{"title":"Validation of the Omron HEM-7380T (HCR-7728T) blood pressure monitor in the general population according to the international organization for standardization 81060-2:2018 + Amd.1:2020 and Amd.2:2024.","authors":"Hakuo Takahashi, Nobuki Yakura, Mitsuo Kuwabara","doi":"10.1097/MBP.0000000000000803","DOIUrl":"10.1097/MBP.0000000000000803","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to validate the accuracy of Omron HEM-7380T (HCR-7728T), an automated deflationary oscillometric upper-arm blood pressure (BP) monitor, according to the international organization for standardization (ISO) 81060-2 : 2018 + Amd1 : 2020 and Amd2 : 2024 protocols (ISO standards).</p><p><strong>Methods: </strong>Accuracy was assessed by alternately measuring systolic BP (SBP) and diastolic BP (DBP) in the same arm using the test device and a mercury sphygmomanometer. All participants met the inclusion criteria outlined in the protocol.</p><p><strong>Results: </strong>A total of 85 patients were included (43 males and 42 females), with a mean age of 63.9 ± 10.3 years and a mean arm circumference of 26.7 ± 5.4 cm. Regarding Criterion 1, the mean ± SD of the differences between the test device and reference BP was 0.1 ± 6.85 mmHg for SBP and 0.9 ± 5.41 mmHg for DBP, fulfilling the ISO requirement of less than or equal to 5 ± less than or equal to 8 mmHg. For Criterion 2, the SD values were 0.1 ± 5.69 mmHg for SBP and 0.9 ± 4.95 mmHg for DBP, satisfying the required thresholds of less than or equal to 6.95and less than or equal to 6.88, respectively. The results indicated that this device conforms to the ISO standards.</p><p><strong>Conclusion: </strong>Omron HEM-7380T fulfilled criteria 1 and 2 of the protocol. Therefore, the device is considered sufficiently accurate for BP measurements in the general population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Testing the accuracy of blood pressure measuring devices: challenges and pitfalls of validation studies.","authors":"Paolo Palatini","doi":"10.1097/MBP.0000000000000802","DOIUrl":"10.1097/MBP.0000000000000802","url":null,"abstract":"<p><p>Several protocols have been devised for the validation of blood pressure (BP) measurement monitors to establish minimum standards of accuracy. Three aspects are crucial for improving the agreement between the device and the reference BP which depend on the quality of the laboratory and the experience of the investigators: (a) the choice of the most appropriate cuff in relation to the subject's arm size. As shown by Marks and Groch the measurement error gradually and remarkably increases in a linear fashion when the optimal cuff width/arm circumference ratio is not achieved. This mandates that in expert laboratories numerous cuffs should be available with progressively increasing bladder width. (b) Minimizing patient's BP variability during testing is the most challenging goal to achieve for reducing the SD of the between-method BP differences. Habituation to the medical environment can be increased by prolonging the pretest interval to 15-30 min. (c) The laboratory must be of high standard both in terms of environmental conditions and available instrumentation. A perfect harmony and interrelationship of the team members in the various stages of the test must be achieved. This condition is acquired through a long period of formal education and supervised practice. Recently, several validation studies have achieved bias and precision far below the minimum required criteria probably due to a more careful and rigorous assessment of performance. This led some authors to suggest to move the threshold of the mean difference between device and reference BP from 5 down to 3 mmHg.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2026-04-01Epub Date: 2025-12-09DOI: 10.1097/MBP.0000000000000787
Xue Du, Xiaoyue Wang, Xuan Li, Tengteng Li, Wenjie Lv, Zongzhi Yin
{"title":"Validation of the YuWell YE990 automatic oscillometric blood pressure monitor in mid-to-late pregnancy according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization Common Criteria (AAMI/ESH/ISO 81060-2:2018/Amd.1:2020).","authors":"Xue Du, Xiaoyue Wang, Xuan Li, Tengteng Li, Wenjie Lv, Zongzhi Yin","doi":"10.1097/MBP.0000000000000787","DOIUrl":"10.1097/MBP.0000000000000787","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to validate the accuracy of the YuWell YE990 automated oscillometric upper-arm blood pressure (BP) monitor in pregnant adults according to the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization Common Criteria Universal Standard (ISO 81060-2:2018 + Amd.1:2020).</p><p><strong>Methods: </strong>Participants with normotension, hypertension without proteinuria, or pre-eclampsia were enrolled in this study. BP measurements were performed using a calibrated mercury sphygmomanometer (reference) and a YE990 device (test) following a same-arm sequential protocol conducted by two trained observers.</p><p><strong>Results: </strong>A total of 46 participants (138 paired readings) were included in the final analysis. For criterion 1 of the standard, the mean difference between the test and reference devices was -2.9 ± 6.9 mmHg for systolic BP (SBP) and 0.0 ± 6.5 mmHg for diastolic BP (DBP), both within the required limits. For criterion 2, the subject-level SDs were 5.6 mmHg for SBP and 5.7 mmHg for DBP, also satisfying the ISO thresholds of 6.30 and 6.95 mmHg, respectively.</p><p><strong>Conclusion: </strong>YuWell YE990 met all accuracy criteria specified by the ISO 81060-2:2018 + Amd.1:2020 standard and is recommended for clinical use in pregnant populations.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"95-100"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145773362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Accuracy of the OMRON M2 Intelli IT+ (HEM-7146T2-EBK) device for self-blood pressure measurements in children and adult populations according to the International Organization for Standardization Universal Standard (ISO 81060-2:2018/AMD 2:2024) protocol.","authors":"Avag Avagyan, Parounak Zelveian, Jirar Topouchian, Zoya Hakobyan, Heghine Gharibyan, Roland Asmar","doi":"10.1097/MBP.0000000000000801","DOIUrl":"10.1097/MBP.0000000000000801","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the accuracy of the OMRON M2 Intelli IT+ (HEM-7146T2-EBK) brachial device for BP measurement in children and adults, according to the International Organization for Standardization (ISO) 81060-2:2018/AMD 2:2024 Standard.</p><p><strong>Methods: </strong>OMRON M2 Intelli IT+ is an oscillometric device designed to measure BP at the brachial level. This study adhered to the ISO 81060-2:2018/AMD 2:2024 protocol and employed the same arm sequential BP measurement method. A total of 85 participants meeting the protocol-specified age, sex, BP, and cuff distribution criteria were included. The accuracy analysis utilized criterion 1 and criterion 2 defined in the ISO protocol.</p><p><strong>Results: </strong>Eighty-seven individuals were selected; two were excluded because of high BP variability ( n = 1) and arrhythmia ( n = 1). Eighty-five participants (50 adults and 35 children) were included. Mean BP differences between the observer measurements were -0.1 ± 2.1/0.5 ± 1.9 mmHg [systolic BP (SBP)/diastolic BP (DBP)]. In the children and adult population ( n = 85), criterion 1, the mean BP differences between the reference measurements and the device were -2.1 ± 4.4/-0.3 ± 3.7 mmHg for SBP and DBP (≤5 ± 8 mmHg); criterion 2 was 3.1/2.9 mmHg for SBP and DBP (≤6.62/6.95 mmHg). In the children's population ( n = 35), criterion 1 values were -3.7 ± 4.0/-1.1 ± 4.1 mmHg for SBP and DBP (≤5 ± 8 mmHg).</p><p><strong>Conclusion: </strong>The OMRON M2 Intelli IT+ (HEM-7146T2-EBK) device meets the requirements of the ISO 81060-2:2018/AMD 2:2024 protocol, supporting its use in children and adults for home BP monitoring.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2026-04-01Epub Date: 2025-11-03DOI: 10.1097/MBP.0000000000000781
Mengjia Chen, Wenjie Wang, Lu Wang, Jin Bian, Wenjun Ma, Jingjing Bai, Ying Lou, Jun Cai
{"title":"Validation of the CONTEC08C oscillometric blood pressure monitor in adults according to the International Organization for Standardization 81060-2:2018 standard.","authors":"Mengjia Chen, Wenjie Wang, Lu Wang, Jin Bian, Wenjun Ma, Jingjing Bai, Ying Lou, Jun Cai","doi":"10.1097/MBP.0000000000000781","DOIUrl":"10.1097/MBP.0000000000000781","url":null,"abstract":"<p><p>This study aimed to assess the accuracy of the CONTEC08C automated oscillometric upper-arm sphygmomanometer in adults for clinical use in accordance with the ISO 81060-2:2018 standard. A total of 90 normotensive and hypertensive participants aged 18-75 years were recruited, and 85 were analyzed to evaluate the accuracy of the CONTEC08C oscillometric upper-arm sphygmomanometer using the same arm sequential validation method and a standardized protocol. The mean ± standard deviation (SD) of the differences between the test device and reference blood pressure (BP) measurements was 0.5 ± 3 mmHg for SBP and 0.4 ± 3.5 mmHg for DBP, meeting validation criterion 1. For validation criterion 2, the SD of the averaged differences between the test device and reference BP measurements per subject was 1.81/2.41 mmHg (systolic/diastolic). The CONTEC08C oscillometric upper-arm blood pressure monitor fulfilled the requirements of the ISO 81060-2:2018 standard in adults in the clinical setting and can therefore be recommended for safe clinical use.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"86-89"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2026-04-01Epub Date: 2025-12-10DOI: 10.1097/MBP.0000000000000788
José Carlos Tavares Júnior, Luan Morais Azevêdo, Rodrigo Miguel-Dos-Santos, Gilene de Jesus Pereira, Akeline Santos de Almeida, Aluísio Andrade-Lima, Rogério Brandão Wichi
{"title":"A single session of multijoint exercises induces prolonged hypotension in medicated hypertensive postmenopausal women: a pilot study.","authors":"José Carlos Tavares Júnior, Luan Morais Azevêdo, Rodrigo Miguel-Dos-Santos, Gilene de Jesus Pereira, Akeline Santos de Almeida, Aluísio Andrade-Lima, Rogério Brandão Wichi","doi":"10.1097/MBP.0000000000000788","DOIUrl":"10.1097/MBP.0000000000000788","url":null,"abstract":"<p><strong>Background: </strong>Isometric exercise has emerged as an effective strategy for blood pressure (BP) management, offering potential advantages over traditional exercise modalities; however, evidence regarding its 24-h effects in medicated hypertensive postmenopausal women remains limited.</p><p><strong>Objective: </strong>This study investigated the effects of a single session of multijoint isometric exercise on 24-h ambulatory hemodynamic variables in medicated hypertensive postmenopausal women.</p><p><strong>Methods: </strong>In this randomized crossover trial, 10 medicated hypertensive postmenopausal women (59 7 years) completed two experimental sessions: an isometric exercise session and a control session. The isometric exercise consisted of six multijoint exercises (upper and lower limbs), each performed for three sets of 1 min at 30% of 1-repetition maximum, with 2-min rest intervals. The control session involved sitting at rest for an equivalent duration. Following each session, 24-h ambulatory BP monitoring was conducted.</p><p><strong>Results: </strong>Significant systolic BP reductions were observed following the isometric exercise session compared with the control session at 1 h ( P < 0.05), 6 h ( P < 0.05), and 24 h ( P < 0.05). Diastolic BP was also reduced at 1 h ( P < 0.05) and 12 h ( P < 0.05). Both awake and asleep periods showed significant BP reductions for systolic and diastolic BP (all, P < 0.05).</p><p><strong>Conclusion: </strong>A single session of multijoint isometric exercise effectively reduces ambulatory BP over a 24-h period in medicated hypertensive postmenopausal women, including both awake and asleep periods. These findings support the potential clinical utility of isometric exercise as an adjunctive strategy for BP management in this population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"71-77"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145773393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2026-04-01Epub Date: 2025-02-25DOI: 10.1097/MBP.0000000000000783
Ariadni Menti, Dimitrios Mariglis, Anastasios Kollias, George S Stergiou
{"title":"Investigation of different cuffs in validation studies of electronic blood pressure monitors.","authors":"Ariadni Menti, Dimitrios Mariglis, Anastasios Kollias, George S Stergiou","doi":"10.1097/MBP.0000000000000783","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000783","url":null,"abstract":"","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"31 2","pages":"102-103"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147289184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2026-04-01Epub Date: 2025-11-11DOI: 10.1097/MBP.0000000000000782
Cengizhan Gungor, Ezgi Akyildiz Tezcan, Önder Murat Özerbil, Abdullah Tuncez
{"title":"Improving cardiovascular autonomic function in postmenopausal women with hypertension: a pilot study of supervised versus home-based aerobic exercise.","authors":"Cengizhan Gungor, Ezgi Akyildiz Tezcan, Önder Murat Özerbil, Abdullah Tuncez","doi":"10.1097/MBP.0000000000000782","DOIUrl":"10.1097/MBP.0000000000000782","url":null,"abstract":"<p><strong>Objective: </strong>Arterial hypertension is a major global cause of cardiovascular disease, a risk heightened by postmenopausal physiological changes. Although aerobic exercise is protective, its optimal intensity, duration, and supervision for hypertensive postmenopausal women remain unclear. This study, therefore, compares a supervised intensive aerobic program with a home-based regimen, assessing their effects on key cardiac health indicators in this population.</p><p><strong>Methods: </strong>In this single-center pilot randomized controlled trial, we enrolled 31 postmenopausal women. Participants were divided into two groups: one underwent a 6-week supervised intensive aerobic exercise program, and the other followed a home-based exercise regimen. Key outcome measures included cardiorespiratory endurance, heart rate variability, and blood pressure variability. Outcome measures were evaluated at weeks 6 and 12. Intra-group and inter-group comparisons were evaluated using appropriate statistical methods.</p><p><strong>Results: </strong>After 12 weeks, the supervised exercise group showed significant improvements in VO 2 max ( P = 0.003), metabolic equivalents (METs) ( P = 0.002), and standard deviation of normal-to-normal intervals (SDNN) values ( P = 0.034) at both the 6th and 12th weeks. However, the sole significant inter-group difference was a greater reduction in 24-hour SBP variability (SBP-SD) in the supervised arm (Δ -0.95 ± 1.15 vs. + 1.54 ± 0.94 mmHg; P = 0.041), driven mainly by the week 6-12 interval ( P = 0.004).</p><p><strong>Conclusion: </strong>Supervised intensive aerobic exercise produced clear within-group gains in VO₂ max, METs, and SDNN, and it reduced 24-hour SBP variability relative to home-based walking. Although between-group differences for the primary fitness and autonomic outcomes were not statistically significant in this pilot, the pattern suggests that a supervised, tailored program may confer additional clinical benefit and merits evaluation in a larger trial.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"53-60"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145501733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2026-04-01Epub Date: 2025-11-13DOI: 10.1097/MBP.0000000000000785
Olga Posnenkova, Margarita Simonyan, Nataliya Akimova
{"title":"Validation of B.Well PRO-33 oscillometric blood pressure monitor for professional office use in the general population in accordance with Amendment 2 of the Standard 81060-2:2018 by the International Organization for Standardization (ISO 81060-2:2018/AMD 2:2024).","authors":"Olga Posnenkova, Margarita Simonyan, Nataliya Akimova","doi":"10.1097/MBP.0000000000000785","DOIUrl":"10.1097/MBP.0000000000000785","url":null,"abstract":"<p><p>We aimed to evaluate the accuracy of B.Well PRO-33 (B.Well, Widnau, Switzerland) oscillometric device for professional office measurement of blood pressure (BP) on the upper arm in the general population in accordance with the Amendment 2.2024-01 of the Standard 81060-2:2018 by the International Organization for Standardization (ISO 81060-2:2018/AMD 2:2024). Study participants were recruited according to the age, gender, BP, and cuff distribution requirements of the ISO 81060-2:2018/AMD 2:2024 in the general population using the sequential BP measurement method on the same arm. The test device was used with one universal cuff for arm circumferences of 22-42 cm. We chose aneroid sphygmomanometers Riester Big Ben Square Desk (Rudolf Riester, Jungingen, Germany) with small, medium and large cuffs and Welch Allyn 767 Desk (Welch Allyn, Skaneateles Falls, NY, USA) with a large adult cuff for arm circumferences of 22-37 and 38-42 cm, respectively, as control devices. We enrolled 112 study subjects, of whom 85 were analyzed. For validation criterion 1, the mean ± SD of the differences between the readings of the tested device and reference BP (systolic/diastolic; threshold ≤5 ± 8 mmHg; N = 255) was 1.7 ± 5.4/1.8 ± 5.7 mmHg. For validation criterion 2, the SD of the mean BP difference between the tested device and reference BP readings per subject (systolic/diastolic; threshold ≤ 6.73/6.71 mmHg; N = 85) was 4.7/4.7 mmHg. B.Well PRO-33 professional office BP monitor met the requirements of the ISO 81060-2:2018/AMD 2:2024 for the general population, and therefore can be recommended for clinical use.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"90-94"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145501765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of nocturnal hypertension with daytime blood pressure threshold and patient characteristics assessed by home blood pressure monitoring.","authors":"Tomohide Sato, Satoshi Hoshide, Ryusuke Ae, Kazuomi Kario","doi":"10.1097/MBP.0000000000000790","DOIUrl":"10.1097/MBP.0000000000000790","url":null,"abstract":"<p><strong>Objectives: </strong>Nocturnal hypertension, especially with well-controlled daytime blood pressure (BP), has emerged as a significant risk factor for cardiovascular disease. This study investigated its prevalence by morning home BP cut-off values and examined associated patient characteristics using data from the Japan Morning Surge-Home Blood Pressure (J-HOP) study.</p><p><strong>Methods: </strong>This post hoc analysis included 2675 participants from the J-HOP study who had complete data on nighttime home BP, measured using validated automatic oscillometric devices. Nocturnal hypertension was defined as a nighttime systolic BP greater than or equal to 120 mmHg and diastolic BP greater than or equal to 70 mmHg.</p><p><strong>Results: </strong>Among the participants, 60.5% had nocturnal hypertension. The proportion of patients with nocturnal hypertension decreased as the cut-off value for morning home BP was lowered: 40.5, 32.1, 23.7, and 14.6% for less than 135/85 mmHg, less than 130/80 mmHg, less than 125/75 mmHg, and less than 120/70 mmHg, respectively. The prevalence of nocturnal hypertension was significantly higher in individuals with diabetes compared with those without, at morning home BP thresholds of less than 135/85 mmHg (48.1 vs. 39.3%; P = 0.03) and less than 130/80 mmHg (41.0 vs. 30.6%; P = 0.01). Individuals taking diuretics had a significantly lower prevalence of nocturnal hypertension compared with those not taking diuretics, at a morning home BP threshold of less than 135/85 mmHg (35.3 vs. 42.9%; P = 0.01).</p><p><strong>Conclusion: </strong>A considerable number of patients continued to show nocturnal hypertension even at lower morning home BP thresholds. Diabetes may contribute to nocturnal hypertension despite well-controlled morning BP, while diuretic use may help prevent it.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"78-85"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}