Factors affecting the difference between screening and home blood pressure measurements: The Ohasama Study

Factors affecting the difference between screening and home blood pressure measurements: The Ohasama Study
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影响筛查和家庭血压测量之间差异的因素:Ohasama 研究

DOI:
10.1097/00004872-200101000-00002
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发表时间:
2001
影响因子:
4.9
通讯作者:
Y. Imai
Y. Imai
中科院分区:
医学2区
文献类型:
--
作者:
A. Hozawa;T. Ohkubo;K. Nagai;M. Kikuya;M. Matsubara;I. Tsuji;S. Ito;H. Satoh;S. Hisamichi;Y. Imai

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目的探讨影响筛查与家庭测血压差异的因素。设计横断面研究。背景:日本大山县日本农村社区的一般人口。有1789名年龄大于或等于40岁的以社区为基础的受试者,他们的血压在筛查地点(筛查血压)和家中(家庭血压)测量。结果所有受试者的多元逐步回归分析表明,筛查脉压与筛查与家庭血压测量的收缩压差异呈正相关。年龄、抗高血压药物的使用和吸烟状况与收缩压和舒张压测量值之间的差异呈负相关。我们已经证明,年龄、吸烟、抗高血压药物和筛查脉压是筛查与家庭血压测量差异程度的独立预测因素,这表明有必要考虑这些因素,以发现筛查血压测量后可能治疗不当或判断错误的受试者。
Objective To establish the factors affecting the difference between screening and home blood pressure measurements. Design A cross-sectional study. Setting General population in a rural Japanese community, Ohasama, Japan. Participants There were 1789 community-based subjects aged ⩾ 40 years, for whom blood pressure was measured at screening site (screening blood pressure) and at home (home blood pressure). Results Multiple stepwise regression analysis of all subjects demonstrated that screening pulse pressure was positively associated with the difference between screening and home blood pressure measurements for systolic blood pressure. Age, the use of antihypertensive medication, and smoking status were negatively associated with the difference between measurements of both systolic and diastolic blood pressure. Conclusion We have demonstrated that age, smoking, antihypertensive medication, and screening pulse pressure are independent predictors of the magnitude of the difference between screening and home blood pressure measurements, suggesting that the necessity to consider these factors, for the detection of the subjects who may be inappropriately treated or misjudged following screening blood pressure measurements.
DOI: 10.1001/jama.1988.03720020027031
发表时间: 1988-01
期刊: JAMA
影响因子: --
作者:
T. Pickering;G. James;Charlene Boddie;G. Harshfield;S. Blank;J. Laragh
通讯作者: T. Pickering;G. James;Charlene Boddie;G. Harshfield;S. Blank;J. Laragh