Evidence map›Paper›PMID 28836174›Full record

ArticleDigestive diseases and sciences2017

Higher Frequency of Nocturnal Blood Pressure Dipping but Not Heart Rate Dipping in Inflammatory Bowel Disease.

Leili Pourafkari, Kourosh Masnadi-Shirazi, Mohammadreza Taban, Solmaz Mohammadi, Razieh Parizad, Samad Ghaffari, Arezou Tajlil, Mir Milad Pourmousavi Khoshknab, Nader D Nader

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Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 citing papers in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Leili PourafkariLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Kourosh Masnadi-ShiraziLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Mohammadreza TabanCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Solmaz MohammadiLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Razieh ParizadCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Samad GhaffariCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Arezou TajlilCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Mir Milad Pourmousavi KhoshknabCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Nader D NaderDepartment of Anesthesiology, University at Buffalo, 77 Goodell Street, Suite #550, Buffalo, NY, 14203, USA. nnader@buffalo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMasked hypertension (MHTN) and lack of nocturnal dipping in blood pressure (BP) have been linked to the state of inflammation.

aimsWe aimed to assess the frequency of nocturnal patterns of BP and heart rate (HR) in patients with IBD.

methodsSixty-three normotensive patients with confirmed IBD during remission and 63 healthy subjects were enrolled in a case-control study. All subjects were monitored for BP and HR over a period of 24 h under ambulatory setting. Means for BP and HR were calculated for nighttime and daytime periods. Daytime BP ≥ 135/85 mmHg, nighttime BP ≥ 120/70 mmHg, and 24-h average BP ≥ 130/80 mmHg were defined as MHTN. The main end points of this study were lack of >10% nocturnal decrease in the systolic BP (NDP-BP) and in HR (NDP-HR).

resultsAfter exclusion of 8 patients with IBD from analysis, 55 patients and 63 control subjects (49% men) with a mean age of 37.5 ± 11.0 years were enrolled. NDP-BP was more common in the IBD group compared to controls (55 vs. 33%; P = 0.026). MHTN was detected in 24% of IBD patients compared to 8% among controls (P = 0.017). Meanwhile, NDP-HR was observed in 22% of the IBD patients and 30% of the control group (P = 0.402). IBD remained a significant predictor of NDP-BP (odds ratio 2.60, 95% confidence interval 1.19-5.51) following an adjustment for age and gender.

conclusionsIBD is associated with higher frequency of NDP-BP and MHTN; however, nocturnal changes in HR were similar in both groups.

Indexed as

Blood PressureCircadian RhythmAdolescentAdultAgedBlood Pressure Monitoring, AmbulatoryCase-Control StudiesChi-Square DistributionFemaleHeart RateHumansInflammatory Bowel DiseasesLogistic ModelsMaleMasked HypertensionMiddle AgedBlood pressureBlood pressure monitoringInflammatory bowel diseaseMasked hypertensionUlcerative colitis

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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.