The DOI matches its Crossref record; 57 of the 58 references it cites were found in a registry or an index.
Seasonal blood pressure variation assessed by different measurement methods: systematic review and meta-analysis
Abstract
Objective: The current study reviewed the published evidence on the seasonal changes in blood pressure (BP) assessed using different measurement methods. Methods: A systematic PubMed/EMBASE search was performed for studies assessing seasonal BP changes. Prospective and cross-sectional studies were included fulfilling the following criteria: (i) report of ambulatory and/or home BP data; (ii) cross-sectional studies reporting only office BP measurements and including 1000 or more participants. Results: Forty-seven studies fulfilled the selection criteria and were included (856 539 participants, weighted age 49.7 ± 4.8 years, 38.8% treated hypertensive patients). The pooled summer minus winter SBP/DBP difference (95% confidence intervals) was office BP (29 studies) −5.6 (−7.1, −4.0)/−3.3 (−4.0, −2.7) mmHg; daytime ambulatory BP (15 studies) −3.4 (−4.4, −2.4)/−2.1 (−2.8, −1.4) mmHg; night-time ambulatory BP (13 studies) 1.3 (0.2, 2.3)/0.5 (−0.2, 1.2) mmHg; home BP (9 studies) −6.1 (−7.0, −5.1)/−3.1 (−3.5, −2.6) mmHg. Meta-analysis of 28 prospective studies (N = 5278) which examined the same individuals during different seasons showed pooled seasonal SBP/DBP difference: office BP −5.8/−4.0 mmHg; daytime ambulatory BP −3.9/−2.7 mmHg; night-time ambulatory BP 0.5/−0.5 mmHg; home BP −6.4 /−3.3 mmHg. In meta-regression analysis seasonal systolic daytime ambulatory BP difference was related to the percentage of treated hypertensive patients across studies (P = 0.02) and borderline to age (P = 0.07). Conclusion: Seasonal BP changes are evident using all daytime BP measurement methods, but not with night-time ambulatory BP. The average BP decline in hot season is at about 5/3 (SBP/DBP) mmHg and appears to be larger in treated hypertensive patients and in older individuals.
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“a recent meta-analysis showed that HBPM may also identify these changes [60].”
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Bias in meta-analysis detected by a simple, graphical test
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Ultraviolet Light May Contribute to Geographic and Racial Blood Pressure Differences
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Weather-Related Changes in 24-Hour Blood Pressure Profile
Modesti, P. A., Morabito, M., Bertolozzi, I., Massetti, L., Panci, G., Lumachi, C., Giglio, A., Bilo, G., Caldara, G., Lonati, L. M., et al. (2005) · Hypertension · doi:10.1161/01.hyp.0000199192.17126.d4 · Cited by 247
Relationship Between Blood Pressure and Outdoor Temperature in a Large Sample of Elderly Individuals
Alpérovitch, A., Lacombe, J., Hanon, O., Dartigues, J., Ritchie, K. A., Ducimetière, P., & Tzourio, C. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2008.512 · Cited by 244
Seasonal variations in home and ambulatory blood pressure in the PAMELA population
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Wang, Q., Li, C., Guo, Y., Barnett, A. G., Tong, S., Phung, D. T., Chu, C. M.-Y., Dear, K. B. G., Wang, X., & Huang, C. (2016) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2016.10.019 · Cited by 205
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Parati, G., Bilo, G., Κόλλιας, Α., Pengo, M. F., Ochoa, J. E., Castiglioni, P., Stergiou, G. S., Mancia, G., Asayama, K., Asmar, R. G., et al. (2023) · Journal of Hypertension · doi:10.1097/hjh.0000000000003363 · Cited by 242
Self-citationParati, G., Stergiou, G. S., Bilo, G., Kollias, A., Pengo, M., Ochoa, J. E., Agarwal, R., Asayama, K., Asmar, R., Burnier, M., et al. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002922 · Cited by 178
Self-citationWorld Heart Federation Roadmap for Hypertension – A 2021 Update
Jeemon, P., Séverin, T., Amodeo, C., Balabanova, D., Campbell, N. R. C., Gaiță, D. I., Kario, K., Khan, T., Melifonwu, R., Moran, A. E., et al. (2021) · Global Heart · doi:10.5334/gh.1066 · Cited by 153
Stergiou, G. S., Palatini, P., Modesti, P. A., Asayama, K., Asmar, R., Bilo, G., de la Sierra, A., Dolan, E., Head, G., Kario, K., et al. (2020) · Journal of Hypertension · doi:10.1097/hjh.0000000000002341 · Cited by 130
Self-citationNarita, K., Hoshide, S., & Kario, K. (2021) · Hypertension Research · doi:10.1038/s41440-021-00732-z · Cited by 79
Metadata
- Authors
- Kollias, A., Kyriakoulis, K. G., Stambolliu, E., Ntineri, A., Anagnostopoulos, I., & Stergiou, G. S.
- Affiliations
- National and Kapodistrian University of Athens (GR)
- Corresponding author
- Stergiou, George S.
- ORCID
- Venue
- Journal of Hypertension
- Published
- 2020-05
- Volume
- 38
- Issue
- 5
- Pages
- 791-798
- ISSN
- 0263-6352 (ISSN-L)
- 1473-5598
- OpenAlex
- W2951709757
- Cited by
- 82
- References
- 58
- Citations by year
- 2026: 15 · 2025: 8 · 2024: 16 · 2023: 16 · 2022: 11 · 2021: 12 · 2020: 4
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- seasonal variation, blood pressure, ambulatory blood pressure, home blood pressure monitoring, office blood pressure, systolic blood pressure, diastolic blood pressure, antihypertensive therapy, seasonal temperature effects, nocturnal blood pressure
- MeSH terms
- Blood Pressure, Blood Pressure Determination, Cross-Sectional Studies, Humans, Hypertension, Prospective Studies, Seasons, Systole, Blood Pressure Monitoring, Ambulatory
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