國家衛生研究院 NHRI:Item 3990099045/10815
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/10815


    Title: Prevalence of hypertension defined by central blood pressure measured using a type II device in a nationally representative cohort
    Authors: Chuang, SY;Chang, HY;Cheng, HM;Pan, WH;Chen, CH
    Contributors: Institute of Population Health Sciences
    Abstract: Objectives: Central blood pressure (BP) can be used to define hypertension. A central BP approach may be more sensitive than a conventional brachial BP approach in detecting hypertension. We aimed to compare the two approaches in estimating the prevalence hypertension in a nationally representative population. Methods: A total of 2742 adults older than 19 years participated in the 2013-2016 National Nutrition and Health Survey in Taiwan. Central and brachial BP were simultaneously measured using a cuff-based stand-alone central BP monitor purporting to measure invasive central BP (Type II device). Central hypertension was defined by central systolic/diastolic BP >/= 130 or 90 mmHg or using anti-hypertensive medications, and brachial hypertension was defined by brachial systolic/diastolic BP >/=140 or 90 mmHg or using anti-hypertensive medications. Results: The World Health Organization-standardized and national weighted prevalence rates of central hypertension were 27.95% and 32.48%, respectively, and both were significantly higher than those of brachial hypertension (20.80% and 25.43%, both P<0.001). The national weighted prevalence rates of concordant central and brachial hypertension, concordant central and brachial non-hypertension, isolated central hypertension, and isolated brachial hypertension were 25.13%, 67.22%, 7.35%, and 0.30%, respectively. Most subjects with the isolated central hypertension (97%) were within the range of brachial prehypertension, but only 38.0% of subject with brachial prehypertension had central hypertension. Conclusion: Almost one-third of a nationally representative population had hypertension detected by a central BP approach. Hypertension detection using a conventional brachial BP approach may underestimate the prevalence of hypertension and result in a less effective hypertension control.
    Date: 2018-03
    Relation: American Journal of Hypertension. 2018 Mar;31(3):346-354.
    Link to: http://dx.doi.org/10.1093/ajh/hpx178
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0895-7061&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000424887300015
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85042224549
    Appears in Collections:[Wen-Harn Pan] Periodical Articles
    [Hsing-Yi Chang] Periodical Articles
    [Shao-Yuan Chuang] Periodical Articles

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