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日本一般人群中家庭血压测量与室温的关系。

The relationship between home blood pressure measurement and room temperature in a Japanese general population.

机构信息

Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.

出版信息

Hypertens Res. 2021 Apr;44(4):454-463. doi: 10.1038/s41440-020-00564-3. Epub 2020 Oct 21.

DOI:10.1038/s41440-020-00564-3
PMID:33087882
Abstract

Blood pressure (BP) is influenced by various factors, and it is known that temperature and BP have a negative relationship. However, few reports have examined the relationship between BP and temperature throughout the day in the same participant over time. Therefore, this study aimed to investigate the relationship between BP and temperature in the morning and evening in the same participants during a time period of ~1 year. In total, 401 participants, who participated in a community-based health checkup survey in Tarumizu, Japan, were enrolled. Five participants were excluded due to missing data. All participants measured their BP and the room temperature at home using a blood pressure monitor (HEM-9700T, OMRON Healthcare, Kyoto, Japan). The mean systolic BP (SBP) and diastolic BP (DBP) in the morning were significantly higher than the mean of the measurements taken in the evening (SBP: morning vs. evening 128 ± 15 mmHg vs. 122 ± 14 mmHg, P < 0.0001; DBP: morning vs. evening 77 ± 10 mmHg vs. 72 ± 8 mmHg, P < 0.0001). Using a linear mixed model with participants as a random effect, SBP and DBP were significantly associated with temperature in both the morning and evening. In the morning, in almost every month except July, a significant association between SBP and temperature was observed. However, there was a significant relationship between evening BP and temperature in all months. In conclusion, BP was significantly related to temperature in both the morning and evening during the year-long study. Furthermore, BP and temperature were significantly associated in all months except morning measurements in July.

摘要

血压(BP)受多种因素影响,已知温度与 BP 呈负相关。然而,很少有报道在同一参与者随时间的研究中,观察全天血压与温度之间的关系。因此,本研究旨在调查同一参与者在 1 年时间内,早晚的血压与温度之间的关系。

共有 401 名参加日本玉置市社区健康检查调查的参与者入组。由于数据缺失,排除了 5 名参与者。所有参与者均使用血压计(HEM-9700T,欧姆龙健康医疗,京都,日本)在家中测量血压和室温。早晨的平均收缩压(SBP)和舒张压(DBP)明显高于傍晚的测量平均值(SBP:早晨与傍晚 128±15mmHg 与 122±14mmHg,P<0.0001;DBP:早晨与傍晚 77±10mmHg 与 72±8mmHg,P<0.0001)。使用线性混合模型,将参与者作为随机效应,SBP 和 DBP 在早晚均与温度显著相关。在早晨,除 7 月外,几乎每个月 SBP 与温度之间都存在显著关联。然而,在所有月份,傍晚血压与温度之间都存在显著关系。

总之,在为期 1 年的研究中,早晚血压与温度显著相关。此外,除 7 月早晨测量外,BP 和温度在所有月份均显著相关。

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