دورية أكاديمية
Identifying an Acceptable Number of Ambulatory Blood Pressure Measurements for Accuracy of Average Blood Pressure and Nocturnal Dipping Status.
| العنوان: | Identifying an Acceptable Number of Ambulatory Blood Pressure Measurements for Accuracy of Average Blood Pressure and Nocturnal Dipping Status. |
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| المؤلفون: | Brito LC; Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, United States., Rice SPM; Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon, United States., Bowles NP; Oregon Health & Science University, Portland, United States., Butler MP; Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, United States., McHill AW; Oregon Health and Science University, Portland, Oregon, United States., Emens JS; Oregon Health & Science University, Portland, United States., Shea SA; Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, United States., Thosar SS; Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon, United States. |
| المصدر: | American journal of physiology. Heart and circulatory physiology [Am J Physiol Heart Circ Physiol] 2024 Jun 14. Date of Electronic Publication: 2024 Jun 14. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Physiological Society Country of Publication: United States NLM ID: 100901228 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-1539 (Electronic) Linking ISSN: 03636135 NLM ISO Abbreviation: Am J Physiol Heart Circ Physiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Bethesda, Md. : American Physiological Society, |
| مستخلص: | Objective: We aimed to identify the minimum number of ABP measures to accurately determine daytime and nighttime systolic BP averages and nocturnal dipping status (i.e., relative daytime:nighttime change). Methods: Forty-three midlife participants wore an ABP monitor for 24 hours with measurements every 20/30 minutes during the daytime/nighttime, as identified by a sleep diary. We calculated daytime/nighttime systolic BP average and dipping status from all available measurements per participant (i.e., normative data). We then calculated daytime and nighttime BP per participant based on a random selection of 8-20 and 4-10 measurements and replicated random selections 1000 times. We calculated accuracy by checking the proportion from 1000 different randomly selected samples for a particular number of measurements that systolic BP was ±5 mmHg of normative data, and dipping status remained unchanged for each participant compared to the normative value. The best fit for the regression model estimated the minimal number of measurements for an accuracy of 95% in BP averages. Results: For a 95% accuracy in estimating daytime and nighttime systolic BP, 11 daytime and 8 nighttime measurements were required. The highest accuracy for dipping status was 91.6±13.4% using 20 daytime and 10 nighttime measures, while the lowest was (83.4±15.1%) using 8 daytime and 4 nighttime measures. Conclusion: Eleven daytime and eight nighttime measurements are likely enough to calculate average systolic BPs accurately. However, no minimum number is suggested to accurately calculate dipping status. |
| معلومات مُعتمدة: | R01 HL 163232 HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI); F32 HL131308 United States HL NHLBI NIH HHS; R01-HL125893 HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI); R35 HL155681 United States HL NHLBI NIH HHS |
| فهرسة مساهمة: | Keywords: Dipping and non-dipping blood pressure; ambulatory blood pressure; cardiovascular risk; hypertension |
| تواريخ الأحداث: | Date Created: 20240614 Latest Revision: 20240614 |
| رمز التحديث: | 20240614 |
| DOI: | 10.1152/ajpheart.00220.2024 |
| PMID: | 38874614 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1522-1539 |
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| DOI: | 10.1152/ajpheart.00220.2024 |