ArticleHypertension research : official journal of the Japanese Society of Hypertension2021
Impact of indoor temperature instability on diurnal and day-by-day variability of home blood pressure in winter: a nationwide Smart Wellness Housing survey in Japan.
Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed.
- Catheter-based ultrasound renal denervation in patients with resistant hypertension: the randomized, controlled REQUIRE trial.Hypertension research : official journal of the Japanese Society of Hypertension · 2022Trial
- Can intensified activities of the Japanese Society of Hypertension attenuate the seasonal surge in cardiovascular disease? From morning blood pressure and the living environment to seasonally adaptive implementation hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- The Japanese Society of Hypertension Practical Consensus Guidelines for Seasonal Blood Pressure Management.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Seasonal variation in day-to-day blood pressure variability: large-scale within-individual home blood pressure data.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Capturing the pace of extreme diurnal temperature change in climate-health assessment.Eco-Environment & Health · 2026Article
- Cold-Induced Hypertension as Life-Environment Disease in Winter: Focus on Data From Japan.Hypertension (Dallas, Tex. : 1979) · 2026Review
- The impact of environmental pollution and climate change on hypertension: a position paper by the European Society of Hypertension (ESH) Working Group on Environment in Hypertension.Cardiovascular research · 2026Review
- "Morning BP Action in Winter" initiative: confronting cardiovascular "heat shock".Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Combination of housing type (detached houses vs flats) and tenure (owned vs rented) in relation to cardiovascular mortality: findings from a 6-year cohort study in Japan.BMJ public health · 2025Article
- The effects of ambient temperature on non-accidental mortality in the elderly hypertensive subjects, a cohort-based study.BMC geriatrics · 2024Article
- Importance of measuring indoor temperature to understand blood pressure levels and variability at home.Hypertension research : official journal of the Japanese Society of Hypertension · 2024Article
- Digital hypertension towards to the anticipation medicine.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Review
- Topics 2023 in Hypertension Research leading to guidelines in Asia.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Current situation of telemedicine research for cardiovascular risk in Japan.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Review
- Associations of the Triglyceride and Glucose Index With Hypertension Stages, Phenotypes, and Their Progressions Among Middle-Aged and Older Chinese.International journal of public health · 2023Article
- Latest hypertension research to inform clinical practice in Asia.Hypertension research : official journal of the Japanese Society of Hypertension · 2022Article
- Seven-action approaches for the management of hypertension in Asia - The HOPE Asia network.Journal of clinical hypertension (Greenwich, Conn.) · 2022Review
- The shifted focus of interest in the temperature-blood pressure relationship: from load to variability.Hypertension research : official journal of the Japanese Society of Hypertension · 2021Article
- Factors Associated with Variations in Home Blood Pressure Monitoring among Adults with Hypertension: Systematic Review.SAGE open nursingReview
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Abstract
Home blood pressure (HBP) variability is an important factor for cardiovascular events. While several studies have examined the effects of individual attributes and lifestyle factors on reducing HBP variability, the effects of living environment remain unknown. We hypothesized that a stable home thermal environment contributes to reducing HBP variability. We conducted an epidemiological survey on HBP and indoor temperature in 3785 participants (2162 households) planning to have their houses retrofitted with insulation. HBP was measured twice in the morning and evening for 2 weeks in winter. Indoor temperature was recorded with each HBP observation. We calculated the morning-evening (ME) difference as an index of diurnal variability and the standard deviation (SD), coefficient of variation (CV), average real variability (ARV) and variability independent of the mean (VIM) as indices of day-by-day variability. The association between BP variability and temperature instability was analyzed using multiple linear regression models. The mean ME difference in indoor/outdoor temperature (a decrease in temperature overnight) was 3.2/1.5 °C, and the mean SD of indoor/outdoor temperature was 1.6/2.5 °C. Linear regression analyses showed that the ME difference in indoor temperature was closely correlated with the ME difference in systolic BP (0.85 mmHg/°C, p < 0.001). The SD of indoor temperature was also associated with the SD of systolic BP (0.61 mmHg/°C, p < 0.001). The CV, ARV, and VIM showed similar trends as the SD of BP. In contrast, outdoor temperature instability was not associated with either diurnal or day-by-day HBP variability. Therefore, residents should keep the indoor temperature stable to reduce BP variability.
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