ArticleJournal of hypertension2016
Differences in night-time and daytime ambulatory blood pressure when diurnal periods are defined by self-report, fixed-times, and actigraphy: Improving the Detection of Hypertension study.
Article in Journal of hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed.
- Trial
- Comparison of different schedules of nocturnal home blood pressure measurement using an information/communication technology-based device in hypertensive patients.Journal of clinical hypertension (Greenwich, Conn.) · 2018Trial
- Association of a Smartphone Application With Medication Adherence and Blood Pressure Control: The MedISAFE-BP Randomized Clinical Trial.JAMA internal medicine · 2018Trial
- Concordance between awake blood pressure on home and ambulatory blood pressure monitoring in older adults.American journal of hypertension · 2026Article
- The Confounding Role of Cuff-Induced Sleep Fragmentation on Nighttime Blood Pressure Variability Reproducibility.Journal of clinical hypertension (Greenwich, Conn.) · 2026Article
- Socio-demographic, lifestyle, and anthropometric predictors of ambulatory blood pressure among adults in semi-urban Nigeria.BMC public health · 2026Article
- Ambulatory blood pressure monitoring in arterial hypertension.Internal and emergency medicine · 2026Review
- The Diagnostic Accuracy of Using Borderline High Office Blood Pressure Thresholds to Diagnose Masked Hypertension According to the 2017 American College of Cardiology/American Heart Association Blood Pressure Guideline.American journal of hypertension · 2025Article
- Blood Pressure Regulation in Post-COVID POTS: Beyond Sinus Tachycardia.Hypertension (Dallas, Tex. : 1979) · 2024Article
- Discrimination and hypertension among a diverse sample of racial and sexual minority men living with HIV: baseline findings of a longitudinal cohort study.Journal of human hypertension · 2024Article
- Device-estimated sleep metrics do not mediate the relation between race and blood pressure dipping in young black and white women.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Diagnostic Accuracy of Office Blood Pressure Measurement and Home Blood Pressure Monitoring for Hypertension Screening Among Adults: Results From the IDH Study.Journal of the American Heart Association · 2023Article
- Network stressors, personal stressors, and ambulatory blood pressure in African-American women-Does superwoman schema play a role?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Non-dipping blood pressure pattern is associated with higher risk of new-onset diabetes in hypertensive patients with obstructive sleep apnea: UROSAH data.Frontiers in endocrinology · 2023Article
- Impact of Asleep and 24-Hour Blood Pressure Data on the Prevalence of Masked Hypertension by Race/Ethnicity.American journal of hypertension · 2022Article
- An Artificial Intelligence Algorithm With 24-h Holter Monitoring for the Identification of Occult Atrial Fibrillation During Sinus Rhythm.Frontiers in cardiovascular medicine · 2022Article
- Reproducibility study of nocturnal blood pressure dipping in patients with high cardiovascular risk.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Guidelines for the design and conduct of human clinical trials on ingestion-time differences - chronopharmacology and chronotherapy - of hypertension medications.Chronobiology international · 2021Article
- Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis.International journal of hypertension · 2021Article
- Short-Term Reproducibility of Masked Hypertension Among Adults Without Office Hypertension.Hypertension (Dallas, Tex. : 1979) · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo determine whether defining diurnal periods by self-report, fixed-time, or actigraphy produce different estimates of night-time and daytime ambulatory blood pressure (ABP).
methodsOver a median of 28 days, 330 participants completed two 24-h ABP and actigraphy monitoring periods with sleep diaries. Fixed night-time and daytime periods were defined as 0000-0600 h and 1000-2000 h, respectively. Using the first ABP period, within-individual differences for mean night-time and daytime ABP and kappa statistics for night-time and daytime hypertension (systolic/diastolic ABP≥120/70 mmHg and ≥135/85 mmHg, respectively) were estimated comparing self-report, fixed-time, or actigraphy for defining diurnal periods. Reproducibility of ABP was also estimated.
resultsWithin-individual mean differences in night-time systolic ABP were small, suggesting little bias, when comparing the three approaches used to define diurnal periods. The distribution of differences, represented by 95% confidence intervals (CI), in night-time systolic and diastolic ABP and daytime systolic and diastolic ABP was narrowest for self-report versus actigraphy. For example, mean differences (95% CI) in night-time systolic ABP for self-report versus fixed-time was -0.53 (-6.61, +5.56) mmHg, self-report versus actigraphy was 0.91 (-3.61, +5.43) mmHg, and fixed-time versus actigraphy was 1.43 (-5.59, +8.46) mmHg. Agreement for night-time and daytime hypertension was highest for self-report versus actigraphy: kappa statistic (95% CI) = 0.91 (0.86,0.96) and 1.00 (0.98,1.00), respectively. The reproducibility of mean ABP and hypertension categories was similar using each approach.
conclusionGiven the high agreement with actigraphy, these data support using self-report to define diurnal periods on ABP monitoring. Further, the use of fixed-time periods may be a reasonable alternative approach.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.