Review Article

Patterns of Circadian Variation in 24-Hour Ambulatory Blood Pressure, Heart Rate, and Sympathetic Tone Correlate with Cardiovascular Disease Risk: A Cluster Analysis

Table 2

Characteristics between the significantly associated clinical variables and cluster groups for SBP, DBP, HR, and sympathetic tone.

VariablesSBP clusters valueDBP clusters value

C1 ()C2 ()C3 ()C4 ()C1 ()C2 ()C3 ()C4 ()
Age, year<0.001b,c,d,e<0.001b,c,d,e
Male, (%)74 (34.7)129 (42.9)81 (32.4)89 (39.6)0.05776 (36.2)88 (37.9)94 (41.8)115 (35.7)0.505
History of smoking, (%)21 (9.9)51 (16.9)17 (6.8)18 (8.0)<0.001d,e28 (13.3)35 (15.1)19 (8.4)25 (7.8)0.016b,e
DM, (%)15 (7.0)27 (9.0)28 (11.2)27 (12.0)0.19419 (9.0)15 (6.5)24 (10.7)39 (12.1)0.211
Hypertension, (%)70 (32.9)99 (32.9)113 (45.2)104 (46.2)<0.001b,c,d,e68 (32.4)77 (33.2)90 (40.0)151 (46.9)0.002c,e
Dyslipidemia, (%)36 (16.9)61 (20.3)59 (23.6)57 (25.3)0.13634 (16.2)50 (21.6)47 (20.9)82 (25.5)0.088
Prior history of MI, (%)7 (3.3)6 (2.0)11 (4.4)8 (3.6)0.4502 (1.0)4 (1.7)6 (2.7)20 (6.2)0.002c
CVA, (%)6 (2.8)1 (0.3)5 (2.0)3 (1.3)0.1276 (2.9)0 (0.0)2 (0.9)7 (2.2)0.054
BMI, kg/m2†0.1290.004b,d
T-C, mmol/La0.3290.578
HDL-C, mmol/La0.3220.674
LDL-C, mmol/La2.92 ± 0.880.2250.694
Triglyceride, mmol/L†a0.007a,d0.685
ApoA-I, mmol/Lb0.1670.629
ApoB, mmol/Lc0.1800.137

VariablesHR clusters valueSympathetic tone clusters value

C1 ()C2 ()C3 ()C4 ()C1 ()C2 ()C3 ()C4 ()
Age, year<0.001a,b,c,e<0.001b,c,d,e
Male, (%)143 (41.1)69 (34.2)56 (32.4)105 (39.5)0.15645 (40.2)68 (39.8)69 (35.8)191 (37.2)0.810
History of smoking, (%)48 (13.8)16 (7.9)12 (6.9)31 (11.7)0.016b8 (7.1)20 (11.7)23 (11.9)56 (10.9)0.558
DM, (%)27 (7.8)21 (10.4)13 (7.5)36 (13.5)0.0677 (6.3)7 (4.1)14 (7.3)69 (13.5)0.001e
Hypertension, (%)113 (32.5)76 (37.6)64 (37.0)133 (50.0)<0.001c,f35 (31.3)57 (33.3)83 (43.0)211 (41.1)0.120
Dyslipidemia, (%)60 (17.2)41 (20.3)40 (23.1)72 (27.1)0.029c19 (17.0)34 (19.9)42 (21.8)118 (23.0)0.509
Prior history of MI, (%)7 (2.0)6 (3.0)5 (2.9)14 (5.3)0.1534 (3.6)5 (2.9)8 (4.1)15 (2.9)0.858
CVA, (%)3 (0.9)1 (0.5)4 (2.3)7 (2.6)0.1471 (0.9)2 (1.2)2 (1.0)10 (1.9)0.715
BMI, kg/m2†0.5210.009c
T-C, mmol/L†a0.1400.026
HDL-C, mmol/L†a0.1220.049
LDL-C, mmol/La0.5090.120
Triglyceride, mmol/La0.9800.561
ApoA-I, mmol/L†b0.006f0.909
ApoB, mmol/L†c0.6360.001e,f

Data are expressed as (%) or . values are from one-way ANOVA tests for continuous variables and chi-squared tests for categorical variables. To denote the results of the Tukey posthoc test for continuous variables and Bonferroni posthoc test for categorical variables, values that are significantly different () in a row are marked with different superscript letters: asignificant differences between C1 and C2; bsignificant differences between C1 and C3; csignificant differences between C1 and C4; dsignificant differences between C2 and C3; esignificant differences between C2 and C4; and fsignificant differences between C3 and C4. aTo convert to milligram per deciliter, divide by 0.0259. bTo convert to milligram per deciliter, divide by 0.0357. cTo convert to milligram per deciliter, divide by 0.0019. SBP: systolic blood pressure; DBP: diastolic blood pressure; HR: heart rate; DM: diabetes mellitus; MI: myocardial infarction; CVA: cerebrovascular accident; BMI: body mass index; T-C: total cholesterol; HDL-C: high-density lipoprotein cholesterol; LDL-C: low-density lipoprotein cholesterol; Apo: apolipoprotein.