Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study.
<h4>Objective</h4>We investigated factors associated with masked and white-coat hypertension in a Swiss population-based sample.<h4>Methods</h4>The Swiss Kidney Project on Genes in Hypertension is a family-based cross-sectional study. Office and 24-hour ambulatory blood press...
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2014
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oai:doaj.org-article:5b5fec918d504796b533fa11ae8eccc82021-11-18T08:26:32ZEpidemiology of masked and white-coat hypertension: the family-based SKIPOGH study.1932-620310.1371/journal.pone.0092522https://doaj.org/article/5b5fec918d504796b533fa11ae8eccc82014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24663506/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>We investigated factors associated with masked and white-coat hypertension in a Swiss population-based sample.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Heba AlwanMenno PruijmBelen PonteDaniel AckermannIdris GuessousGeorg EhretJan A StaessenKei AsayamaPhilippe VuistinerSandrine Estoppey YounesFred PaccaudGrégoire WuerznerAntoinette Pechere-BertschiMarkus MohauptBruno VogtPierre-Yves MartinMichel BurnierMurielle BochudPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 3, p e92522 (2014) |
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Medicine R Science Q Heba Alwan Menno Pruijm Belen Ponte Daniel Ackermann Idris Guessous Georg Ehret Jan A Staessen Kei Asayama Philippe Vuistiner Sandrine Estoppey Younes Fred Paccaud Grégoire Wuerzner Antoinette Pechere-Bertschi Markus Mohaupt Bruno Vogt Pierre-Yves Martin Michel Burnier Murielle Bochud Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study. |
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<h4>Objective</h4>We investigated factors associated with masked and white-coat hypertension in a Swiss population-based sample.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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. |
format |
article |
author |
Heba Alwan Menno Pruijm Belen Ponte Daniel Ackermann Idris Guessous Georg Ehret Jan A Staessen Kei Asayama Philippe Vuistiner Sandrine Estoppey Younes Fred Paccaud Grégoire Wuerzner Antoinette Pechere-Bertschi Markus Mohaupt Bruno Vogt Pierre-Yves Martin Michel Burnier Murielle Bochud |
author_facet |
Heba Alwan Menno Pruijm Belen Ponte Daniel Ackermann Idris Guessous Georg Ehret Jan A Staessen Kei Asayama Philippe Vuistiner Sandrine Estoppey Younes Fred Paccaud Grégoire Wuerzner Antoinette Pechere-Bertschi Markus Mohaupt Bruno Vogt Pierre-Yves Martin Michel Burnier Murielle Bochud |
author_sort |
Heba Alwan |
title |
Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study. |
title_short |
Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study. |
title_full |
Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study. |
title_fullStr |
Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study. |
title_full_unstemmed |
Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study. |
title_sort |
epidemiology of masked and white-coat hypertension: the family-based skipogh study. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2014 |
url |
https://doaj.org/article/5b5fec918d504796b533fa11ae8eccc8 |
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