Examination of Several Physiological and Psychosocial Factors Potentially Associated With Masked Hypertension Among Low-Risk Adults.
Examination of Several Physiological and Psychosocial Factors Potentially Associated With Masked Hypertension Among Low-Risk Adults.
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对低风险成人中可能与隐匿性高血压相关的几种生理和心理因素的检查。
DOI：
10.1111/jch.12761
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Hinderliter,AlanL
中科院分区：
文献类型：
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作者：
Viera,AnthonyJ;Lin,Feng-Chang;Tuttle,LauraA;Olsson,Emily;Girdler,SusanS;Hinderliter,AlanL
作者研究了除了高血压前期办公室血压(BP)水平外，其他因素之间的相关性，这些因素可能会改善在其他低风险个体中发现隐性高血压(MH)的可能性，MH被定义为办公室血压非升高，但办公室外平均血压升高。这个样本包括340名30岁及以上的未接受治疗的成年人，他们的平均办公室血压为140/90毫米汞柱，所有人都进行了两组成对的办公室血压测量和24小时动态血压监测(ABPM)，间隔一周。除了血压水平，在两组中与高血压相关的唯一因素是男性(75%对66%)和外出工作(第一组72%对59%，第二组71%对45%)。将这些变量添加到模型中的BP水平并不能显著改善MH的检测。在该样本中，未发现人口统计学、临床或心理社会指标在高血压前期作为MH的潜在预测因子方面有所改善。
The authors examined the association of factors, in addition to prehypertensive office blood pressure (BP) level, that might improve detection of masked hypertension (MH), defined as nonelevated office BP with elevated out‐of‐office BP average, among individuals at otherwise low risk. This sample of 340 untreated adults 30 years and older with average office BP <140/90 mm Hg all had two sets of paired office BP measurements and 24‐hour ambulatory BP monitoring (ABPM) sessions 1 week apart. Other than BP levels, the only factors that were associated (atP<.10) with MH at both sets were male sex (75% vs 66%) and working outside the home (72% vs 59% for the first set and 71% vs 45% for the second set). Adding these variables to BP level in the model did not appreciably improve detection of MH. No demographic, clinical, or psychosocial measures that improved upon prehypertension as a potential predictor of MH in this sample were found.