{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:16:46Z","timestamp":1791598606012,"version":"4.3.4"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Ambulatory BP monitoring (ABPM) allows a better risk stratification than office BP in hypertensive patients. However, the clinical relevance of ABPM has not been extensively investigated in the CKD population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, setting, participants, &amp; measurements<\/jats:title>\n                    <jats:p>Within the Chronic Kidney Disease Japan Cohort study, 2977 patients enrolled (62% men, aged 60.8\u00b111.6 years) and ABPM was conducted in a subgroup of patients from September 2007 to April 2010. Data from 1075 patients (682 men) were analyzed to determine BP control and factors associated with the ABPM parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence of masked hypertension was 30.9%, whereas that of white-coat hypertension was 5.6%. With advancing CKD stage, the percentage of persistent hypertension increased from 21.7% to 36.1%. Diabetes, antihypertensive medicine use, and low estimated GFR (eGFR) were significantly associated with the difference between office BP and ambulatory BP (1.7 mmHg, 2.6 mmHg, and 0.6 mmHg per 10 ml\/min per 1.73 m\n                      <jats:sup>2<\/jats:sup>\n                      , respectively). There tended to be fewer nondippers and risers in stage 3 than in stages 4 and 5. In the nocturia-negative group, low eGFR, diabetes, and summer season were identified as factors associated with lower nocturnal BP change (\u22120.5 mmHg, \u22122.0 mmHg, and \u22122.8 mmHg, respectively). Morning BP change was greater with older age (0.2 mmHg per 10 years) and higher body mass index (0.6 mmHg per 1 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), and in winter (4.5 mmHg) versus summer.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Various factors including eGFR, diabetes, antihypertensive medication use, and season are associated with higher BP and abnormal BP patterns in CKD patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2215\/cjn.06470612","type":"journal-article","created":{"date-parts":[[2013,2,15]],"date-time":"2013-02-15T01:10:20Z","timestamp":1360890620000},"page":"721-730","source":"Crossref","is-referenced-by-count":59,"title":["Clinical Correlates of Ambulatory BP Monitoring among Patients with CKD"],"prefix":"10.2215","volume":"8","author":[{"given":"Satoshi","family":"Iimuro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enyu","family":"Imai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosaku","family":"Nitta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadao","family":"Akizawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiichi","family":"Matsuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Makino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuo","family":"Ohashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Hishida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20230811","doi-asserted-by":"crossref","first-page":"4","DOI":"10.2105\/AJPH.47.4_Pt_2.4","article-title":"Coronary heart disease in the Framingham study.","volume":"47","author":"Dawber","year":"1957","journal-title":"Am J Public Health Nations Health"},{"key":"R2-6-20230811","doi-asserted-by":"crossref","first-page":"33","DOI":"10.7326\/0003-4819-55-1-33","article-title":"Factors of risk in the development of coronary heart disease\u2014six year follow-up experience. The Framingham Study.","volume":"55","author":"Kannel","year":"1961","journal-title":"Ann Intern Med"},{"key":"R3-6-20230811","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1001\/jama.1970.03180020021004","article-title":"Epidemiologic assessment of the role of blood pressure in stroke. The Framingham study.","volume":"214","author":"Kannel","year":"1970","journal-title":"JAMA"},{"key":"R4-6-20230811","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1093\/aje\/kwm021","article-title":"The Third Generation Cohort of the National Heart, Lung, and Blood Institute\u2019s Framingham Heart Study: Design, recruitment, and initial examination.","volume":"165","author":"Splansky","year":"2007","journal-title":"Am J Epidemiol"},{"key":"R5-6-20230811","doi-asserted-by":"crossref","first-page":"244","DOI":"10.7326\/0003-4819-139-4-200308190-00006","article-title":"Progression of chronic kidney disease: The role of blood pressure control, proteinuria, and angiotensin-converting enzyme inhibition: A patient-level meta-analysis.","volume":"139","author":"Jafar","year":"2003","journal-title":"Ann Intern Med"},{"key":"R6-6-20230811","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1161\/01.HYP.0000102971.85504.7c","article-title":"Kidney disease as a risk factor for development of cardiovascular disease: A statement from the American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology, and Epidemiology and Prevention.","volume":"42","author":"Sarnak","year":"2003","journal-title":"Hypertension"},{"key":"R7-6-20230811","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1053\/j.ajkd.2005.02.015","article-title":"Home blood pressure monitoring in CKD.","volume":"45","author":"Andersen","year":"2005","journal-title":"Am J Kidney Dis"},{"key":"R8-6-20230811","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1001\/jama.1988.03720020027031","article-title":"How common is white coat hypertension?","volume":"259","author":"Pickering","year":"1988","journal-title":"JAMA"},{"key":"R9-6-20230811","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1161\/01.HYP.0000038733.08436.98","article-title":"Masked hypertension.","volume":"40","author":"Pickering","year":"2002","journal-title":"Hypertension"},{"key":"R10-6-20230811","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/j.jacc.2005.03.070","article-title":"Prognosis of \u201cmasked\u201d hypertension and \u201cwhite-coat\u201d hypertension detected by 24-h ambulatory blood pressure monitoring 10-year follow-up from the Ohasama study.","volume":"46","author":"Ohkubo","year":"2005","journal-title":"J Am Coll Cardiol"},{"key":"R11-6-20230811","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1001\/jama.282.6.539","article-title":"Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension.","volume":"282","author":"Staessen","year":"1999","journal-title":"JAMA"},{"key":"R12-6-20230811","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1161\/hy1001.092640","article-title":"Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives.","volume":"38","author":"Kario","year":"2001","journal-title":"Hypertension"},{"key":"R13-6-20230811","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.1097\/00004872-200211000-00017","article-title":"Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-h blood pressure: The Ohasama study.","volume":"20","author":"Ohkubo","year":"2002","journal-title":"J Hypertens"},{"key":"R14-6-20230811","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1161\/01.HYP.27.1.130","article-title":"Nocturnal fall of blood pressure and silent cerebrovascular damage in elderly hypertensive patients. Advanced silent cerebrovascular damage in extreme dippers.","volume":"27","author":"Kario","year":"1996","journal-title":"Hypertension"},{"key":"R15-6-20230811","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1001\/archinternmed.2011.230","article-title":"Prognostic role of ambulatory blood pressure measurement in patients with nondialysis chronic kidney disease.","volume":"171","author":"Minutolo","year":"2011","journal-title":"Arch Intern Med"},{"key":"R16-6-20230811","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1161\/01.HYP.16.6.692","article-title":"Silent cerebrovascular disease in the elderly. Correlation with ambulatory pressure.","volume":"16","author":"Shimada","year":"1990","journal-title":"Hypertension"},{"key":"R17-6-20230811","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1161\/01.CIR.81.2.528","article-title":"Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension.","volume":"81","author":"Verdecchia","year":"1990","journal-title":"Circulation"},{"key":"R18-6-20230811","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1093\/ajh\/7.1.23","article-title":"Diurnal variations of blood pressure and microalbuminuria in essential hypertension.","volume":"7","author":"Bianchi","year":"1994","journal-title":"Am J Hypertens"},{"key":"R19-6-20230811","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1161\/01.HYP.24.6.793","article-title":"Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension.","volume":"24","author":"Verdecchia","year":"1994","journal-title":"Hypertension"},{"key":"R20-6-20230811","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1097\/00004872-199816060-00003","article-title":"Reproducibility and clinical value of nocturnal hypotension: Prospective evidence from the SAMPLE study.","volume":"16","author":"Omboni","year":"1998","journal-title":"J Hypertens"},{"key":"R21-6-20230811","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1291\/hypres.31.1101","article-title":"Chronic Kidney Disease Japan Cohort (CKD-JAC) study: Design and methods.","volume":"31","author":"Imai","year":"2008","journal-title":"Hypertens Res"},{"key":"R22-6-20230811","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1007\/s10157-010-0328-6","article-title":"Chronic Kidney Disease Japan Cohort study: Baseline characteristics and factors associated with causative diseases and renal function.","volume":"14","author":"Imai","year":"2010","journal-title":"Clin Exp Nephrol"},{"key":"R23-6-20230811","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1002\/nau.10053","article-title":"The standardisation of terminology in nocturia: Report from the Standardisation Sub-committee of the International Continence Society.","volume":"21","author":"van Kerrebroeck","year":"2002","journal-title":"Neurourol Urodyn"},{"key":"R26-6-20230811","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1053\/j.ajkd.2008.12.034","article-title":"Revised equations for estimated GFR from serum creatinine in Japan.","volume":"53","author":"Matsuo","year":"2009","journal-title":"Am J Kidney Dis"},{"key":"R27-6-20230811","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/00004872-198702000-00013","article-title":"Relationship of 24-hour blood pressure mean and variability to severity of target-organ damage in hypertension.","volume":"5","author":"Parati","year":"1987","journal-title":"J Hypertens"},{"key":"R28-6-20230811","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1001\/jama.291.11.1342","article-title":"Cardiovascular prognosis of \u201cmasked hypertension\u201d detected by blood pressure self-measurement in elderly treated hypertensive patients.","volume":"291","author":"Bobrie","year":"2004","journal-title":"JAMA"},{"key":"R29-6-20230811","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1161\/01.HYP.0000215363.69793.bb","article-title":"Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure.","volume":"47","author":"Mancia","year":"2006","journal-title":"Hypertension"},{"key":"R30-6-20230811","doi-asserted-by":"crossref","first-page":"656","DOI":"10.2215\/CJN.05391008","article-title":"Masked hypertension and white-coat hypertension in chronic kidney disease: A meta-analysis.","volume":"4","author":"Bangash","year":"2009","journal-title":"Clin J Am Soc Nephrol"},{"key":"R31-6-20230811","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1038\/hr.2010.139","article-title":"Usefulness of assessing masked and white-coat hypertension by ambulatory blood pressure monitoring for determining prevalent risk of chronic kidney disease: The Ohasama study.","volume":"33","author":"Kanno","year":"2010","journal-title":"Hypertens Res"},{"key":"R32-6-20230811","doi-asserted-by":"crossref","first-page":"3497","DOI":"10.1001\/archinte.160.22.3497","article-title":"White-coat hypertension or white-coat hypertension syndrome: Which is accompanied by target organ damage?","volume":"160","author":"Kario","year":"2000","journal-title":"Arch Intern Med"},{"key":"R33-6-20230811","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1001\/archinte.165.13.1541","article-title":"White-coat hypertension as a risk factor for the development of home hypertension: The Ohasama study.","volume":"165","author":"Ugajin","year":"2005","journal-title":"Arch Intern Med"},{"key":"R34-6-20230811","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/S0735-1097(01)01325-0","article-title":"Silent and clinically overt stroke in older Japanese subjects with white-coat and sustained hypertension.","volume":"38","author":"Kario","year":"2001","journal-title":"J Am Coll Cardiol"},{"key":"R35-6-20230811","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1161\/HYPERTENSIONAHA.108.115154","article-title":"Disparate estimates of hypertension control from ambulatory and clinic blood pressure measurements in hypertensive kidney disease.","volume":"53","author":"Pogue","year":"2009","journal-title":"Hypertension"},{"key":"R37-6-20230811","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1038\/ajh.2012.15","article-title":"Masked hypertension and prehypertension: Diagnostic overlap and interrelationships with left ventricular mass: The Masked Hypertension Study.","volume":"25","author":"Shimbo","year":"2012","journal-title":"Am J Hypertens"},{"key":"R38-6-20230811","doi-asserted-by":"crossref","first-page":"564","DOI":"10.7326\/0003-4819-131-8-199910190-00003","article-title":"Cardiac and arterial target organ damage in adults with elevated ambulatory and normal office blood pressure.","volume":"131","author":"Liu","year":"1999","journal-title":"Ann Intern Med"},{"key":"R39-6-20230811","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1161\/01.HYP.34.4.685","article-title":"Ambulatory physical activity as a determinant of diurnal blood pressure variation.","volume":"34","author":"Kario","year":"1999","journal-title":"Hypertension"}],"container-title":["Clinical Journal of the American Society of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01277230-201305000-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:43:02Z","timestamp":1786369382000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01277230-201305000-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5]]},"references-count":36,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.2215\/cjn.06470612","relation":{},"ISSN":["1555-9041"],"issn-type":[{"value":"1555-9041","type":"print"}],"subject":[],"published":{"date-parts":[[2013,5]]}}}