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Cited by 29Blood Pressure and Hypertension StudiesCardiovascular Health and Disease PreventionCardiovascular Function and Risk Factors

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Home and ambulatory blood pressure monitoring in children, adolescents and young adults: comparison, diagnostic agreement and association with preclinical organ damage

Zeniodi, Maria Elena, Ntineri, Angeliki, Kollias, Anastasios, Servos, George, Moyssakis, Ioannis, Destounis, Antonios, Harokopakis, Angelos, Vazeou, Andriani, Stergiou, George S.·2020·Journal of Hypertension
DOI 10.1097/hjh.0000000000002396
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Abstract

Objectives: To compare the association of home (HBP), ambulatory (ABP) and office blood pressure (OBP) measurements with preclinical organ damage in young individuals. Methods: Individuals referred for elevated blood pressure and healthy volunteers aged 6–25 years were evaluated with OBP (2–3 visits), 7-day HBP and 24-h ABP monitoring. Organ damage was assessed by echocardiographic left ventricular mass index (LVMI), carotid ultrasonography [intima--media thickness (IMT)] and pulse wave velocity (PWV) using piezo-electronic or oscillometric technique. Results: Analysis included 251 individuals (mean age 14 ± 3.9 years, 70.9% men: 31.1% children, 54.6% adolescents, 14.3% young adults) of whom 189 had LVMI, 123 IMT and 198 PWV measurements. Office, ambulatory and home hypertension was diagnosed in 29.5, 27.1 and 26.3% of participants. The agreement of OBP with ABP was 74.5% (kappa 0.37) and HBP 76.1% (kappa 0.41), with closer agreement between HBP and ABP (84.9%, kappa 0.61). LVMI gave comparable correlations with systolic OBP, 24-h ABP and HBP ( r = 0.31/0.31/0.30, all P < 0.01). The same was the case for IMT (0.33/0.32/0.37, all P < 0.01) and piezo-electronic PWV (0.55/0.53/0.52, all P < 0.01), whereas oscillometric PWV gave stronger correlations with OBP than ABP or HBP. In linear regression analysis, the variation of LVMI was determined by night-time ABP, of IMT by HBP and of PWV by OBP and 24-h ABP. Conclusion: These data suggest that in young individuals, target organ damage is mainly determined by out-of-office rather than office BP. Home and ambulatory BP give comparable associations with preclinical organ damage.

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Metadata

Authors
Zeniodi, M. E., Ntineri, A., Kollias, A., Servos, G., Moyssakis, I., Destounis, A., Harokopakis, A., Vazeou, A., & Stergiou, G. S.
Affiliations
  • National and Kapodistrian University of Athens (GR)
  • Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital
  • Panagiotis & Aglaia Kyriakou Children's Hospital (GR)
  • Laiko General Hospital of Athens (GR)
  • Hygeia Hospital (GR)
Corresponding author
  • Zeniodi, Maria Elena
  • Ntineri, Angeliki
ORCID
Venue
Journal of Hypertension
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2020-06
Volume
38
Issue
6
Pages
1047-1055
ISSN
  • 0263-6352 (ISSN-L)
  • 1473-5598
DOI
10.1097/hjh.0000000000002396
OpenAlex
W3007678587
Cited by
29
References
7
Citations by year
2026: 3 · 2025: 7 · 2024: 1 · 2023: 8 · 2022: 6 · 2021: 3 · 2020: 1
FWCI
2.82
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 › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
Keywords
home blood pressure monitoring, ambulatory blood pressure monitoring, office blood pressure, hypertension diagnosis, left ventricular mass, carotid intima-media thickness, pulse wave velocity, children and adolescents, young adults, out-of-office blood pressure, diagnostic agreement
MeSH terms
Adolescent, Adult, Ambulatory Care, Blood Pressure Determination, Child, Humans, Hypertension, Reproducibility of Results, Blood Pressure Monitoring, Ambulatory, Young Adult, Carotid Intima-Media Thickness, Pulse Wave Analysis

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Zeniodi, M. E., Ntineri, A., Kollias, A., Servos, G., Moyssakis, I., Destounis, A., Harokopakis, A., Vazeou, A., & Stergiou, G. S. (2020). Home and ambulatory blood pressure monitoring in children, adolescents and young adults: comparison, diagnostic agreement and association with preclinical organ damage. Journal of Hypertension. https://doi.org/10.1097/hjh.0000000000002396