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Home Blood Pressure Monitoring And Nocturia In Adults.

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Title: Home Blood Pressure Monitoring And Nocturia In Adults.
Authors: Lazar, Jason M.1 Jason.lazar@downstate.edu, Posner, Alexandra1, Akbar, Kamal1, Tologonova, Gulzhan1, Monaghan, Thomas2, Murray, Christopher3, Weiss, Jeffrey2, Everaert, Karel4, DeBacker, Tine5, Helzner, Elizabeth3, Calixte, Rose3, Browne, Rasheda1, Goldman, Sarah1, Salciccioli, Louis1
Source: Journal of Community Health. Apr2023, Vol. 48 Issue 2, p238-244. 7p. 2 Charts.
Subject Terms: *Retrospective studies, *Adults, Home diagnostic tests, Hypertension, Confidence intervals, Urination disorders, Arterial diseases, Descriptive statistics, Blood pressure measurement
Abstract: Although widely viewed as a urological condition, nocturia has been increasingly recognized to accompany various non-urological conditions such as hypertension and blood pressure (BP) elevation on office determination. Home BP monitoring (HBPM) has been shown superior to office-based readings and provides an opportunity to assess potential relationships between nocturia and novel indices derived from multiple BP recordings including BP load, BP variability, and arterial stiffness, which have prognostic significance. We retrospectively studied 103 home BP logs and nocturia frequencies provided by 61 stable cardiology patients ≥ 21 years without medication change. Nocturnal voids ranged from 0 to 5 voids per night, median: 1.5. Nocturia frequency was significantly correlated with home and office systolic BPs and with BP load, but not with diastolic BPs, BP variability or arterial stiffness. On Poisson regression analysis, the estimated prevalence ratio (PR) for home and office systolic BPs were 1.025 (CI: 1.01, 1.04; p <.001) and 1.01 (CI:1.00, 1.02; p =.019), indicating 2.5% and 1% increases in the risk of nocturia per mmHg increases in BP respectively. In conclusion, higher mean home and office systolic BPs are associated with self-reported nocturia frequency with stronger associations seen for home BP measurement. Nocturia frequency appears unrelated to mean home and office diastolic BPs. Nocturia may be related to BP load, (percentage of elevated BP values), but not to BP variability or arterial stiffness. Future prospective studies using HBPM are needed to confirm these findings and to contribute to the understanding of the elevated BP-nocturia link. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Home Blood Pressure Monitoring And Nocturia In Adults.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lazar%2C+Jason+M%2E%22&quot;&gt;Lazar, Jason M.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; Jason.lazar@downstate.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Posner%2C+Alexandra%22&quot;&gt;Posner, Alexandra&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Akbar%2C+Kamal%22&quot;&gt;Akbar, Kamal&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tologonova%2C+Gulzhan%22&quot;&gt;Tologonova, Gulzhan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Monaghan%2C+Thomas%22&quot;&gt;Monaghan, Thomas&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Murray%2C+Christopher%22&quot;&gt;Murray, Christopher&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Weiss%2C+Jeffrey%22&quot;&gt;Weiss, Jeffrey&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Everaert%2C+Karel%22&quot;&gt;Everaert, Karel&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22DeBacker%2C+Tine%22&quot;&gt;DeBacker, Tine&lt;/searchLink&gt;&lt;relatesTo&gt;5&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Helzner%2C+Elizabeth%22&quot;&gt;Helzner, Elizabeth&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Calixte%2C+Rose%22&quot;&gt;Calixte, Rose&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Browne%2C+Rasheda%22&quot;&gt;Browne, Rasheda&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Goldman%2C+Sarah%22&quot;&gt;Goldman, Sarah&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Salciccioli%2C+Louis%22&quot;&gt;Salciccioli, Louis&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Community+Health%22&quot;&gt;Journal of Community Health&lt;/searchLink&gt;. Apr2023, Vol. 48 Issue 2, p238-244. 7p. 2 Charts.
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  Data: Although widely viewed as a urological condition, nocturia has been increasingly recognized to accompany various non-urological conditions such as hypertension and blood pressure (BP) elevation on office determination. Home BP monitoring (HBPM) has been shown superior to office-based readings and provides an opportunity to assess potential relationships between nocturia and novel indices derived from multiple BP recordings including BP load, BP variability, and arterial stiffness, which have prognostic significance. We retrospectively studied 103 home BP logs and nocturia frequencies provided by 61 stable cardiology patients ≥ 21 years without medication change. Nocturnal voids ranged from 0 to 5 voids per night, median: 1.5. Nocturia frequency was significantly correlated with home and office systolic BPs and with BP load, but not with diastolic BPs, BP variability or arterial stiffness. On Poisson regression analysis, the estimated prevalence ratio (PR) for home and office systolic BPs were 1.025 (CI: 1.01, 1.04; p &lt;.001) and 1.01 (CI:1.00, 1.02; p =.019), indicating 2.5% and 1% increases in the risk of nocturia per mmHg increases in BP respectively. In conclusion, higher mean home and office systolic BPs are associated with self-reported nocturia frequency with stronger associations seen for home BP measurement. Nocturia frequency appears unrelated to mean home and office diastolic BPs. Nocturia may be related to BP load, (percentage of elevated BP values), but not to BP variability or arterial stiffness. Future prospective studies using HBPM are needed to confirm these findings and to contribute to the understanding of the elevated BP-nocturia link. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10900-022-01171-8
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        Text: English
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        StartPage: 238
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      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Adults
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      – SubjectFull: Home diagnostic tests
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      – SubjectFull: Hypertension
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Urination disorders
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      – SubjectFull: Arterial diseases
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      – SubjectFull: Blood pressure measurement
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              Text: Apr2023
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