Prevalence and characteristics of isolated nocturnal hypertension in the general population

Moo Yong Rhee, Je Sang Kim, Chee Hae Kim, Ji Hyun Kim, Jung Ha Lee, Sun Woong Kim, Deuk Young Nah, Namyi Gu, Eun Joo Cho, Ki Chul Sung, Kyung Soon Hong

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background/Aims: Ascertaining the prevalence of isolated nocturnal hypertension (INHT) in the general population and identifying the characteristics of patients with INHT may be important to determine patients who should receive 24-hour ambulatory blood pressure (BP) measurements. This study aimed to evaluate the prevalence and characteristics of INHT in the general population. Methods: Of 1,128 participants (aged 20 to 70 years), we analyzed 823 who had valid 24-hour ambulatory BP measurements and were not on antihypertensive drug treatment. Results: The prevalence of INHT in the study was 22.8%. Individuals with INHT had a higher office, 24-hour, and daytime and nighttime ambulatory systolic and diastolic BPs compared to individuals with sustained day-night normotension. INHT was more prevalent in individuals with masked hypertension (MH) than in those with sustained hypertension (59.8% vs. 15.6%, p < 0.001). Among individuals with INHT, 92.6% had MH. Among individuals with office BP-based prehyper-tension, 34.5% had both INHT and MH. The prevalence of INHT was highest in individuals with office BP-based prehypertension. INHT was an independent determinant of MH after adjustment for age, sex, body mass index, diabetes, low-density-lipoprotein cholesterol, 24-hour systolic and diastolic BP, systolic and diastolic BP dipping, and systolic and diastolic BP non-dipping. Conclusions: The present study showed that INHT is not uncommon and is a major determinant of MH. Our findings strongly suggest the use of 24-hour ambulatory BP measurement for individuals within the prehypertension range of office BP owing to the high prevalence of INHT and MH in this population.

Original languageEnglish
Pages (from-to)1126-1133
Number of pages8
JournalKorean Journal of Internal Medicine
Volume36
Issue number5
DOIs
StatePublished - Sep 2021

Keywords

  • Ambulatory blood pressure monitoring
  • Masked hyperten-sion
  • Nocturnal
  • Prehypertension

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