Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC Study
Some studies reported that home blood pressure (HBP) monitoring was conducted by community-dwelling older people themselves, but there have been few studies on HBP including very old populations aged over 90 years old. Thus, the aim of the present study was to clarify the current situation of white-...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2022/5359428 |
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| author | Jinmei Tuo Kayo Godai Mai Kabayama Yuya Akagi Hiroshi Akasaka Yoichi Takami Yasushi Takeya Koichi Yamamoto Ken Sugimoto Saori Yasumoto Yukie Masui Yasumichi Arai Kazunori Ikebe Yasuyuki Gondo Tatsuro Ishizaki Hiromi Rakugi Kei Kamide |
| author_facet | Jinmei Tuo Kayo Godai Mai Kabayama Yuya Akagi Hiroshi Akasaka Yoichi Takami Yasushi Takeya Koichi Yamamoto Ken Sugimoto Saori Yasumoto Yukie Masui Yasumichi Arai Kazunori Ikebe Yasuyuki Gondo Tatsuro Ishizaki Hiromi Rakugi Kei Kamide |
| author_sort | Jinmei Tuo |
| collection | DOAJ |
| description | Some studies reported that home blood pressure (HBP) monitoring was conducted by community-dwelling older people themselves, but there have been few studies on HBP including very old populations aged over 90 years old. Thus, the aim of the present study was to clarify the current situation of white-coat and masked phenomena defined by on-site and home BP measurements in community-dwelling old and oldest-old populations. The study subjects were 380 participants from the SONIC study, a cohort study of a community-dwelling old population, who measured their HBP in a series of 3–5 days by themselves and brought their HBP records to the venue on the survey day. Study participants’ characteristics were as follows: female, 185 (48.7%); male, 195 (51.3%); 70s, 95 (25.0%); 80s, 245 (64.5%); and 90s, 40 (10.5%). A total of 344 (90.5%) participants had hypertension. A total of 291 (76.6%) hypertensive participants taking antihypertensive medication were analyzed in the present study. Regarding the types of hypertension defined by home and on-site BP, they showed white-coat phenomenon, 183 (48.2%); masked phenomenon, 115 (30.3%); sustained hypertension, 130 (34.2%); and normotension, 82 (21.6%). On comparison of age groups, there was a tendency for the white-coat phenomenon to be common in young-old people in their 70s and the masked phenomenon to be common in very old people in their 90s. Therefore, since the detection of white-coat and masked phenomena is closely associated with appropriate BP management, it is very important for community-dwelling older populations to self-monitor HBP. |
| format | Article |
| id | doaj-art-08474ae5ba9547698cbc0420dd06845b |
| institution | Kabale University |
| issn | 2090-0392 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-08474ae5ba9547698cbc0420dd06845b2025-02-03T01:22:57ZengWileyInternational Journal of Hypertension2090-03922022-01-01202210.1155/2022/5359428Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC StudyJinmei Tuo0Kayo Godai1Mai Kabayama2Yuya Akagi3Hiroshi Akasaka4Yoichi Takami5Yasushi Takeya6Koichi Yamamoto7Ken Sugimoto8Saori Yasumoto9Yukie Masui10Yasumichi Arai11Kazunori Ikebe12Yasuyuki Gondo13Tatsuro Ishizaki14Hiromi Rakugi15Kei Kamide16Department of Health Promotion System SciencesDepartment of Health Promotion System SciencesDepartment of Health Promotion System SciencesDepartment of Health Promotion System SciencesDepartment of Geriatric and General MedicineDepartment of Geriatric and General MedicineDepartment of Geriatric and General MedicineDepartment of Geriatric and General MedicineDepartment of General and Geriatric MedicineDepartment of Clinical Thanatology and Geriatric Behavioral ScienceTokyo Metropolitan Geriatric Hospital and Institute of GerontologyCenter for Supercentenarian Medical ResearchDepartment of ProsthodonticsTokyo Metropolitan Geriatric Hospital and Institute of GerontologyTokyo Metropolitan Geriatric Hospital and Institute of GerontologyDepartment of Geriatric and General MedicineDepartment of Health Promotion System SciencesSome studies reported that home blood pressure (HBP) monitoring was conducted by community-dwelling older people themselves, but there have been few studies on HBP including very old populations aged over 90 years old. Thus, the aim of the present study was to clarify the current situation of white-coat and masked phenomena defined by on-site and home BP measurements in community-dwelling old and oldest-old populations. The study subjects were 380 participants from the SONIC study, a cohort study of a community-dwelling old population, who measured their HBP in a series of 3–5 days by themselves and brought their HBP records to the venue on the survey day. Study participants’ characteristics were as follows: female, 185 (48.7%); male, 195 (51.3%); 70s, 95 (25.0%); 80s, 245 (64.5%); and 90s, 40 (10.5%). A total of 344 (90.5%) participants had hypertension. A total of 291 (76.6%) hypertensive participants taking antihypertensive medication were analyzed in the present study. Regarding the types of hypertension defined by home and on-site BP, they showed white-coat phenomenon, 183 (48.2%); masked phenomenon, 115 (30.3%); sustained hypertension, 130 (34.2%); and normotension, 82 (21.6%). On comparison of age groups, there was a tendency for the white-coat phenomenon to be common in young-old people in their 70s and the masked phenomenon to be common in very old people in their 90s. Therefore, since the detection of white-coat and masked phenomena is closely associated with appropriate BP management, it is very important for community-dwelling older populations to self-monitor HBP.http://dx.doi.org/10.1155/2022/5359428 |
| spellingShingle | Jinmei Tuo Kayo Godai Mai Kabayama Yuya Akagi Hiroshi Akasaka Yoichi Takami Yasushi Takeya Koichi Yamamoto Ken Sugimoto Saori Yasumoto Yukie Masui Yasumichi Arai Kazunori Ikebe Yasuyuki Gondo Tatsuro Ishizaki Hiromi Rakugi Kei Kamide Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC Study International Journal of Hypertension |
| title | Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC Study |
| title_full | Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC Study |
| title_fullStr | Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC Study |
| title_full_unstemmed | Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC Study |
| title_short | Self-Monitoring Home Blood Pressure in Community-Dwelling Older People: Age Differences in White-Coat and Masked Phenomena and Related Factors—The SONIC Study |
| title_sort | self monitoring home blood pressure in community dwelling older people age differences in white coat and masked phenomena and related factors the sonic study |
| url | http://dx.doi.org/10.1155/2022/5359428 |
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