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IDENTIFYING PATTERNS OF DIURNAL BLOOD PRESSURE VARIATION AMONG ELSA-BRASIL PARTICIPANTS
Author
Affilliation
Instituto Brasileiro de Geografia e Estatística. Escola Nacional de Ciências Estatísticas. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Viçosa. Departamento de Nutrição e Sáude. Viçosa, MG, Brasil.
Universidade Federal do Espírito Santo. Departamento de Ciências Psicológicas. Vitória, ES, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Viçosa. Departamento de Nutrição e Sáude. Viçosa, MG, Brasil.
Universidade Federal do Espírito Santo. Departamento de Ciências Psicológicas. Vitória, ES, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.
Abstract
Ambulatory blood pressure monitoring (ABPM) is the gold standard method for the
diagnosis of hypertension. ABPM provides a set of repeated measurements for blood
pressure (BP), usually over 24 h. Traditional approaches characterize diurnal BP variation
by single ABPM parameters such as average and standard deviation, regardless of
the temporal nature of the data. In this way, information about the pattern of diurnal BP
variation and relationship between parameters is lost. The objective of this study was
to identify and characterize daily BP patterns considering the set of repeated measures
from 24-h ABPM. A total of 859 adult participants of the Brazilian Longitudinal Study
of Adult Health (ELSA-Brasil) performed a 24-h ABPM record. Hypertension, sex, age,
race/color, education, marital status, smoking, alcohol, physical activity, and BMI were
the covariables analyzed. Techniques for longitudinal clustering, multinomial models,
and models with mixed effects were used. Three daily BP patterns were identified.
Daily BP patterns with high BP presented higher standard deviation and morning surge
and lower nocturnal dipping. They showed greater systolic BP variability and faster
rise than fall in diastolic BP during sleep. Hypertensive, “pardos,” and men had greater
odds to present these patterns. Daily BP patterns with high BP presented the worst
profile concerning ABPM parameters associated with cardiovascular risk. The daily BP
patterns identified contribute to the characterization of diurnal BP variation.
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