Impact of Asleep and 24-Hour Blood Pressure Data on the Prevalence of Masked Hypertension by Race/Ethnicity.
Impact of Asleep and 24-Hour Blood Pressure Data on the Prevalence of Masked Hypertension by Race/Ethnicity.
复制标题
睡眠和 24 小时血压数据对不同种族/民族的隐匿性高血压患病率的影响。
DOI：
10.1093/ajh/hpac027
复制
发表时间：
2022
影响因子：
3.2
通讯作者：
S
中科院分区：
文献类型：
--
作者：
Yano,Yuichiro;Poudel,Bharat;Chen,Ligong;Sakhuja,Swati;Jaeger,ByronC;Viera,AnthonyJ;Shimbo,Daichi;Clark,Donald;Anstey,DavidEdmund;Lin,Feng-Chang;Lewis,CoraE;Shikany,JamesM;Rana,JamalS;Correa,Adolfo;Lloyd-Jones,DonaldM;S
我们汇总了来自5项美国研究的动态血压监测数据，包括杰克逊心脏研究（JHS）、年轻人冠状动脉风险发展（CARDIA）研究、隐蔽高血压研究、提高高血压检测研究和北卡罗来纳州隐蔽高血压研究。采用横断面研究设计，我们估计了不同种族/民族的隐性高血压患病率的差异时，办公室外血压（BP）包括清醒，睡眠，24小时BP与清醒BP单独。METHODS我们限制了参与者的分析办公室收缩压（SBP）<130毫米汞柱和舒张压（DBP）<80毫米汞柱。高清醒血压定义为平均SBP/DBP ≥130/80 mm Hg，高睡眠血压定义为平均SBP/DBP ≥110/65 mm Hg，高24小时血压定义为平均SBP/DBP ≥125/75 mm Hg。（n= 1，292），门诊外血压（仅由清醒BP或由清醒、睡眠或24小时BP定义）的隐性高血压的患病率分别为34.5%和48.7%，在非西班牙裔白色人中，分别为39.7%和67.6%，在非西班牙裔黑人中，分别为19.4%和35.1%。在多变量校正后，非西班牙裔黑人比非西班牙裔白色参与者更有可能通过睡眠或24小时BP而不是清醒BP来掩盖高血压（调整后的比值比[OR] 2.14，95%置信区间[CI] 1.45-3.15）和睡眠或24小时BP和清醒BP（OR 1.61; 95%CI 1.12-2.32）vs. not having masked hypertension.CONCLUSIONSASSessing sleeping and 24 hour BP measures increases the prevalence of masked hypertension more among non-Hispanic Black vs. non-Hispanic白色individuals.
BACKGROUNDWe pooled ambulatory blood pressure monitoring data from 5 US studies, including the Jackson Heart Study (JHS), the Coronary Artery Risk Development in Young Adults (CARDIA) study, the Masked Hypertension Study, the Improving the Detection of Hypertension Study, and the North Carolina Masked Hypertension Study. Using a cross-sectional study design, we estimated differences in the prevalence of masked hypertension by race/ethnicity when out-of-office blood pressure (BP) included awake, asleep, and 24-hour BP vs. awake BP alone.METHODSWe restricted the analyses to participants with office systolic BP (SBP) <130 mm Hg and diastolic BP (DBP) <80 mm Hg. High awake BP was defined as mean SBP/DBP ≥130/80 mm Hg, high asleep BP as mean SBP/DBP ≥110/65 mm Hg, and high 24-hour BP as mean SBP/DBP ≥125/75 mm Hg.RESULTSAmong participants not taking antihypertensive medication (n= 1,292), the prevalence of masked hypertension with out-of-office BP defined by awake BP alone or by awake, asleep, or 24-hour BP was 34.5% and 48.7%, respectively, among non-Hispanic White, 39.7% and 67.6% among non-Hispanic Black, and 19.4% and 35.1% among Hispanic participants. After multivariable adjustment, non-Hispanic Black were more likely than non-Hispanic White participants to have masked hypertension by asleep or 24-hour BP but not awake BP (adjusted odds ratio [OR] 2.14 95% confidence interval [CI] 1.45–3.15) and by asleep or 24-hour BP and awake BP (OR 1.61; 95% CI 1.12–2.32) vs. not having masked hypertension.CONCLUSIONSAssessing asleep and 24-hour BP measures increases the prevalence of masked hypertension more among non-Hispanic Black vs. non-Hispanic White individuals.