Home blood pressure measurements associated with better blood pressure control: The J-HOME study

T. Obara, T. Ohkubo, K. Asayama, H. Metoki, R. Inoue, M. Kikuya, T. Kato, K. Tanaka, A. Hara, J. Hashimoto, K. Totsune, Y. Imai

研究成果: Article査読

18 被引用数 (Scopus)

抄録

The usefulness of self-measurements of blood pressure (BP) at home (home BP measurements) in hypertensive patients has been reported by many studies. Several national guidelines recommend the use of home BP measurements to achieve better hypertension control. The objective of this study was to clarify the association between home BP measurements and hypertension treatment among 2363 essential hypertensive patients taking antihypertensive drugs. Compared to the 543 (23.0%) patients who had not taken home BP measurements, the 1820 (77.0%) patients who had taken home BP measurements were significantly older, included a higher proportion of males, included a higher proportion with a family history of hypertension, took a greater number of antihypertensive drugs and alpha blockers and took antihypertensive drugs more often in the evening. Home BP measurements were associated with significantly better control of home and office BP levels. Compared to patients who had not taken home BP measurements, the adjusted odds ratios for good control of morning home BPs, evening home BPs and office BPs in patients who had taken home BP measurements were 1.46 (95% confidential interval (CI) 1.33-1.57), 1.35 (95% CI 1.21-1.47) and 1.23 (95% CI 1.06-1.37), respectively. Home BP measurements were associated with good hypertensive management. Our findings suggest that it is important that physicians recommend home BP measurements to their patients.

本文言語English
ページ(範囲)197-204
ページ数8
ジャーナルJournal of Human Hypertension
22
3
DOI
出版ステータスPublished - 2008 3
外部発表はい

ASJC Scopus subject areas

  • Internal Medicine

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