{Reference Type}: Journal Article
{Title}: Associations between daily home blood pressure measurements and self-reports of lifestyle and symptoms in primary care: the PERHIT study.
{Author}: Andersson U;Nilsson PM;Kjellgren K;Ekholm M;Midlöv P;
{Journal}: Scand J Prim Health Care
{Volume}: 42
{Issue}: 3
{Year}: 2024 Sep 26
{Factor}: 3.147
{DOI}: 10.1080/02813432.2024.2332745
{Abstract}: <B>UNASSIGNED: </B>To explore in a primary care setting the associations between patients' daily self-measured blood pressure (BP) during eight weeks and concurrent self-reported values of wellbeing, lifestyle, symptoms, and medication intake. We also explore these associations for men and women separately.<BR><B>UNASSIGNED: </B>The study is a secondary post-hoc analysis of the randomised controlled trial PERson-centeredness in Hypertension management using Information Technology (PERHIT). The trial was conducted in primary health care in four regions in Southern Sweden.<BR><B>UNASSIGNED: </B>Participants (n = 454) in the intervention group in the PERHIT-trial used an interactive web-based system for self-management of hypertension for eight consecutive weeks. Each evening, participants reported in the system their wellbeing, lifestyle, symptoms, and medication adherence as well as their self-measured BP and heart rate.<BR><B>UNASSIGNED: </B>Association between self-reported BP and 10 self-report lifestyle-related variables.<BR><B>UNASSIGNED: </B>Self-reported less stress and higher wellbeing were similarly associated with BP, with 1.0 mmHg lower systolic BP and 0.6/0.4 mmHg lower diastolic BP (p < 0.001). Adherence to medication had the greatest impact on BP levels (5.2/2.6 mmHg, p < 0.001). Restlessness and headache were also significantly associated with BP, but to a lesser extent. Physical activity was only significantly associated with BP levels for men, but not for women.<BR><B>UNASSIGNED: </B>In hypertension management, it may be important to identify patients with high-stress levels and low wellbeing. The association between medication intake and BP was obvious, thus stressing the importance of medication adherence for patients with hypertension.<BR>Associations between daily home blood pressure (BP) and self-reports of lifestyle and symptoms have not been previously well explored.Self-reported higher wellbeing, lower restlessness, less stress, and higher medication adherence were significantly associated with lower same-day BP levels.Physical activity was significantly associated with same-day BP for men, but not for women.Using a hypertension management system may be a valuable tool for communication between the patient and physician.