Evidence map›Paper›PMID 31769171›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2019

Blood pressure related to age: The India ABPM study.

Upendra Kaul, Stefano Omboni, Priyadarshini Arambam, Srinivas Rao, Sunil Kapoor, Jitendra P S Swahney, Kamal Sharma, Tiny Nair, Manoj Chopda, Jagdish Hiremath and 7 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Management of Hypertension in the Asia-Pacific Region: A Structured Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  5. Article
  6. Article
  7. RSSDI Guidelines for the management of hypertension in patients with diabetes mellitus.International journal of diabetes in developing countries · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Blood pressure related to age: The India ABPM study.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    Article
  12. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 4 countries.

Upendra KaulBatra Heart Center and Batra Hospital and Medical Research Center Tughlaqabad institutional Area, New Delhi, India.
Stefano OmboniClinical Research Unit, Italian Institute of Telemedicine, Varese, Italy.ORCID 0000-0002-7124-2096
Priyadarshini ArambamBatra Heart Center and Batra Hospital and Medical Research Center Tughlaqabad institutional Area, New Delhi, India.
Srinivas RaoCare hospitals Banjara Hills and Nampally, Hyderabad, India.
Sunil KapoorApollo hospitals Jubilee Hills, Hyderabad, India.
Jitendra P S SwahneySir Ganga Ram Hospital, New Delhi, India.
Kamal SharmaB.J. Medical College, U.N, Mehta Institute of Cardiology and Research Centre, Civil Hospital, Ahmedabad, India.
Tiny NairDepartment of Cardiology, PRS Hospital, Killipalam, India.
Manoj ChopdaMagnum Heart Institute, Nashik, India.
Jagdish HiremathRuby Hall Clinic, Pune, India.
Chandrashekhar K PondeHinduja Hospital and Medical Research Centre, Mumbai, India.
Abraham OommanApollo Hospitals, Chennai, India.
Budanur C SrinivasJayadeva institute of cardiology, Bangalore, India.
Viraj SuvarnaEris lifesciences Ltd., Ahmedabad, India.
Sanjiv JasujaIndraprastha Apollo Hospitals, Institutes of Nephrology, New Delhi, India.
Eric BorgesBombay Hospital and medical research centre, Mumbai, India.
Willem J VerberkCARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-2230-0488
Batra Hospital and Medical Research Centre · INAhmedabad Civil Hospital · INAhmedabad University · INApollo Hospitals · INApollo Hospitals · INBombay Hospital · INCARE Hospitals · INIndian Numismatic, Historical and Cultural Research Foundation · INIndraprastha Apollo Hospitals · INMaastricht University · NLManipal Hospital · INP. D. Hinduja Hospital and Medical Research Centre · INRuby Hall Clinic · INSechenov University · RUSir Ganga Ram Hospital · INSri Jayadeva Institute of Cardiovascular Sciences and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present paper reports trends in office blood pressure (BP) measurement (OBPM) and ambulatory blood pressure measurement (ABPM) with age in a large multi-center Indian all comers' population visiting primary care physicians. ABPM and OBPM data from 27 472 subjects (aged 51 ± 14 years, males 68.2%, treated 45.5%) were analyzed and compared. Individual differences between OBPM and ABPM patterns were compared for patients according to 10-year age categories. Results showed that systolic (S) BP values started to increase with age from the age of 40, BP variability (SD) increased from the age of 30 years. Diastolic (D) BP values started to decrease from the age of 50 years. Mean OBPM values were higher than daytime ABPM values (all P < .001) in all age-groups. The prevalence of white coat hypertension (WCH) and masked hypertension (MH) was based on OBPM and daytime, 24-hour, and nighttime average BPs together. WCH decreased with age from 15.1% and 12.4% in treated and untreated subjects at the youngest age to 7.2% and 6.9% in the oldest age, respectively. MH prevalence was higher for untreated than for treated subjects but remained similar for all age-groups (range of 18.6%-21.3%). The prevalence of reverse dippers increased with age from the youngest to oldest group with 7.3%-34.2% (P < .001 for trend). Dippers prevalence decreased from 42.5% to 17.9% from the youngest to oldest age-groups, respectively (P < .001 for trend). These findings confirm that BP patterns show clear differences in trends with age, particularly regarding nighttime BP.

Indexed as

AdultAgedAged, 80 and overAge FactorsAntihypertensive AgentsBiological Variation, PopulationBlood PressureBlood Pressure DeterminationBlood Pressure Monitoring, AmbulatoryCase-Control StudiesCircadian RhythmDiastoleFemaleHumansHypertensionIndiaAntihypertensive Agentsambulatory blood pressure measurementhypertension managementIndiaisolated nighttime hypertensionmasked hypertensionoffice blood pressure measurementwhite coat hypertension

Identifiers

PMID31769171
PMCPMC8030374
OpenAlexW2990572780

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.