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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Autores principales: 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
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Publicado: Public Library of Science (PLoS) 2014
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Acceso en línea:https://doaj.org/article/5b5fec918d504796b533fa11ae8eccc8
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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.
description <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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