The five-year study analyzed electronic health records from 15 VA hospitals in warmer and colder cities throughout the United States. Researchers identified 443,632 veterans with high blood pressure. Those who had readings of more than 140 mm Hg systolic or more than 90 mm Hg diastolic on three separate days were identified as hypertensive.
“The bottom line is that regardless of whether you’re in Anchorage, Alaska or San Juan, Puerto Rico, there is a difference in high blood pressure returning to normal in the winter compared to the summer,” said Ross D. Fletcher, M.D., the study’s lead author and chief of staff at the VA Medical Center in Washington, D.C.
The study found a significant variation in every city, warmer or colder, in return to normal blood pressure in winter compared to summer. The average significant difference in percent of patients returning to normal was 7.76 percent between the two seasons, based on patients’ blood pressure readings as recorded in their Electronic Health Record.
The average age of veterans in the study was 66 years. About 51 percent were Caucasian, 21 percent Hispanic and 27 percent black. Only 3.7 percent were female.
“San Juan is virtually equal to Anchorage, as blood pressure systematically worsens in the winter and improves in the summer,” Fletcher said. “We did not see the coldest city had the biggest change in blood pressure.”
The other 13 VA hospitals included those in Baltimore, Boston, Chicago, Fargo, Honolulu, Houston, west Los Angeles, Miami, Minneapolis, New York, Philadelphia, Portland, Ore., and Washington, D.C.
Fletcher suggested that weight and exercise may play a role in these seasonal variations rather than southern or northern climate or the amount of light.
“There is a weight change that is significant,” Fletcher said. “People gain weight in the winter and lose weight in the summer. People tend to exercise more in the summer and less in the winter.”
He emphasized the importance of designing treatment strategies for patient’s high blood pressure to account for these seasonal variations, perhaps requiring increased anti-hypertensive intervention during the winter months.
VA hospitals in all cities demonstrated improvement from the beginning to the end of the study. Improvement averaged about 4 percent per year in the VA hospital system overall.
The award-winning electronic health record system, containing 1.8 billion vital records, and data on the nearly 1,192,781 patients with more than 19 million blood pressure records, is one important factor in improving the treatment of high blood pressure, Fletcher said. The electronic system feeds back blood pressure information from each patient to his doctor, with reminders when blood pressure needs to be checked, leading to rapid turn-around in blood pressure control.
Karen Astle | EurekAlert!
WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf
First form of therapy for childhood dementia CLN2 developed
25.04.2018 | Universitätsklinikum Hamburg-Eppendorf
The more electronics steer, accelerate and brake cars, the more important it is to protect them against cyber-attacks. That is why 15 partners from industry and academia will work together over the next three years on new approaches to IT security in self-driving cars. The joint project goes by the name Security For Connected, Autonomous Cars (SecForCARs) and has funding of €7.2 million from the German Federal Ministry of Education and Research. Infineon is leading the project.
Vehicles already offer diverse communication interfaces and more and more automated functions, such as distance and lane-keeping assist systems. At the same...
A research team led by physicists at the Technical University of Munich (TUM) has developed molecular nanoswitches that can be toggled between two structurally different states using an applied voltage. They can serve as the basis for a pioneering class of devices that could replace silicon-based components with organic molecules.
The development of new electronic technologies drives the incessant reduction of functional component sizes. In the context of an international collaborative...
At the LASYS 2018, from June 5th to 7th, the Laser Zentrum Hannover e.V. (LZH) will be showcasing processes for the laser material processing of tomorrow in hall 4 at stand 4E75. With blown bomb shells the LZH will present first results of a research project on civil security.
At this year's LASYS, the LZH will exhibit light-based processes such as cutting, welding, ablation and structuring as well as additive manufacturing for...
There are videos on the internet that can make one marvel at technology. For example, a smartphone is casually bent around the arm or a thin-film display is rolled in all directions and with almost every diameter. From the user's point of view, this looks fantastic. From a professional point of view, however, the question arises: Is that already possible?
At Display Week 2018, scientists from the Fraunhofer Institute for Applied Polymer Research IAP will be demonstrating today’s technological possibilities and...
So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics
Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...
25.05.2018 | Event News
02.05.2018 | Event News
13.04.2018 | Event News
25.05.2018 | Event News
25.05.2018 | Machine Engineering
25.05.2018 | Life Sciences