Male sex (OR 2.05; 95% CI 1.67-2.53; p<0.001), overweight, and obesity were independently associated with a lack of global blood pressure control on ambulatory monitoring.
Observational (n=1,672)
No
Male sex and excess body weight are independently associated with poorer blood pressure control in patients undergoing ambulatory blood pressure monitoring.
Odds Ratio: 2.05 (95% CI 1.67–2.53)
p-value: p=<0.001
Objective: To describe the temporal evolution of ABPM use, BP control rates, and the prevalence of circadian BP patterns in a specialized outpatient clinic. Design and method: Retrospective study of ABPM records performed between 2000-2024. Adequate BP and control and circadian patterns were defined according to guidelines. For each year, control rates (global, daytime, and nighttime) were calculated as the percentage of controlled ABPMs and expressed as control per 100 ABPMs performed. Trends were analyzed by year, sex, and age group (70 years). Proportions were compared using the chi-square test. A multivariable logistic regression model was constructed to identify factors associated with lack of global blood pressure control, adjusting for age, sex, body mass index (BMI), and annual number of ABPMs. Results: The number of ABPMs increased progressively until 2019, followed by a marked decline in 2020 due to the COVID-19 pandemic and a partial recovery thereafter. Temporal trends in 24-hour, daytime, and nighttime BP control are shown in Figure 1.Dipper patterns was more frequent in women, whereas non-dipper and riser patterns predominated in men. The non-dipper pattern was the most prevalent across all age groups, particularly among patients younger than 40 years (∼55%). The prevalence of the riser pattern increased with age. The youngest (70 years) age groups showed higher control rates (∼45% and ∼41%, respectively) compared with the intermediate group (40–69 years), which had lower control rates (∼33–35%). In multivariable logistic regression analysis for lack of global BP control (N = 1,672), male sex (OR 2.05; 95% CI 1.67–2.53; p<0.001), overweight (OR 1.47; 95% CI 1.13–1.90; p=0.004), obesity (OR 1.39; 95% CI 1.07–1.82; p=0.014), and a higher annual number of ABPMs (OR 1.004; 95% CI 1.002–1.006; p<0.001) were independently associated with poorer blood pressure control. Age was not a significant predictor (p=0.497). Conclusions: The use of ABPM increased over the last two decades, with a marked decline during the COVID-19 pandemic. Male sex, excess body weight, and a higher annual number of ABPMs were associated with poorer BP control.
Prades et al. (Fri,) conducted a observational in Hypertension (n=1,672). Male sex vs. Female sex was evaluated on Lack of global blood pressure control (OR 2.05, 95% CI 1.67-2.53, p=<0.001). Male sex (OR 2.05; 95% CI 1.67-2.53; p<0.001), overweight, and obesity were independently associated with a lack of global blood pressure control on ambulatory monitoring.