Sex Differences in Ambulatory Blood Pressure Levels and Subtypes in a Large Italian Community Cohort
Autor: | Stefano Omboni, Nadia A. Khan, Vijay Kunadian, Agnieszka Olszanecka, Aletta E. Schutte, Anastasia S. Mihailidou |
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Rok vydání: | 2023 |
Předmět: | |
Zdroj: | Hypertension. |
ISSN: | 1524-4563 0194-911X |
DOI: | 10.1161/hypertensionaha.122.20589 |
Popis: | BACKGROUND: Sex differences in blood pressure control are recognized. We systematically investigated sex differences in specific components of ambulatory blood pressure (ABP), including variability, day-night changes, morning surge, and hypertension types. METHODS: We analyzed ABPs of 52 911 participants (45.6% male, 54.4% female, 37.0% treated for hypertension) visiting 860 Italian community pharmacies. Sex differences in ABP levels and patterns were evaluated in the whole group and 4 risk groups (antihypertensive-treated patients, patients with diabetes, dyslipidemia, or cardiovascular disease). RESULTS: Average 24-hour, day-time, and night-time blood pressure values were consistently higher in males than females ( P P P P P P CONCLUSIONS: Females show better ABP control than males, but with an increased blood pressure variability and a greater prevalence of white-coat hypertension. These findings support tailored management of hypertension. REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT03781401 |
Databáze: | OpenAIRE |
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