Source of bias in home BP monitoring: Insight into the GRAND study protocol in India

IF 2.7 3区医学 Q2 PERIPHERAL VASCULAR DISEASE

Journal of Clinical Hypertension Pub Date : 2024-04-07 DOI:10.1111/jch.14815

Kaustav Chattopadhyay, Aayush Visaria MD, MPH

引用次数: 0

Abstract

In conclusion, the GRAND study and related studies are vitally important additions to understand the increasing prevalence of hypertension, but should ensure comprehensive evaluation of patient-level, measurement-level, and external environmental factors that may affect BP readings, especially in a diverse country like India.

The authors declare that they have no competing interests.

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家庭血压监测的偏差来源：印度 GRAND 研究方案的启示

作者非常高兴地阅读了 Verma 等人撰写的印度家庭血压（BP）监测协议书1 。考虑到可能影响家庭血压与办公室血压的因素之多以及印度人口的多样性，作者希望就协议书的未来迭代与大家分享以下见解：2 虽然研究的纳入标准要求至少有 3 个月稳定的降压治疗方案，但如何定义稳定的降压治疗方案应考虑到上述变异因素，因为这可能会影响未控制血压患病率计算的准确性。例如，这可能包括额外的家庭血压测量技术培训，以确保充分的健康知识普及。其他因素，包括饮食、体力活动、睡眠和心理健康/压力，都对血压的每日和每分钟波动起着至关重要的作用。这些因素在不同的印度人群中可能存在很大差异，因此必须对这些因素进行全面评估，以确保内部有效性。温度等外部因素也会影响血压读数。从山区或寒冷的北方地区招募的患者平均血压可能高于温暖地区的患者。总之，GRAND 研究及相关研究对于了解日益增长的高血压患病率具有极其重要的补充作用，但应确保对可能影响血压读数的患者水平、测量水平和外部环境因素进行全面评估，尤其是在印度这样一个多样化的国家。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Hypertension PERIPHERAL VASCULAR DISEASE-

CiteScore

5.80

自引率

7.10%

发文量

191

审稿时长

4-8 weeks

期刊介绍： The Journal of Clinical Hypertension is a peer-reviewed, monthly publication that serves internists, cardiologists, nephrologists, endocrinologists, hypertension specialists, primary care practitioners, pharmacists and all professionals interested in hypertension by providing objective, up-to-date information and practical recommendations on the full range of clinical aspects of hypertension. Commentaries and columns by experts in the field provide further insights into our original research articles as well as on major articles published elsewhere. Major guidelines for the management of hypertension are also an important feature of the Journal. Through its partnership with the World Hypertension League, JCH will include a new focus on hypertension and public health, including major policy issues, that features research and reviews related to disease characteristics and management at the population level.