Age-specific differences between conventional and ambulatory daytime blood pressure values
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Age-specific differences between conventional and ambulatory daytime blood pressure values. / Conen, David; Aeschbacher, Stefanie; Thijs, Lutgarde; Li, Yan; Boggia, José; Asayama, Kei; Hansen, Tine W; Kikuya, Masahiro; Björklund-Bodegård, Kristina; Ohkubo, Takayoshi; Jeppesen, Jørgen; Gu, Yu-Mei; Torp-Pedersen, Christian; Dolan, Eamon; Kuznetsova, Tatiana; Stolarz-Skrzypek, Katarzyna; Tikhonoff, Valérie; Schoen, Tobias; Malyutina, Sofia; Casiglia, Edoardo; Nikitin, Yuri; Lind, Lars; Sandoya, Edgardo; Kawecka-Jaszcz, Kalina; Mena, Luis; Maestre, Gladys E; Filipovský, Jan; Imai, Yutaka; O'Brien, Eoin; Wang, Ji-Guang; Risch, Lorenz; Staessen, Jan A.
In: Hypertension, Vol. 64, No. 5, 11.2014, p. 1073-1079.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Age-specific differences between conventional and ambulatory daytime blood pressure values
AU - Conen, David
AU - Aeschbacher, Stefanie
AU - Thijs, Lutgarde
AU - Li, Yan
AU - Boggia, José
AU - Asayama, Kei
AU - Hansen, Tine W
AU - Kikuya, Masahiro
AU - Björklund-Bodegård, Kristina
AU - Ohkubo, Takayoshi
AU - Jeppesen, Jørgen
AU - Gu, Yu-Mei
AU - Torp-Pedersen, Christian
AU - Dolan, Eamon
AU - Kuznetsova, Tatiana
AU - Stolarz-Skrzypek, Katarzyna
AU - Tikhonoff, Valérie
AU - Schoen, Tobias
AU - Malyutina, Sofia
AU - Casiglia, Edoardo
AU - Nikitin, Yuri
AU - Lind, Lars
AU - Sandoya, Edgardo
AU - Kawecka-Jaszcz, Kalina
AU - Mena, Luis
AU - Maestre, Gladys E
AU - Filipovský, Jan
AU - Imai, Yutaka
AU - O'Brien, Eoin
AU - Wang, Ji-Guang
AU - Risch, Lorenz
AU - Staessen, Jan A
N1 - © 2014 American Heart Association, Inc.
PY - 2014/11
Y1 - 2014/11
N2 - Mean daytime ambulatory blood pressure (BP) values are considered to be lower than conventional BP values, but data on this relation among younger individuals <50 years are scarce. Conventional and 24-hour ambulatory BP were measured in 9550 individuals not taking antihypertensive treatment from 13 population-based cohorts. We compared individual differences between daytime ambulatory and conventional BP according to 10-year age categories. Age-specific prevalences of white coat and masked hypertension were calculated. Among individuals aged 18 to 30, 30 to 40, and 40 to 50 years, mean daytime BP was significantly higher than the corresponding conventional BP (6.0, 5.2, and 4.7 mm Hg for systolic; 2.5, 2.7, and 1.7 mm Hg for diastolic BP; all P<0.0001). In individuals aged 60 to 70 and ≥70 years, conventional BP was significantly higher than daytime ambulatory BP (5.0 and 13.0 mm Hg for systolic; 2.0 and 4.2 mm Hg for diastolic BP; all P<0.0001).The prevalence of white coat hypertension exponentially increased from 2.2% to 19.5% from those aged 18 to 30 years to those aged ≥70 years, with little variation between men and women (8.0% versus 6.1%; P=0.0003). Masked hypertension was more prevalent among men (21.1% versus 11.4%; P<0.0001). The age-specific prevalences of masked hypertension were 18.2%, 27.3%, 27.8%, 20.1%, 13.6%, and 10.2% among men and 9.0%, 9.9%, 12.2%, 11.9%, 14.7%, and 12.1% among women. In conclusion, this large collaborative analysis showed that the relation between daytime ambulatory and conventional BP strongly varies by age. These findings may have implications for diagnosing hypertension and its subtypes in clinical practice.
AB - Mean daytime ambulatory blood pressure (BP) values are considered to be lower than conventional BP values, but data on this relation among younger individuals <50 years are scarce. Conventional and 24-hour ambulatory BP were measured in 9550 individuals not taking antihypertensive treatment from 13 population-based cohorts. We compared individual differences between daytime ambulatory and conventional BP according to 10-year age categories. Age-specific prevalences of white coat and masked hypertension were calculated. Among individuals aged 18 to 30, 30 to 40, and 40 to 50 years, mean daytime BP was significantly higher than the corresponding conventional BP (6.0, 5.2, and 4.7 mm Hg for systolic; 2.5, 2.7, and 1.7 mm Hg for diastolic BP; all P<0.0001). In individuals aged 60 to 70 and ≥70 years, conventional BP was significantly higher than daytime ambulatory BP (5.0 and 13.0 mm Hg for systolic; 2.0 and 4.2 mm Hg for diastolic BP; all P<0.0001).The prevalence of white coat hypertension exponentially increased from 2.2% to 19.5% from those aged 18 to 30 years to those aged ≥70 years, with little variation between men and women (8.0% versus 6.1%; P=0.0003). Masked hypertension was more prevalent among men (21.1% versus 11.4%; P<0.0001). The age-specific prevalences of masked hypertension were 18.2%, 27.3%, 27.8%, 20.1%, 13.6%, and 10.2% among men and 9.0%, 9.9%, 12.2%, 11.9%, 14.7%, and 12.1% among women. In conclusion, this large collaborative analysis showed that the relation between daytime ambulatory and conventional BP strongly varies by age. These findings may have implications for diagnosing hypertension and its subtypes in clinical practice.
KW - Adolescent
KW - Adult
KW - Aging
KW - Blood Pressure
KW - Blood Pressure Monitoring, Ambulatory
KW - Circadian Rhythm
KW - Cohort Studies
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Masked Hypertension
KW - Middle Aged
KW - Office Visits
KW - Prevalence
KW - White Coat Hypertension
KW - Young Adult
U2 - 10.1161/HYPERTENSIONAHA.114.03957
DO - 10.1161/HYPERTENSIONAHA.114.03957
M3 - Journal article
C2 - 25185130
VL - 64
SP - 1073
EP - 1079
JO - Hypertension
JF - Hypertension
SN - 0194-911X
IS - 5
ER -
ID: 138810988