Race differences in ambulatory blood pressure monitoring parameters.

Autor:	Sakhuja S; University of Alabama at Birmingham, Birmingham, Alabama., Jaeger BC; Wake Forest University School of Medicine, Winston-Salem., Yano Y; Department of Family Medicine and Community Health, Duke University, Durham, North Carolina, USA.; NCD Epidemiology Research Center (NERC), Shiga University of Medical Science, Shiga, Japan., Shimbo D; Columbia University, New York, New York., Lewis CE; University of Alabama at Birmingham, Birmingham, Alabama., Clark Iii D; University of Mississippi Medical Center, Jackson, Mississippi., Tajeu GS; Temple University, Philadelphia, Pennsylvania., Hardy ST; University of Alabama at Birmingham, Birmingham, Alabama., Allen NB; Northwestern University, Chicago, Illinois., Shikany JM; University of Alabama at Birmingham, Birmingham, Alabama., Schwartz JE; Columbia University, New York, New York.; Stony Brook University, Stony Brook, New York, USA., Viera AJ; Department of Family Medicine and Community Health, Duke University, Durham, North Carolina, USA., Muntner P; University of Alabama at Birmingham, Birmingham, Alabama.
Jazyk:	angličtina
Zdroj:	Blood pressure monitoring [Blood Press Monit] 2024 Feb 01; Vol. 29 (1), pp. 23-30. Date of Electronic Publication: 2023 Sep 21.
DOI:	10.1097/MBP.0000000000000680
Abstrakt:	Background: Mean systolic and diastolic blood pressure (SBP and DBP) on ambulatory blood pressure (BP) monitoring (ABPM) are higher among Black compared with White adults. With 48 to 72 BP measurements obtained over 24 h, ABPM can generate parameters other than mean BP that are associated with increased risk for cardiovascular events. There are few data on race differences in ABPM parameters other than mean BP. Methods: To estimate differences between White and Black participants in ABPM parameters, we used pooled data from five US-based studies in which participants completed ABPM (n = 2580). We calculated measures of SBP and DBP level, including mean, load, peak, and measures of SBP and DBP variability, including average real variability (ARV) and peak increase. Results: There were 1513 (58.6%) Black and 1067 (41.4%) White participants with mean ages of 56.1 and 49.0 years, respectively. After multivariable adjustment, asleep SBP and DBP load were 5.7% (95% CI: 3.5-7.9%) and 2.7% (95% CI: 1.1-4.3%) higher, respectively, among Black compared with White participants. Black compared with White participants also had higher awake DBP ARV (0.3 [95%CI: 0.0-0.6] mmHg) and peak increase in DBP (0.4 [95% CI: 0.0-0.8] mmHg). There was no evidence of Black:White differences in awake measures of SBP level, asleep peak SBP or DBP, awake and asleep measures of SBP variability or asleep measures of DBP variability after multivariable adjustment. Conclusion: Asleep SBP load, awake DBP ARV and peak increase in awake DBP were higher in Black compared to White participants, independent of mean BP on ABPM. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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