Feasibility study on home blood pressure measurement and 24-hr blood pressure monitoring in public health

研究领域是内川目区的Ohazama村在岩手县，日本。在1988年和1989年分别对1190名成年人（495名男性和695名女性）和718名成年人（309名男性和409名女性）进行了为期4周的家庭血压（HBP）测量，每天测量两次（一次在起床后不久，另一次在退休前不久）;研究人群部分重叠。在早晨和晚上的测量中没有观察到压力的显著差异，也没有观察到两性之间的差异。SBP和DBP均随年龄增长而增加。与临时血压（CBP）相比，HBP（SBP和DBP）往往比CBP低5-10 mmHg。随意听诊法与自动血压测量法同时测量血压（使用原本用于家庭测量血压的仪器）（221名男孩和218名女孩）（6-14岁）表明，选择最适合的袖口（上臂周围的绷带）对于正确测量儿童的家庭血压至关重要。对460例受试者进行了24小时动态血压（AMBP）测定，家庭血压与AMBP的个体相关性较差，相关系数为0.6。

The field studied was Uchikawame district of Ohazama village in Iwate Prefecture, Japan. Home blood pressure (HBP) was measured twice a day (once soon after wake-up and the other shortly before retirement to bed) for 4 weeks in 1190 adults (495 men and 695 women) in 1988, and 718 adults (309 men and 409 women) in 1989; the study populations were partially overlapped. No significant difference in pressure was observed between the morning and evening measures, nor between the two sexes. Both SBP and DBP tended to increase as a function of progress in age in either sex. When compared with casual blood pressure (CBP), HBP (both SBP and DBP) tended to be lower than CBP by 5-10 mmHg. Simultaneous measurement of blood pressure with casual auscultation method and automated measurement (with an instrument originally for home blood pressure measurement) among 439 school children (221 boys and 218 girls) of various ages (6-14 years) showed that the selection of the best fit cuff (the bandage around the upper arm) is of critical importance for the correct measurement of home blood pressure of children. Twenty four-hr ambulatory blood pressure (AMBP) was measured in 460 subjects; the correlation of home blood pressure with AMBP on individual basis was rather poor with a correlation coefficient of 0.6.