Blood Pressure最新文献

{"title":"Sociodemographic factors, comorbidities, and biochemical parameters associated with poor adherence to antihypertensive treatment among university employees from Southeast Mexico: a cross-sectional study.","authors":"César Augusto Cortez-Gómez, Manuel Alejandro Flores-Barrada, José Arnold González-Garrido, Rosa Giannina Castillo-Avila, Carlos Javier López-Victorio, Pedro Iván Arias-Vázquez, Juan Gabriel Tejas-Juárez, Eduardo De la Cruz-Cano, José Alfredo Díaz-Gandarilla","doi":"10.1080/08037051.2025.2600736","DOIUrl":"10.1080/08037051.2025.2600736","url":null,"abstract":"<p><strong>Purpose: </strong>Poor adherence to antihypertensive treatment is one of the leading causes of life-threatening complications in individuals with hypertension. Therefore, investigating the factors involved is essential. This study aimed to identify sociodemographic factors, comorbidities, and biochemical parameters associated with poor adherence to antihypertensive treatment among university employees in southeastern Mexico.</p><p><strong>Methods: </strong>A total of 259 hypertensive employees were included and grouped according to their level of adherence-high, moderate, or poor-using the MMAS-8 Scale. For group comparisons, the Kruskal-Wallis and χ² tests were used for continuous and categorical variables, respectively. To quantify the strength of these associations, a univariate binary logistic regression was performed, considering those variables that were significant in the preliminary comparative analyses. Additionally, to reinforce these observations, receiver operating characteristic (ROC) curves were constructed to evaluate the discriminative ability of biochemical parameters significantly associated with treatment adherence.</p><p><strong>Results: </strong>A higher prevalence of hypertensive employees with low educational and occupational status was observed in the poor-adherence group, with obesity and dyslipidaemia being the most frequent comorbidities among them. Elevated blood glucose, uric acid, and lipid levels were also significantly associated with poor adherence (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Educational institutions and healthcare systems should pay special attention to this working population, including, among other measures, medical follow-up, periodic monitoring of biochemical parameters, and the implementation of lifestyle changes.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2600736"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145686999","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":"The effect of acupuncture on 24-hour ambulatory blood pressure and circadian rhythm in patients with essential hypertension: a systematic review and meta-analysis of randomised controlled trials.","authors":"Huawei Gao, Zhihong Li, Wenxiang Zhan, Fangfang Shen, Yan Lu, Wei Chen","doi":"10.1080/08037051.2025.2605798","DOIUrl":"10.1080/08037051.2025.2605798","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of acupuncture on 24-hour ambulatory blood pressure (BP) and its circadian rhythm in patients with essential hypertension (EH).</p><p><strong>Methods: </strong>A systematic search was conducted across five English databases (PubMed, the Cochrane Library, Embase, Web of Science, and The National Library of Medicine) and four Chinese databases (China National Knowledge Infrastructure, Wanfang Database, Chinese Biomedical Literature Database, and VIP Chinese Science and Technology Journal Full-Text Database). The search period for each database was from inception to 31 May 2025. A meta-analysis was performed using RevMan 5.4.1 software.</p><p><strong>Results: </strong>A total of 13 randomised controlled trials, involving 1,080 patients with EH, were included. The meta-analysis results showed that compared with the control group, the experimental (acupuncture) group demonstrated significantly lower values in the following parameters: 24-hour average systolic BP (SBP) (MD = -3.57, 95% confidence interval [CI]: -5.04 to -2.10, <i>p</i> < 0.001), 24-hour average diastolic BP (DBP) (MD = -3.61, 95% CI: -5.12 to -2.10, <i>p</i> < 0.001), 24-hour SBP variability (MD = -1.15, 95% CI: -1.57 to -0.73, <i>p</i> < 0.001), 24-hour DBP variability (MD = -0.96, 95% CI: -1.27 to -0.65, <i>p</i> < 0.001), 24-hour SBP load (MD = -3.47, 95% CI: -5.76 to -1.17, <i>p</i> = 0.003) and 24-hour DBP load (MD = -2.20, 95% CI: -4.08 to -0.31, <i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>Compared with Western medication alone, acupuncture combined with Western medication shows significant advantages in improving ambulatory BP parameters, including 24-hour average BP, 24-hour BP variability, 24-hour BP load, and the BP circadian rhythm.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2605798"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762087","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":"Patient engagement with home blood pressure monitoring - cannot have been properly assessed during the pandemic.","authors":"Julian Eek Mariampillai, Camilla Lund Søraas, Sverre E Kjeldsen","doi":"10.1080/08037051.2026.2631272","DOIUrl":"10.1080/08037051.2026.2631272","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2631272"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146155779","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":"Differences in inpatient hypertension management practices between specialists and non-specialists in Zhejiang Province, China.","authors":"Yue Wu, Cheng Tong, Jie Wang, Dongming Lin, Liming He, Xinxin Shi, Yucheng Wang, Huiling Huang, Li Zhang, Xing Zhou, Renzhao Wu, Shuwei Huang","doi":"10.1080/08037051.2026.2682029","DOIUrl":"10.1080/08037051.2026.2682029","url":null,"abstract":"<p><p><i>Objective</i> To investigate the differences in management practices for hospitalised hypertensive patients between cardiovascular specialists and non-specialists, identify key determinants affecting the quality of blood pressure (BP) control, and offer evidence-based recommendations to support the standardisation of hypertension management protocols. <i>Methods</i> A retrospective analysis was conducted on the medical records of 500 inpatients with essential hypertension at Zhejiang Provincial People's Hospital in January 2022. BP control rates, drug adjustments and monitoring practices were compared between specialist and non-specialist treatment groups. Statistical analyses were performed using SPSS version 25.0, with variance analysis for continuous variables and chi-square tests for categorical variables. Multivariable logistic regression was used to identify independent predictors of BP control at discharge. <i>Results</i> At admission, the overall BP control rate was 36.2%, with no significant difference between the non-specialist and specialist groups (37.5% <i>vs</i>. 34.0%, <i>p</i> > 0.05). At discharge, the specialist group demonstrated a significantly higher BP control rate than the non-specialist group (72.9% <i>vs</i>. 63.0%, <i>p</i> < 0.05). The specialist group also showed significantly higher rates of drug adjustment (72.9% <i>vs.</i> 20.2%), combination therapy (84.0% <i>vs</i>. 49.8%), and completeness of discharge instructions (90.4% <i>vs.</i> 28.5%) compared to the non-specialist group (all <i>p</i> < 0.01). In multivariable logistic regression, specialist care remained independently associated with achieving target BP (aOR = 1.755, 95% CI: 1.129-2.728, <i>p</i> = 0.012), while diabetes, stroke/transient ischaemic attack (TIA), chronic kidney disease (CKD) and higher hypertension grade were identified as independent risk factors for poor BP control. <i>Conclusions</i> Cardiovascular specialists achieved significantly better BP control through more frequent drug adjustments and optimised combination therapy regimens. Non-specialists exhibited deficiencies in monitoring, medication regimen optimisation and follow-up management. It is recommended to enhance standardised training for non-specialists in hypertension management to improve overall hypertension prevention and control.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2682029"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148101186","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 between urine triclocarban concentration and the prevalence of hypertension based on a cross-sectional study.","authors":"Ming Yang, Guangwei Xia, Shenglan Zhou, Lin Du","doi":"10.1080/08037051.2026.2629115","DOIUrl":"10.1080/08037051.2026.2629115","url":null,"abstract":"<p><strong>Background: </strong>There is a correlation between triclocarban exposure and adverse health effects, but the association between triclocarban and hypertension remains unknown. This study is to investigate the relationship between urinary triclocarban and the risk of hypertension in adults.</p><p><strong>Methods: </strong>Participants were enrolled from the National Health and Nutrition Examination Surveys. The urinary concentrations of triclocarban were measured by derivatization gas chromatography-mass spectrometry. Odds ratio (OR) and 95% confidence interval (CI) of urinary triclocarban associating with hypertension were estimated with by multivariable logistic regressions. Non-linear correlations were explored using restricted cubic splines. Subgroup analysis was carried out to examine the interactive effects.</p><p><strong>Results: </strong>The highest tertiles of triclocarban comparing the lowest tertiles was associated with higher risk of hypertension in unadjusted model (OR 1.93, 95%CI 1.53 to 2.44; <i>p</i> < 0.001), partly-adjusted model (OR 1.48, 95%CI 1.11 to 1.97; <i>p</i> = 0.008), and fully-adjusted model (OR 1.31, 95%CI 1.02 to 1.80; <i>p</i> = 0.043). Subgroup analysis showed that the relationship was consistent across gender, age, race, and BMI groups.</p><p><strong>Conclusions: </strong>Urinary triclocarban was associated with the prevalence of hypertension, after adjusting for traditional risk factors.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2629115"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123554","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":"A consensus statement from the Portuguese Society of Hypertension and the Portuguese Society of Cardiology for bridging the 2023-2025 hypertension Guidelines in clinical practice.","authors":"Heloísa Ribeiro, Eduardo Matos Vilela, Fernando Martos Gonçalves, Cristina Gavina, Rosa de Pinho","doi":"10.1080/08037051.2026.2624257","DOIUrl":"10.1080/08037051.2026.2624257","url":null,"abstract":"<p><strong>Background: </strong>Effective management of arterial hypertension remains a major global health priority. In the need to improve real-world implementation of best practices, three international organisations have released independent clinical practice guidelines: the European Society of Hypertension (ESH, 2023), the European Society of Cardiology (ESC, 2024) and the American College of Cardiology/American Heart Association (AHA/ACC, 2025).¹.</p><p><strong>Aim and methods: </strong>This society-endorsed consensus document, jointly developed by the Portuguese Society of Hypertension and the Portuguese Society of Cardiology, aims to harmonise partially divergent hypertension guidelines into applicable recommendations. It provides a pragmatic comparative synthesis of the 2023-2025 guidelines, structured according to the M.A.P.E. framework (Measure, Assess, Prescribe, Evaluate), to support decision-making in clinical practice.</p><p><strong>Results: </strong>Across European guidelines, there is a strong alignment in the definition of hypertension (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), CV risk stratification, lifestyle interventions, and first-line use of combination therapy of two drugs out of four. Divergences arise in BP classification systems, initiation thresholds, dosing strategies and target BP goals. The 2025 AHA/ACC Guidelines differ by adopting lower diagnostic and treatment thresholds (≥130/80 mmHg) and early pharmacological intervention based on individual CV risk. This consensus acknowledges differences and supports a risk-based approach grounded in randomised trial evidence, feasibility in routine clinical practice, and patient safety, recognising office BP as the basis for treatment decisions.</p><p><strong>Conclusions: </strong>This consensus aims to reduce clinical uncertainty and optimise hypertension management in real-world practice providing clear and evidence-informed clinical recommendations.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"35 1","pages":"2624257"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146177628","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":"Reassessing blood pressure control: the role of long-term blood pressure variability and time in target range.","authors":"Konstantinos Sideris, Ioannis Andrikou, Konstantinos Tsioufis","doi":"10.1080/08037051.2026.2653312","DOIUrl":"10.1080/08037051.2026.2653312","url":null,"abstract":"<p><strong>Purpose: </strong>This review summarizes current evidence on visit-to-visit blood pressure variability (BPV) and blood pressure time in target range (TTR) as complementary measures of blood pressure (BP) control, and to evaluate their ability to predict cardiovascular (CV) risk beyond mean BP values in hypertensive populations.</p><p><strong>Materials and methods: </strong>We performed a narrative review of observational studies, post-hoc analyses of randomised clinical trials, and population-based cohorts evaluating long-term systolic BPV and TTR in relation to adverse CV outcomes. Evidence comparing BPV and TTR, including studies assessing their combined prognostic value, was synthesised to examine their relative and complementary roles in CV risk prediction beyond mean BP levels.</p><p><strong>Results: </strong>Long-term systolic visit-to-visit BPV has been consistently associated with increased risks of CV morbidity, mortality, stroke, and cognitive decline, independent of mean BP. Similarly, higher systolic TTR has been associated with lower risks of all-cause mortality, CV events, heart failure, and composite CV outcomes across diverse populations and BP monitoring strategies. Studies evaluating both indices concurrently demonstrate that BPV and TTR provide independent and complementary prognostic information, with patients exhibiting low TTR and high BPV experiencing the highest CV risk. While TTR reflects the duration and stability of BP control within target ranges, BPV captures the magnitude of BP fluctuations, aspects not fully conveyed by average BP values alone.</p><p><strong>Conclusion: </strong>BPV and TTR represent complementary, clinically meaningful measures that improve CV risk stratification beyond mean BP. Their integration into routine hypertension management may enhance identification of residual risk, and support more individualized treatment strategies .</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2653312"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589749","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":"Thermal management perspective on 'heat waves and hypertension management in Europe. Do we need \"Hot Day recommendations\"?'","authors":"Shalom Akhai","doi":"10.1080/08037051.2026.2715840","DOIUrl":"10.1080/08037051.2026.2715840","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2715840"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148688548","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 sleep duration and hypertension in older adults: a cross-sectional study.","authors":"Xiang Wang, Cailing Chen, Jianbang Shi, Weiyun Zhao, Miao Dai","doi":"10.1080/08037051.2026.2717792","DOIUrl":"10.1080/08037051.2026.2717792","url":null,"abstract":"<p><strong>Objective: </strong>Sleep duration, a modifiable lifestyle factor, has been variably associated with blood pressure regulation, yet evidence among the oldest-old populations remains limited and inconsistent. This study aims to investigate the association between self-reported sleep duration and hypertension in a large cohort of Chinese older adults.</p><p><strong>Methods: </strong>We analysed cross-sectional data from the 2008 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). A total of 15,650 participants aged 65 years and older were included. Sleep duration was self-reported and categorised as <6 h, 6-8 h, and ≥9 h. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg, or a self-reported physician diagnosis. Multivariate logistic regression models were used to evaluate the associations. Restricted cubic splines were applied to model non-linearity.</p><p><strong>Results: </strong>Among 15,650 participants (mean age 87.16 years, SD 11.36; 57.0% female), 7,345 (46.9%) met criteria for hypertension. In the fully adjusted model, short sleep duration (<6 h) was associated with a 1.30-fold higher odds of hypertension compared with sleeping 6-9 h (adjusted odds ratio [OR] 1.30; 95% confidence interval [CI] 1.17, 1.44). Long sleep duration (≥9 h) showed no statistically significant association after full adjustment (OR 1.04; 95% CI 0.97, 1.12). The relationship followed a non-linear J-shaped curve (<i>p</i> for non-linearity < 0.05). Interaction analyses revealed that the effect of short sleep duration on hypertension was more pronounced among adults with no limitations in activities of daily living (p for interaction = 0.009).</p><p><strong>Conclusion: </strong>Short sleep duration (<6 h) is independently associated with hypertension in Chinese older adults. These findings suggest sleep assessment may help identify older adults at hypertension risk, and support future trials on sleep hygiene for hypertension prevention.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2717792"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148719988","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":"Health literacy and its role in promoting medication adherence among hypertension patients.","authors":"Majdi M Alzoubi, Renad Mohammed, Marwa Al Barmawi, Hasan Abualruz, Khalid Al Mugheed, Mohammad Alzoubi, Maram Alzoubi, Nadiah A Baghdadi, Sally Mohammed Farghaly Abdelaliem","doi":"10.1080/08037051.2026.2653314","DOIUrl":"10.1080/08037051.2026.2653314","url":null,"abstract":"<p><strong>Background: </strong>Health literacy (HL) is considered as one of the most important approaches for individual, societal, and systemic behaviour changes that promote drug adherence. This study conducted to examined the association between health literacy and medication adherence among hypertension patients.</p><p><strong>Methods: </strong>A cross-sectional design was utilised among 175 hypertensive patients from three public hospitals. The data collection was done for a duration of six weeks between February and March 2025, by using two tools High Blood Pressure Health Literacy Scale (HBP-HLS) and the Medication Adherence Report Scale (MARS-5), <i>via</i> self-reported methods. Descriptive statistics, Pearson's correlation coefficients, and multiple linear regression were performed.</p><p><strong>Results: </strong>The majority of the respondents were female (<i>n</i> = 100, 57.1%), with mean age was 58.4 years. The mean blood pressure readings of 142.3/87.1 mmHg. The mean total score was 22.56 (SD = 3.12) out of a possible 25, indicating a relatively high average level of self-reported adherence. In terms of total health literacy, participants had a mean total score of 30.76 out of 43 (SD = 6.42). A statistically significant with positive correlation between health literacy and medication adherence (<i>r</i> = 0.28, <i>p</i> < 0.01). Comorbidities, number of medications, educational level, income, and BMI were strong independent predictor for health literacy.</p><p><strong>Conclusion: </strong>Policymakers are advised to prioritise health literacy improving interventions through tailored education, simplified treatment regimens, and community-based support systems to promote sustainable, equitable hypertension care across diverse populations.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"35 1","pages":"2653314"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833077","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}