Home and Office Blood Pressure Control among Treated Hypertensive Patients in Japan: Findings from the Japan Home versus Office Blood Pressure Measurement Evaluation (J-HOME) Study

Obara, Taku; Satoh, Michihiro; Mano, Nariyasu; Imai, Yutaka

doi:10.3390/ph3020419

Cited by 3 publications

(1 citation statement)

References 52 publications

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“…Although considered overall to be a strong study, lack of clarity in the description of the methods of allocation to intervention and blinding deemed it impossible to judge whether there was an element of selection bias. Furthermore, it could be argued that in a home setting a high risk of bias may have been introduced in the measurement [40] owing to confounding by other factors in the home, for example alcohol consumption [41].…”

Section: Studymentioning

confidence: 99%

Could Probiotic Supplements Be an Effective Intervention to Reduce Hypertension? A Systematic Literature Review

Harris

2022

OJCAM

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Introduction: Pathogenesis of high blood pressure or hypertension is associated with microbial imbalance or dysbiosis of the gut microbiome. Previous research suggests probiotic consumption may reduce elevated blood pressure, possibly through manipulation of the gut microbiome, and may offer a future potential therapy for hypertension. Aim:The aim of this research was to critically evaluate current research evidence to assess whether probiotic supplements may reduce high blood pressure and formulate recommendations regarding their use as an intervention to support hypertensive clients in a Nutritional Therapy context. The objectives were to outline the possible association between gut dysbiosis and hypertension, and to explore possible mechanisms by which probiotics may influence blood pressure.Methods: A systematic review of the literature based upon PRISMA protocol was conducted. Four databases were searched: Cochrane Library (Central), CINAHL, Medline and TRIP from January 2014 until July 2020. Five eligible randomised controlled trials, including 453 participants, were identified and critically appraised to assess the quality of their evidence [1].Results: Of the three highest quality studies, two supported probiotic supplements to be effective in reducing blood pressure, one study reported no effect. The remaining two studies were appraised to be of lesser methodological quality so were given less weighting for quality of evidence. This research study found moderate evidence that probiotic supplementation can significantly reduce blood pressure in individuals with borderline hypertension. No effect was reported in normotensives. Conclusion:Probiotic supplementation may offer a convenient and effective adjunct for hypertensives to reduce high blood pressure alongside other dietary/lifestyle/medical interventions.Recommendation: Further large-scale trials of longer duration on hypertensives are recommended to establish functional pathways, bacterial strain, dosage and required timescale.

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Section: Studymentioning

confidence: 99%

Could Probiotic Supplements Be an Effective Intervention to Reduce Hypertension? A Systematic Literature Review

Harris

2022

OJCAM

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Non-invasive hemodynamic monitoring as a guide to drug treatment of uncontrolled hypertensive patients: effects on home blood pressure in the BEAUTY study

et al. 2018

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Drug selection algorithm based on non-invasive hemodynamic monitoring induced larger reduction in home BP compared to conventional drug selection in uncontrolled hypertensive patients referred to European Hypertension Excellence Centers. Although the main BEAUTY study was negative, these home BP measurements taken by patients themselves may suggest that the integrated hemodynamic monitoring is useful in patients with uncontrolled hypertension. This finding might depend on specific features of home BP measurements which could make it recommended BP measurement method for drug trials.

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Standardized home blood pressure monitoring: Rationale behind the 722 protocol

Lin

Pan

Chen

et al. 2022

J of Clinical Hypertension

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Home blood pressure (HBP) has been recognized as a prognostic predictor for cardiovascular events, and integrated into the diagnosis and management of hypertension.With increasing accessibility of oscillometric blood pressure devices, HBP monitoring is easy to perform, more likely to obtain reliable estimation of blood pressures, and feasible to document long-term blood pressure variations, compared to office and ambulatory blood pressures. To obtain reliable HBP estimates, a standardized HBP monitoring protocol is essential. A consensus regarding the optimal duration and frequency of HBP monitoring is yet to be established. Based on the current evidence,This is an open access article under the terms of the Creative Commons Attribution -NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited and no modifications or adaptations are made.

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Home and Office Blood Pressure Control among Treated Hypertensive Patients in Japan: Findings from the Japan Home versus Office Blood Pressure Measurement Evaluation (J-HOME) Study

Cited by 3 publications

References 52 publications

Could Probiotic Supplements Be an Effective Intervention to Reduce Hypertension? A Systematic Literature Review

Could Probiotic Supplements Be an Effective Intervention to Reduce Hypertension? A Systematic Literature Review

Non-invasive hemodynamic monitoring as a guide to drug treatment of uncontrolled hypertensive patients: effects on home blood pressure in the BEAUTY study

Standardized home blood pressure monitoring: Rationale behind the 722 protocol

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