{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:14:37Z","timestamp":1785388477896,"version":"3.55.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"16","license":[{"start":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T00:00:00Z","timestamp":1654128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Most international guidelines recommend that repeat blood pressure (BP) readings are required for BP classification. Two international guidelines diverge from this by recommending that no further BP measurements are required if the first clinic BP is below a hypertension threshold. The extent to which within-visit BP variability patterns change over time, and whether this could impact BP classification is unknown. We sought to examine this.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Data were from the Cardiovascular Risk in Young Finns Study, a prospective cohort study. Up to 2799 participants were followed from childhood (9\u201315 years) to adulthood (18\u201349 years) over up to six visits. Patterns of within-visit systolic BP (SBP) variability were defined as no-change, decrease, increase between consecutive readings (with 5\u2005mmHg change thresholds). Classification of SBP (normal, high-normal, hypertension) using the first reading was compared with repeat readings. On average, SBP decreased with subsequent measures, but with major individual variability (no-change: 56.9\u201362.7%; decrease: 24.1\u201331.6%; increase: 11.5\u201316.8%). Patterns of SBP variability were broadly similar from childhood to adulthood, with the highest prevalence of an increase among participants categorized with normal SBP (12.6\u201320.3%). The highest prevalence of SBP reclassification occurred among participants with hypertension (28.9\u201345.3% reclassified as normal or high-normal). The prevalence of reclassification increased with the magnitude of change between readings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>There is a major individual variation of within-visit SBP change in childhood and adulthood and can influence BP classification. This highlights the importance of consistency among guidelines recommending that repeat BP measurements are needed for BP classification.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwac108","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T17:21:39Z","timestamp":1654190499000},"page":"2090-2098","source":"Crossref","is-referenced-by-count":6,"title":["Impact of within-visit systolic blood pressure change patterns on blood pressure classification: the Cardiovascular Risk in Young Finns Study"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2173-8325","authenticated-orcid":false,"given":"Yaxing","family":"Meng","sequence":"first","affiliation":[{"name":"Menzies Institute for Medical Research, University of Tasmania , Hobart , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costan G","family":"Magnussen","sequence":"additional","affiliation":[{"name":"Menzies Institute for Medical Research, University of Tasmania , Hobart , Australia"},{"name":"Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku , Turku , Finland"},{"name":"Centre for Population Health Research, Turku University Hospital, University of Turku , Turku , Finland"},{"name":"Baker Heart and Diabetes Institute , Melbourne, Victoria , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3753-974X","authenticated-orcid":false,"given":"Feitong","family":"Wu","sequence":"additional","affiliation":[{"name":"Menzies Institute for Medical Research, University of Tasmania , Hobart , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9498-364X","authenticated-orcid":false,"given":"Markus","family":"Juonala","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Turku , Turku , Finland"},{"name":"Division of Medicine, Turku University Hospital , Turku , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9055-5928","authenticated-orcid":false,"given":"Marie-Jeanne","family":"Buscot","sequence":"additional","affiliation":[{"name":"Menzies Institute for Medical Research, University of Tasmania , Hobart , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Pahkala","sequence":"additional","affiliation":[{"name":"Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku , Turku , Finland"},{"name":"Centre for Population Health Research, Turku University Hospital, University of Turku , Turku , Finland"},{"name":"Paavo Nurmi Centre, Sports & Exercise Medicine Unit, Department of Physical Activity and Health, University of Turku , Turku , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Hutri-K\u00e4h\u00f6nen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Tampere University and Tampere University Hospital , Tampere , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4510-7341","authenticated-orcid":false,"given":"Mika","family":"K\u00e4h\u00f6nen","sequence":"additional","affiliation":[{"name":"Department of Clinical Physiology, Tampere University Hospital and Faculty of Medicine and Health Technology, Tampere University , Tampere , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomi","family":"Laitinen","sequence":"additional","affiliation":[{"name":"Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital and University of Eastern Finland , Kuopio , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorma S A","family":"Viikari","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Turku , Turku , Finland"},{"name":"Division of Medicine, Turku University Hospital , Turku , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olli T","family":"Raitakari","sequence":"additional","affiliation":[{"name":"Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku , Turku , Finland"},{"name":"Centre for Population Health Research, Turku University Hospital, University of Turku , Turku , Finland"},{"name":"Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital , Turku , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2792-0811","authenticated-orcid":false,"given":"James E","family":"Sharman","sequence":"additional","affiliation":[{"name":"Menzies Institute for Medical Research, University of Tasmania , Hobart , 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