Morning and Evening Blood Pressures Are Associated With Intima-Media Thickness in a General Populationã- The Hisayama Study.
Circ J
; 81(11): 1647-1653, 2017 Oct 25.
Article
en En
| MEDLINE
| ID: mdl-28626161
ABSTRACT
BACKGROUND:
The association of morning and evening home blood pressures (HBPs) with carotid atherosclerosis has been uncertain in general populations, so we aimed to investigate it in a general Japanese population.MethodsâandâResults:
We performed a cross-sectional survey of 2,856 community-dwelling individuals aged ≥40 years to examine the association of morning and evening HBPs with carotid mean intima-media thickness (IMT). The age- and sex-adjusted geometric averages of carotid mean IMT increased significantly with increasing morning HBP (optimal 0.67 mm; normal 0.69 mm; high normal 0.72 mm; grade 1 hypertension 0.74 mm; and grade 2+3 hypertension 0.76 mm) and with increasing evening HBP (0.68 mm, 0.71 mm, 0.73 mm, 0.76 mm, and 0.78 mm, respectively) (both P for trend <0.001). These associations remained significant even after adjusting for potential confounding factors. Likewise, both isolated morning hypertension (morning HBP ≥135/85 mmHg and evening HBP <135/85 mmHg) and isolated evening hypertension (evening HBP ≥135/85 mmHg and morning HBP <135/85 mmHg) as well as sustained hypertension (both morning and evening HBP ≥135/85 mmHg) were significantly associated with thicker mean IMT.CONCLUSIONS:
Our findings suggested that both morning and evening HBPs were significantly associated with carotid atherosclerosis in this general Japanese population.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Ritmo Circadiano
/
Monitoreo Ambulatorio de la Presión Arterial
/
Grosor Intima-Media Carotídeo
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Circ J
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2017
Tipo del documento:
Article