Home blood pressure measurement as a screening tool for hypertension in a web-based worksite health promotion programme

Autor: Maurice A. J. Niessen, Bert-Jan H. van den Born, Roderik A. Kraaijenhagen, Coen K. van Kalken, Niels V. van der Hoeven
Přispěvatelé: Other departments, Amsterdam Cardiovascular Sciences, Vascular Medicine
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: European journal of public health, 24(5), 776-781. Oxford University Press
ISSN: 1101-1262
Popis: Background: Guidelines on home blood pressure measurement (HBPM) recommend taking at least 12 measurements. For screening purposes, however, it is preferred to reduce this number. We therefore derived and validated cut-off values to determine hypertension status after the first duplicate reading of a HBPM series in a web-based worksite health promotion programme. Method: Nine hundred forty-five employees were included in the derivation and 528 in the validation cohort, which was divided into a normal ( n = 297) and increased cardiometabolic risk subgroup ( n = 231), and a subgroup with a history of hypertension ( n = 98). Six duplicate home measurements were collected during three consecutive days. Systolic and diastolic readings at the first duplicate measurement were used as predictors for hypertension in a multivariate logistic model. Cut-off values were determined using receiver operating characteristics analysis. Results : Upper (≥150 or ≥95 mmHg) and lower limit (
Databáze: OpenAIRE