Research Article
PDF EndNote BibTex RIS Cite

Body Mass Index and other Demographic Data in Relation to Daily Ambulatory Blood Pressure Parameters

Year 2022, Volume 44, Issue 3, 261 - 267, 01.10.2022
https://doi.org/10.7197/cmj.1175932

Abstract

Objective: In patients with and without a diagnosis of hypertension, we sought to ascertain if body mass index (BMI) and other demographic information affected dipper/non-dipper and pulse pressure/pulse pressure index.
Method: Ambulatory blood pressure monitoring (ABPM) analysis of 56 patients with hypertension and 91 patients without hypertension were evaluated. We defined dipper as a drop in mean nocturnal blood pressure (BP) of >10% as compared with mean daytime values (non-dipper percentage <10%). The same calculations were made for the mean systolic and diastolic blood pressures. Pulse pressure (PP) and pulse pressure index were calculated using blood pressure measurements.
Results: Systolic dipper was observed in 35.7% of male patients and 25% of female patients in the hypertension group (group 1), and there was no statistically significant difference between them (p>0.05). Diastolic dipper was observed in 46.4% of male patients and 39.3% of female patients in the hypertension group, and there was no statistically significant difference between them (p>0.05). In examination cases (group 2), Although the incidence of systolic dipper and diastolic dipper in male subjects (46.5% and 60.5%, respectively) was higher than in female subjects (27.1% and 39.6%, respectively), this difference was close to significance, but not statistically significant (p>0.05). There was no statistically significant difference between the mean age and BMI of systolic dipper and non-dipper cases (p>0.05). Besides, the mean age of the diastolic non-dipper cases was statistically significantly higher than the diastolic dipper cases (p:0.048), and the mean BMI of the diastolic non-dipper cases was statistically significantly higher than the diastolic dipper cases (p:0.034).
Conclusion: It may be beneficial to include the mean pulse pressure/pulse pressure index in the evaluation of general, awake and asleep pulse pressure while evaluating the ABPM result.

References

  • 1- Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide prevalence of hypertension: a systematic review. J Hypertens. 2004;22(1):11-9.
  • 2- Lewington S, Clarke R, Qizilbash N. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 287: 1003-1010.
  • 3- Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet 2005; 365: 217–223
  • 4- Ünüvar N, Mollahaliloğlu S, Yardım N. Sağlık Bakanlığı Hastalık Yükü Çalışması, Ankara Türkiye 2006, T.C. Sağlık Bakanlığı, Refik Saydam Hıfzısıhha Merkezi Başkanlığı, Hıfzısıhha Mektebi Müdürlüğü, ISBN: 975-590-198-1. Sağlık Bakanlığı Yayın No: 701 HM Yayın No: SB-HM-2007/11, Ankara: Aydoğdu Ofset Matbaacılık San ve Tic Ltd Şti 1. Basım 2007.
  • 5- Ostchega Y, Dillon C, Hughes J, Carroll M, Yoon S: Trends in hypertension prevalence, awareness, treatment, and control in older U.S. adults: Data from the National Health and Nutrition Examination Survey 1988 to 2004. J Am Geriatr Soc 2007; 55(7):1056-1065
  • 6- O'Brien E, Sheridan J, O' Malley K. Dippers and non-dippers. Lancet 1988; 2: 397-400.
  • 7- Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, Karsidag K, Genc S, Telci A, Canbaz B, Turker F,Yilmaz T, Cakir B, Tuomilehto J. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. European journal of epidemiology. 2013;28:169-180.
  • 8- Arici M, Altun B, Erdem Y, Derici Ü, NergizoğluG, Turgan Ç, et al. Prevalence, awareness, treatment and control of hypertension in Turkey (the Paten T study) in 2003. J Hypertens 2005; 23: 1817-1823.
  • 9- Mancia G, Ferrari A, Gregorini L et. al. Blood pressure and heart rate variabilities in normotensive and hypertensive human beings. Cirs Res 1983; 53:96-104.
  • 10- Pickering TG, Shimbo D, Haas D. Ambulatory blood-pressure monitoring. N Engl J Med. 2006;354(22):2368-2374.
  • 11- Verdecchia P, Porcellati C, Shilaci G, Borgioni C, Ciucci A, Battistelli M, et al. Ambulatory blood pressure: An independent predictor of prognosis in essential hypertension. Hyper tension. 1994;24:793–801.
  • 12- Ohkubo T, Hozawa A, Yamaguchi J, Kikuya M, Ohmori K, Michimata M, et al. Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-hour blood pressure: The Ohasama study. J Hypertens. 2002;20:2183–2189.
  • 13- Cuspidi C, Meani S, Salerno M, Valerio C, Fusi V, Severgnini B, et al. Cardiovascular target organ damage in essential hypertensives with or without reproducible nocturnal fall in blood pressure. J Hypertens. 2004;22:273–280.
  • 14- Brotman DJ, Davidson MB, Boumitri M, Vidt DG. Impaired diurnal blood pressure variation and all-cause mortality. Am J Hypertens. 2008;21:92–97
  • 15- Fariello R, Boni E, at all. Ambulatory-determined 24-hour blood pressure in mild hypertensives and in normotensives. Angiology 1996;47:957-62
  • 16- Steinberger J, Daniels SR: Obesity, insulin resistance, diabetes, and cardiovascular risk in children: An American Heart Association scientific statement from atherosclerosis, hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation 2003 18;107: 1448-1453
  • 17- Sorof JM: Prevalence and consequence of systolic hypertension in children. Am J Hypertens 2002;15: 57-60
  • 18- Verdecchia P, Schillaci G, Guerrieri M, Gatteschi C, Benemio G, Boldrini F, Porcellati C. Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation. 1990 Feb;81(2):528-36.
  • 19- Antic V, Van Vliet BN, Montani JP: Loss of nocturnal dipping of blood pressure and heart rate in obesity-induced hypertension in rabbits. Auton Neurosci 2001; 90: 152-157.
  • 20- Afsar B, Sezer S, Elsurer R, Ozdemir FN: Is HOMA index a predictor of nocturnal nondipping in hypertensives with newly diagnosed type 2 diabetes mellitus? Blood Press Monit 2007; 12:133-139
  • 21- Aboyans V, Criqui MH. Can we improve the cardiovascular risk prediction beyond risk equations in the physician’s office? J Clin Epidemiol 2006;59:547—58.
  • 22- Cai A. Mo Y. Zhang Y. et al. Relationship of pulse pressure index and carotid intima-media thickness in hypertensive adults. Clin Exp Hypertens 2014 Nov 6:1-4.
  • 23- Kodama S. Horikawa C. Fujihara K. et al. Meta-analysis of the quantitative relation between pulse pressure and mean arterial pressure and cardiovascular risk in patients with diabetes mellitus. Am J Cardiol 2014;113:1058-65.

Year 2022, Volume 44, Issue 3, 261 - 267, 01.10.2022
https://doi.org/10.7197/cmj.1175932

Abstract

References

  • 1- Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide prevalence of hypertension: a systematic review. J Hypertens. 2004;22(1):11-9.
  • 2- Lewington S, Clarke R, Qizilbash N. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 287: 1003-1010.
  • 3- Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet 2005; 365: 217–223
  • 4- Ünüvar N, Mollahaliloğlu S, Yardım N. Sağlık Bakanlığı Hastalık Yükü Çalışması, Ankara Türkiye 2006, T.C. Sağlık Bakanlığı, Refik Saydam Hıfzısıhha Merkezi Başkanlığı, Hıfzısıhha Mektebi Müdürlüğü, ISBN: 975-590-198-1. Sağlık Bakanlığı Yayın No: 701 HM Yayın No: SB-HM-2007/11, Ankara: Aydoğdu Ofset Matbaacılık San ve Tic Ltd Şti 1. Basım 2007.
  • 5- Ostchega Y, Dillon C, Hughes J, Carroll M, Yoon S: Trends in hypertension prevalence, awareness, treatment, and control in older U.S. adults: Data from the National Health and Nutrition Examination Survey 1988 to 2004. J Am Geriatr Soc 2007; 55(7):1056-1065
  • 6- O'Brien E, Sheridan J, O' Malley K. Dippers and non-dippers. Lancet 1988; 2: 397-400.
  • 7- Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, Karsidag K, Genc S, Telci A, Canbaz B, Turker F,Yilmaz T, Cakir B, Tuomilehto J. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. European journal of epidemiology. 2013;28:169-180.
  • 8- Arici M, Altun B, Erdem Y, Derici Ü, NergizoğluG, Turgan Ç, et al. Prevalence, awareness, treatment and control of hypertension in Turkey (the Paten T study) in 2003. J Hypertens 2005; 23: 1817-1823.
  • 9- Mancia G, Ferrari A, Gregorini L et. al. Blood pressure and heart rate variabilities in normotensive and hypertensive human beings. Cirs Res 1983; 53:96-104.
  • 10- Pickering TG, Shimbo D, Haas D. Ambulatory blood-pressure monitoring. N Engl J Med. 2006;354(22):2368-2374.
  • 11- Verdecchia P, Porcellati C, Shilaci G, Borgioni C, Ciucci A, Battistelli M, et al. Ambulatory blood pressure: An independent predictor of prognosis in essential hypertension. Hyper tension. 1994;24:793–801.
  • 12- Ohkubo T, Hozawa A, Yamaguchi J, Kikuya M, Ohmori K, Michimata M, et al. Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-hour blood pressure: The Ohasama study. J Hypertens. 2002;20:2183–2189.
  • 13- Cuspidi C, Meani S, Salerno M, Valerio C, Fusi V, Severgnini B, et al. Cardiovascular target organ damage in essential hypertensives with or without reproducible nocturnal fall in blood pressure. J Hypertens. 2004;22:273–280.
  • 14- Brotman DJ, Davidson MB, Boumitri M, Vidt DG. Impaired diurnal blood pressure variation and all-cause mortality. Am J Hypertens. 2008;21:92–97
  • 15- Fariello R, Boni E, at all. Ambulatory-determined 24-hour blood pressure in mild hypertensives and in normotensives. Angiology 1996;47:957-62
  • 16- Steinberger J, Daniels SR: Obesity, insulin resistance, diabetes, and cardiovascular risk in children: An American Heart Association scientific statement from atherosclerosis, hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation 2003 18;107: 1448-1453
  • 17- Sorof JM: Prevalence and consequence of systolic hypertension in children. Am J Hypertens 2002;15: 57-60
  • 18- Verdecchia P, Schillaci G, Guerrieri M, Gatteschi C, Benemio G, Boldrini F, Porcellati C. Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation. 1990 Feb;81(2):528-36.
  • 19- Antic V, Van Vliet BN, Montani JP: Loss of nocturnal dipping of blood pressure and heart rate in obesity-induced hypertension in rabbits. Auton Neurosci 2001; 90: 152-157.
  • 20- Afsar B, Sezer S, Elsurer R, Ozdemir FN: Is HOMA index a predictor of nocturnal nondipping in hypertensives with newly diagnosed type 2 diabetes mellitus? Blood Press Monit 2007; 12:133-139
  • 21- Aboyans V, Criqui MH. Can we improve the cardiovascular risk prediction beyond risk equations in the physician’s office? J Clin Epidemiol 2006;59:547—58.
  • 22- Cai A. Mo Y. Zhang Y. et al. Relationship of pulse pressure index and carotid intima-media thickness in hypertensive adults. Clin Exp Hypertens 2014 Nov 6:1-4.
  • 23- Kodama S. Horikawa C. Fujihara K. et al. Meta-analysis of the quantitative relation between pulse pressure and mean arterial pressure and cardiovascular risk in patients with diabetes mellitus. Am J Cardiol 2014;113:1058-65.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Medical Science Research Articles
Authors

Timur ORHANOĞLU>
ISTANBUL ATLAS UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE
0000-0002-8797-7580
Türkiye


Zeki DOĞAN> (Primary Author)
ISTANBUL ATLAS UNIVERSTY, SCHOOL OF MEDICINE, DEPARTMENT OF CARDIOLOGY
0000-0002-5620-7268
Türkiye

Publication Date October 1, 2022
Published in Issue Year 2022, Volume 44, Issue 3

Cite

APA Orhanoğlu, T. & Doğan, Z. (2022). Body Mass Index and other Demographic Data in Relation to Daily Ambulatory Blood Pressure Parameters . Cumhuriyet Medical Journal , 44 (3) , 261-267 . DOI: 10.7197/cmj.1175932