Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study
While racial variation in ambulatory blood pressure (BP) is known, patterns of diurnal dipping in the context of diabetic kidney disease have not been well defined. The authors sought to determine the association of race with nocturnal dipping status among participants with diabetic kidney disease e...
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| Veröffentlicht in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2017-12, Vol.19 (12), p.1327-1335 |
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| container_title | The journal of clinical hypertension (Greenwich, Conn.) |
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| creator | Zullig, Leah L. Diamantidis, Clarissa J. Bosworth, Hayden B. Bhapkar, Manjushri V. Barnhart, Huiman Oakes, Megan M. Pendergast, Jane F. Miller, Julie J. Patel, Uptal D. |
| description | While racial variation in ambulatory blood pressure (BP) is known, patterns of diurnal dipping in the context of diabetic kidney disease have not been well defined. The authors sought to determine the association of race with nocturnal dipping status among participants with diabetic kidney disease enrolled in the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) trial. The primary outcome was nocturnal dipping—percent decrease in average systolic BP from wake to sleep—with categories defined as reverse dippers (decrease |
| doi_str_mv | 10.1111/jch.13088 |
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The authors sought to determine the association of race with nocturnal dipping status among participants with diabetic kidney disease enrolled in the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) trial. The primary outcome was nocturnal dipping—percent decrease in average systolic BP from wake to sleep—with categories defined as reverse dippers (decrease <0%), nondippers (0%–<10%), and dippers (≥10%). Twenty‐four‐hour ambulatory BP monitoring was completed by 108 participants (54% were nondippers, 24% were dippers, and 22% were reverse dippers). In adjusted models, the common odds of reverse dippers vs nondippers/dippers and reverse dippers/nondippers vs dippers was 2.6 (95% confidence interval, 1.2–5.8) times higher in blacks than in whites. Without ambulatory BP monitoring data, interventions that target BP in black patients may be unable to improve outcomes in this high‐risk group.</description><identifier>ISSN: 1524-6175</identifier><identifier>ISSN: 1751-7176</identifier><identifier>EISSN: 1751-7176</identifier><identifier>DOI: 10.1111/jch.13088</identifier><identifier>PMID: 28834119</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>Aged ; ambulatory blood pressure monitoring ; Antihypertensive Agents - therapeutic use ; Black or African American ; Black People - statistics & numerical data ; Blood Pressure - physiology ; Blood Pressure and the Kidney ; Blood Pressure Monitoring, Ambulatory - methods ; Circadian Rhythm - physiology ; diabetic kidney disease ; Diabetic Nephropathies - complications ; Diabetic Nephropathies - ethnology ; Diabetic Nephropathies - physiopathology ; Disease Progression ; Female ; Humans ; Hypertension - diagnosis ; Hypertension - drug therapy ; Hypertension - ethnology ; Hypertension - physiopathology ; Male ; Middle Aged ; Original Paper ; population groups ; race ; Risk Factors ; Telemedicine - methods ; Telemedicine - statistics & numerical data ; United States - epidemiology ; White People - statistics & numerical data</subject><ispartof>The journal of clinical hypertension (Greenwich, Conn.), 2017-12, Vol.19 (12), p.1327-1335</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4158-69826b20619894acd930c1ea8d6ef0a3f07f3345f88666b08a9709746ab9b4053</citedby><cites>FETCH-LOGICAL-c4158-69826b20619894acd930c1ea8d6ef0a3f07f3345f88666b08a9709746ab9b4053</cites><orcidid>0000-0002-6638-409X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722697/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722697/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,1414,1430,27907,27908,45557,45558,46392,46816,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28834119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zullig, Leah L.</creatorcontrib><creatorcontrib>Diamantidis, Clarissa J.</creatorcontrib><creatorcontrib>Bosworth, Hayden B.</creatorcontrib><creatorcontrib>Bhapkar, Manjushri V.</creatorcontrib><creatorcontrib>Barnhart, Huiman</creatorcontrib><creatorcontrib>Oakes, Megan M.</creatorcontrib><creatorcontrib>Pendergast, Jane F.</creatorcontrib><creatorcontrib>Miller, Julie J.</creatorcontrib><creatorcontrib>Patel, Uptal D.</creatorcontrib><title>Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study</title><title>The journal of clinical hypertension (Greenwich, Conn.)</title><addtitle>J Clin Hypertens (Greenwich)</addtitle><description>While racial variation in ambulatory blood pressure (BP) is known, patterns of diurnal dipping in the context of diabetic kidney disease have not been well defined. The authors sought to determine the association of race with nocturnal dipping status among participants with diabetic kidney disease enrolled in the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) trial. The primary outcome was nocturnal dipping—percent decrease in average systolic BP from wake to sleep—with categories defined as reverse dippers (decrease <0%), nondippers (0%–<10%), and dippers (≥10%). Twenty‐four‐hour ambulatory BP monitoring was completed by 108 participants (54% were nondippers, 24% were dippers, and 22% were reverse dippers). In adjusted models, the common odds of reverse dippers vs nondippers/dippers and reverse dippers/nondippers vs dippers was 2.6 (95% confidence interval, 1.2–5.8) times higher in blacks than in whites. Without ambulatory BP monitoring data, interventions that target BP in black patients may be unable to improve outcomes in this high‐risk group.</description><subject>Aged</subject><subject>ambulatory blood pressure monitoring</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Black or African American</subject><subject>Black People - statistics & numerical data</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure and the Kidney</subject><subject>Blood Pressure Monitoring, Ambulatory - methods</subject><subject>Circadian Rhythm - physiology</subject><subject>diabetic kidney disease</subject><subject>Diabetic Nephropathies - complications</subject><subject>Diabetic Nephropathies - ethnology</subject><subject>Diabetic Nephropathies - physiopathology</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - ethnology</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>population groups</subject><subject>race</subject><subject>Risk Factors</subject><subject>Telemedicine - methods</subject><subject>Telemedicine - statistics & numerical data</subject><subject>United States - epidemiology</subject><subject>White People - statistics & numerical data</subject><issn>1524-6175</issn><issn>1751-7176</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1Ustu1DAUjRCIlsKCH0Betou0dh6OzQIJzVAKrdRqZrq2HOdm4taJB9uhmh2fwJ_xD3wJ7qStYIE39vU5Ouf6-iTJW4KPSVwnN6o7Jjlm7FmyT6qSpBWp6PN4LrMipfFmL3nl_Q3GZZ5z_DLZyxjLC0L4fvJrIZWWBjW6bcHBoMAjPaDBqjC6YQdsNnpYIx9kGHdYo2UNQSt0q5sBtrH2ID28Rwvwowketc72KHSAlqvLq98_fs7P5-hwqfsIygFsVFlof4tOpQrWoZkdgrMGXft7mxUY6ECa0KFg0dLYO3Tl7NqB99oOyLZo_mh_PtnPJ_uj2OHYbF8nL1ppPLx52A-S69NPq9lZenH5-cvs40WqClKylHKW0TrDlHDGC6kanmNFQLKGQotl3uKqzfOibBmjlNaYSV5hXhVU1rwu4hwPkg-T7mase2gUxEdIIzZO99JthZVa_IsMuhNr-12UVZZRXkWBwwcBZ7-N4IPotVdgzDQiQXieEcoLTCL1aKIqZ7130D7ZECzuAyBiAMQuAJH77u--npiPPx4JJxPhThvY_l9JfJ2dTZJ_AFHDv2M</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Zullig, Leah L.</creator><creator>Diamantidis, Clarissa J.</creator><creator>Bosworth, Hayden B.</creator><creator>Bhapkar, Manjushri V.</creator><creator>Barnhart, Huiman</creator><creator>Oakes, Megan M.</creator><creator>Pendergast, Jane F.</creator><creator>Miller, Julie J.</creator><creator>Patel, Uptal D.</creator><general>John Wiley and Sons Inc</general><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><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6638-409X</orcidid></search><sort><creationdate>201712</creationdate><title>Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study</title><author>Zullig, Leah L. ; Diamantidis, Clarissa J. ; Bosworth, Hayden B. ; Bhapkar, Manjushri V. ; Barnhart, Huiman ; Oakes, Megan M. ; Pendergast, Jane F. ; Miller, Julie J. ; Patel, Uptal D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4158-69826b20619894acd930c1ea8d6ef0a3f07f3345f88666b08a9709746ab9b4053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>ambulatory blood pressure monitoring</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Black or African American</topic><topic>Black People - statistics & numerical data</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure and the Kidney</topic><topic>Blood Pressure Monitoring, Ambulatory - methods</topic><topic>Circadian Rhythm - physiology</topic><topic>diabetic kidney disease</topic><topic>Diabetic Nephropathies - complications</topic><topic>Diabetic Nephropathies - ethnology</topic><topic>Diabetic Nephropathies - physiopathology</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - drug therapy</topic><topic>Hypertension - ethnology</topic><topic>Hypertension - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>population groups</topic><topic>race</topic><topic>Risk Factors</topic><topic>Telemedicine - methods</topic><topic>Telemedicine - statistics & numerical data</topic><topic>United States - epidemiology</topic><topic>White People - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zullig, Leah L.</creatorcontrib><creatorcontrib>Diamantidis, Clarissa J.</creatorcontrib><creatorcontrib>Bosworth, Hayden B.</creatorcontrib><creatorcontrib>Bhapkar, Manjushri V.</creatorcontrib><creatorcontrib>Barnhart, Huiman</creatorcontrib><creatorcontrib>Oakes, Megan M.</creatorcontrib><creatorcontrib>Pendergast, Jane F.</creatorcontrib><creatorcontrib>Miller, Julie J.</creatorcontrib><creatorcontrib>Patel, Uptal D.</creatorcontrib><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zullig, Leah L.</au><au>Diamantidis, Clarissa J.</au><au>Bosworth, Hayden B.</au><au>Bhapkar, Manjushri V.</au><au>Barnhart, Huiman</au><au>Oakes, Megan M.</au><au>Pendergast, Jane F.</au><au>Miller, Julie J.</au><au>Patel, Uptal D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2017-12</date><risdate>2017</risdate><volume>19</volume><issue>12</issue><spage>1327</spage><epage>1335</epage><pages>1327-1335</pages><issn>1524-6175</issn><issn>1751-7176</issn><eissn>1751-7176</eissn><abstract>While racial variation in ambulatory blood pressure (BP) is known, patterns of diurnal dipping in the context of diabetic kidney disease have not been well defined. The authors sought to determine the association of race with nocturnal dipping status among participants with diabetic kidney disease enrolled in the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) trial. The primary outcome was nocturnal dipping—percent decrease in average systolic BP from wake to sleep—with categories defined as reverse dippers (decrease <0%), nondippers (0%–<10%), and dippers (≥10%). Twenty‐four‐hour ambulatory BP monitoring was completed by 108 participants (54% were nondippers, 24% were dippers, and 22% were reverse dippers). In adjusted models, the common odds of reverse dippers vs nondippers/dippers and reverse dippers/nondippers vs dippers was 2.6 (95% confidence interval, 1.2–5.8) times higher in blacks than in whites. Without ambulatory BP monitoring data, interventions that target BP in black patients may be unable to improve outcomes in this high‐risk group.</abstract><cop>United States</cop><pub>John Wiley and Sons Inc</pub><pmid>28834119</pmid><doi>10.1111/jch.13088</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6638-409X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged ambulatory blood pressure monitoring Antihypertensive Agents - therapeutic use Black or African American Black People - statistics & numerical data Blood Pressure - physiology Blood Pressure and the Kidney Blood Pressure Monitoring, Ambulatory - methods Circadian Rhythm - physiology diabetic kidney disease Diabetic Nephropathies - complications Diabetic Nephropathies - ethnology Diabetic Nephropathies - physiopathology Disease Progression Female Humans Hypertension - diagnosis Hypertension - drug therapy Hypertension - ethnology Hypertension - physiopathology Male Middle Aged Original Paper population groups race Risk Factors Telemedicine - methods Telemedicine - statistics & numerical data United States - epidemiology White People - statistics & numerical data |
| title | Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP‐DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study |
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