ArticleJournal of clinical hypertension (Greenwich, Conn.)2015
Ambulatory blood pressure monitoring to assess the white-coat effect in an elderly East African population.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Prevalence, risks factors, and control of hypertension in Guinean older adults in 2021: a cross-sectional survey.BMC public health · 2024Article
- Article
- A clinical algorithm to determine target blood pressure in the elderly: evidence and limitations from a clinical perspective.Clinical hypertension · 2022Review
- Evaluation of a low-resource screening strategy for ophthalmic pathologies and associated neurological morbidity in an older Tanzanian HIV-positive population.Scientific reports · 2022Article
- Ambulatory blood pressure monitoring and management of hypertension at a cardiac clinic in Kumasi Metropolis, Ghana.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Ambulatory Blood Pressure Profiles and Correlation with Cardiovascular Risk Factors in a Sample of 390 University Employees in Tanzania.Integrated blood pressure control · 2020Article
- Retinal imaging to identify target organ damage in older Africans: A pilot study.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- Prevalence of white coat and masked hypertension in Africa: A systematic review and meta-analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2018Review
- Hypertension in a resource-limited setting: Is it associated with end organ damage in older adults in rural Tanzania?Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- Hypertension in Sub-Saharan Africa; prevalence, prescriptions, pitfalls and paradigms.Journal of human hypertension · 2016Article
- Ambulatory Blood Pressure Measurement Provides True and Prognostic Information on Blood Pressure Variability in Hypertensive Patients.Journal of clinical hypertension (Greenwich, Conn.) · 2015Article
- Ambulatory Blood Pressure Monitoring to Assess Cardiovascular Risk in Sub-Saharan Africa.Journal of clinical hypertension (Greenwich, Conn.) · 2015Article
- From the Epidemiologist to the Physician: A Complex Issue for a Labile Risk.Journal of clinical hypertension (Greenwich, Conn.) · 2015Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The authors hypothesized that published hypertension rates in Tanzania were influenced by the physiological response of individuals to blood pressure (BP) testing, known as the white-coat effect (WCE). To test this, a representative sample of 79 participants from a baseline cohort of 2322 people aged 70 years and older were followed to assess BP using conventional BP measurement (CBPM) and ambulatory BP monitoring (ABPM). There was a significant difference between daytime ABPM and CBPM for both systolic BP (mean difference 29.7 mm Hg) and diastolic BP (mean difference 7.4 mm Hg). Rates of hypertension were significantly lower when measured by 24-hour ABPM (55.7%) than by CBPM (78.4%). The WCE was observed in 54 participants (68.4%). The WCE was responsible for an increase in recorded BP. Accurate identification of individuals in need of antihypertensive medication is important if resources are to be used efficiently, especially in resource-poor settings.
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