Advanced

Masked hypertension in untreated normotensives: difference between a work day and a leisure day?

Enström, Inger LU and Pennert, Kjell M (2011) In Blood Pressure Monitoring Dec. p.7-10
Abstract
OBJECTIVE: To compare ambulatory blood pressure recorded during a work day with a leisure day regarding masked hypertension. DESIGN: A randomized crossover study in middle-aged normotensives. PARTICIPANTS: Thirty-seven untreated middle-aged normotensives (17 women), who had repeated office blood pressure less than 140/90 mmHg. MAIN OUTCOME MEASURE: Individual difference of masked hypertension between a work day and a leisure day. RESULTS: Office systolic/diastolic blood pressure mean (SD) was 0.3/0.6 (6.4/5.2) mmHg higher during the work day. The mean (SD) systolic/diastolic 24-h, day and night blood pressure was 2.8/3.1 (4.5/3.6), 2.2/2.5 (4.9/4.2) and 1.3/1.9 (4.6/4.0) mmHg higher during the work day than during the leisure day.... (More)
OBJECTIVE: To compare ambulatory blood pressure recorded during a work day with a leisure day regarding masked hypertension. DESIGN: A randomized crossover study in middle-aged normotensives. PARTICIPANTS: Thirty-seven untreated middle-aged normotensives (17 women), who had repeated office blood pressure less than 140/90 mmHg. MAIN OUTCOME MEASURE: Individual difference of masked hypertension between a work day and a leisure day. RESULTS: Office systolic/diastolic blood pressure mean (SD) was 0.3/0.6 (6.4/5.2) mmHg higher during the work day. The mean (SD) systolic/diastolic 24-h, day and night blood pressure was 2.8/3.1 (4.5/3.6), 2.2/2.5 (4.9/4.2) and 1.3/1.9 (4.6/4.0) mmHg higher during the work day than during the leisure day. Individual comparisons of occurrence of ambulatory blood pressure values above normal during day (systolic ≥135 or diastolic ≥85) showed a statistically significant difference between the work day and the leisure day, P=0.0412. The P values for the individual comparisons of occurrence of ambulatory blood pressure values above normal during 24 h (systolic ≥130 or diastolic ≥80), and during night (systolic ≥120 or diastolic ≥70 mmHg) were P=0.0771 and 0.6171, respectively. CONCLUSION: Ambulatory blood pressure was somewhat higher during the work day than during the leisure day, and there was statistically significant individual difference concerning masked hypertension during daytime. Thus, in normotensives such as in hypertensives, ambulatory blood pressure during a work day seems to give the best information. Diastolic blood pressure values above normal were more common than systolic. However, systolic blood pressure is considered of greater importance in this age group and no participant had extremely high values. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Blood Pressure Monitoring
volume
Dec
pages
7 - 10
publisher
Lippincott Williams and Wilkins
external identifiers
  • wos:000286180500002
  • pmid:21084969
  • scopus:78751650351
ISSN
1473-5725
DOI
10.1097/MBP.0b013e3283419608
language
English
LU publication?
yes
id
3c0f6e27-d95c-427a-8826-a5ea29817f28 (old id 1731834)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21084969?dopt=Abstract
date added to LUP
2010-12-01 12:49:25
date last changed
2017-01-01 07:40:13
@article{3c0f6e27-d95c-427a-8826-a5ea29817f28,
  abstract     = {OBJECTIVE: To compare ambulatory blood pressure recorded during a work day with a leisure day regarding masked hypertension. DESIGN: A randomized crossover study in middle-aged normotensives. PARTICIPANTS: Thirty-seven untreated middle-aged normotensives (17 women), who had repeated office blood pressure less than 140/90 mmHg. MAIN OUTCOME MEASURE: Individual difference of masked hypertension between a work day and a leisure day. RESULTS: Office systolic/diastolic blood pressure mean (SD) was 0.3/0.6 (6.4/5.2) mmHg higher during the work day. The mean (SD) systolic/diastolic 24-h, day and night blood pressure was 2.8/3.1 (4.5/3.6), 2.2/2.5 (4.9/4.2) and 1.3/1.9 (4.6/4.0) mmHg higher during the work day than during the leisure day. Individual comparisons of occurrence of ambulatory blood pressure values above normal during day (systolic ≥135 or diastolic ≥85) showed a statistically significant difference between the work day and the leisure day, P=0.0412. The P values for the individual comparisons of occurrence of ambulatory blood pressure values above normal during 24 h (systolic ≥130 or diastolic ≥80), and during night (systolic ≥120 or diastolic ≥70 mmHg) were P=0.0771 and 0.6171, respectively. CONCLUSION: Ambulatory blood pressure was somewhat higher during the work day than during the leisure day, and there was statistically significant individual difference concerning masked hypertension during daytime. Thus, in normotensives such as in hypertensives, ambulatory blood pressure during a work day seems to give the best information. Diastolic blood pressure values above normal were more common than systolic. However, systolic blood pressure is considered of greater importance in this age group and no participant had extremely high values.},
  author       = {Enström, Inger and Pennert, Kjell M},
  issn         = {1473-5725},
  language     = {eng},
  pages        = {7--10},
  publisher    = {Lippincott Williams and Wilkins},
  series       = {Blood Pressure Monitoring},
  title        = {Masked hypertension in untreated normotensives: difference between a work day and a leisure day?},
  url          = {http://dx.doi.org/10.1097/MBP.0b013e3283419608},
  volume       = {Dec},
  year         = {2011},
}