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 |
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Přispěvatelé: | Other departments, Amsterdam Cardiovascular Sciences, Vascular Medicine |
Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Multivariate statistics Blood Pressure Health Promotion Logistic regression Cohort Studies Medicine Humans Workplace Netherlands Internet Receiver operating characteristic business.industry Public Health Environmental and Occupational Health Area under the curve Reproducibility of Results Blood Pressure Determination Middle Aged Confidence interval Self Care Standard error Blood pressure Health promotion Area Under Curve Hypertension Physical therapy Female business Program Evaluation |
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 |
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