Research Article

Determinants of the Morning-Evening Home Blood Pressure Difference in Treated Hypertensives: The HIBA-Home Study

Table 1

Characteristics of the study population.

CharacteristicTotal

Number of subjects (%) 367
 Women242 (65.9)
 Caucasians365 (99.5)
 Smokers43 (11.7)
 Uncontrolled hypertension133 (36.2)
 Diabetes mellitus 39 (10.6)
 Previous cardiovascular disease42 (11.4)
 Previous cerebrovascular disease24 (6.5)
Mean (±SD) characteristic
 Age, y 66.2 (14.5)
 Body mass index, kg/m228.1 (4.5)
Conventional BP, mmHg
 Systolic140.3 (17.5)
 Diastolic79.6 (10.7)
Self-recorded systolic BP, mmHg
 All measurements131.5 (14.1)
 Morning133.1 (16.5)
 Evening132.0 (15.7)
 Morning-evening difference1.1 (12.5)
Self-recorded diastolic BP, mmHg
 All measurements73.8 (7.6)
 Morning75.8 (8.4)
 Evening73.5 (8.2)
 Morning-evening difference2.3 (6.1)
Self-recorded pulse rate, beats/min
 All measurements71.3 (10.9)
 Morning69.4 (11.2)
 Evening72.0 (11.6)
Number of self-recorded BP measurements24.7 (2.9)
Number of antihypertensive drugs2.2 (1.0)
Serum cholesterol, mmol/L 4.89 (1.0)

Uncontrolled hypertension was a home blood pressure of at least 135 mmHg systolic or 85 mmHg diastolic. Diabetes mellitus was a self-reported diagnosis, a fasting or random blood glucose level of 7.0 mmol/L (126 mg/dL) or 11.1 mmol/L (200 mg/dL) or higher, or a use of antidiabetic drugs. Smoking was daily use of tobacco products. Previous cardiovascular disease included ischemic heart disease, atrial fibrillation, or congestive heart failure. Previous cerebrovascular disease included transient ischemic attack or stroke.