Role of ambulatory blood pressure monitoring in elderly hypertensive patients

Babkowski, Miguel Camafort; Chung, Wook‐Jin; Shin, Jinho

doi:10.1186/s40885-022-00205-6

Cited by 7 publications

(4 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…41 Our results on the association of hearing loss at standard and high frequencies with the riser BP pattern among hypertensive individuals are also of potential importance because a riser pattern is associated with a higher risk of cognitive impairment among patients with heart failure 42 ; also, this BP pattern is more common in older 43 and frail people 44 and is associated with a higher risk of cardiovascular events. 45 Our finding of an association between hearing loss at standard frequency and nighttime uncontrolled hypertension seems novel, and it is in concordance with our other findings on the association between hearing loss and nighttime BP.…”

Section: Discussionsupporting

confidence: 92%

The Hearing Function and Ambulatory Blood Pressure in Older Adults

Yévenes‐Briones,

Caballero,

Struijk

et al. 2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ObjectiveTo examine the association between hearing function, assessed with pure‐tone average (PTA) of air conduction thresholds, and 24‐hour ambulatory blood pressure (BP) in older adults.Study DesignCross‐sectional study.SettingA total of 1404 community‐dwelling individuals aged ≥65 years from the Seniors‐ENRICA cohort were examined.MethodsHearing loss was defined as PTA > 40‐AudCal hearing loss decibels (dB‐aHL) in the better ear for standard frequency (0.5, 1, and 2 kHz), speech frequency (0.5, 1, 2, and 4 kHz), and high frequency (3, 4, and 8 kHz). Circadian BP patterns were calculated as the percentage decline in systolic BP during the night, and participants were classified as dipper, nondipper, and riser. Ambulatory hypertension was defined as BP ≥ 130/80 mm Hg (24 hour), ≥135/85 (daytime), and ≥120/70 (nighttime) or on antihypertensive treatment. Analyses were performed with linear‐ and logistic‐regression models adjusted for the main confounders.ResultsIn multivariable analyses, the PTA was associated with higher nighttime systolic BP [β coefficient per 20 dB‐aHL increment standard frequency (95% confidence interval, CI): 2.41 mm Hg (0.87, 3.95); β (95% CI) per 20 dB‐aHL increment speech frequency 2.17 mm Hg (0.70, 3.64)]. Among hypertensive patients, hearing loss at standard and high‐frequency PTA was associated with the riser BP pattern [odds ratio: 2.01 (95% CI, 1.03‐3.93) and 1.45 (1.00‐2.09), respectively]; also, hearing loss at standard PTA was linked to uncontrolled nighttime BP [1.81 (1.01‐3.24)].ConclusionPTA was associated with higher nighttime BP, and hearing loss with a riser BP pattern and uncontrolled BP in older hypertensives.

show abstract

Section: Discussionsupporting

confidence: 92%

The Hearing Function and Ambulatory Blood Pressure in Older Adults

Yévenes‐Briones,

Caballero,

Struijk

et al. 2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…In our study, age was associated with extent of nighttime SBP dipping, but was not associated with non-dipper or reverse dipper patterns. It is still controversial whether non-dipper is related to age itself or to factors such as sleep quality and arterial stiffness, which increase with aging [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical and life style factors related to the nighttime blood pressure, nighttime dipping and their phenotypes in Korean hypertensive patients

Kim,

Kim

et al. 2023

Clin Hypertens

Self Cite

View full text Add to dashboard Cite

Background Non-dipping or reverse dipping patterns are known to be associated with adverse cardiovascular prognosis among the general population and clinical cohort. Few large sized studies have explored factors including sleep duration and sleep quality related to nighttime blood pressure (BP) and nocturnal dipping patterns. Methods Among 5,360 patients enrolled in Korean multicenter nationwide prospective Registry of ambulatory BP monitoring (KORABP), 981 subjects with complete data on sleep duration, sleep quality assessed using a 4-point Likert scale, and clinical variables were included in the analysis. Phenotypes of nighttime BP pattern were categorized as extreme dipper, dipper, non-dipper, and reverse dipper. Hypertension was defined as a 24-h ambulatory BPs were 130/80 mmHg or higher. Results Among 981 subjects, 221 were normotensive, 359 were untreated hypertensive, and 401 were treated hypertensive. Age of the participants were 53.87 ± 14.02 years and 47.1% were female. In overall patients, sleep duration was 431.99 ± 107.61 min, and one to four points of sleep quality were observed in 15.5%, 30.0%, 30.4%, and 24.2%, respectively. Of the 760 hypertensive patients, extreme dipper, dipper, non-dipper, and reverse dipper were observed in 58 (7.63%), 277 (36.45%), 325 (42.76%), and 100 (13.16%), respectively. In multiple linear regression analysis, sleep duration (β = 0.0105, p < 0.001) and sleep quality (β = -0.8093, p < 0.001) were associated with nighttime systolic BP and sleep quality was associated with extent of nighttime systolic BP dipping (β = 0.7622, p < 0.001) in hypertensive patients. In addition, sleep quality showed positive association with dipper pattern (odds ratio [OR] = 1.16, 95% confidence interval [CI] = 1.03–1.30) and showed negative association with reverse dipper pattern (OR = 0.73, 95% CI = 0.62–0.86) in multiple logistic regression analyses. Conclusion When adjusted covariates, less sleep duration and poor sleep quality were positively associated with nighttime systolic BP. Additionally, sleep quality was the independent associated factor for dipper and reverse dipper phenotypes. The study also found that male sex, low estimated glomerular filtration rate, high ambulatory BP, low office BP, and poor sleep quality were associated with blunted nighttime SBP dipping.

show abstract

“…Falls tend to be the main cause of fatal and non-fatal injuries in the older adults ( 24 ), and remote fall monitoring allows the older adults to receive timely assistance ( 25 ). Remote monitoring can also be used to predict sudden hypertension in the older adults under special circumstances ( 26 , 27 ). And instructional alerts are immediately sent to physicians in case of emergencies ( 28 ).…”

Section: Literature Overviewmentioning

confidence: 99%

Determinants of intention with remote health management service among urban older adults: A Unified Theory of Acceptance and Use of Technology perspective

Gui

Luo

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

BackgroundAlthough older adults health management systems have been shown to have a significant impact on health levels, there remains the problem of low use rate, frequency of use, and acceptance by the older adults. This study aims to explore the significant factors which serve as determinants of behavioral intention to use the technology, which in turn promotes actual use.MethodsThis study took a total of 402 urban older adults over 60 years to explore the impact of the use behavior toward remote health management (RHM) through an online questionnaire. Based on the Unified Theory of Acceptance and Use of Technology (UTAUT), the author adds four dimensions: perceived risk, perceived value, perceived interactivity and individual innovation, constructed an extended structural equation model of acceptance and use of technology, and analyzed the variable path relationship.ResultsIn this study, the factor loading is between 0.61 and 0.98; the overall Cronbach's Alpha coefficients are >0.7; The composite reliability ranges from 0.59 to 0.91; the average variance extraction ranges from 0.51 to 0.85, which shows the good reliability, validity, and discriminant validity of the constructed model. The influencing factors of the behavioral intention of the older adults to accept the health management system are: effort expectation, social influences, perceived value, performance expectation, perceived interactivity and perceived risk. Effort expectation has a significant positive impact on performance expectation. Individual innovation positively impacts performance expectation and perceived interactivity. Perceived interactivity and behavioral intention have a significant positive effect on the use behavior of the older adults, while the facilitating conditions have little effect on the use behavior.ConclusionsThis paper constructs and verifies the extended model based on UTAUT, fully explores the potential factors affecting the use intention of the older adult users. According to the research findings, some suggestions are proposed from the aspects of effort expectation, performance expectation, perceived interaction and perceived value to improve the use intention and user experience of Internet-based health management services in older adults.

show abstract

Role of ambulatory blood pressure monitoring in elderly hypertensive patients

Cited by 7 publications

References 54 publications

The Hearing Function and Ambulatory Blood Pressure in Older Adults

The Hearing Function and Ambulatory Blood Pressure in Older Adults

Clinical and life style factors related to the nighttime blood pressure, nighttime dipping and their phenotypes in Korean hypertensive patients

Determinants of intention with remote health management service among urban older adults: A Unified Theory of Acceptance and Use of Technology perspective

Contact Info

Product

Resources

About