Impact of repeated blood pressure measurement on blood pressure categorization in a population-based study from India.

Abstract:

:Often a single blood pressure (BP) measurement is used to diagnose and manage hypertension in busy clinics. However, repeated BP measurements have been shown to be more representative of the true BP status of the individual. Improper measurement of office BP can lead to inaccurate classification, overestimation of a patient's true BP, unnecessary treatment, and misinterpretation of the true prevalence of hypertension. There is no consensus among major guidelines on the number of recommended measurements at a single visit or the method of arriving at final clinic BP reading. The participants of the National Family Health Survey (NFHS-4), a nationwide survey conducted in India from 2015 to 2016, were used for the analysis. The prevalence and median difference in systolic blood pressure (SBP) and diastolic blood pressure (DBP) for single as well as combinations of two or more readings were calculated. Cross-tabulation was used to assess classification of individuals based on first BP reading compared with the mean of two or more BP measurements. There was a 63% higher prevalence of hypertension when only the first reading was considered for diagnosis in comparison to the mean of the second and third readings. A decrease of 3.6 mmHg and 2.4 mm Hg in mean SBP and DBP, respectively, was observed when the mean of the second and third readings was compared to the first reading. In those who are identified to have grade 1 or higher categories of hypertension, we recommend three BP measurements, with the mean of the second and third measurements being the clinic BP.

journal_name

J Hum Hypertens

authors

Jose AP,Awasthi A,Kondal D,Kapoor M,Roy A,Prabhakaran D

doi

10.1038/s41371-019-0200-4

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

594-601

issue

8

eissn

0950-9240

issn

1476-5527

pii

10.1038/s41371-019-0200-4

journal_volume

33

pub_type

杂志文章
  • Relation between the angiotensin-converting enzyme insertion/deletion polymorphism and blood pressure in Japanese male subjects.

    abstract::Inconsistent results have been reported regarding the association of the angiotensin-converting enzyme (ACE) insertion/deletion (I/D) polymorphism and hypertension. Recent studies of population-based samples of three different areas in Japan presented conflicting results regarding this association. We, thus, investiga...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001601

    authors: Todoroki M,Minami J,Ishimitsu T,Ohrui M,Matsuoka H

    更新日期:2003-10-01 00:00:00

  • Recent advances in understanding hypertension development in sub-Saharan Africa.

    abstract::Consistent reports indicate that hypertension is a particularly common finding in black populations. Hypertension occurs at younger ages and is often more severe in terms of blood pressure levels and organ damage than in whites, resulting in a higher incidence of cardiovascular disease and mortality. This review provi...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2017.18

    authors: Schutte AE,Botha S,Fourie CMT,Gafane-Matemane LF,Kruger R,Lammertyn L,Malan L,Mels CMC,Schutte R,Smith W,van Rooyen JM,Ware LJ,Huisman HW

    更新日期:2017-08-01 00:00:00

  • Stage 1 hypertension, but not elevated blood pressure, predicts 10-year fatal and non-fatal CVD events in healthy adults: the ATTICA Study.

    abstract::The study evaluated the extent to which high normal blood pressure (HNBP), elevated BP, and Stage 1 hypertension predict 10-year incidence of cardiovascular disease (CVD). A population-based, prospective cohort study was conducted among 3042 randomly selected Greek adults, aged 18-89 years. Following 10-years follow-u...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-019-0169-z

    authors: Critselis E,Chrysohoou C,Kollia N,Georgousopoulou EN,Tousoulis D,Pitsavos C,Panagiotakos DB,ATTICA Study group.

    更新日期:2019-04-01 00:00:00

  • Lisinopril in the treatment of hypertension.

    abstract::Established essential hypertension is characterised haemodynamically by a normal cardiac output and elevated total peripheral resistance. As hypertensive cardiovascular disease progresses, and the patient grows older, cardiac output falls and total peripheral resistance is further elevated. The activity of the renin-a...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Messerli FH,Kaesser UR

    更新日期:1989-06-01 00:00:00

  • Comparison of arbitrary definitions of circadian time periods with those determined by wrist actigraphy in analysis of ABPM data.

    abstract::Determining blood pressure (BP) values at different daily time periods is a well recognised measure to assess the risk of end-organ damage. However, the use of various definitions of these periods, eg, day vs night, sleep vs wake or arbitrary definitions, makes clinical decisions based on available data difficult. In ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000910

    authors: Eissa MA,Yetman RJ,Poffenbarger T,Portman RJ

    更新日期:1999-11-01 00:00:00

  • Influence of sex on blood pressure and left ventricular mass in adolescents: the Hypertension in Pregnancy Offspring Study.

    abstract::The aim of the present longitudinal study was to describe determinants of blood pressure (BP) and echocardiographically calculated left ventricular mass in adolescents with a variable risk of future hypertension. BP was measured and M-mode echocardiography was performed in 52 children, 29 male and 23 female, at a mean...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Himmelmann A,Svensson A,Hansson L

    更新日期:1994-07-01 00:00:00

  • Considerations regarding the cost and effectiveness of public and patient education programmes.

    abstract::For nearly two decades, the National High Blood Pressure Education Programme has administered a programme of public, patient, and professional education in an effort to reduce uncontrolled hypertension, an important public health problem in the USA. A broad network has been established and many partners have joined fo...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Roccella EJ,Lenfant C

    更新日期:1992-12-01 00:00:00

  • Positive association of CYP11B2 gene polymorphism with genetic predisposition to essential hypertension.

    abstract::Predispositions to essential hypertension and cardiovascular diseases are possibly associated with gene polymorphisms of the renin-angiotensin system. Gene polymorphisms of angiotensinogen and angiotensin-converting enzyme genes have been suggested to be risk factors for hypertension and myocardial infarction. Concern...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001484

    authors: Tsukada K,Ishimitsu T,Teranishi M,Saitoh M,Yoshii M,Inada H,Ohta S,Akashi M,Minami J,Ono H,Ohrui M,Matsuoka H

    更新日期:2002-11-01 00:00:00

  • Relationship between electrocardiographic left ventricular hypertrophy criteria and vascular structure and function parameters in hypertensive patients.

    abstract::The objective of this study was to determine the electrocardiographic left ventricular hypertrophy (LVH) criterion that best correlated with vascular structure and function parameters in hypertensive patients. A cross-sectional study involving 347 hypertensive patients was performed. The mean age of the subjects was 5...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2013.87

    authors: Gómez-Marcos MA,Recio-Rodríguez JI,Patino-Alonso MC,Agudo-Conde C,Rodríguez-Sánchez E,Gómez-Sánchez L,Gómez-Sánchez M,García-Ortiz L,Vaso risk group.

    更新日期:2014-03-01 00:00:00

  • Nilvadipine increases cerebral blood flow in elderly hypertensives: comparison with nifedipine.

    abstract::We compared haemodynamic and humoral responses to nifedipine and nilvadipine in 25 elderly hypertensives. The study had a single-blind crossover design. Doppler flowmetry and laboratory examinations were performed before and after nifedipine and nilvadipine. Both nifedipine and nilvadipine significantly reduced mean a...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:

    authors: Shimamoto H,Shimamoto Y

    更新日期:1995-04-01 00:00:00

  • Utility of blood pressure genetic risk score in admixed Hispanic samples.

    abstract::Hypertension is strongly influenced by genetic factors. Although hypertension prevalence in some Hispanic sub-populations is greater than in non-Hispanic whites, genetic studies on hypertension have focused primarily on samples of European descent. A recent meta-analysis of 200 000 individuals of European descent iden...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,meta分析,多中心研究

    doi:10.1038/jhh.2016.29

    authors: Beecham AH,Wang L,Vasudeva N,Liu Z,Dong C,Goldschmidt-Clermont PJ,Pericak-Vance MA,Rundek T,Seo D,Blanton SH,Sacco RL,Beecham GW

    更新日期:2016-12-01 00:00:00

  • Review of international safety data for lisinopril-hydrochlorothiazide combination treatment.

    abstract::A total of 930 patients have been evaluated for safety in a programme of clinical trials for lisinopril-hydrochlorothiazide combination treatment. Combination therapy with these two agents is generally well tolerated. In clinical trials, adverse experiences in patients treated with a lisinopril-hydrochlorothiazide com...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Murray NH

    更新日期:1991-12-01 00:00:00

  • Blood pressure changes at the Dead Sea (a low altitude area).

    abstract::The Dead Sea (barometric pressure: 800 mm Hg) is an important balneotherapeutic centre for chronic dermatologic and arthritic diseases. In the past, hypertensive patients have complained sporadically of weakness and dizziness during a stay in the Dead Sea. It was therefore recommended that hypertensives do not stay at...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000663

    authors: Paran E,Neuman L,Sukenik S

    更新日期:1998-08-01 00:00:00

  • Relationship between QT interval and cardiovascular risk factors in healthy young subjects.

    abstract::A prolongation of QT interval increases the risk for coronary heart disease, ventricular arrhythmias, and sudden death in diabetic patients, after myocardial infarction, and in the elderly. An association between QT prolongation and cardiovascular risk factors has been demonstrated in middle-aged and elderly subjects....

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001874

    authors: Leotta G,Maule S,Rabbia F,Del Colle S,Tredici M,Canadè A,Verhovez A,Veglio F

    更新日期:2005-08-01 00:00:00

  • Erythrocyte sodium-lithium countertransport: relationship with plasma renin activity, aldosterone and atrial natriuretic peptide in a population study.

    abstract::The objective of this study was to investigate the relationships between erythrocyte Na-Li countertransport, plasma renin activity (PRA), plasma aldosterone and plasma atrial natriuretic peptide (ANP) in a population-based study, in a cross-sectional observation of a randomly selected sample of a male working populati...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Strazzullo P,Cappuccio FP,Miller MA,Buckley MG,Sagnella GA,Trevisan M,Pagano E,MacGregor GA

    更新日期:1994-03-01 00:00:00

  • Trends in antihypertensive drugs in the elderly: the decline of thiazides.

    abstract::The last decade has seen the publication of different editions of guidelines for the pharmacological treatment of hypertension that were based on the results of large, randomised trials. Since these guidelines were meant to inform practitioners, we analysed the pattern of prescription of antihypertensive agents betwee...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001176

    authors: Onder G,Gambassi G,Landi F,Pedone C,Cesari M,Carbonin PU,Bernabei R,Investigators of the GIFA Study (SIGG-ONLUS).

    更新日期:2001-05-01 00:00:00

  • Characteristics of the patients referred to a Hypertension Unit between 1989 and 2003.

    abstract::The level of blood pressure, the type of antihypertensive treatment and the prevalence of resistant hypertension at the first examination were evaluated in 6254 patients referred to a hospital Hypertension Unit from 1989 to 2003. From 1989-1993 to 1999-2003, we observed a reduced prevalence of grade 2 and grade 3 hype...

    journal_title:Journal of human hypertension

    pub_type: 信件

    doi:10.1038/sj.jhh.1002285

    authors: Leotta G,Rabbia F,Canadè A,Testa E,Papotti G,Mulatero P,Veglio F

    更新日期:2008-02-01 00:00:00

  • Improvement of hypertension care by a structured treatment and teaching programme.

    abstract::Despite the availability of multiple nonpharmacological and pharmacological antihypertensive regimens large scale control of BP on a population basis is still unsatisfactory. To achieve a better quality in hypertension care we have developed and evaluated a structured outpatient hypertension treatment and teaching pro...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Sawicki PT,Mühlhauser I,Didjurgeit U,Berger M

    更新日期:1993-12-01 00:00:00

  • Urinary calcium excretion, sodium intake and blood pressure in a multi-ethnic population: results of the Wandsworth Heart and Stroke Study.

    abstract:BACKGROUND:Hypertension is associated with increased urinary calcium excretion (UCa). A high sodium intake increases both UCa and blood pressure (BP). However, it is not clear whether these effects are modified by gender or ethnic origin. OBJECTIVES:To examine the relationships between BP, urinary sodium (UNa), gender...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001171

    authors: Blackwood AM,Sagnella GA,Cook DG,Cappuccio FP

    更新日期:2001-04-01 00:00:00

  • Arterial waveform parameters in a large, population-based sample of adults: relationships with ethnicity and lifestyle factors.

    abstract::Little is known about how aortic waveform parameters vary with ethnicity and lifestyle factors. We investigated these issues in a large, population-based sample. We carried out a cross-sectional analysis of 4798 men and women, aged 50-84 years from Auckland, New Zealand. Participants were 3961 European, 321 Pacific, 2...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2016.78

    authors: Sluyter JD,Hughes AD,Thom SA,Lowe A,Camargo CA Jr,Hametner B,Wassertheurer S,Parker KH,Scragg RK

    更新日期:2017-05-01 00:00:00

  • Plasma homocysteine concentration and blood pressure in healthy Iranian adults: the Tehran Homocysteine Survey (2003-2004).

    abstract::Hypertension is a modifiable risk factor for cardiovascular disease, but its aetiology has not been fully elucidated. Recently, attention has been focused on the direct relations of plasma homocysteine (Hcy) to blood pressure (BP). The purpose of this study was to determine the relationship of Hcy with BP and other ca...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001911

    authors: Fakhrzadeh H,Ghotbi S,Pourebrahim R,Heshmat R,Nouri M,Shafaee A,Larijani B

    更新日期:2005-11-01 00:00:00

  • Arterial stiffness in children and adolescents with masked and sustained hypertension.

    abstract::This study recruited 85 healthy children and adolescents, aged 6-18 years, from a school-based blood pressure (BP) screening study and performed office BP measurements, 24-h ambulatory blood pressure monitoring (24-h ABPM) and 24-h pulse wave analysis. Prevalence of BP phenotypes was assessed, factors that may predict...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-020-0318-4

    authors: Kollios K,Nika T,Kotsis V,Chrysaidou K,Antza C,Stabouli S

    更新日期:2021-01-01 00:00:00

  • Microalbuminuria in essential hypertension.

    abstract::The prevalence of microalbuminuria in patients with essential hypertension ranges between 10 and 25%. The level of albuminuria is highly correlated with arterial pressure and more closely ambulatory arterial pressure. The interaction between albuminuria and arterial pressure is clearly enhanced by overweight and smoki...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Mimran A,Ribstein J

    更新日期:1996-10-01 00:00:00

  • Left ventricular mass in hypertension: correlation with casual, exercise and ambulatory blood pressure.

    abstract::The purpose of this work was to assess the best haemodynamic determinant of left ventricular hypertrophy (LVH) in patients with essential hypertension. We studied the relationships between left ventricular mass (LVM) and casual, exercise and 24h ambulatory blood pressure monitoring (ABPM) in 60 newly discovered patien...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Grossman E,Alster Y,Shemesh J,Nussinovitch N,Rosenthal T

    更新日期:1994-10-01 00:00:00

  • Alcohol consumption and blood pressure change: 5-year follow-up study of the association in normotensive workers.

    abstract::This study endeavours to clarify the effect of alcohol consumption on changes in the blood pressure of Japanese men. The subjects, who were followed from 1990 to 1995, were 2189 male normotensive steelworkers aged from 40 to 54 years in 1990. Drinking habits were represented by two variables: average daily baseline al...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001191

    authors: Okubo Y,Suwazono Y,Kobayashi E,Nogawa K

    更新日期:2001-06-01 00:00:00

  • Microalbuminuria is associated with salt sensitivity in hypertensive patients.

    abstract::We have investigated 59 patients with mild-to-moderate uncomplicated essential hypertension in order to estimate whether salt sensitivity is associated with greater urinary albumin excretion. Patients whose average mean blood pressure (BP) value on day 5 of the high-sodium regimen (300 mmol/l NaCl) exceeded 10 mm Hg o...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Nesović M,Stojanović M,Nesović MM,Cirić J,Zarković M

    更新日期:1996-09-01 00:00:00

  • The combination of amlodipine and angiotensin receptor blocker or diuretics in high-risk hypertensive patients: rationale, design and baseline characteristics.

    abstract::The Chinese Hypertension Intervention Efficacy Study (CHIEF) is a multi-centre randomized controlled clinical trial comparing the effects of amlodipine+angiotensin II receptor blocker and amlodipine+diuretics on the incidence of cardiovascular events, represented as a composite of non-fatal stroke, non-fatal myocardia...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1038/jhh.2010.45

    authors: Wang W,Ma L,Zhang Y,Deng Q,Liu M,Liu L

    更新日期:2011-04-01 00:00:00

  • Hypertension is an important risk determinant for chronic kidney disease: results from a cross-sectional, observational study from a rural population in South India.

    abstract::Hypertension (HTN) is an important cause for chronic kidney disease (CKD). There is a paucity of studies exploring the association of HTN with CKD from rural India. The objective of the study was to determine the prevalence and the determinants for HTN in a rural population in South India, focusing on the association ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2016.81

    authors: Anupama YJ,Hegde SN,Uma G,Patil M

    更新日期:2017-05-01 00:00:00

  • Prevalence of high blood pressure and high normal blood pressure among 7- to 17-year-old children and adolescents in developed regions, China from 2014 to 2017: using new national blood pressure reference for Chinese children and adolescents.

    abstract::As the first blood pressure (BP) reference considering influence of height in China, national blood pressure reference for Chinese han children and adolescents aged 7 to 17 years (CCBP) was issued in 2017. The current study aimed to observe the short-term trends in BP and prevalence of high blood pressure (HBP) and hi...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-019-0183-1

    authors: Hu J,Shen H,Wu JZ,Xiao Q,Chu GP,Teng CG,Liu F,Yang HB

    更新日期:2019-05-01 00:00:00

  • The hemodynamic patterns in hypertensive men and women of different age.

    abstract::Aging is associated with cardiovascular remodeling, which can be accelerated in arterial hypertension (AH). The aim of this study was to evaluate the relation between hemodynamic profile and age, as well as to identify the role of sex in hemodynamic patterns of aging in AH. The study comprised 326 patients with AH (me...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2015.63

    authors: Krzesiński P,Stańczyk A,Gielerak G,Piotrowicz K

    更新日期:2016-03-01 00:00:00