Home Blood Pressure-Guided Lifestyle Intervention for Elevated Blood Pressure Detected at Workplace Health Checkups: A Randomized Pilot Trial.
Shinichi Omama, Tomohiro Takahashi, Tetsuya Yamada et al.
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In 30 seconds
This randomized pilot trial evaluated home blood pressure (BP) monitoring as part of lifestyle management for elevated BP detected at workplace health checkups. Fifty-eight municipal employees received physician-led lifestyle counseling, with or without home BP feedback; both groups had two scheduled counseling sessions. At the subsequent annual checkup, systolic BP fell more in the home-monitoring group, with a between-group difference of -9.9 mmHg (95% CI, -17.0 to -2.8; p = 0.007). The result remained significant after excluding three participants who started antihypertensive medication.
Key findings
- The between-group difference in systolic BP reduction was -9.9 mmHg (95% CI, -17.0 to -2.8; p = 0.007).
- After excluding three participants who initiated antihypertensive medication, the systolic BP difference was -7.7 mmHg (95% CI, -14.6 to -0.8; p = 0.029).
Why it matters
A single workplace BP measurement may not represent usual BP. This pilot suggests that home readings paired with physician-led lifestyle counseling can support management of elevated BP identified in this setting, with lower systolic BP at the next annual checkup. The findings highlight the potential value of incorporating out-of-office measurements into follow-up, while requiring confirmation in larger studies.
What to keep in mind
This was a pilot trial involving 58 municipal employees, limiting the precision and generalisability of its findings.