Lifestyle Behaviors Among Adults Recommended for Ambulatory Blood Pressure Monitoring According to the 2017 ACC/AHA Blood Pressure Guideline.
Lifestyle Behaviors Among Adults Recommended for Ambulatory Blood Pressure Monitoring According to the 2017 ACC/AHA Blood Pressure Guideline.
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根据 2017 年 ACC/AHA 血压指南，建议进行动态血压监测的成人生活方式行为。
DOI：
10.1093/ajh/hpab110
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发表时间：
2021
影响因子：
3.2
通讯作者：
Shimbo,Daichi
中科院分区：
文献类型：
--
作者：
Cohen,LauraP;Hubbard,Demetria;Colvin,CalvinL;Jaeger,ByronC;Poudel,Bharat;Abdalla,Marwah;Langford,AishaT;Hardy,ShakiaT;Sims,Mario;Lewis,CoraE;Muntner,Paul;Shimbo,Daichi
2017年美国心脏病学会/美国心脏协会血压（BP）指南建议进行动态血压监测，以排除正常收缩压(SBP)/舒张压（DBP）为130-159/80-99 mm Hg的成年人的白大褂高血压（WCH），以及经过3个月的生活方式改变试验后，正常收缩压/舒张压（DBP）为120-129/75-79 mm Hg的成年人的隐蔽性高血压（MHT）。我们估计了那些符合办公室血压标准的人中有理想生活方式因素的个体的比例。方法：我们分析了未服用抗高血压药物的年轻人冠状动脉风险发展（CARDIA）和杰克逊心脏研究（JHS）中符合办公室BP筛查WCH （CARDIAn= 490, JHSn= 873）和MHT （CARDIAn= 486, JHSn= 614）标准的参与者的数据。我们估计了生活方式因素的患病率，包括理想体重指数（BMI）、身体活动、饮食和酒精使用，这些参与者符合办公室BP标准进行WCH或MHT筛查。结果在符合WCH筛查办公室BP标准的参与者中，15.5%的CARDIA和3.6%的JHS有3个或以上的理想生活方式因素。在符合MHT筛查办公室BP标准的参与者中，22.6%的CARDIA和4.7%的JHS有3个或更多的理想生活方式因素。在每个样本中，只有不到一半的参与者达到了理想的身体质量指数、饮食和体育活动。结论符合办公室BP标准筛查WCH或MHT的参与者很少有理想的生活方式因素。
BackgroundThe 2017 American College of Cardiology/American Heart Association blood pressure (BP) guideline recommends ambulatory BP monitoring to exclude white coat hypertension (WCH) among adults with office systolic BP (SBP)/diastolic BP (DBP) of 130–159/80–99 mm Hg, and masked hypertension (MHT) among adults with office SBP/DBP of 120–129/75–79 mm Hg after a 3-month trial of lifestyle modification. We estimated the proportion of individuals with ideal lifestyle factors among those who meet these office BP criteria.MethodsWe analyzed data from participants not taking antihypertensive medication in the Coronary Artery Risk Development in Young Adults (CARDIA) and Jackson Heart Study (JHS) who met the office BP criteria for screening for WCH (CARDIAn= 490, JHSn= 873) and MHT (CARDIAn= 486, JHSn= 614). We estimated the prevalence of lifestyle factors including ideal body mass index (BMI), physical activity, diet, and alcohol use among participants who met office BP criteria for WCH or MHT screening.ResultsAmong participants who met office BP criteria for WCH screening, 15.5% in CARDIA and 3.6% in JHS had 3 or more ideal lifestyle factors. Among participants who met office BP criteria for MHT screening, 22.6% in CARDIA and 4.7% in JHS had 3 or more ideal lifestyle factors. Ideal BMI, diet, and physical activity were present in less than half of participants in each sample.ConclusionsFew participants who met office BP criteria for the screening of WCH or MHT had ideal lifestyle factors.