Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.
Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan.
Hypertens Res. 2024 Nov;47(11):3237-3245. doi: 10.1038/s41440-024-01863-9. Epub 2024 Sep 6.
This study aimed to investigate the association between the frequency of home blood pressure (HBP) measurement and hypertension control in a middle-aged working population. This study included 627 employees aged 40 years or older who underwent health check-ups for 2 consecutive years from 2019 to 2022 and had blood pressure (BP) ≥ 140/90 mmHg at the health check-up in the first year. The participants were stratified by the length of antihypertensive treatment (within 1 year, >1 year) using data in the first and second years, and were classified by the frequency of HBP measurement (<6 times/week, almost every day) using data in the second year. In each treatment length, logistic regression analyses were used to estimate multivariable adjusted odds ratios (ORs) of controlled hypertension (BP at health check-ups <140/90 mmHg in the second year) in those who measured HBP almost every day compared with those who measured HBP < 6 times/week. The ORs (95% confidence intervals) were 1.56 (0.94-2.73) in those within 1 year of starting treatment and 0.74 (0.44-1.22) in those with more than 1 year of starting treatment. In participants with BP ≥ 160/100 mmHg in the first year, the corresponding ORs were 1.94 (1.04-3.64) and 0.41 (0.13-1.23), respectively. In conclusion, in individuals within 1 year of starting treatment, those who measure HBP almost every day tend to have good control of hypertension. In particular, in those who have BP ≥ 160/100 mmHg before starting antihypertensive medication, measuring HBP almost every day is associated with good control of hypertension. Among those within 1 year of starting the treatment (Group1) especially in those with blood pressure ≥160/100 mmHg, the frequency of home blood pressure measurement was associated with hypertension control. It was not associated among those with more than 1 year of starting the treatment (Group 2).
本研究旨在探讨中年工作人群中家庭血压（HBP）测量频率与高血压控制之间的关系。该研究纳入了 627 名年龄在 40 岁及以上的员工，他们在 2019 年至 2022 年连续两年接受健康检查，并且在第一年的健康检查中血压（BP）≥140/90mmHg。根据第一年和第二年的数据，根据抗高血压治疗的时间（<1 年、>1 年）将参与者分层，并根据第二年的数据将 HBP 测量频率（<6 次/周、几乎每天）分类。在每个治疗时间长度内，使用多变量调整后的优势比（OR）来估计那些几乎每天测量 HBP 的人与那些每周测量 HBP<6 次的人在第二年健康检查中血压控制（<140/90mmHg）的多变量调整后的优势比（OR）。在开始治疗的<1 年内，OR（95%置信区间）为 1.56（0.94-2.73），而在开始治疗超过 1 年的人群中，OR 为 0.74（0.44-1.22）。在第一年 BP≥160/100mmHg 的参与者中，相应的 OR 分别为 1.94（1.04-3.64）和 0.41（0.13-1.23）。总之，在开始治疗的<1 年内，那些几乎每天测量 HBP 的人倾向于有良好的高血压控制。特别是在开始抗高血压药物治疗前 BP≥160/100mmHg 的人群中，几乎每天测量 HBP 与高血压控制良好相关。在开始治疗的<1 年内（组 1），特别是在血压≥160/100mmHg 的人群中，家庭血压测量频率与高血压控制有关。在开始治疗超过 1 年的人群（组 2）中则没有相关性。
