@article{oai:shiga-med.repo.nii.ac.jp:00003674, author = {門脇, 紗也佳 and 門脇, 崇 and 藤吉, 朗 and 久松, 隆史 and 佐藤, 敦 and 有馬, 久富 and 田中, 佐智子 and 鳥居, さゆ希 and 近藤, 慶子 and 門田, 文 and 岡村, 智教 and 大久保, 孝義 and 三浦, 克之 and 上島, 弘嗣 and KADOWAKI, Sayaka and KADOWAKI, Takashi and HOZAWA, Atsushi and FUJIYOSHI, Akira and HISAMATSU, Takashi and SATOH, Atsushi and ARIMA, Hisatomi and Tanaka-Mizuno, Sachiko and TORII, Sayuki and KONDO, Keiko and KADOTA, Aya and Masaki, Kamal and OKAMURA, Tomonori and OHKUBO, Takayoshi and MIURA, Katsuyuki and UESHIMA, Hirotsugu and Shiga, Epidemiological Study of Subclinical Atherosclerosis (SESSA) Research Group}, journal = {Hypertension research : official journal of the Japanese Society of Hypertension}, month = {Aug}, note = {Conventional office blood pressure (OBP) and home blood pressure (HBP) measurements are often inconsistent. The purpose of this research was (1) to test whether strictly measured OBP values with sufficient rest time before measurement (st-OBP) is comparable to HBP at the population level and (2) to ascertain whether there are particular determinants for the difference between HBP and st-OBP at the individual level. Data from a population-based group of 1056 men aged 40-79 years were analyzed. After a five-min rest, st-OBP was measured twice. HBP was measured after a 2-min rest every morning for seven consecutive days. To determine factors related to ΔSBP (HBP minus st-OBP measurements), multiple linear regression analyses and analyses of covariance were performed. While st-OBP and HBP were comparable (136.5 vs. 137.2 mmHg) at the population level, ΔSBP varied with a standard deviation of 13.5 mmHg. Smoking was associated with a larger ΔSBP regardless of antihypertensive usage, and BMI was associated with a larger ΔSBP in participants using antihypertensive drugs. The adjusted mean ΔSBP in the highest BMI tertile category was 4.6 mmHg in participants taking antihypertensive drugs. st-OBP and HBP measurements were comparable at the population level, although the distribution of ΔSBP was considerably broad. Smokers and obese men taking antihypertensive drugs had higher HBP than st-OBP, indicating that their blood pressure levels are at risk of being underestimated. Therefore, this group would benefit from the addition of HBP measurements., Journal Article}, title = {Differences between home blood pressure and strictly measured office blood pressure and their determinants in Japanese men.}, year = {2020} }