Impact of Obesity on 24-Hour Ambulatory Blood Pressure and Hypertension
Abstract
The purpose of the present study was to determine the relationship between body mass index (BMI) and parameters derived from 24-hour ambulatory blood pressure monitoring including mean 24-hour daytime and nighttime systolic and diastolic blood pressures, 24-hour daytime and nighttime pulse pressure, mean 24-hour daytime and nighttime heart rate, dipping and nondipping status. 3216 outpatient subjects who visited our hypertension center and were never treated with antihypertensive medication underwent 24-hour blood pressure monitoring. BMI was significantly correlated with clinic systolic and diastolic blood pressures. Significant correlations were also found between BMI and mean 24-hour daytime and nighttime systolic blood pressure, 24-hour daytime and nighttime pulse pressure, and mean 24-hour daytime and nighttime heart rate. In multivariate regression analysis, clinic systolic, diastolic blood pressure, mean 24-hour systolic blood pressure, 24-hour pulse pressure, and high-density lipoprotein were independently correlated with BMI. The incidence of white coat hypertension was higher in overweight and obese patients than in normal weight subjects. Confirmed ambulatory blood pressure hypertension was also found to be higher in overweight and obese individuals compared with normal weight subjects. Our data also highlight the higher incidence of nondipping status in obesity. These findings suggest that obese patients had increased ambulatory blood pressure parameters and altered circadian blood pressure rhythm with increased prevalence of nondipping status.
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Even if daytime or office blood pressures are normal, 24-h blood pressure recordings show that obese patients often have a "nondipping" pattern in which they lose the normal nocturnal decline in blood pressure.
“Even if daytime or office blood pressures are normal, 24-h blood pressure recordings show that obese patients often have a “nondipping” pattern in which they lose the normal nocturnal decline in blood pressure (190).”
From Cardiac remodeling in obesity (2008) · cites this paper as [190]
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Can nocturnal hypertension predict cardiovascular risk?
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Sleep Modulates Hypertension in Leptin-Deficient Obese Mice
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Association of Metabolic Syndrome and Blood Pressure Nondipping Profile in Untreated Hypertension
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Non‐dipping Blood Pressure in the Metabolic Syndrome Among Arabs of the Oman Family Study
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Medical risk factors of diabetes mellitus among professional drivers
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Loss of anti-contractile effect of perivascular adipose tissue in offspring of obese rats
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Mechanisms underlying elevated SBP differ with adiposity in young adults
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Comparative Prognostic Role of Nighttime Blood Pressure and Nondipping Profile on Renal Outcomes
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The thyroid hormone, parathyroid hormone and vitamin D associated hypertension
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Selected risk factors of diabetes mellitus among road transport drivers
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Integrating Out-of-Office Blood Pressure in the Diagnosis and Management of Hypertension
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Circadian Blood Pressure Profile in Patients with Active Cushing's Disease and after Long-term Cure
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Epidemiology of obesity and hypertension and related risk factors in Uzbekistan
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Chronobiology of Natriuretic Peptides and Blood Pressure in Lean and Obese Individuals
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Adiposity measures and blood pressure in Chinese children and adolescents
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Metabolic Syndrome in Hypertensive Patients
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Sleep duration and 24‐hour ambulatory blood pressure in adults not on antihypertensive medications
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Ambulatory blood pressure monitoring and target organ damage: effects of age and sex
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Ambulatory Blood Pressure Monitoring in Diabetes and Obesity—A Review
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TGF-β: The missing link in obesity-associated airway diseases?
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Metabolic, Renal, and Nutritional Consequences of Bariatric Surgery: Implications for the Clinician
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Racial Differences in the Impact of Social Support on Nocturnal Blood Pressure
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- Authors
- Kotsis, V., Stabouli, S., Bouldin, M., Low, A., Toumanidis, S., & Zakopoulos, N.
- Affiliations
- National and Kapodistrian University of Athens (GR)
- Venue
- Hypertension
- Published
- 2005-04
- Volume
- 45
- Issue
- 4
- Pages
- 602-607
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2061864688
- Cited by
- 262
- References
- 47
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 10 · 2023: 14 · 2022: 10 · 2021: 22 · 2020: 7 · 2019: 13 · 2018: 9 · 2017: 9 · 2016: 16 · 2015: 15 · 2014: 11 · 2013: 10 · 2012: 9
- FWCI
- 10.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- 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 Function and Risk Factors
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- obesity, body mass index, ambulatory blood pressure monitoring, pulse pressure, heart rate, circadian blood pressure rhythm, non-dipping blood pressure, white coat hypertension, overweight, HDL cholesterol
- MeSH terms
- Adult, Aged, Blood Pressure, Circadian Rhythm, Female, Heart Rate, Humans, Hypertension, Lipoproteins, HDL, Male, Middle Aged, Obesity, Body Mass Index, Multivariate Analysis, Blood Pressure Monitoring, Ambulatory
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