Associations between daily home blood pressure measurements and self-reports of lifestyle and symptoms in primary care : the PERHIT study
(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)
- author
- Andersson, Ulrika LU ; Nilsson, Peter M LU ; Kjellgren, Karin ; Ekholm, Mikael and Midlöv, Patrik LU
- organization
- publishing date
- 2024-03-26
- 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 < 0.001). Adherence to medication had the greatest impact on BP levels (5.2/2.6 mmHg, <br> 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.<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}}, }