Evidence map›Paper›PMID 38714925›Full record

ArticleBMC primary care2024

Relationship between visit-to-visit blood pressure variability and depressive mood in Korean primary care patients.

Ga Hee Lee, Jung Ah Lee, Sung Sunwoo, Young Sik Kim

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ga Hee LeeDepartment of Family Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Asan, Gyeonggi-do, South Korea.
Jung Ah Lee *Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-Ro 43-Gil, Songpa-gu, Seoul, 05505, South Korea. ljunga00@naver.com.
Sung SunwooDepartment of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-Ro 43-Gil, Songpa-gu, Seoul, 05505, South Korea.
Young Sik Kim *Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-Ro 43-Gil, Songpa-gu, Seoul, 05505, South Korea. youngkim@amc.seoul.kr.

Funding

Korea Centers for Disease Control and Prevention 2011E7400300
6 · The paper itself

Abstract

backgroundHigh blood pressure variability (BPV) increases the risk of cardiovascular disease and may be better prognostic factor than blood pressure. Depressive mood is a common symptom among patients visiting primary care. This study aimed to investigate the association between depressive mood and high BPV among Korean primary care patients.

methodsThe Family Cohort Study in Primary Care (FACTS), conducted from April 2009 to November 2017, utilized a prospective cohort of Korean primary care patients, with a median follow-up period of 7.25 years. Depressive mood was assessed as a score of 21 points or more on the Korean-type Center for Epidemiologic Studies Depression scale. BP was measured at the initial visit and first and second follow-up visit. Visit-to visit SBP variability was analyzed using four metrics: intra-individual standard deviation, coefficient of variation, variation independent of mean, and average real variability. Logistic regression analysis was used to estimate the association of high BPV with depressive mood and other variables.

resultsAmong 371 participants, 43 (11.6%) had depressive mood based on depression scores. Older age (odds ratio [OR]: 1.04, 95% confidence interval [CI]: 1.01-1.07) were associated with high SBP variability regardless of taking antihypertensive medication. Among participants taking antihypertensive medication, those with depressive mood had twice the risk of high SBP variability compared with those who did not (OR: 2.95, 95% CI: 1.06-8.20).

conclusionsDepressive mood was associated with high visit-to-visit SBP variability in primary care patients taking antihypertensive medication, potentially indicating increased cardiovascular risk. Primary care physicians should therefore closely monitor BPV in patients with depressive symptoms and provide appropriate interventions.

Indexed as

Blood PressureDepressionHypertensionPrimary Health CareAdultAgedAntihypertensive AgentsFemaleHumansMaleMiddle AgedProspective StudiesRepublic of KoreaAntihypertensive AgentsBlood pressureBlood pressure variabilityDepressive moodPrimary careVisit-to-visit blood pressure variability

Identifiers

PMID38714925
PMCPMC11075231

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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.