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The authors studied the association of metabolic syndrome and masked hypertension (MHT) among African Americans with clinic\u2010measured systolic\/diastolic blood pressure (SBP\/DBP) &lt;140\/90\u00a0mm Hg in the Jackson Heart Study. MHT was defined as daytime, nighttime, or 24\u2010hour hypertension on ambulatory blood pressure monitoring. Among 359 participants not taking antihypertensive medication, the metabolic syndrome was associated with MHT (prevalence ratio, 1.38; 95% confidence interval, 1.10\u20131.74]). When metabolic syndrome components (clinic SBP\/DBP 130\u2013139\/85\u201389\u00a0mm Hg, abdominal obesity, impaired glucose, low high\u2010density lipoprotein cholesterol, high triglycerides) were analyzed separately, only clinic SBP\/DBP 130\u2013139\/85\u201389\u00a0mm Hg was associated with MHT (prevalence ratio, 1.90; 95% confidence interval, 1.56\u20132.32]). The metabolic syndrome was not associated with MHT among participants not taking antihypertensive medication with SBP\/DBP 130\u2013139\/85\u201389 and &lt;130\/85\u00a0mm Hg, separately, or among participants taking antihypertensive medication (n=393). Ambulatory blood pressure monitoring screening for MHT among African Americans should be considered based on clinic BP, not metabolic syndrome.<\/jats:p>","DOI":"10.1111\/jch.12974","type":"journal-article","created":{"date-parts":[[2017,2,6]],"date-time":"2017-02-06T10:38:56Z","timestamp":1486377536000},"page":"592-600","source":"Crossref","is-referenced-by-count":20,"title":["Metabolic syndrome and masked hypertension among African Americans: The Jackson Heart Study"],"prefix":"10.1111","volume":"19","author":[{"given":"Lisandro D.","family":"Colantonio","sequence":"first","affiliation":[{"name":"Department of Epidemiology University of Alabama at Birmingham  Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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