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Medical Journal of Islamic Republic of Iran، جلد ۳۵، شماره ۱، صفحات ۷۴۴-۷۴۹

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عنوان انگلیسی Factors affecting systolic blood pressure trajectory in low and high activity conditions
چکیده انگلیسی مقاله Background: Typically, blood pressure dips during sleep and increases during daytime. The blood pressure trend is affected by the autonomic nervous system. The activity of this system is observable in the low and high activity conditions. The aim of this study was to assess the effect of individual characteristics on systolic blood pressure (SBP) across day-night under low and high activity conditions.    Methods: The samples were 34 outpatients who were candidates for evaluation of 24 hours of blood pressure with an ambulatory. They were admitted to the heart clinic of Farshchian hospital, located in Hamadan province in the west of Iran. The hourly SBP during 24 hours was considered as a response variable. To determine the factors effecting SBP in each condition, the hidden semi-Markov model (HSMM), with 2 hidden states of low and high activity, was fitted to the data.    Results: Males had lower SBP than females in both states. The effect of age was positive in the low activity state (β=0.30; p< 0.001) and negative in high activity state (β= -0.21; p=0.001). The positive effect of cigarette smoking on SBP was seen in low activity state (β=5.02; p=0.029). The overweight and obese patients had higher SBP compared to others in high activity state (β=11.60; p< 0.001 and β=5.87; p=0.032, respectively).    Conclusion: The SBP variability can be displayed by hidden states of low and high activity. Moreover, the effects of studied variables on SBP were different in low and high activity states.
کلیدواژه‌های انگلیسی مقاله Activity, Body mass index, Ambulatory monitoring, Systolic blood pressure, Cigarette smoking

نویسندگان مقاله | Saiedeh Haji-Maghsoudi
Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran


| Azadeh Mozayani Monfared
Department of Cardiology, School of Medicine, Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, Iran


| Majid Sadeghifar
Department of Statistics, Faculty of Basic Sciences, Bu-Ali Sina University, Hamadan, Iran


| Ghodratollah Roshanaei
Department of Biostatistics, School of Public Health, & Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran


| Hossein Mahjub
Department of Biostatistics, School of Public Health, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran



نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-6137-1&slc_lang=en&sid=1
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زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده General
نوع مقاله منتشر شده Original Research
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