The long-term reproducibility of the white-coat effect on blood pressure as a continuous variable from the Ohasama Study.

Male Humans Middle Aged Blood Pressure / physiology Hypertension Antihypertensive Agents / therapeutic use Reproducibility of Results Blood Pressure Monitoring, Ambulatory

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
27 03 2023
Historique:
received: 24 12 2022
accepted: 20 03 2023
medline: 29 3 2023
entrez: 27 3 2023
pubmed: 28 3 2023
Statut: epublish

Résumé

There is little information about the reproducibility of the white coat effect, which was treated as a continuous variable. To investigate a long-term interval reproducibility of the white-coat effect as a continuous variable. We selected 153 participants without antihypertensive treatment (men, 22.9%; age, 64.4 years) from the general population of Ohasama, Japan, to assess the repeatedly measured white-coat effect (the difference between blood pressures at the office and home) in a 4-year interval. The reproducibility was assessed by testing the intraclass correlation coefficient (two-way random effect model-single measures). The white-coat effect for systolic/diastolic blood pressure slightly decreased by 0.17/1.56 mmHg at the 4-year visit on average. The Bland-Altman plots showed no significant systemic error for the white-coat effects (P ≥ 0.24). The intraclass correlation coefficient (95% confidence interval) of the white-coat effect for systolic blood pressure, office systolic blood pressure, and home systolic blood pressure were 0.41 (0.27-0.53), 0.64 (0.52-0.74), and 0.74 (0.47-0.86), respectively. Change in the white-coat effect was mainly affected by a change in office blood pressure. Long-term reproducibility of the white-coat effect is limited in the general population without antihypertensive treatment. The change in the white-coat effect is mainly caused by office blood pressure variation.

Identifiants

DOI: 10.1038/s41598-023-31861-9 PMID: 36973366 PMC: PMC10043024
pubmed: 36973366
doi: 10.1038/s41598-023-31861-9
pii: 10.1038/s41598-023-31861-9
pmc: PMC10043024
doi:

Substances chimiques

Antihypertensive Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

4985

Informations de copyright

© 2023. The Author(s).

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Auteurs

Michihiro Satoh (M)

Division of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-Ku, Sendai, Miyagi, 983-8536, Japan. satoh.mchr@gmail.com.
Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan. satoh.mchr@gmail.com.
ORCID: 0000-0003-1688-1239

Tomoya Yoshida (T)

Division of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-Ku, Sendai, Miyagi, 983-8536, Japan.

Hirohito Metoki (H)

Division of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-Ku, Sendai, Miyagi, 983-8536, Japan.
Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Tohoku Institute for Management of Blood Pressure, Sendai, Japan.

Takahisa Murakami (T)

Division of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-Ku, Sendai, Miyagi, 983-8536, Japan.
Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Division of Aging and Geriatric Dentistry, Department of Rehabilitation Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan.

Yukako Tatsumi (Y)

Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.

Takuo Hirose (T)

Department of Endocrinology and Applied Medical Science, Tohoku University Graduate School of Medicine, Sendai, Japan.
Division of Nephrology and Endocrinology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan.

Kyosuke Takabatake (K)

Division of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-Ku, Sendai, Miyagi, 983-8536, Japan.

Megumi Tsubota-Utsugi (M)

Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.

Azusa Hara (A)

Division of Drug Development and Regulatory Science, Faculty of Pharmacy, Keio University, Tokyo, Japan.

Kyoko Nomura (K)

Department of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Akita, Japan.

Kei Asayama (K)

Tohoku Institute for Management of Blood Pressure, Sendai, Japan.
Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.

Masahiro Kikuya (M)

Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.

Atsushi Hozawa (A)

Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.

Yutaka Imai (Y)

Tohoku Institute for Management of Blood Pressure, Sendai, Japan.

Takayoshi Ohkubo (T)

Tohoku Institute for Management of Blood Pressure, Sendai, Japan.
Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.

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