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3
Day-night dip and early-morning surge in blood pressure in hypertension: prognostic implications.高血压患者的血压昼夜波动和清晨血压升高：预后意义。
Hypertension. 2012 Jul;60(1):34-42. doi: 10.1161/HYPERTENSIONAHA.112.191858. Epub 2012 May 14.
4
Cardiovascular reactivity in real life settings: measurement, mechanisms and meaning.心血管反应性在现实生活环境中的测量、机制和意义。
Biol Psychol. 2011 Feb;86(2):98-105. doi: 10.1016/j.biopsycho.2010.05.002. Epub 2010 Jun 1.
5
Prognostic value of reading-to-reading blood pressure variability over 24 hours in 8938 subjects from 11 populations.11 个人群中的 8938 例受试者 24 小时内血压读数间变异性的预测价值。
Hypertension. 2010 Apr;55(4):1049-57. doi: 10.1161/HYPERTENSIONAHA.109.140798. Epub 2010 Mar 8.
6
The reproducibility of ethnic differences in the proportional awake-sleep blood pressure decline among women.女性中清醒-睡眠血压下降比例的种族差异的可重复性。
Am J Hum Biol. 2010 May-Jun;22(3):325-9. doi: 10.1002/ajhb.20993.
7
Physiological sleep-dependent changes in arterial blood pressure: central autonomic commands and baroreflex control.动脉血压的生理性睡眠依赖性变化：中枢自主神经指令与压力反射控制。
Clin Exp Pharmacol Physiol. 2008 Sep;35(9):987-94. doi: 10.1111/j.1440-1681.2008.04985.x. Epub 2008 Jun 28.
8
Hypotension associated with prone body position: a possible overlooked postural hypotension.与俯卧体位相关的低血压：一种可能被忽视的体位性低血压。
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Heightened cortisol responses to daily stress in working women at familial risk for breast cancer.患乳腺癌家族风险的职业女性对日常压力的皮质醇反应增强。
Biol Psychol. 2005 May;69(2):167-79. doi: 10.1016/j.biopsycho.2004.07.004.
10
Ambulatory blood pressure and heart rate in relation to hot flash experience among women of menopausal age.绝经年龄女性的动态血压和心率与潮热经历的关系。
Ann Hum Biol. 2004 Jan-Feb;31(1):49-58. doi: 10.1080/03014460310001636561.

健康绝经前女性血压和心率变异性的日常环境差异。

Daily environmental differences in blood pressure and heart rate variability in healthy premenopausal women.

作者信息

James Gary D, Bovbjerg Dana H, Hill Leah A

机构信息

Department of Anthropology, Binghamton University, Binghamton, New York, 13902; Decker School of Nursing, Department of Bioengineering, Binghamton University, Binghamton, New York, 13902.

出版信息

Am J Hum Biol. 2015 Jan-Feb;27(1):136-8. doi: 10.1002/ajhb.22609. Epub 2014 Aug 25.

DOI:10.1002/ajhb.22609
PMID:25156271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4270886/
Abstract

OBJECTIVES

As daily environments change, behavior and activity also change and as blood pressure (BP) and heart rate (HR) are allostatically tied to these factors, one might expect that environments that elicit the greatest behavioral/activity variation should also evince the highest BP and HR variability [standard deviation (SD) or coefficient of variation (CV)]. The purpose of this study was to evaluate this premise.

METHODS

Two hundred and six women (age = 37.6 ± 9.1 years) wore an ambulatory BP monitor on a midweek workday. All worked in clerical, technical, or professional positions. Ambulatory BP and HR Means, SDs and CVs at work (11 AM-3 PM), home (∼6-10 PM) and during sleep (∼10 PM-6 AM) were compared using repeated measures ANCOVA.

RESULTS

Mean BP and HR decreased from work and home to sleep [121 ± 11, 120 ± 11 vs. 107 ± 12 systolic; 82 ± 10, 80 ± 11 vs. 66 ± 11 diastolic; 79 ± 12, 80 ± 12 vs. 68 ± 11 HR (all P < 0.001)], while the CV of systolic and diastolic BP increased [0.06 ± 0.02, 0.07 ± 0.02 vs. 0.08 ± 0.03 systolic; 0.09 ± 0.03, 0.10 ± 0.04 vs. 0.12 ± 0.05 diastolic (P < 0.001)]. The HR SD decreased during sleep [8.1 ± 3.8, 8.2 ± 3.8 vs. 6.9 ± 3.2 (P < 0.001)].

CONCLUSIONS

HR variability follows the expected variability pattern with behavior and activity, whereas BP does not.

摘要

目的

随着日常环境的变化，行为和活动也会改变，由于血压（BP）和心率（HR）与这些因素存在非稳态关联，人们可能会预期，引发最大行为/活动变化的环境也应表现出最高的血压和心率变异性[标准差（SD）或变异系数（CV）]。本研究的目的是评估这一前提。

方法

206名女性（年龄 = 37.6 ± 9.1岁）在工作日的周三佩戴动态血压监测仪。她们均从事文职、技术或专业工作。使用重复测量协方差分析比较工作时间（上午11点至下午3点）、家中（晚上6点至10点左右）和睡眠期间（晚上10点至早上6点）的动态血压和心率均值、标准差和变异系数。

结果

收缩压、舒张压和心率均值从工作和家中到睡眠期间均下降[收缩压：121 ± 11、120 ± 11 vs. 107 ± 12；舒张压：82 ± 10、80 ± 11 vs. 66 ± 11；心率：79 ± 12、80 ± 12 vs. 68 ± 11（均P < 0.001）]，而收缩压和舒张压的变异系数增加[收缩压：0.06 ± 0.02、0.07 ± 0.02 vs. 0.08 ± 0.03；舒张压：0.09 ± 0.03、0.10 ± 0.04 vs. 0.12 ± 0.05（P < 0.001）]。心率标准差在睡眠期间下降[8.1 ± 3.8、8.2 ± 3.8 vs. 6.9 ± 3.2（P < 0.001）]。

结论

心率变异性与行为和活动遵循预期的变异性模式，而血压则不然。