Prevalence of masked and white-coat hypertension among individuals with diabetes: insights from web-based home blood pressure monitoring in the Brazilian population.

Autor: Diniz PGS; Postgraduate Degree in Health Sciences, University of Pernambuco, Recife, PE, Brazil., Bezerra R; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil.; Keizo Asami Institute, Federal University of Pernambuco, Recife, PE, Brazil., Feitosa CLDM; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil., Gonçalves TAT; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil., Paiva AMG; CESMAC University Center/Heart Hospital of Alagoas, Maceió, AL, Brazil., Mota-Gomes MA; CESMAC University Center/Heart Hospital of Alagoas, Maceió, AL, Brazil., Barroso WS; Hypertension League, Cardiovascular Section, Federal University of Goiás, Goiânia, GO, Brazil., Miranda RD; Cardiovascular Section, Geriatrics Division, Paulista School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil., Barbosa ECD; Department of Hypertension and Cardiometabolism, FEEVALE University, Porto Alegre, Brazil., Brandão AA; School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil., Sposito AC; Department of Internal Medicine, School of Medical Sciences, State University of Campinas, São Paulo, SP, Brazil., Nadruz W; Keizo Asami Institute, Federal University of Pernambuco, Recife, PE, Brazil.; Department of Internal Medicine, School of Medical Sciences, State University of Campinas, São Paulo, SP, Brazil., Feitosa ADM; Postgraduate Degree in Health Sciences, University of Pernambuco, Recife, PE, Brazil. feitosa@audes.com.br.; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil. feitosa@audes.com.br.; Department of Internal Medicine, School of Medical Sciences, State University of Campinas, São Paulo, SP, Brazil. feitosa@audes.com.br.
Jazyk: angličtina
Zdroj: Hypertension research : official journal of the Japanese Society of Hypertension [Hypertens Res] 2024 Dec; Vol. 47 (12), pp. 3473-3479. Date of Electronic Publication: 2024 Oct 08.
DOI: 10.1038/s41440-024-01842-0
Abstrakt: The association between diabetes mellitus (DM) and masked hypertension (MH) in ambulatory blood pressure (BP) monitoring is established, but its relationship with home BP monitoring (HBPM) remains uncertain. This web-based database study compared BP phenotypes in individuals using (n = 51,194; 6.05% with DM) and not using (n = 55,320; 0.63% with DM) antihypertensive medications (AH) undergoing HBPM. Multivariable logistic regression analysis revealed similar MH and white-coat hypertension (WCH) prevalence in individuals with or without DM, irrespective of AH use. However, among AH non-users, DM was associated with a higher likelihood of normotension (OR 1.35, 95%CI 1.09-1.66; p = 0.006) and a lower likelihood of sustained hypertension (OR 0.77, 95%CI 0.60-0.99; p = 0.039) compared to individuals without DM. These findings suggest that while DM does not significantly impact MH and WCH in HBPM, it may influence normotension and sustained hypertension rates in AH non-users. Likelihood of diabetes mellitus according to blood pressure phenotypes. AH - antihypertensive medications; CH - controlled hypertension; MH - masked hypertension; MUCH - masked uncontrolled hypertension; NT - normotension; SH - sustained hypertension; SUCH - sustained uncontrolled hypertension; WCH - white-coat hypertension; WUCH - white-coat uncontrolled hypertension.
Competing Interests: Compliance with ethical standards. Conflict of interest: ADMF, MAM-G, and WSB are consultants for Omron.
(© 2024. The Author(s), under exclusive licence to The Japanese Society of Hypertension.)
Databáze: MEDLINE
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