دورية أكاديمية

Association of Habitual Physical Activity With Home Blood Pressure in the Electronic Framingham Heart Study (eFHS): Cross-sectional Study.

التفاصيل البيبلوغرافية
العنوان: Association of Habitual Physical Activity With Home Blood Pressure in the Electronic Framingham Heart Study (eFHS): Cross-sectional Study.
المؤلفون: Sardana M; Department of Medicine, Division of Cardiology, University of California San Francisco, San Francisco, CA, United States., Lin H; Department of Medicine, Boston University School of Medicine, Boston, MA, United States., Zhang Y; Boston University School of Public Health, Boston, MA, United States., Liu C; Boston University School of Public Health, Boston, MA, United States., Trinquart L; Boston University School of Public Health, Boston, MA, United States., Benjamin EJ; Department of Medicine, Boston University School of Medicine, Boston, MA, United States.; Boston University School of Public Health, Boston, MA, United States.; Framingham Heart Study, Framingham, MA, United States., Manders ES; Framingham Heart Study, Framingham, MA, United States., Fusco K; Framingham Heart Study, Framingham, MA, United States., Kornej J; Framingham Heart Study, Framingham, MA, United States., Hammond MM; Framingham Heart Study, Framingham, MA, United States., Spartano N; Department of Medicine, Boston University School of Medicine, Boston, MA, United States., Pathiravasan CH; Boston University School of Public Health, Boston, MA, United States., Kheterpal V; Care Evolution, Ann Arbor, MI, United States., Nowak C; Care Evolution, Ann Arbor, MI, United States., Borrelli B; Henry M Goldman School of Dental Medicine, Center for Behavioral Science Research, Boston University, Boston, MA, United States., Murabito JM; Department of Medicine, Boston University School of Medicine, Boston, MA, United States.; Framingham Heart Study, Framingham, MA, United States., McManus DD; Department of Medicine, UMass Medical School, Worcester, MA, United States.
المصدر: Journal of medical Internet research [J Med Internet Res] 2021 Jun 24; Vol. 23 (6), pp. e25591. Date of Electronic Publication: 2021 Jun 24.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 100959882 Publication Model: Electronic Cited Medium: Internet ISSN: 1438-8871 (Electronic) Linking ISSN: 14388871 NLM ISO Abbreviation: J Med Internet Res Subsets: MEDLINE
أسماء مطبوعة: Publication: <2011- > : Toronto : JMIR Publications
Original Publication: [Pittsburgh, PA? : s.n., 1999-
مواضيع طبية MeSH: Exercise* , Hypertension*/epidemiology, Adult ; Blood Pressure ; Cross-Sectional Studies ; Electronics ; Female ; Humans ; Longitudinal Studies ; Middle Aged
مستخلص: Background: When studied in community-based samples, the association of physical activity with blood pressure (BP) remains controversial and is perhaps dependent on the intensity of physical activity. Prior studies have not explored the association of smartwatch-measured physical activity with home BP.
Objective: We aimed to study the association of habitual physical activity with home BP.
Methods: Consenting electronic Framingham Heart Study (eFHS) participants were provided with a study smartwatch (Apple Watch Series 0) and Bluetooth-enabled home BP cuff. Participants were instructed to wear the watch daily and transmit BP values weekly. We measured habitual physical activity as the average daily step count determined by the smartwatch. We estimated the cross-sectional association between physical activity and average home BP using linear mixed effects models adjusting for age, sex, wear time, antihypertensive drug use, and familial structure.
Results: We studied 660 eFHS participants (mean age 53 years, SD 9 years; 387 [58.6%] women; 602 [91.2%] White) who wore the smartwatch 5 or more hours per day for 30 or more days and transmitted three or more BP readings. The mean daily step count was 7595 (SD 2718). The mean home systolic and diastolic BP (mmHg) were 122 (SD 12) and 76 (SD 8). Every 1000 increase in the step count was associated with a 0.49 mmHg lower home systolic BP (P=.004) and 0.36 mmHg lower home diastolic BP (P=.003). The association, however, was attenuated and became statistically nonsignificant with further adjustment for BMI.
Conclusions: In this community-based sample of adults, higher daily habitual physical activity measured by a smartwatch was associated with a moderate, but statistically significant, reduction in home BP. Differences in BMI among study participants accounted for the majority of the observed association.
(©Mayank Sardana, Honghuang Lin, Yuankai Zhang, Chunyu Liu, Ludovic Trinquart, Emelia J Benjamin, Emily S Manders, Kelsey Fusco, Jelena Kornej, Michael M Hammond, Nicole Spartano, Chathurangi H Pathiravasan, Vik Kheterpal, Christopher Nowak, Belinda Borrelli, Joanne M Murabito, David D McManus. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 24.06.2021.)
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معلومات مُعتمدة: R01 HL137734 United States HL NHLBI NIH HHS; R01 HL141434 United States HL NHLBI NIH HHS; HHSN268201500001C United States HL NHLBI NIH HHS; R01 HL092577 United States HL NHLBI NIH HHS; U54 HL120163 United States HL NHLBI NIH HHS; HHSN268201500001I United States HL NHLBI NIH HHS; R01 HL137794 United States HL NHLBI NIH HHS; R01 HL126911 United States HL NHLBI NIH HHS; U01 AG068221 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: Apple Watch; eCohort; home blood pressure; hypertension; physical activity; primary prevention; smartwatch
تواريخ الأحداث: Date Created: 20210629 Date Completed: 20211018 Latest Revision: 20230701
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8277303
DOI: 10.2196/25591
PMID: 34185019
قاعدة البيانات: MEDLINE
الوصف
تدمد:1438-8871
DOI:10.2196/25591