hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) diabetes mellitus or impaired glucose metabolism [during treatment or fasting blood glucose >110 mg/dL, 75gOGTT (2h) >140mg/dL]; 2) dyslipidemia (total cholesterol >240mg/dL or the use of lipid-lowering drugs); 3) hypertension (on medication or office SBP >140mmHg or office DBP >90mmHg; 4) current smoking (within 1 year); 5) kidney disease (albuminuria or creatinine >1.1 mg/dL; 6) atrial fibrillation; 7) metabolic syndrome; 8) chronic obstructive pulmonary disease; 9) sleep apnea syndrome.
Exclusion criteria
Exclusion criteria: 1) current residence anywhere other than Niijima (or living off Niijima more than half of the year); 2) ischemic heart disease; 3) stroke (except asymptomatic and transient); 4) aortic dissection; 5) peripheral artery disease; 6) heart failure requiring hospitalization within the past 6 months; 7) hemodialysis; 8) inability to provide informed consent, self-measure BP, or walk; and 9) presence of serious diseases other than those described in the inclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) the changes in home morning and evening BP before and after treatment; 2) changes in the adherence to the HBP measurement protocol (calculated as the frequency of BP measurements in the latter half of the study (maximum frequency: 28) minus that in the first half (maximum frequency: 28); and 3) the visual analogue scale (VAS) scores as a measure of the motivation to perform HBP measurements (0=worst, 100=best). | — |
Secondary
| Measure | Time frame |
|---|---|
| We compared the changes in ankle brachial index (ABI), brachial ankle pulse wave velocity (baPWV), and urine albumin creatinine ratio (UACR) between the groups. | — |
Countries
Japan
Contacts
Department of Medicine, Jichi Medical University School of Medicine Division of Cardiovascular Medicine