Open AccessDifference in evening home blood pressure between before dinner and at bedtime in Japanese elderly hypertensive patients
Author(s) -
Fujiwara Takeshi,
Hoshide Satoshi,
Nishizawa Masafumi,
Matsuo Takefumi,
Kario Kazuomi
Publication year - 2017
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12985
Subject(s) - evening , bedtime , medicine , alcohol consumption , blood pressure , bathing , guideline , significant difference , alcohol , pathology , astronomy , biochemistry , chemistry , physics
The authors evaluated the differences between evening home blood pressure ( HBP ) readings taken before dinner and those taken at bedtime, which were documented in a European and a Japanese guideline, respectively. Forty‐eight patients (mean age, 76.4 years) measured their evening HBP twice each day (two measurements both before dinner and at bedtime) for 14 days. The authors defined the at‐bedtime (B) minus the before‐dinner (D) systolic HBP as the B‐D difference. The mean B‐D difference was −8.7 mm Hg ( P <.001). The depressor effect of bathing was significantly prolonged for 120 minutes. The B‐D difference with alcohol consumption was significantly greater than that without alcohol. In the linear mixed model analysis, time after bathing ≤120 minutes and alcohol consumption were significantly associated with the B‐D difference after adjustment with covariates. There was a marked difference between evening HBP values. When patients' evening HBP is measured according to the guidelines, their daily activities should be considered.