Among adults meeting office BP criteria for white coat or masked hypertension screening, only 3.6% to 22.6% across two cohorts had 3 or more ideal lifestyle factors.
Cross-Sectional (n=2,463)
Yes
A minority of patients meeting 2017 ACC/AHA criteria for ambulatory blood pressure monitoring to screen for white coat or masked hypertension have ideal lifestyle factors, highlighting a significant gap in lifestyle modification.
BACKGROUND: The 2017 American College of Cardiology/American Heart Association blood pressure (BP) guideline recommends ambulatory BP monitoring to exclude white coat hypertension (WCH) among adults with office systolic BP (SBP)/diastolic BP (DBP) of 130-159/80-99 mm Hg, and masked hypertension (MHT) among adults with office SBP/DBP of 120-129/75-79 mm Hg after a 3-month trial of lifestyle modification. We estimated the proportion of individuals with ideal lifestyle factors among those who meet these office BP criteria. METHODS: We analyzed data from participants not taking antihypertensive medication in the Coronary Artery Risk Development in Young Adults (CARDIA) and Jackson Heart Study (JHS) who met the office BP criteria for screening for WCH (CARDIA n = 490, JHS n = 873) and MHT (CARDIA n = 486, JHS n = 614). We estimated the prevalence of lifestyle factors including ideal body mass index (BMI), physical activity, diet, and alcohol use among participants who met office BP criteria for WCH or MHT screening. RESULTS: Among participants who met office BP criteria for WCH screening, 15.5% in CARDIA and 3.6% in JHS had 3 or more ideal lifestyle factors. Among participants who met office BP criteria for MHT screening, 22.6% in CARDIA and 4.7% in JHS had 3 or more ideal lifestyle factors. Ideal BMI, diet, and physical activity were present in less than half of participants in each sample. CONCLUSIONS: Few participants who met office BP criteria for the screening of WCH or MHT had ideal lifestyle factors.
Cohen et al. (Thu,) conducted a cross-sectional in White coat hypertension and masked hypertension screening (n=2,463). Office BP criteria for WCH or MHT screening was evaluated on Prevalence of 3 or more ideal lifestyle factors (ideal BMI, physical activity, diet, and alcohol use). Among adults meeting office BP criteria for white coat or masked hypertension screening, only 3.6% to 22.6% across two cohorts had 3 or more ideal lifestyle factors.
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