The relationship of electronically monitored physical activity to blood pressure, heart rate, and the circadian blood pressure profile.
The relationship of electronically monitored physical activity to blood pressure, heart rate, and the circadian blood pressure profile.
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电子监测的身体活动与血压、心率和昼夜血压曲线的关系。
DOI：
10.1016/s0895-7061(99)00147-8
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发表时间：
2000
影响因子：
3.2
通讯作者：
Giacco,S
中科院分区：
文献类型：
--
作者：
Mansoor,GA;White,WB;McCabe,EJ;Giacco,S
我们研究了一组未经治疗的高血压受试者的血压和心率变化如何密切反映电子监测的身体活动的变化。39例高血压患者（诊室血压> 140/90 mm Hg），平均年龄57 ± 10岁（平均值±标准差），同时佩戴动态血压监测仪和腕关节活动记录仪。在每次有效的血压阅读之前5分钟的平均和峰值活动都被确定，清醒和睡眠期间的平均活动也被确定，这是由患者记录的日记确定的。对于整个组，清醒和24小时活动与年龄呈负相关（分别为n = 39，r =-0.42;P= 0.01和n = 39，r =-0.38;P= 0.01）。组清醒活动和组平均血压或心率之间没有相关性。对于个体患者，清醒活动测量（峰值和平均值）与血压和心率之间的相关程度存在显著差异。活动水平与心率-血压乘积之间的正相关性最强。非杓型高血压患者的睡眠活动高于杓型高血压患者（44 ± 28单位/分~ 25 ± 20单位/分，df = 37，t= 2.12;P= 0.04），但清醒活动水平相似。调整年龄后，较高的睡眠活动仍然存在。这些结果表明，活动记录活动和血流动力学参数之间的关系是高度可变的，速率-压力产品是短期活动的最强相关性。此外，非杓型高血压患者的睡眠活动性高于杓型高血压患者。这些发现强调需要进一步研究日常活动在确定动态血压和心率变异性中的作用。
We studied how closely changes in electronically monitored physical activity are reflected in changes in blood pressure and heart rate in a group of untreated hypertensive subjects. Thirty-nine hypertensive patients (office blood pressure > 140/90 mm Hg) of mean age 57 ± 10 years (mean ± SD) wore an ambulatory blood pressure monitor and a wrist actigraph simultaneously. Both average and peak activity for 5 min before each valid blood pressure reading were determined, as was average activity for awake and sleep periods, determined by patient kept diaries. For the overall group, awake and 24-h activities were inversely correlated to age (n = 39, r = −0.42;P= 0.01 and n = 39, r = −0.38;P= 0.01, respectively). No correlation was found between group awake activity and group-average blood pressure or heart rate. For individual patients, there was marked variation in the degree of correlation between awake activity measures (both peak and average) and blood pressure and heart rate. The strongest positive correlation was between activity levels and the heart rate-pressure product. Nondipper profile hypertensives had higher sleep activity than dipper hypertensives (44 ± 28 units/min υ 25 ± 20 units/min, df = 37,t= 2.12;P= 0.04), but awake activity levels were similar. The higher sleep activity remained after adjustment for age.These findings indicate that the relationship between actigraphic activity and hemodynamic parameters is highly variable and that the rate-pressure product is the strongest correlate of short-term activity. Furthermore, hypertensives with the nondipper profile have higher sleep activity than dipper hypertensives. These findings stress the need for further study into the role of day-to-day activity in determining ambulatory blood pressure and heart rate variability.
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对四种动态血压监测仪的评估以及临床医生的测量与静息和运动期间的动脉血压的比较。
影响因子：
2.8
作者：
William B. White;William B. White;Per Lund;Per Lund;Per Omvik;Per Omvik
通讯作者：
Per Omvik
同时动态血压和活动监测能否改善血压的定义？
影响因子：
3.2
作者：
Michael J. Stewart;Helen Brown;P. L. Padfield
通讯作者：
P. L. Padfield
根据 1992 年 AAMI 指南对 QuietTrak 动态血压记录仪进行多中心评估。
影响因子：
3.2
作者：
William B. White;Wendy Susser;Gary D. James;Lena Marra;E. McCabe;T. G. Pickering;D. Streeten
通讯作者：
D. Streeten
决定高血压患者心脏功能的是每日平均血压，而不是诊室血压。
DOI：
10.1001/jama.1989.03420060089038
发表时间：
1989
期刊：
JAMA
影响因子：
--
作者：
W. White;P. Schulman;E. McCabe;H. Dey
通讯作者：
H. Dey
腕部活动记录仪测量健康老年人的体力活动水平和动态血压。
影响因子：
3.7
作者：
Shapiro,D;Goldstein,IB
通讯作者：
Goldstein,IB