
20/08/2019 15:54
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