Difference in Evening Home Blood Pressure Between Before Dinner and at Bedtime in Japanese Elderly Hypertensive Patients

Overview

Journal J Clin Hypertens (Greenwich)

Specialty Cardiology & Vascular Diseases

Date 2017 Mar 16

PMID 28294513

Citations 14

Authors

Takeshi Fujiwara

Satoshi Hoshide

Masafumi Nishizawa

Takefumi Matsuo

Kazuomi Kario

Affiliations

Soon will be listed here.

Abstract

The authors evaluated the differences between evening home blood pressure (HBP) readings taken before dinner and those taken at bedtime, which were documented in a European and a Japanese guideline, respectively. Forty-eight patients (mean age, 76.4 years) measured their evening HBP twice each day (two measurements both before dinner and at bedtime) for 14 days. The authors defined the at-bedtime (B) minus the before-dinner (D) systolic HBP as the B-D difference. The mean B-D difference was -8.7 mm Hg (P<.001). The depressor effect of bathing was significantly prolonged for 120 minutes. The B-D difference with alcohol consumption was significantly greater than that without alcohol. In the linear mixed model analysis, time after bathing ≤120 minutes and alcohol consumption were significantly associated with the B-D difference after adjustment with covariates. There was a marked difference between evening HBP values. When patients' evening HBP is measured according to the guidelines, their daily activities should be considered.

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References

Jula A, Puukka P, Karanko H . Multiple clinic and home blood pressure measurements versus ambulatory blood pressure monitoring. Hypertension. 1999; 34(2):261-6. DOI: 10.1161/01.hyp.34.2.261. View

Kawano Y, Abe H, Kojima S, Ashida T, Yoshida K, Imanishi M . Acute depressor effect of alcohol in patients with essential hypertension. Hypertension. 1992; 20(2):219-26. DOI: 10.1161/01.hyp.20.2.219. View

Niiranen T, Johansson J, Reunanen A, Jula A . Optimal schedule for home blood pressure measurement based on prognostic data: the Finn-Home Study. Hypertension. 2011; 57(6):1081-6. DOI: 10.1161/HYPERTENSIONAHA.110.162123. View

Gasparrini A, Guo Y, Hashizume M, Lavigne E, Zanobetti A, Schwartz J . Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015; 386(9991):369-75. PMC: 4521077. DOI: 10.1016/S0140-6736(14)62114-0. View

Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M . 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013; 31(7):1281-357. DOI: 10.1097/01.hjh.0000431740.32696.cc. View

Imai Y, Nishiyama A, Sekino M, Aihara A, Kikuya M, Ohkubo T . Characteristics of blood pressure measured at home in the morning and in the evening: the Ohasama study. J Hypertens. 1999; 17(7):889-98. DOI: 10.1097/00004872-199917070-00004. View

Kawano Y . Physio-pathological effects of alcohol on the cardiovascular system: its role in hypertension and cardiovascular disease. Hypertens Res. 2010; 33(3):181-91. DOI: 10.1038/hr.2009.226. View

Hoshide S, Yano Y, Haimoto H, Yamagiwa K, Uchiba K, Nagasaka S . Morning and Evening Home Blood Pressure and Risks of Incident Stroke and Coronary Artery Disease in the Japanese General Practice Population: The Japan Morning Surge-Home Blood Pressure Study. Hypertension. 2016; 68(1):54-61. DOI: 10.1161/HYPERTENSIONAHA.116.07201. View

James P, Oparil S, Carter B, Cushman W, Dennison-Himmelfarb C, Handler J . 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2013; 311(5):507-20. DOI: 10.1001/jama.2013.284427. View

10.

Kawabe H, Saito I . Influence of nighttime bathing on evening home blood pressure measurements: how long should the interval be after bathing?. Hypertens Res. 2006; 29(3):129-33. DOI: 10.1291/hypres.29.129. View

11.

Parati G, Stergiou G, Asmar R, Bilo G, De Leeuw P, Imai Y . European Society of Hypertension practice guidelines for home blood pressure monitoring. J Hum Hypertens. 2010; 24(12):779-85. DOI: 10.1038/jhh.2010.54. View

12.

Abe H, Kawano Y, Kojima S, Ashida T, Kuramochi M, Matsuoka H . Biphasic effects of repeated alcohol intake on 24-hour blood pressure in hypertensive patients. Circulation. 1994; 89(6):2626-33. DOI: 10.1161/01.cir.89.6.2626. View

13.

Shimamoto K, Ando K, Fujita T, Hasebe N, Higaki J, Horiuchi M . The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2014). Hypertens Res. 2014; 37(4):253-390. DOI: 10.1038/hr.2014.20. View

14.

Fujiwara T, Hoshide S, Nishizawa M, Matsuo T, Kario K . Difference in evening home blood pressure between before dinner and at bedtime in Japanese elderly hypertensive patients. J Clin Hypertens (Greenwich). 2017; 19(7):731-739. PMC: 8031294. DOI: 10.1111/jch.12985. View

15.

Sega R, Facchetti R, Bombelli M, Cesana G, Corrao G, Grassi G . Prognostic value of ambulatory and home blood pressures compared with office blood pressure in the general population: follow-up results from the Pressioni Arteriose Monitorate e Loro Associazioni (PAMELA) study. Circulation. 2005; 111(14):1777-83. DOI: 10.1161/01.CIR.0000160923.04524.5B. View

16.

Mozaffarian D, Fahimi S, Singh G, Micha R, Khatibzadeh S, Engell R . Global sodium consumption and death from cardiovascular causes. N Engl J Med. 2014; 371(7):624-34. DOI: 10.1056/NEJMoa1304127. View

17.

Ohkubo T, Imai Y, Tsuji I, Nagai K, Kato J, Kikuchi N . Home blood pressure measurement has a stronger predictive power for mortality than does screening blood pressure measurement: a population-based observation in Ohasama, Japan. J Hypertens. 1998; 16(7):971-5. DOI: 10.1097/00004872-199816070-00010. View

18.

Seppa K, Sillanaukee P . Binge drinking and ambulatory blood pressure. Hypertension. 1999; 33(1):79-82. DOI: 10.1161/01.hyp.33.1.79. View

19.

Katsuya T, Ishikawa K, Sugimoto K, Rakugi H, Ogihara T . Salt sensitivity of Japanese from the viewpoint of gene polymorphism. Hypertens Res. 2003; 26(7):521-5. DOI: 10.1291/hypres.26.521. View

20.

Niiranen T, Jula A, Kantola I, Reunanen A . Comparison of agreement between clinic and home-measured blood pressure in the Finnish population: the Finn-HOME Study. J Hypertens. 2006; 24(8):1549-55. DOI: 10.1097/01.hjh.0000239290.94764.81. View