Epidemiology of masked and white-coat hypertension: the family-based SKIPOGH study.

TitreEpidemiology of masked and white-coat hypertension: the family-based SKIPOGH study.
Publication TypeJournal Article
Year of Publication2014
AuthorsAlwan, H, Pruijm, M, Ponte, B, Ackermann, D, Guessous, I, Ehret, G, Staessen, JA, Asayama, K, Vuistiner, P, Estoppey Younes, S, Paccaud, F, Wuerzner, G, Pechère-Bertschi, A, Mohaupt, M, Vogt, B, Martin, P-Y, Burnier, M, Bochud, M
JournalPLoS One
Volume9
Issue3
Paginatione92522
Date Published2014
DOI10.1371/journal.pone.0092522
ISSN1932-6203
ISBN Number1932-6203 (Electronic)
Mots-clésAdult, Family, Female, Humans, Male, Masked Hypertension, Middle Aged, Switzerland, White Coat Hypertension
Abstract

OBJECTIVE: We investigated factors associated with masked and white-coat hypertension in a Swiss population-based sample.

METHODS: The Swiss Kidney Project on Genes in Hypertension is a family-based cross-sectional study. Office and 24-hour ambulatory blood pressure were measured using validated devices. Masked hypertension was defined as office blood pressure<140/90 mmHg and daytime ambulatory blood pressure≥135/85 mmHg. White-coat hypertension was defined as office blood pressure≥140/90 mmHg and daytime ambulatory blood pressure<135/85 mmHg. Mixed-effect logistic regression was used to examine the relationship of masked and white-coat hypertension with associated factors, while taking familial correlations into account. High-normal office blood pressure was defined as systolic/diastolic blood pressure within the 130-139/85-89 mmHg range.

RESULTS: Among the 652 participants included in this analysis, 51% were female. Mean age (±SD) was 48 (±18) years. The proportion of participants with masked and white coat hypertension was respectively 15.8% and 2.6%. Masked hypertension was associated with age (odds ratio (OR) = 1.02, p = 0.012), high-normal office blood pressure (OR = 6.68, p<0.001), and obesity (OR = 3.63, p = 0.001). White-coat hypertension was significantly associated with age (OR = 1.07, p<0.001) but not with education, family history of hypertension, or physical activity.

CONCLUSIONS: Our findings suggest that physicians should consider ambulatory blood pressure monitoring for older individuals with high-normal office blood pressure and/or who are obese.

Notes

Publication types: Journal Article

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/24663506?dopt=Abstract

Alternate JournalPLoS ONE
Citation Key / SERVAL ID3553
PubMed ID24663506
PubMed Central IDPMC3963885
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