White-Coat Effect Among Older Adults: Data From the Jackson Heart Study

Rikki M. Tanner, Daichi Shimbo, Samantha R. Seals, Kristi Reynolds, C. Barrett Bowling, Gbenga Ogedegbe, Paul Muntner

Research output: Contribution to journalArticle

Abstract

Many adults with elevated clinic blood pressure (BP) have lower BP when measured outside the clinic. This phenomenon, the "white-coat effect," may be larger among older adults, a population more susceptible to the adverse effects of low BP. The authors analyzed data from 257 participants in the Jackson Heart Study with elevated clinic BP (systolic/diastolic BP [SBP/DBP] ≥140/90 mm Hg) who underwent ambulatory BP monitoring (ABPM). The white-coat effect for SBP was larger for participants 60 years and older vs those younger than 60 years in the overall population (12.2 mm Hg, 95% confidence interval [CI], 9.2-15.1 mm Hg and 8.4 mm Hg, 95% CI, 5.7-11.1, respectively; P=06) and among those without diabetes or chronic kidney disease (15.2 mm Hg, 95% CI, 10.1-20.2 and 8.6 mm Hg, 95% CI, 5.0-12.3, respectively; P=04). After multivariable adjustment, clinic SBP ≥150 mm Hg vs

Original languageEnglish (US)
Pages (from-to)139-145
Number of pages7
JournalJournal of Clinical Hypertension
Volume18
Issue number2
DOIs
StatePublished - Feb 1 2016

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Blood Pressure
Confidence Intervals
Ambulatory Blood Pressure Monitoring
Chronic Renal Insufficiency
Hypotension
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Tanner, R. M., Shimbo, D., Seals, S. R., Reynolds, K., Bowling, C. B., Ogedegbe, G., & Muntner, P. (2016). White-Coat Effect Among Older Adults: Data From the Jackson Heart Study. Journal of Clinical Hypertension, 18(2), 139-145. https://doi.org/10.1111/jch.12644

White-Coat Effect Among Older Adults : Data From the Jackson Heart Study. / Tanner, Rikki M.; Shimbo, Daichi; Seals, Samantha R.; Reynolds, Kristi; Bowling, C. Barrett; Ogedegbe, Gbenga; Muntner, Paul.

In: Journal of Clinical Hypertension, Vol. 18, No. 2, 01.02.2016, p. 139-145.

Research output: Contribution to journalArticle

Tanner, RM, Shimbo, D, Seals, SR, Reynolds, K, Bowling, CB, Ogedegbe, G & Muntner, P 2016, 'White-Coat Effect Among Older Adults: Data From the Jackson Heart Study', Journal of Clinical Hypertension, vol. 18, no. 2, pp. 139-145. https://doi.org/10.1111/jch.12644
Tanner, Rikki M. ; Shimbo, Daichi ; Seals, Samantha R. ; Reynolds, Kristi ; Bowling, C. Barrett ; Ogedegbe, Gbenga ; Muntner, Paul. / White-Coat Effect Among Older Adults : Data From the Jackson Heart Study. In: Journal of Clinical Hypertension. 2016 ; Vol. 18, No. 2. pp. 139-145.
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