Nondipping pattern and carotid atherosclerosis in a middle-aged population: OPERA Study.
Identifieur interne : 000898 ( Ncbi/Merge ); précédent : 000897; suivant : 000899Nondipping pattern and carotid atherosclerosis in a middle-aged population: OPERA Study.
Auteurs : Riitta-Liisa Vasunta [Finlande] ; Y Antero Kes Niemi ; Antti Ylitalo ; Olavi UkkolaSource :
- American journal of hypertension ; 2012.
English descriptors
- KwdEn :
- Adult, Arteriosclerosis, Blood Pressure (physiology), Blood Pressure Monitoring, Ambulatory, Body Mass Index, Carotid Arteries (ultrasonography), Carotid Artery Diseases (etiology), Carotid Artery Diseases (pathology), Carotid Intima-Media Thickness, Case-Control Studies, Circadian Rhythm, Cohort Studies, Female, Humans, Hypertension (physiopathology), Male, Middle Aged, Smoking, Tunica Intima (ultrasonography).
- MESH :
- etiology : Carotid Artery Diseases.
- pathology : Carotid Artery Diseases.
- physiology : Blood Pressure.
- physiopathology : Hypertension.
- ultrasonography : Carotid Arteries, Tunica Intima.
- Adult, Arteriosclerosis, Blood Pressure Monitoring, Ambulatory, Body Mass Index, Carotid Intima-Media Thickness, Case-Control Studies, Circadian Rhythm, Cohort Studies, Female, Humans, Male, Middle Aged, Smoking.
Abstract
BACKGROUND The lack of dropping in night-time blood pressure of 10% or more (nondipping) seems to associate with cardiovascular risk factors. The relationship between the dipping pattern and atherosclerosis is not clear. The night-time systolic blood pressure (SBP) determines the dipping status.
DOI: 10.1038/ajh.2011.159
PubMed: 21866184
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pubmed:21866184Le document en format XML
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<author><name sortKey="Vasunta, Riitta Liisa" sort="Vasunta, Riitta Liisa" uniqKey="Vasunta R" first="Riitta-Liisa" last="Vasunta">Riitta-Liisa Vasunta</name>
<affiliation wicri:level="1"><nlm:affiliation>Institute of Clinical Medicine, Department of Internal Medicine and Biocenter Oulu, University of Oulu and Clinical Research Center, Oulu University Hospital, Oulu, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Institute of Clinical Medicine, Department of Internal Medicine and Biocenter Oulu, University of Oulu and Clinical Research Center, Oulu University Hospital, Oulu</wicri:regionArea>
<wicri:noRegion>Oulu</wicri:noRegion>
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<author><name sortKey="Kes Niemi, Y Antero" sort="Kes Niemi, Y Antero" uniqKey="Kes Niemi Y" first="Y Antero" last="Kes Niemi">Y Antero Kes Niemi</name>
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<author><name sortKey="Ylitalo, Antti" sort="Ylitalo, Antti" uniqKey="Ylitalo A" first="Antti" last="Ylitalo">Antti Ylitalo</name>
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<author><name sortKey="Ukkola, Olavi" sort="Ukkola, Olavi" uniqKey="Ukkola O" first="Olavi" last="Ukkola">Olavi Ukkola</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Nondipping pattern and carotid atherosclerosis in a middle-aged population: OPERA Study.</title>
<author><name sortKey="Vasunta, Riitta Liisa" sort="Vasunta, Riitta Liisa" uniqKey="Vasunta R" first="Riitta-Liisa" last="Vasunta">Riitta-Liisa Vasunta</name>
<affiliation wicri:level="1"><nlm:affiliation>Institute of Clinical Medicine, Department of Internal Medicine and Biocenter Oulu, University of Oulu and Clinical Research Center, Oulu University Hospital, Oulu, Finland.</nlm:affiliation>
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<wicri:regionArea>Institute of Clinical Medicine, Department of Internal Medicine and Biocenter Oulu, University of Oulu and Clinical Research Center, Oulu University Hospital, Oulu</wicri:regionArea>
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<author><name sortKey="Kes Niemi, Y Antero" sort="Kes Niemi, Y Antero" uniqKey="Kes Niemi Y" first="Y Antero" last="Kes Niemi">Y Antero Kes Niemi</name>
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<author><name sortKey="Ylitalo, Antti" sort="Ylitalo, Antti" uniqKey="Ylitalo A" first="Antti" last="Ylitalo">Antti Ylitalo</name>
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<author><name sortKey="Ukkola, Olavi" sort="Ukkola, Olavi" uniqKey="Ukkola O" first="Olavi" last="Ukkola">Olavi Ukkola</name>
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<series><title level="j">American journal of hypertension</title>
<idno type="e-ISSN">1941-7225</idno>
<imprint><date when="2012" type="published">2012</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Arteriosclerosis</term>
<term>Blood Pressure (physiology)</term>
<term>Blood Pressure Monitoring, Ambulatory</term>
<term>Body Mass Index</term>
<term>Carotid Arteries (ultrasonography)</term>
<term>Carotid Artery Diseases (etiology)</term>
<term>Carotid Artery Diseases (pathology)</term>
<term>Carotid Intima-Media Thickness</term>
<term>Case-Control Studies</term>
<term>Circadian Rhythm</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Hypertension (physiopathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Smoking</term>
<term>Tunica Intima (ultrasonography)</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Carotid Artery Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carotid Artery Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Pressure</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hypertension</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Carotid Arteries</term>
<term>Tunica Intima</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Arteriosclerosis</term>
<term>Blood Pressure Monitoring, Ambulatory</term>
<term>Body Mass Index</term>
<term>Carotid Intima-Media Thickness</term>
<term>Case-Control Studies</term>
<term>Circadian Rhythm</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Smoking</term>
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<front><div type="abstract" xml:lang="en">BACKGROUND The lack of dropping in night-time blood pressure of 10% or more (nondipping) seems to associate with cardiovascular risk factors. The relationship between the dipping pattern and atherosclerosis is not clear. The night-time systolic blood pressure (SBP) determines the dipping status.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21866184</PMID>
<DateCreated><Year>2011</Year>
<Month>12</Month>
<Day>15</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>04</Month>
<Day>12</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1941-7225</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>25</Volume>
<Issue>1</Issue>
<PubDate><Year>2012</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>American journal of hypertension</Title>
<ISOAbbreviation>Am. J. Hypertens.</ISOAbbreviation>
</Journal>
<ArticleTitle>Nondipping pattern and carotid atherosclerosis in a middle-aged population: OPERA Study.</ArticleTitle>
<Pagination><MedlinePgn>60-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1038/ajh.2011.159</ELocationID>
<Abstract><AbstractText Label="UNLABELLED">BACKGROUND The lack of dropping in night-time blood pressure of 10% or more (nondipping) seems to associate with cardiovascular risk factors. The relationship between the dipping pattern and atherosclerosis is not clear. The night-time systolic blood pressure (SBP) determines the dipping status.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We investigated the connection between intima-media thickness (IMT) and dipping status (dipper, nondipper) taking into account covariates known to associate with hypertension and early atherosclerosis. 900 middle-aged (446 men, 454 women) were studied, 51% of them using blood pressure lowering medication. IMT was measured by a duplex ultrasound from the common carotid artery (CCA), the internal carotid artery (ICA) and the bifurcation enlargement (BIF). The mean IMT was defined as the mean of ICA, BIF, and the 3 highest CCA measurements. Ambulatory blood pressure (ABP) was recorded using the fully automatic SpaceLabs90207 oscillometric unit.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Nondippers had lower high-density lipoprotein cholesterol (P = 0.02), higher triglycerides (P < 0.01), body mass index (P < 0.0001) and higher night-time blood pressure (P < 0.0001) than dippers and they were more often nonsmokers (P = 0.01). Increased mean IMT in carotid artery was associated with ABP nondipping pattern (P < 0.01) regardless of conventional cardiovascular risk factors, antihypertensive or lipid lowering medications. Nocturnal blood pressure elevation was independently associated with IMT (P < 0.01). When sexes were analysed separately, the association was seen in men but was only a trend among women.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Nondipping status in ABP monitoring is independently associated with early atherosclerosis. Whether nondipping pattern is a predictor of atherosclerosis remains to be explored in a future prospective follow-up of this cohort.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vasunta</LastName>
<ForeName>Riitta-Liisa</ForeName>
<Initials>RL</Initials>
<AffiliationInfo><Affiliation>Institute of Clinical Medicine, Department of Internal Medicine and Biocenter Oulu, University of Oulu and Clinical Research Center, Oulu University Hospital, Oulu, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kesäniemi</LastName>
<ForeName>Y Antero</ForeName>
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<Author ValidYN="Y"><LastName>Ylitalo</LastName>
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<Author ValidYN="Y"><LastName>Ukkola</LastName>
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<Language>eng</Language>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D001161">Arteriosclerosis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D001794">Blood Pressure</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D018660">Blood Pressure Monitoring, Ambulatory</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D015992">Body Mass Index</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002339">Carotid Arteries</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002340">Carotid Artery Diseases</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D059168">Carotid Intima-Media Thickness</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016022">Case-Control Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002940">Circadian Rhythm</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D015331">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006973">Hypertension</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012907">Smoking</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D017539">Tunica Intima</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName>
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