Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

Tekin, Mustafa; Arıcı, Mustafa; Şengül, Şule; Derici, Ülver; Ulusoy, Şükrü; Ertürk, Şehsuvar; Erdem, Yunus

doi:10.1038/s41440-018-0030-8

Cited by 8 publications

(5 citation statements)

References 42 publications

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“…In the TIME study cohort, the rate of HBPM ownership was found to be 54.2%; this is comparable with previously observed HBPM ownership rates which range from 22.8%-61.7% ( 11 )( 19 )( 21 )( 22 )( 23 ). International differences in patient education on self-monitoring BP and accessibility of HBPMs for private purchase are potential contributing factors to the wide range of HBPM ownership rates observed.…”

Section: Discussionsupporting

confidence: 88%

“…Several data fields had erroneous entries which were excluded from subsequent analyses. Patient demographic factors, such as educational attainment and monthly income, which are known predictors of patient engagement with medical devices for self-monitoring, are not collected in the TIME study ( 19 ). This study also relies on data from participants who have opted to be part of an online clinical trial: it is known that clinical trials have an inherent selection bias towards people who are more engaged with their health and, we might assume, would be more likely to have engaged with self-monitoring of their hypertension.…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing home blood pressure monitor ownership in a large clinical trial

et al. 2021

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Home blood pressure monitor (HBPM) ownership prevalence and the factors that influence it are unclear. This study aimed to investigate factors associated with HBPM ownership among participants in the Treatment in Morning versus Evening (TIME) hypertension study. This study is a sub-analysis of the TIME study, a randomised trial investigating the effect of day-time versus night-time dosing of antihypertensive medication on cardiovascular outcomes in adults with hypertension. As part of the TIME study online registration process, participants were asked to indicate whether they owned an HBPM. A multivariable logistic regression model was constructed to determine factors associated with HBPM ownership. Of 21,104 randomised participants, 11,434 (54.2%) reported owning an HBPM. The mean age of all participants at enrolment was 67.7 ± 9.3 years, 12,134 (57.5%) were male, and 8892 (42.1%) reported a current or previous history of smoking. Factors associated with an increased likelihood of reporting HBPM owned include being male (OR:1.47; 95% CI 1.39–1.56) or residing in a less deprived socioeconomic region (IMD Decile 6–10) (OR:1.31; 95% CI 1.23–1.40). Participants with a history of diabetes mellitus (OR:0.74; 95% CI:0.64–0.86) or current smokers, compared to non-smokers, (OR:0.71; 95% CI:0.62–0.82) were less likely to report owning an HBPM. This study has identified important patient factors influencing HBPM ownership. Further qualitative research would be valuable to identify and explore potential patient-level barriers to engagement with self-monitoring of blood pressure.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Factors influencing home blood pressure monitor ownership in a large clinical trial

et al. 2021

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“…Thirdly, besides healthcare facilities, communities and workplaces have also been important settings for implementing broad management programmes for hypertension prevention and management 4445. Fourthly, improving the use of home blood pressure monitoring could help improve patient adherence to treatment and thereby reduce high blood pressure 4647. With emerging technology and availability of smart phones, mHealth tools and devices such as wearable blood pressure monitors might help better self-management of hypertension, improve the reach of healthcare services, and promote healthy behaviour in users 4849…”

Section: Discussionmentioning

confidence: 99%

Prevalence, awareness, treatment, and control of hypertension in China, 2004-18: findings from six rounds of a national survey

Zhang

Shi

Zeng

et al. 2023

BMJ

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Objective To assess the recent trends in prevalence and management of hypertension in China, nationally and by population subgroups. Design Six rounds of a national survey, China. Setting China Chronic Disease and Risk Factors Surveillance, 2004-18. Participants 642 523 community dwelling adults aged 18-69 years (30 501 in 2004, 47 353 in 2007, 90 491 in 2010, 156 836 in 2013, 162 293 in 2015, and 155 049 in 2018). Main outcome measures Hypertension was defined as a blood pressure of ≥140/90 mm Hg or taking antihypertensive drugs. The main outcome measures were hypertension prevalence and proportion of people with hypertension who were aware of their hypertension, who were treated for hypertension, and whose blood pressure was controlled below 140/90 mm Hg. Results The standardised prevalence of hypertension in adults aged 18-69 years in China increased from 20.8% (95% confidence interval 19.0% to 22.5%) in 2004 to 29.6% (27.8% to 31.3%) in 2010, then decreased to 24.7% (23.2% to 26.1%) in 2018. During 2010-18, the absolute annual decline in prevalence of hypertension among women was more than twice that among men (−0.83 percentage points (95% confidence interval −1.13 to −0.52) v −0.40 percentage points (−0.73 to −0.07)). Despite modest improvements in the awareness, treatment, and control of hypertension since 2004, rates remained low in 2018, at 38.3% (36.3% to 40.4%), 34.6% (32.6% to 36.7%), and 12.0% (10.6% to 13.4%). Of 274 million (95% confidence interval 238 to 311 million) adults aged 18-69 years with hypertension in 2018, control was inadequate in an estimated 240 million (215 to 264 million). Across all surveys, women with low educational attainment had higher prevalence of hypertension than those with higher education, but the finding was mixed for men. The gap in hypertension control between urban and rural areas persisted, despite larger improvements in diagnosis and control in rural than in urban areas. Conclusions The prevalence of hypertension in China has slightly declined since 2010, but treatment and control remain low. The findings highlight the need for improving detection and treatment of hypertension through the strengthening of primary care in China, especially in rural areas.

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“…In this report, it has been suggested that if the clinic BP is ≥140/90 mmHg, the diagnosis of hypertension must be confirmed by repeated clinical BP measurements and/ or whenever possible by ABPM or home BP measurements [29]. However, according to the results of a recent nationwide field survey in Turkey, the prevalence of ownership of a home sphygmomanometer among hypertensive subjects was found as 20.1 %, and the usage of wrist devices and non-validated devices were common [30]. Home BP monitoring is not a viable option until the implementation of a hypertension care program consisting of reimbursement of a validated sphygmomanometer in Turkey.…”

Section: Discussionmentioning

confidence: 99%

Clinical Correlates of Ambulatory Blood Pressure Phenotypes at a Tertiary Care Hospital in Turkey

Erdogmus¹,

Kutlay²,

Celebi³

et al. 2018

Kidney Blood Press Res

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Background/Aims: Hypertension and its complications are major public health issues worldwide due to their association with high cardiovascular morbidity and mortality. Despite significant progress in health, the prevalence of hypertension is increasing. Ambulatory blood pressure monitoring (ABPM) is becoming increasingly important for the management of hypertension. In this study, we aimed to investigate the clinical and laboratory correlates of ambulatory blood pressure (ABP) phenotypes at a tertiary care hospital in Turkey. Methods: The characteristics of 1053 patients were retrospectively obtained from the hospital database. Hypertension was defined as patients with office blood pressure (BP) ≥140/90 mmHg and/or previously diagnosed hypertension and/or the use of antihypertensive medication. According to the office BP and ABPM results patients were identified namely: (1) sustained normotensive (SNT) patients (both office BP and ABPM were normal), (2) sustained hypertensive (SHT) patients (both office BP and ABPM were high), (3) masked hypertensive (MHT) patients (office BP were normal, but ABPM were high), (4) white coat hypertensive (WCHT) patients (office BP were above limits, but ABPM were normal). Results: A total of 1053 patients were included to the study (female/male: 608/445 and mean age 55 ± 15 years). The mean age of patients with hypertension was significantly higher than without hypertension (p< 0.0001). Hypertension was more frequent in females (p=0.009). The rates of history of diabetes mellitus (DM), hyperlipidemia (HL), and chronic kidney disease (CKD) were higher in patients with hypertension (p< 0.0001). Among patients with hypertension (n=853, 81%), ABPM results showed that 388 (45%) of patients had SHT, 92 (11%) had MHT, and 144 (17%) had WCHT, whereas 229 (27%) had SNT. Patients with MHT were significantly older than patients with SNT (p=0.025). The prevalence of SHT was higher in men than in women, whereas the prevalence of WCHT was higher in women than in men (p< 0.0001). There was no significant difference between 4 groups with regard to body mass index (p=0.142), a history of DM (p=0.189) and smoking status (self-reported) (p=0.306). Patients with SHT had the highest prevalence of history of hypertension, HL and CKD (p< 0.0001). Among patients without hypertension, 26 (13%) of patients had MHT and none of those patients was on antihypertensive treatment. Conclusion: Potential usages of ABPM in Turkey may include screening of high risk individuals who have traditional cardiovascular risk factors. It also provides clinicians valuable information on abnormal ABP phenotypes. Future studies are needed to clarify the risk factors of different ABP phenotypes and to evaluate the role of ABPM on detection and control of hypertension.

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Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

Cited by 8 publications

References 42 publications

Factors influencing home blood pressure monitor ownership in a large clinical trial

Factors influencing home blood pressure monitor ownership in a large clinical trial

Prevalence, awareness, treatment, and control of hypertension in China, 2004-18: findings from six rounds of a national survey

Clinical Correlates of Ambulatory Blood Pressure Phenotypes at a Tertiary Care Hospital in Turkey

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