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Associations between daily home blood pressure measurements and self-reports of lifestyle and symptoms in primary care : the PERHIT study

Andersson, Ulrika LU orcid ; Nilsson, Peter M LU ; Kjellgren, Karin ; Ekholm, Mikael and Midlöv, Patrik LU orcid (2024) In Scandinavian Journal of Primary Health Care p.1-9
Abstract

OBJECTIVE: To explore in a primary care setting the associations between patients' daily self-measured blood pressure (BP) during eight weeks and concurrent self-reported values of wellbeing, lifestyle, symptoms, and medication intake. We also explore these associations for men and women separately.

DESIGN AND SETTING: The study is a secondary post-hoc analysis of the randomised controlled trial PERson-centeredness in Hypertension management using Information Technology (PERHIT). The trial was conducted in primary health care in four regions in Southern Sweden.

PATIENTS: Participants (
n  = 454) in the intervention group in the PERHIT-trial used an interactive web-based system for self-management of hypertension for... (More)

OBJECTIVE: To explore in a primary care setting the associations between patients' daily self-measured blood pressure (BP) during eight weeks and concurrent self-reported values of wellbeing, lifestyle, symptoms, and medication intake. We also explore these associations for men and women separately.

DESIGN AND SETTING: The study is a secondary post-hoc analysis of the randomised controlled trial PERson-centeredness in Hypertension management using Information Technology (PERHIT). The trial was conducted in primary health care in four regions in Southern Sweden.

PATIENTS: Participants (
n  = 454) in the intervention group in the PERHIT-trial used an interactive web-based system for self-management of hypertension for eight consecutive weeks. Each evening, participants reported in the system their wellbeing, lifestyle, symptoms, and medication adherence as well as their self-measured BP and heart rate.

MAIN OUTCOME MEASURES: Association between self-reported BP and 10 self-report lifestyle-related variables.

RESULTS: Self-reported less stress and higher wellbeing were similarly associated with BP, with 1.0 mmHg lower systolic BP and 0.6/0.4 mmHg lower diastolic BP (
p  < 0.001). Adherence to medication had the greatest impact on BP levels (5.2/2.6 mmHg,
p  < 0.001). Restlessness and headache were also significantly associated with BP, but to a lesser extent. Physical activity was only significantly associated with BP levels for men, but not for women.

CONCLUSION: In hypertension management, it may be important to identify patients with high-stress levels and low wellbeing. The association between medication intake and BP was obvious, thus stressing the importance of medication adherence for patients with hypertension.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Scandinavian Journal of Primary Health Care
pages
1 - 9
publisher
Taylor & Francis
external identifiers
  • scopus:85189558637
  • pmid:38529930
ISSN
0281-3432
DOI
10.1080/02813432.2024.2332745
language
English
LU publication?
yes
id
62c748a1-423a-4dbe-a4c3-9aac4496f02a
date added to LUP
2024-04-01 20:31:55
date last changed
2024-04-22 12:44:41
@article{62c748a1-423a-4dbe-a4c3-9aac4496f02a,
  abstract     = {{<p>OBJECTIVE: To explore in a primary care setting the associations between patients' daily self-measured blood pressure (BP) during eight weeks and concurrent self-reported values of wellbeing, lifestyle, symptoms, and medication intake. We also explore these associations for men and women separately.</p><p>DESIGN AND SETTING: The study is a secondary post-hoc analysis of the randomised controlled trial PERson-centeredness in Hypertension management using Information Technology (PERHIT). The trial was conducted in primary health care in four regions in Southern Sweden.</p><p>PATIENTS: Participants (<br>
 n  = 454) in the intervention group in the PERHIT-trial used an interactive web-based system for self-management of hypertension for eight consecutive weeks. Each evening, participants reported in the system their wellbeing, lifestyle, symptoms, and medication adherence as well as their self-measured BP and heart rate.<br>
 </p><p>MAIN OUTCOME MEASURES: Association between self-reported BP and 10 self-report lifestyle-related variables.</p><p>RESULTS: Self-reported less stress and higher wellbeing were similarly associated with BP, with 1.0 mmHg lower systolic BP and 0.6/0.4 mmHg lower diastolic BP ( <br>
 p  &lt; 0.001). Adherence to medication had the greatest impact on BP levels (5.2/2.6 mmHg, <br>
 p  &lt; 0.001). Restlessness and headache were also significantly associated with BP, but to a lesser extent. Physical activity was only significantly associated with BP levels for men, but not for women.<br>
 </p><p>CONCLUSION: In hypertension management, it may be important to identify patients with high-stress levels and low wellbeing. The association between medication intake and BP was obvious, thus stressing the importance of medication adherence for patients with hypertension.</p>}},
  author       = {{Andersson, Ulrika and Nilsson, Peter M and Kjellgren, Karin and Ekholm, Mikael and Midlöv, Patrik}},
  issn         = {{0281-3432}},
  language     = {{eng}},
  month        = {{03}},
  pages        = {{1--9}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Primary Health Care}},
  title        = {{Associations between daily home blood pressure measurements and self-reports of lifestyle and symptoms in primary care : the PERHIT study}},
  url          = {{http://dx.doi.org/10.1080/02813432.2024.2332745}},
  doi          = {{10.1080/02813432.2024.2332745}},
  year         = {{2024}},
}