Low Concordance Between Blood Pressures Measured in Periodic Health Examinations and in a Workplace-Based Hypertension Management Program

作     者：Jun-Xiang Chen Yan-Feng Zhou Tingting Geng Simiao Chen Shuohua Chen Guodong Wang Yan-Bo Zhang Yi Wang Zhou-Zheng Tu Gang Liu Shouling Wu An Pan 

作者机构：Department of Epidemiology and BiostatisticsMinistry of Education Key Laboratory of Environment and HealthSchool of Public HealthTongji Medical CollegeHuazhong University of Science and Technology13 Hangkong RoadWuhan 430030HubeiChina Heidelberg Institute of Global HealthFaculty of Medicine and University HospitalHeidelberg University44883 HeidelbergGermany Department of CardiologyKailuan General HospitalNorth China University of Science and Technology57 Xinhua East RoadTangshan 063000HebeiChina Department of Nutrition and Food HygieneHubei Key Laboratory of Food Nutrition and SafetySchool of Public HealthTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430040HubeiChina 

出 版 物：《Phenomics》 (表型组学（英文）)

年 卷 期：2022年第2卷第6期

页      面：419-429页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：supported by National Natural Science Foundation of China(81930124 and 82021005) Shanghai Municipal Science and Technology Major Project(Grant No.2017SHZDZX01) 

主　　题：Hypertension Physical examination Blood pressure determination Guideline adherence 

摘      要：Poor adherence to standard protocols of blood pressure(BP)measurement in routine clinical practice leads to higher readings than“research-quality*** this phenomenon exists in periodic health examinations was *** aimed to explore the concordance between BP measurements in periodic health examinations and those measured following a standard measurement *** used data from the Kailuan Study,an ongoing longitudinal cohort study in China,of which participants received biennial health examinations in health management *** addition,BPs were measured following standard protocols in a workplace-based hypertension management program nested in the Kailuan *** compared BP readings of the same person between the two settings using generalized linear mixed-effects models.A total of 3988 men(the mean age was 44.9 years)had at least two BP measurements both in health examinations and management program with a time interval between the two settings that less than 90 *** mean systolic blood pressures(SBP)and diastolic blood pressures(DBP)in health examinations were 4.2(95%CI 3.9–4.5)mm Hg and 3.3(95%CI 3.1–3.5)mm Hg higher than those in the management program,***–Altman analyses showed the wide agreement inter-vals ranging from-27.7-to 36.5-mm Hg for SBP and-18.3-to 24.7-mm Hg for *** conclusion,BP measurements in periodic health examinations were generally higher than BPs measured following a standard *** findings highlight the importance of standard BP measurement to avoid overestimation of hypertension prevalence and treatment initiation.