Blutdruckmessung in der NAKO – methodische Unterschiede, Blutdruckverteilung und Bekanntheit der Hypertonie im Vergleich zu anderen bevölkerungsbezogenen Studien in Deutschland
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Blutdruckmessung in der NAKO – methodische Unterschiede, Blutdruckverteilung und Bekanntheit der Hypertonie im Vergleich zu anderen bevölkerungsbezogenen Studien in Deutschland. / Schikowski, Tamara; Wigmann, Claudia; Fuks, Kateryna B; Schipf, Sabine; Heier, Margit; Neuhauser, Hannelore; Sarganas, Giselle; Ahrens, Wolfgang; Becher, Heiko; Berger, Klaus; Brenner, Hermann; Castell, Stefanie; Damms-Machado, Antje; Dörr, Marcus; Ebert, Nina; Efremov, Ljupcho; Emmel, Carina; Felix, Stephan B; Fischer, Beate; Franzke, Claus-Werner; Gastell, Sylvia; Günther, Kathrin; Haerting, Johannes; Ittermann, Till; Jaeschke, Lina; Jagodzinski, Annika; Jöckel, Karl-Heinz; Kaaks, Rudolphe; Kalinowski, Sonja; Keil, Thomas; Kemmling, Yvonne; Kluttig, Alexander; Krist, Lilian; Kuss, Oliver; Legath, Nicole; Leitzmann, Michael; Lieb, Wolfgang; Löffler, Markus; Meinke-Franze, Claudia; Michels, Karin B; Mikolajczyk, Rafael; Moebus, Susanne; Nuding, Sebastian; Peters, Annette; Pischon, Tobias; Rückert-Eheberg, Ina-Maria; Schöttker, Ben; Schmidt, Börge; Schmidt, Carsten Oliver; Schulze, Matthias B; Stang, Andreas; Thiele, Inke; Thierry, Sigrid; Thorand, Barbara; Völzke, Henry; Waniek, Sabina; Werdan, Karl; Wirkner, Kerstin; Greiser, Karin Halina.
in: BUNDESGESUNDHEITSBLA, Jahrgang 63, Nr. 4, 04.2020, S. 452-464.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Blutdruckmessung in der NAKO – methodische Unterschiede, Blutdruckverteilung und Bekanntheit der Hypertonie im Vergleich zu anderen bevölkerungsbezogenen Studien in Deutschland
AU - Schikowski, Tamara
AU - Wigmann, Claudia
AU - Fuks, Kateryna B
AU - Schipf, Sabine
AU - Heier, Margit
AU - Neuhauser, Hannelore
AU - Sarganas, Giselle
AU - Ahrens, Wolfgang
AU - Becher, Heiko
AU - Berger, Klaus
AU - Brenner, Hermann
AU - Castell, Stefanie
AU - Damms-Machado, Antje
AU - Dörr, Marcus
AU - Ebert, Nina
AU - Efremov, Ljupcho
AU - Emmel, Carina
AU - Felix, Stephan B
AU - Fischer, Beate
AU - Franzke, Claus-Werner
AU - Gastell, Sylvia
AU - Günther, Kathrin
AU - Haerting, Johannes
AU - Ittermann, Till
AU - Jaeschke, Lina
AU - Jagodzinski, Annika
AU - Jöckel, Karl-Heinz
AU - Kaaks, Rudolphe
AU - Kalinowski, Sonja
AU - Keil, Thomas
AU - Kemmling, Yvonne
AU - Kluttig, Alexander
AU - Krist, Lilian
AU - Kuss, Oliver
AU - Legath, Nicole
AU - Leitzmann, Michael
AU - Lieb, Wolfgang
AU - Löffler, Markus
AU - Meinke-Franze, Claudia
AU - Michels, Karin B
AU - Mikolajczyk, Rafael
AU - Moebus, Susanne
AU - Nuding, Sebastian
AU - Peters, Annette
AU - Pischon, Tobias
AU - Rückert-Eheberg, Ina-Maria
AU - Schöttker, Ben
AU - Schmidt, Börge
AU - Schmidt, Carsten Oliver
AU - Schulze, Matthias B
AU - Stang, Andreas
AU - Thiele, Inke
AU - Thierry, Sigrid
AU - Thorand, Barbara
AU - Völzke, Henry
AU - Waniek, Sabina
AU - Werdan, Karl
AU - Wirkner, Kerstin
AU - Greiser, Karin Halina
PY - 2020/4
Y1 - 2020/4
N2 - BACKGROUND: Arterial hypertension is animportant risk factor for cardiovascular diseases. Epidemiological studies typically perform three consecutive blood pressure measurements. The first measurement is discarded in subsequent analyses, as this value may be strongly affected by previous activities. Due to time constraints the German National Cohort (GNC NAKO) performed only two blood pressure measurements. OBJECTIVES: The present analysis examined the possible effects of methodological differences in blood pressure measurement by comparing the first 101,816 GNC participants (two blood pressure measurements) with those of five German population-based studies (three measurements). MATERIALS AND METHODS: Blood pressure data from participants aged 20 to 79 years from the GNC, the German Health Interview and Examination Survey for Adults by the Robert Koch Institute (DEGS1), and four regional population-based cohort studies (CARLA, HNR, KORA, SHIP) were used to calculate age- and sex-specific mean blood pressure values and hypertension frequencies based on the second blood pressure measurement, the arithmetic mean of the first and second value and of the second and third (the latter not available in the GNC). RESULTS: The mean blood pressure values of the two most recent studies (GNC, DEGS1) were very similar and lower than in the other studies. The difference of the second measurement and the mean of second and third measurement was small (maximum mean difference: 1.5mm Hg systolic blood pressure), but leads to higher estimated hypertension frequencies. CONCLUSIONS: The current results show that using the second blood pressure measurement should be recommended for scientific analyses of GNC data.
AB - BACKGROUND: Arterial hypertension is animportant risk factor for cardiovascular diseases. Epidemiological studies typically perform three consecutive blood pressure measurements. The first measurement is discarded in subsequent analyses, as this value may be strongly affected by previous activities. Due to time constraints the German National Cohort (GNC NAKO) performed only two blood pressure measurements. OBJECTIVES: The present analysis examined the possible effects of methodological differences in blood pressure measurement by comparing the first 101,816 GNC participants (two blood pressure measurements) with those of five German population-based studies (three measurements). MATERIALS AND METHODS: Blood pressure data from participants aged 20 to 79 years from the GNC, the German Health Interview and Examination Survey for Adults by the Robert Koch Institute (DEGS1), and four regional population-based cohort studies (CARLA, HNR, KORA, SHIP) were used to calculate age- and sex-specific mean blood pressure values and hypertension frequencies based on the second blood pressure measurement, the arithmetic mean of the first and second value and of the second and third (the latter not available in the GNC). RESULTS: The mean blood pressure values of the two most recent studies (GNC, DEGS1) were very similar and lower than in the other studies. The difference of the second measurement and the mean of second and third measurement was small (maximum mean difference: 1.5mm Hg systolic blood pressure), but leads to higher estimated hypertension frequencies. CONCLUSIONS: The current results show that using the second blood pressure measurement should be recommended for scientific analyses of GNC data.
KW - Blood Pressure
KW - Cohort Studies
KW - Germany
KW - Humans
KW - Hypertension
KW - Population Surveillance
U2 - 10.1007/s00103-020-03109-8
DO - 10.1007/s00103-020-03109-8
M3 - SCORING: Zeitschriftenaufsatz
C2 - 32170398
VL - 63
SP - 452
EP - 464
JO - BUNDESGESUNDHEITSBLA
JF - BUNDESGESUNDHEITSBLA
SN - 1436-9990
IS - 4
ER -