Effectiveness of a tailored behavioral intervention to improve hypertension control.
Effectiveness of a tailored behavioral intervention to improve hypertension control.
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量身定制的行为干预措施对改善高血压控制的有效性。
DOI：
10.1161/hypertensionaha.114.04650
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Egan,BrentM
中科院分区：
文献类型：
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作者：
Egan,BrentM
干预降低血压（BP）对心血管结局的益处可能更多地与BP降低有关，而不是实现某种任意控制目标，例如< 140/< 90。[8]虽然这项研究不能比较SBI和HEI，但SBI平均降低收缩压4.7 mm Hg，HEI平均降低收缩压5.4 mm Hg。[1]此外，与HEI相比，SBI中无显著性组间差异可能有利于血压控制。SBI组糖尿病患病率为40.3%（N= 71），HEI组为46.7%（N= 84，如果总N= 180），UC组为45.2%（N= 80，假设总N= 177 [图1]）。因此，SBI中需要BP< 130/< 80的个体比HEI和UC组中更少。其次，HEI组收缩压的SD似乎大于SBI组（17.8与11.8 mm Hg），平均收缩压略高（137.2与136.0）。这些数据表明，更多的人在HEI比SBI更远离目标，这也可能导致较少的控制与HEI，尽管收缩压的平均降幅略大。
The benefit of an intervention to lower blood pressure (BP) on cardiovascular outcomes is likely related more to reduction in BP than in achieving a somewhat arbitrary control goal, for example,< 140/< 90. 8 Although the study was not powered to compare SBI and HEI, SBI lowered systolic BP a mean of 4.7 mm Hg and HEI, 5.4 mm Hg. 1 Moreover, nonsignificant group differences may have favored BP control in SBI compared with HEI. Prevalent diabetes mellitus was 40.3%(N= 71) in SBI versus 46.7%(N= 84, if total N= 180) in the HEI and 45.2% in UC (N= 80, assuming total N= 177 [Figure1]). Thus, fewer individuals in SBI required a BP< 130/< 80 than in HEI and UC groups to attain control. Second, the SD of systolic BP seemed larger in HEI than SBI (17.8 versus 11.8 mm Hg) and mean systolic BP was slightly higher (137.2 versus 136.0). These data suggest that more individuals in HEI were farther from goal than in SBI, which could also have contributed to a lesser control with HEI, despite a slightly greater mean reduction of systolic BP.