Letter to editor: Blood pressure, hypertension and lead exposure

Abstract A significant association of office diastolic blood pressure with low-level blood lead exposure was reported in a Brazilian adult population. However, caution should be taken to interpret these results. The multivariable-adjusted association with blood pressure was positive for diastolic bl...

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Main Authors: Wen-Yi Yang, Jan A. Staessen
Format: Article
Language:English
Published: BMC 2018-02-01
Series:Environmental Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12940-018-0364-3
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author Wen-Yi Yang
Jan A. Staessen
author_facet Wen-Yi Yang
Jan A. Staessen
author_sort Wen-Yi Yang
collection DOAJ
description Abstract A significant association of office diastolic blood pressure with low-level blood lead exposure was reported in a Brazilian adult population. However, caution should be taken to interpret these results. The multivariable-adjusted association with blood pressure was positive for diastolic blood pressure, but inverse for systolic blood pressure. The association sizes were infinitesimal without clinical relevance. The outcome measures, i.e. blood pressure and the prevalence of hypertension were analysed across categories of the blood lead distribution – not in relation to blood lead as continuous variable. Blood pressure was the average of two oscillometric office readings, whereas ambulatory monitoring is the state-of-the-art.
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spelling doaj.art-3ec71c074312453881f9d0032bbf02d72022-12-21T18:10:20ZengBMCEnvironmental Health1476-069X2018-02-011711410.1186/s12940-018-0364-3Letter to editor: Blood pressure, hypertension and lead exposureWen-Yi Yang0Jan A. Staessen1Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of LeuvenStudies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of LeuvenAbstract A significant association of office diastolic blood pressure with low-level blood lead exposure was reported in a Brazilian adult population. However, caution should be taken to interpret these results. The multivariable-adjusted association with blood pressure was positive for diastolic blood pressure, but inverse for systolic blood pressure. The association sizes were infinitesimal without clinical relevance. The outcome measures, i.e. blood pressure and the prevalence of hypertension were analysed across categories of the blood lead distribution – not in relation to blood lead as continuous variable. Blood pressure was the average of two oscillometric office readings, whereas ambulatory monitoring is the state-of-the-art.http://link.springer.com/article/10.1186/s12940-018-0364-3Ambulatory blood pressure monitoringBlood pressureEnvironmental medicineHypertensionLead
spellingShingle Wen-Yi Yang
Jan A. Staessen
Letter to editor: Blood pressure, hypertension and lead exposure
Environmental Health
Ambulatory blood pressure monitoring
Blood pressure
Environmental medicine
Hypertension
Lead
title Letter to editor: Blood pressure, hypertension and lead exposure
title_full Letter to editor: Blood pressure, hypertension and lead exposure
title_fullStr Letter to editor: Blood pressure, hypertension and lead exposure
title_full_unstemmed Letter to editor: Blood pressure, hypertension and lead exposure
title_short Letter to editor: Blood pressure, hypertension and lead exposure
title_sort letter to editor blood pressure hypertension and lead exposure
topic Ambulatory blood pressure monitoring
Blood pressure
Environmental medicine
Hypertension
Lead
url http://link.springer.com/article/10.1186/s12940-018-0364-3
work_keys_str_mv AT wenyiyang lettertoeditorbloodpressurehypertensionandleadexposure
AT janastaessen lettertoeditorbloodpressurehypertensionandleadexposure