Morning blood pressure surge varies with age and gender in hypertensive individuals

Sun, Ning; Xi, Yang; Shan, Jing; Lu, Xinyuan

doi:10.1016/j.ijcard.2008.03.061

Cited by 13 publications

(11 citation statements)

References 8 publications

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“…Although sex has not been considered a significant factor in research on morning surge, 18 our findings indicate that sex interacts with psychological traits in affecting surge and should be further evaluated in a normotensive population. A recent investigation in primary hypertensive individuals reported that surge was strongly correlated with age, although sex did not influence surge.…”

Section: Discussionmentioning

confidence: 67%

“…A recent investigation in primary hypertensive individuals reported that surge was strongly correlated with age, although sex did not influence surge. 18 However, in women, morning DBP and mean arterial pressure were lower while morning pulse pressure was higher. 18 In addition, in women, an association between BP variation and cardiac abnormalities has been reported in hypertensive dippers and nondippers.…”

Section: Discussionmentioning

confidence: 96%

“…18 However, in women, morning DBP and mean arterial pressure were lower while morning pulse pressure was higher. 18 In addition, in women, an association between BP variation and cardiac abnormalities has been reported in hypertensive dippers and nondippers. 47 These findings suggest that the effects of age and sex on surge should be considered further in hypertensive patients.…”

Section: Discussionmentioning

confidence: 96%

“…18 However, morning diastolic BP (DBP) and mean arterial pressure were lower in women, and morning pulse pressure was higher suggesting that the effects of both age and sex on MSBP should be considered. 18 In addition to hemodynamic characteristics reportedly differing by sex, 19 the relationship between negative emotions and cardiovascular events has been shown to be influenced by sex. 20 The major aims of the present study are to examine the effects of dipping and psychological traits on MSBP in a healthy population, and the interrelationship of these factors in predicting MSBP.…”

Section: Introductionmentioning

confidence: 99%

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Effects of dipping and psychological traits on morning surge in blood pressure in healthy people

et al. 2011

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Despite the role of anxiety, depression and hostility in the pathogenesis of cardiovascular diseases, their impact on two significant cardiovascular risk factors, nocturnal dipping and morning surge in blood pressure (MSBP), are largely ignored and primarily studied in clinical populations. This study examined the effects of dipping and psychological traits on MSBP in healthy people. Nocturnal dipping and MSBP were derived from 24-h ambulatory BP obtained in 77 men and 79 women, mean age 32.8 (s.d.: 7.4). Differences in depression, anxiety and hostility were examined by questionnaires. Higher levels of dipping (Po0.0001) and depressive symptoms (P ¼ 0.01) independently contributed to increased MSBP. Dipping interacts with depression (P ¼ 0.04), hostility (P ¼ 0.01) and anxiety (P ¼ 0.04) in determining MSBP. Low dippers with higher scores on the psychological traits showed higher MSBP than high dippers. A significant MSBP interaction was found between sex and depressive symptoms (P ¼ 0.05), anxiety (Po0.0001) and hostility (P ¼ 0.01) with higher scores associated with increased MSBP observed in males. Findings underscore depression as a predictor of MSBP independent of dipping. The clinically significant relationship between dipping and non-dipping patters, psychological traits and MSBP requires further investigation.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Effects of dipping and psychological traits on morning surge in blood pressure in healthy people

et al. 2011

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“…However, in the multivariate analysis, age was not significantly associated with MBPS and the authors suggested that the age effect is fully accounted for by changes in other variables, such as BP variability in elderly patients. On the other hand, Sun et al 22 reported that in hypertensive individuals, MBPS was correlated with age. Similarly, we found that MBPS was positively correlated with age in hypertensive individuals, and the association remained significant even after adjusting for potential confounders.…”

Section: Discussionmentioning

confidence: 98%

Morning blood pressure surge is associated with serum gamma-glutamyltransferase activity in essential hypertensive patients

Elsürer

Afsar

2014

J Hum Hypertens

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The phenomenon that blood pressure rises sharply in the morning is called 'Morning Blood Pressure Surge' (MBPS). Serum gamma-glutamyltransferase (GGT) is a proinflammatory marker involved in the pathogenesis of cardiovascular diseases. Although both are novel cardiovascular risk factors associated with inflammation and atherosclerosis, the specific relationship between MBPS and serum GGT is unknown. This study investigates the relationship between MBPS and serum GGT activity in essential hypertensive patients. Totally, 320 hypertensive patients were recruited. Mean MBPS was 17.0 ± 12.9 mm Hg. MBPS was positively correlated with age (r = +0.222, P < 0.0001), body mass index (r = +0.132, P = 0.018), GGT (r = +0.271, P < 0.0001), daytime augmentation index adjusted for heart rate (AIx@75) (r = +0.140, P=0.014), 24-h pulse wave velocity (PWV) (r = +0.143, P = 0.014) and daytime PWV (r = +0.158, P = 0.007). From the 25th to 75th quartile of serum GGT, MBPS increased significantly (Ptrend < 0.0001). In multivariate linear regression analysis, MBPS was independently associated with age (P = 0.002), dipping status (P < 0.0001) and logGGT (P < 0.0001). In conclusion, MBPS is independently associated serum GGT activity in essential hypertensive patients. This is the first study in the literature to demonstrate an independent and a dose-response relationship between the two novel cardiovascular risk factors, MBPS and serum GGT, in this patient population.

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The impact of forced awakening on morning blood pressure surge

Kim,

Esquivel,

Mattos

et al. 2024

Heart & Lung

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Morning blood pressure surge varies with age and gender in hypertensive individuals

Cited by 13 publications

References 8 publications

Effects of dipping and psychological traits on morning surge in blood pressure in healthy people

Effects of dipping and psychological traits on morning surge in blood pressure in healthy people

Morning blood pressure surge is associated with serum gamma-glutamyltransferase activity in essential hypertensive patients

The impact of forced awakening on morning blood pressure surge

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