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The Journal of Clinical Hypertension
Article . 2015 . Peer-reviewed
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Data sources: Crossref
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Prognostic Value of Ambulatory Blood Pressure in the Obese: The Ambulatory Blood Pressure‐International Study

Authors: PALATINI, PAOLO; Reboldi, Gianpaolo; Beilin, Lawrence J; CASIGLIA, EDOARDO; Eguchi, Kazuo; Imai, Yutaka; Kario, Kazuomi; +5 Authors

Prognostic Value of Ambulatory Blood Pressure in the Obese: The Ambulatory Blood Pressure‐International Study

Abstract

The purpose of this study was to compare the predictive value of ambulatory blood pressure (BP) vs office BP for cardiovascular events during a 5.8‐year follow‐up period in the obese and nonobese participants of the Ambulatory Blood Pressure‐International Study (n=10,817). Both ambulatory BP and office BP considered separately were predictive of cardiovascular events. However, in Cox models including both pressures, only ambulatory BP was associated with outcome. Among obese patients, the hazard ratios for a 10‐mm Hg increase in 24‐hour and office systolic BPs were 1.37 (95% confidence interval, 1.20–1.53) and 0.91 (95% confidence interval, 0.76–1.07), respectively. Among nonobese patients, the corresponding hazard ratios were 1.39 (95% confidence interval, 1.31–1.47) and 0.94 (95% confidence interval, 0.88–1.00) (P=not significant vs obese). Similar results were obtained for diastolic BP and for daytime and nighttime BPs. Ambulatory BP has similar predictive capacity in obese and nonobese patients, suggesting that ambulatory BP monitoring is a useful diagnostic tool for the assessment of obese individuals.

Country
Italy
Keywords

Adult, Male, Office Visits, Adult; Aged; Body Mass Index; Equipment Design; Female; Humans; Male; Middle Aged; Office Visits; Predictive Value of Tests; Prognosis; Proportional Hazards Models; Registries; Reproducibility of Results; Blood Pressure Monitoring, Ambulatory; Hypertension; Obesity, Reproducibility of Results, Equipment Design, Blood Pressure Monitoring, Ambulatory, Middle Aged, Adult; Aged; Body Mass Index; Equipment Design; Female; Humans; Male; Middle Aged; Office Visits; Predictive Value of Tests; Prognosis; Proportional Hazards Models; Registries; Reproducibility of Results; Blood Pressure Monitoring, Ambulatory; Hypertension; Obesity; Cardiology and Cardiovascular Medicine; Internal Medicine; Endocrinology, Diabetes and Metabolism, Prognosis, Body Mass Index, Predictive Value of Tests, Hypertension, Humans, Female, Obesity, Registries, Aged, Proportional Hazards Models

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Average
Average
Top 10%
Published in a Diamond OA journal