Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study
To evaluate the current status of blood pressure (BP) control as measured at home and in the office, as well as to clarify and compare the prevalence and characteristics of isolated uncontrolled hypertension as measured at home (home hypertension) and in the office (office hypertension). A cross-sec...
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| Veröffentlicht in: | Journal of hypertension 2005-09, Vol.23 (9), p.1653-1660 |
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| creator | OBARA, Taku OHKUBO, Takayoshi FUNAHASHI, Jin KIKUYA, Masahiro ASAYAMA, Kei METOKI, Hirohito OIKAWA, Takuya HASHIMOTO, Junichiro TOTSUNE, Kazuhito IMAI, Yutaka |
| description | To evaluate the current status of blood pressure (BP) control as measured at home and in the office, as well as to clarify and compare the prevalence and characteristics of isolated uncontrolled hypertension as measured at home (home hypertension) and in the office (office hypertension).
A cross-sectional study.
Primary care offices in Japan.
A sample of 3400 patients with essential hypertension (mean age, 66 years; males, 45%) receiving antihypertensive treatment.
Overall, the mean home systolic BP (SBP)/diastolic BP (DBP) was 140/82 mmHg, and the mean office SBP/DBP was 143/81 mmHg. Of the 3400 subjects, 19% had controlled hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 23% had isolated uncontrolled home hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 15% had isolated uncontrolled office hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), and 43% had uncontrolled hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP >/= 140/90 mmHg). Compared to controlled hypertension, factors associated with isolated uncontrolled home hypertension included obesity, relatively higher office SBP, habitual drinking, and the use of two or more prescribed antihypertensive drugs. Compared to uncontrolled hypertension, factors associated with isolated uncontrolled office hypertension included female gender, lower body mass index, and relatively lower office SBP.
The use of all four, three of four, or all three predictive factors might be useful for the clinician to suspect isolated uncontrolled home or office hypertension. |
| doi_str_mv | 10.1097/01.hjh.0000178334.33352.56 |
| format | Article |
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A cross-sectional study.
Primary care offices in Japan.
A sample of 3400 patients with essential hypertension (mean age, 66 years; males, 45%) receiving antihypertensive treatment.
Overall, the mean home systolic BP (SBP)/diastolic BP (DBP) was 140/82 mmHg, and the mean office SBP/DBP was 143/81 mmHg. Of the 3400 subjects, 19% had controlled hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 23% had isolated uncontrolled home hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 15% had isolated uncontrolled office hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), and 43% had uncontrolled hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP >/= 140/90 mmHg). Compared to controlled hypertension, factors associated with isolated uncontrolled home hypertension included obesity, relatively higher office SBP, habitual drinking, and the use of two or more prescribed antihypertensive drugs. Compared to uncontrolled hypertension, factors associated with isolated uncontrolled office hypertension included female gender, lower body mass index, and relatively lower office SBP.
The use of all four, three of four, or all three predictive factors might be useful for the clinician to suspect isolated uncontrolled home or office hypertension.</description><identifier>ISSN: 0263-6352</identifier><identifier>EISSN: 1473-5598</identifier><identifier>DOI: 10.1097/01.hjh.0000178334.33352.56</identifier><identifier>PMID: 16093909</identifier><identifier>CODEN: JOHYD3</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Aged ; Antihypertensive agents ; Antihypertensive Agents - therapeutic use ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Blood Pressure Determination - methods ; Blood Pressure Determination - standards ; Blood Pressure Monitoring, Ambulatory - methods ; Cardiology. Vascular system ; Cardiovascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Cross-Sectional Studies ; Female ; Humans ; Hypertension - diagnosis ; Hypertension - drug therapy ; Hypertension - epidemiology ; Hypertension - physiopathology ; Japan - epidemiology ; Male ; Medical sciences ; Middle Aged ; Office Visits ; Pharmacology. Drug treatments ; Physicians - statistics & numerical data ; Prevalence</subject><ispartof>Journal of hypertension, 2005-09, Vol.23 (9), p.1653-1660</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-cca35b038b0f0fc24db2f85ee5bbf681bfc43681f461a4c10fb0795d563aef543</citedby><cites>FETCH-LOGICAL-c413t-cca35b038b0f0fc24db2f85ee5bbf681bfc43681f461a4c10fb0795d563aef543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17059074$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16093909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OBARA, Taku</creatorcontrib><creatorcontrib>OHKUBO, Takayoshi</creatorcontrib><creatorcontrib>FUNAHASHI, Jin</creatorcontrib><creatorcontrib>KIKUYA, Masahiro</creatorcontrib><creatorcontrib>ASAYAMA, Kei</creatorcontrib><creatorcontrib>METOKI, Hirohito</creatorcontrib><creatorcontrib>OIKAWA, Takuya</creatorcontrib><creatorcontrib>HASHIMOTO, Junichiro</creatorcontrib><creatorcontrib>TOTSUNE, Kazuhito</creatorcontrib><creatorcontrib>IMAI, Yutaka</creatorcontrib><title>Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study</title><title>Journal of hypertension</title><addtitle>J Hypertens</addtitle><description>To evaluate the current status of blood pressure (BP) control as measured at home and in the office, as well as to clarify and compare the prevalence and characteristics of isolated uncontrolled hypertension as measured at home (home hypertension) and in the office (office hypertension).
A cross-sectional study.
Primary care offices in Japan.
A sample of 3400 patients with essential hypertension (mean age, 66 years; males, 45%) receiving antihypertensive treatment.
Overall, the mean home systolic BP (SBP)/diastolic BP (DBP) was 140/82 mmHg, and the mean office SBP/DBP was 143/81 mmHg. Of the 3400 subjects, 19% had controlled hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 23% had isolated uncontrolled home hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 15% had isolated uncontrolled office hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), and 43% had uncontrolled hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP >/= 140/90 mmHg). Compared to controlled hypertension, factors associated with isolated uncontrolled home hypertension included obesity, relatively higher office SBP, habitual drinking, and the use of two or more prescribed antihypertensive drugs. Compared to uncontrolled hypertension, factors associated with isolated uncontrolled office hypertension included female gender, lower body mass index, and relatively lower office SBP.
The use of all four, three of four, or all three predictive factors might be useful for the clinician to suspect isolated uncontrolled home or office hypertension.</description><subject>Aged</subject><subject>Antihypertensive agents</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Blood Pressure Determination - methods</subject><subject>Blood Pressure Determination - standards</subject><subject>Blood Pressure Monitoring, Ambulatory - methods</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Office Visits</subject><subject>Pharmacology. Drug treatments</subject><subject>Physicians - statistics & numerical data</subject><subject>Prevalence</subject><issn>0263-6352</issn><issn>1473-5598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1v1DAQhi0EosvCX0AWEtwSxvFHEm6oKrSoqBc4W44zJqkSe7GdSvvvMduV1peRZ553RnoI-cCgZtC3n4HV0-NUQ3ms7TgXNedcNrVUL8iOiZZXUvbdS7KDRvFKldEVeZPSY-G7vuWvyRVT0PMe-h15ukthMRlHunkbfI5hWcpnOh4wZvRpDp6aTKewIjV-pLOneUIanJtt6azB_6E54mnDJfSE9GDyjD4n6mJYT5kf1e3Dzxua8jYe35JXziwJ353rnvz-dvPr-ra6f_h-d_31vrKC8VxZa7gcgHcDOHC2EePQuE4iymFwqmODs4KX6oRiRlgGboC2l6NU3KCTgu_Jp-e9hxj-bpiyXudkcVmMx7AlrTqhRNdAAb88gzaGlCI6fYjzauJRM9D_rWtguljXF-v6ZF2XW3vy_nxlG1YcL9Gz5gJ8PAMmWbO4aLyd04VrQfbQCv4P5PCOBw</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>OBARA, Taku</creator><creator>OHKUBO, Takayoshi</creator><creator>FUNAHASHI, Jin</creator><creator>KIKUYA, Masahiro</creator><creator>ASAYAMA, Kei</creator><creator>METOKI, Hirohito</creator><creator>OIKAWA, Takuya</creator><creator>HASHIMOTO, Junichiro</creator><creator>TOTSUNE, Kazuhito</creator><creator>IMAI, Yutaka</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050901</creationdate><title>Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study</title><author>OBARA, Taku ; OHKUBO, Takayoshi ; FUNAHASHI, Jin ; KIKUYA, Masahiro ; ASAYAMA, Kei ; METOKI, Hirohito ; OIKAWA, Takuya ; HASHIMOTO, Junichiro ; TOTSUNE, Kazuhito ; IMAI, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-cca35b038b0f0fc24db2f85ee5bbf681bfc43681f461a4c10fb0795d563aef543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Antihypertensive agents</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Blood Pressure Determination - methods</topic><topic>Blood Pressure Determination - standards</topic><topic>Blood Pressure Monitoring, Ambulatory - methods</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - drug therapy</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - physiopathology</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Office Visits</topic><topic>Pharmacology. Drug treatments</topic><topic>Physicians - statistics & numerical data</topic><topic>Prevalence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OBARA, Taku</creatorcontrib><creatorcontrib>OHKUBO, Takayoshi</creatorcontrib><creatorcontrib>FUNAHASHI, Jin</creatorcontrib><creatorcontrib>KIKUYA, Masahiro</creatorcontrib><creatorcontrib>ASAYAMA, Kei</creatorcontrib><creatorcontrib>METOKI, Hirohito</creatorcontrib><creatorcontrib>OIKAWA, Takuya</creatorcontrib><creatorcontrib>HASHIMOTO, Junichiro</creatorcontrib><creatorcontrib>TOTSUNE, Kazuhito</creatorcontrib><creatorcontrib>IMAI, Yutaka</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OBARA, Taku</au><au>OHKUBO, Takayoshi</au><au>FUNAHASHI, Jin</au><au>KIKUYA, Masahiro</au><au>ASAYAMA, Kei</au><au>METOKI, Hirohito</au><au>OIKAWA, Takuya</au><au>HASHIMOTO, Junichiro</au><au>TOTSUNE, Kazuhito</au><au>IMAI, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study</atitle><jtitle>Journal of hypertension</jtitle><addtitle>J Hypertens</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>23</volume><issue>9</issue><spage>1653</spage><epage>1660</epage><pages>1653-1660</pages><issn>0263-6352</issn><eissn>1473-5598</eissn><coden>JOHYD3</coden><abstract>To evaluate the current status of blood pressure (BP) control as measured at home and in the office, as well as to clarify and compare the prevalence and characteristics of isolated uncontrolled hypertension as measured at home (home hypertension) and in the office (office hypertension).
A cross-sectional study.
Primary care offices in Japan.
A sample of 3400 patients with essential hypertension (mean age, 66 years; males, 45%) receiving antihypertensive treatment.
Overall, the mean home systolic BP (SBP)/diastolic BP (DBP) was 140/82 mmHg, and the mean office SBP/DBP was 143/81 mmHg. Of the 3400 subjects, 19% had controlled hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 23% had isolated uncontrolled home hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 15% had isolated uncontrolled office hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), and 43% had uncontrolled hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP >/= 140/90 mmHg). Compared to controlled hypertension, factors associated with isolated uncontrolled home hypertension included obesity, relatively higher office SBP, habitual drinking, and the use of two or more prescribed antihypertensive drugs. Compared to uncontrolled hypertension, factors associated with isolated uncontrolled office hypertension included female gender, lower body mass index, and relatively lower office SBP.
The use of all four, three of four, or all three predictive factors might be useful for the clinician to suspect isolated uncontrolled home or office hypertension.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>16093909</pmid><doi>10.1097/01.hjh.0000178334.33352.56</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of hypertension, 2005-09, Vol.23 (9), p.1653-1660 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Antihypertensive agents Antihypertensive Agents - therapeutic use Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood Pressure Blood Pressure Determination - methods Blood Pressure Determination - standards Blood Pressure Monitoring, Ambulatory - methods Cardiology. Vascular system Cardiovascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Cross-Sectional Studies Female Humans Hypertension - diagnosis Hypertension - drug therapy Hypertension - epidemiology Hypertension - physiopathology Japan - epidemiology Male Medical sciences Middle Aged Office Visits Pharmacology. Drug treatments Physicians - statistics & numerical data Prevalence |
| title | Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study |
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