Twenty-Five-Year Changes in Office and Ambulatory Blood Pressure: Results From the Coronary Artery Risk Development in Young Adults (CARDIA) Study
| Autor: | S. Justin Thomas, Joseph E. Schwartz, Sarah S. Knox, Cora E. Lewis, Daichi Shimbo, Lloyd J. Edwards, Mark D. Huffman, John N. Booth, Joshua D. Bundy, Paul Muntner, Byron C. Jaeger |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Ambulatory blood pressure Office Visits Original Contributions Black People Blood Pressure Coronary Artery Disease 030204 cardiovascular system & hematology White People Young Adult 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Internal medicine Epidemiology Internal Medicine medicine Humans Longitudinal Studies 030212 general & internal medicine Young adult business.industry Blood Pressure Monitoring Ambulatory Middle Aged medicine.disease Confidence interval Blood pressure medicine.anatomical_structure Heart Disease Risk Factors Female business Body mass index Artery |
| Zdroj: | Am J Hypertens |
| ISSN: | 1941-7225 0895-7061 |
| Popis: | BACKGROUND Blood pressure (BP) measured in the office setting increases from early through later adulthood. However, it is unknown to what extent out-of-office BP derived via ambulatory BP monitoring (ABPM) increases over time, and which participant characteristics and risk factors might contribute to these increases. METHODS We assessed 25-year change in office- and ABPM-derived BP across sex, race, diabetes mellitus (DM), and body mass index (BMI) subgroups in the Coronary Artery Risk Development in Young Adults study using multivariable-adjusted linear mixed effects models. RESULTS We included 288 participants who underwent ABPM at the Year 5 Exam (mean [SD] age, 25.1 [3.7]; 45.8% men) and 455 participants who underwent ABPM at the Year 30 Exam (mean [SD] age, 49.5 [3.7]; 42.0% men). Office, daytime, and nighttime systolic BP (SBP) increased 12.8 (95% confidence interval [CI], 7.6–17.9), 14.7 (95% CI, 9.7–19.8), and 16.6 (95% CI, 11.4–21.8) mm Hg, respectively, over 25 years. Office SBP increased 6.5 (95% CI, 2.3–10.6) mm Hg more among black compared with white participants. Daytime SBP increased 6.3 (95% CI, 0.2–12.4) mm Hg more among participants with a BMI ≥25 vs. CONCLUSIONS Office- and ABPM-derived BP increased more from early through middle adulthood among black adults and participants with DM and BMI ≥25 kg/m2. |
| Databáze: | OpenAIRE |
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