THE INCREASE IN BLOOD-PRESSURE WITH AGE AND BODY-MASS INDEX IS OVERESTIMATED BY CONVENTIONAL SPHYGMOMANOMETRY

被引:45
作者
STAESSEN, J
OBRIEN, E
ATKINS, N
BULPITT, CJ
COX, J
FAGARD, R
OMALLEY, K
THIJS, L
AMERY, A
机构
[1] CATHOLIC UNIV LEUVEN,DEPT PATHOPHYSIOL,HYPERTENS & CARDIOVASC REHABIL UNIT,B-3000 LOUVAIN,BELGIUM
[2] BEAUMONT HOSP,BLOOD PRESSURE UNIT,DUBLIN 9,IRELAND
[3] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,DEPT MED,DIV GERIATR MED,LONDON W12 0HS,ENGLAND
关键词
AGE FACTORS; BLOOD PRESSURE; BLOOD PRESSURE DETERMINATION; BLOOD PRESSURE MONITORS; BODY MASS INDEX;
D O I
10.1093/oxfordjournals.aje.a116518
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This cross-sectional study investigated whether the technique of blood pressure measurement used (conventional sphygmomanometry vs. ambulatory monitoring) affects the relation between blood pressure and both age and body mass index. Two independent data sets were analyzed. The first comprised 328 subjects (48% men) drawn from the population of a small Belgian town, and the second comprised 776 Irish bank employees (51% men). Age ranged from 17 years to 81 years, and body mass index (weight (kg)/height (m)2) ranged from 16.6 to 40.2. Twenty-four-hour ambulatory blood pressure was lower than blood pressure measured by a nurse in both the Belgian population sample (118/71 mmHg vs. 122/73 mmHg) and the Irish employees (1 18/72 mmHg vs. 119/76 mmHg). When blood pressure was measured by an observer, the well-established relations between systolic and diastolic blood pressure and both age and body mass index were evident. When the analyses were repeated using 24-hour measurements, the increment (cross-sectionally assessed) in blood pressure with age was weaker, especially in young and middle-aged subjects (20-60 years), while the increase in blood pressure with body mass index was also reduced. The within-subject differences between the conventional and ambulatory blood pressure measurements increased with older age and greater body mass index. Several other relations with blood pressure as the response variable may require revision in light of the present findings.
引用
收藏
页码:450 / 459
页数:10
相关论文
共 49 条
[1]  
[Anonymous], 1988, BMJ, V297, P319
[2]  
ARMITAGE P, 1966, CLIN SCI, V30, P325
[3]   THE EFFECTS OF AGE ON THE PLASMA-CATECHOLAMINE RESPONSE TO MENTAL STRESS IN MAN [J].
BARNES, RF ;
RASKIND, M ;
GUMBRECHT, G ;
HALTER, JB .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1982, 54 (01) :64-69
[4]  
BATTISTELLA P, 1989, ARCH MAL COEUR VAISS, V82, P1019
[5]   AMBULATORY INTRAARTERIAL BLOOD-PRESSURE IN NORMAL SUBJECTS [J].
BROADHURST, P ;
BRIGDEN, G ;
DASGUPTA, P ;
LAHIRI, A ;
RAFTERY, EB .
AMERICAN HEART JOURNAL, 1990, 120 (01) :160-166
[6]   THE RELATIONSHIP BETWEEN BOTH SODIUM AND POTASSIUM INTAKE AND BLOOD-PRESSURE IN LONDON CIVIL-SERVANTS - A REPORT FROM THE WHITEHALL DEPARTMENT OF ENVIRONMENT STUDY [J].
BULPITT, CJ ;
BROUGHTON, PMG ;
MARKOWE, HLJ ;
MARMOT, MG ;
ROSE, G ;
SEMMENCE, A ;
SHIPLEY, MJ .
JOURNAL OF CHRONIC DISEASES, 1986, 39 (03) :211-219
[7]  
CASADEI R, 1988, J HYPERTENS, V6, P797
[8]  
CONWAY J, 1988, J HYPERTENS, V6, P111
[9]  
COX DR, 1972, J R STAT SOC B, V34, P187
[10]   NOREPINEPHRINE AND EPINEPHRINE RELEASE AND ADRENERGIC MEDIATION OF SMOKING-ASSOCIATED HEMODYNAMIC AND METABOLIC EVENTS [J].
CRYER, PE ;
HAYMOND, MW ;
SANTIAGO, JV ;
SHAH, SD .
NEW ENGLAND JOURNAL OF MEDICINE, 1976, 295 (11) :573-577