The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Home and ambulatory blood pressure monitoring in children, adolescents and young adults: comparison, diagnostic agreement and association with preclinical organ damage
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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In the citing paper
“the association of HBPM with several indices of preclinical target-organ damage, mainly LVMI, appears to be superior to OBP measurements and similar to ABPM [176–178,180,181]”
In the citing paper
“ABPM is currently regarded as the reference method for hypertension diagnosis in children and adolescents as white-coat, masked and nocturnal hypertension are as common as in the adults [174–178]”
In the citing paper
“there is close agreement between home and ambulatory BP monitoring in diagnosing hypertension phenotypes within the range of 80–85% [176–179]”
In the citing paper
“HBPM appears to have several potential advantages over both OBP and ABPM, including user convenience and acceptance, and the ability to obtain multiple measurements in the usual environment over several days, weeks or months [174–179]”
In the citing paper
“Preliminary evidence for HBPM in children shows that, as in the adults: its reproducibility is superior to that of OBP measurements and close to that of ambulatory monitoring [21,176–178]”
In the citing paper
“The role of HBPM in the evaluation of pediatric hypertension remains largely unrecognized and inadequately investigated, even though the method is being used in clinical practice in children with hypertension [176,177]”
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Stergiou, G. S., Yiannes, N. G., Rarra, V. C., & Panagiotakos, D. B. (2007) · Journal of Hypertension · doi:10.1097/hjh.0b013e328122d3fc · Cited by 119
Self-citationOffice blood pressure measurement types: Different methodology—Different clinical conclusions
Stergiou, G. S., Kyriakoulis, K. G., & Kollias, A. (2018) · The Journal of Clinical Hypertension · doi:10.1111/jch.13420 · Cited by 41
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Self-citationMethodology and Applicability of Home Blood Pressure Monitoring in Children and Adolescents
Stergiou, G. S., & Ntineri, A. (2018) · Pediatric Hypertension · doi:10.1007/978-3-319-31107-4_45 · Cited by 7
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Cited by
Sorted by citations
Parati, 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
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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
- Venue
- Journal of Hypertension
- Published
- 2020-06
- Volume
- 38
- Issue
- 6
- Pages
- 1047-1055
- ISSN
- 0263-6352 (ISSN-L)
- 1473-5598
- 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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