TY - JOUR
T1 - Home blood pressure measurements associated with better blood pressure control
T2 - The J-HOME study
AU - Obara, T.
AU - Ohkubo, T.
AU - Asayama, K.
AU - Metoki, H.
AU - Inoue, R.
AU - Kikuya, M.
AU - Kato, T.
AU - Tanaka, K.
AU - Hara, A.
AU - Hashimoto, J.
AU - Totsune, K.
AU - Imai, Y.
N1 - Funding Information:
This work was supported by Grants for Scientific Research (15790293, 1654041 and 1854042) from the Ministry of Education, Culture, Sports, Science and Technology, Health Science Research Grants on Health Services (13072101, H12-Medical Care-002) from the Ministry of Health, Labour and Welfare and by Nouvelle Place Inc., Japan. The study was designed, conducted and interpreted by the investigators independent of the sponsors. This study was conducted by the J-HOME Study Group.
PY - 2008/3
Y1 - 2008/3
N2 - The usefulness of self-measurements of blood pressure (BP) at home (home BP measurements) in hypertensive patients has been reported by many studies. Several national guidelines recommend the use of home BP measurements to achieve better hypertension control. The objective of this study was to clarify the association between home BP measurements and hypertension treatment among 2363 essential hypertensive patients taking antihypertensive drugs. Compared to the 543 (23.0%) patients who had not taken home BP measurements, the 1820 (77.0%) patients who had taken home BP measurements were significantly older, included a higher proportion of males, included a higher proportion with a family history of hypertension, took a greater number of antihypertensive drugs and alpha blockers and took antihypertensive drugs more often in the evening. Home BP measurements were associated with significantly better control of home and office BP levels. Compared to patients who had not taken home BP measurements, the adjusted odds ratios for good control of morning home BPs, evening home BPs and office BPs in patients who had taken home BP measurements were 1.46 (95% confidential interval (CI) 1.33-1.57), 1.35 (95% CI 1.21-1.47) and 1.23 (95% CI 1.06-1.37), respectively. Home BP measurements were associated with good hypertensive management. Our findings suggest that it is important that physicians recommend home BP measurements to their patients.
AB - The usefulness of self-measurements of blood pressure (BP) at home (home BP measurements) in hypertensive patients has been reported by many studies. Several national guidelines recommend the use of home BP measurements to achieve better hypertension control. The objective of this study was to clarify the association between home BP measurements and hypertension treatment among 2363 essential hypertensive patients taking antihypertensive drugs. Compared to the 543 (23.0%) patients who had not taken home BP measurements, the 1820 (77.0%) patients who had taken home BP measurements were significantly older, included a higher proportion of males, included a higher proportion with a family history of hypertension, took a greater number of antihypertensive drugs and alpha blockers and took antihypertensive drugs more often in the evening. Home BP measurements were associated with significantly better control of home and office BP levels. Compared to patients who had not taken home BP measurements, the adjusted odds ratios for good control of morning home BPs, evening home BPs and office BPs in patients who had taken home BP measurements were 1.46 (95% confidential interval (CI) 1.33-1.57), 1.35 (95% CI 1.21-1.47) and 1.23 (95% CI 1.06-1.37), respectively. Home BP measurements were associated with good hypertensive management. Our findings suggest that it is important that physicians recommend home BP measurements to their patients.
UR - http://www.scopus.com/inward/record.url?scp=39449124640&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=39449124640&partnerID=8YFLogxK
U2 - 10.1038/sj.jhh.1002320
DO - 10.1038/sj.jhh.1002320
M3 - Article
C2 - 18172452
AN - SCOPUS:39449124640
SN - 0950-9240
VL - 22
SP - 197
EP - 204
JO - Journal of Human Hypertension
JF - Journal of Human Hypertension
IS - 3
ER -