{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T11:51:02Z","timestamp":1766058662287,"version":"3.48.0"},"reference-count":0,"publisher":"Jaypee Brothers Medical Publishing","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPI"],"published-print":{"date-parts":[[2025,11,10]]},"abstract":"<jats:p>Background: Hypertension, a prevalent health issue worldwide, is a leading risk factor for \ncardiovascular disease and often coexists with other metabolic conditions. Despite its treatability, \nthe specific mechanisms leading to organ damage from hypertension are not fully understood. \nThis study aimed to evaluate blood pressure (BP) patterns among medical students using 24-hour \nambulatory blood pressure monitoring (ABPM) and examine the relationship between these \npatterns and various associated factors.\nMethodology: This study was conducted at a tertiary care center in North India and involved 75 \nundergraduate medical students. Data collected included demographic details, height, weight, \nbody mass index (BMI), smoking history, alcohol intake, physical activity, and family history of \nhypertension. A structured questionnaire was used to gather information, and BMI was calculated \nfor each participant. Office BP measurements were taken, followed by ABPM the next day.\nResults: The results revealed that 41 (54.6%) of the participants were male and 34 (45.3%) were \nfemale, with most students aged 20\u201322 years. BMI distribution showed 30.67% had normal BMI, \n30.67% were overweight, and 38.6% were obese. Office BP measurements identified only 13.3% \nas hypertensive. ABPM identified 38.6% of participants as hypertensive by at least one criterion \n(24-hour mean BP, daytime mean BP, or nighttime mean BP). White coat hypertension was present \nin 6 (8.5%) participants, and 25 (33.3%) participants had masked hypertension. There was no \nsignificant correlation of hypertension with gender, BMI, exercise, or family history of hypertension. \nNormal dipping was seen in 23 (30.67%) participants, 46 (61.3%) were nondippers, and 3 (4%) \neach were reverse and extreme dippers. There was no significant correlation of dipping patterns \nwith gender, BMI, exercise, or family history of hypertension. Hypertensive individuals, along with \nnondippers and reverse dippers, were referred for further evaluation.\nConclusion: In our study, 29 participants were found to be hypertensive on ABPM, and 49 \nparticipants had abnormal dipping patterns. This increase in BP or abnormal dipping observed at \nsuch a young age is alarming. This was a single-center study with a small sample size, and therefore \nthe results cannot be generalized to larger population sizes. Further multicenter studies in young \npatients with a larger sample size are required.<\/jats:p>","DOI":"10.59556\/japi.73.1211","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T11:47:56Z","timestamp":1766058476000},"page":"e1-e5","source":"Crossref","is-referenced-by-count":0,"title":["A Study of Ambulatory Blood Pressure Monitoring in  Undergraduate Medical Students in a Tertiary Care Hospital in  North India"],"prefix":"10.59556","volume":"73","author":[{"given":"Arzoo","family":"Sharma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamal Kumar","family":"Sawlani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ambuj","family":"Yadav","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shyam Chand","family":"Chaudhary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kauser","family":"Usman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Khattri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virendra","family":"Atam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2914","published-online":{"date-parts":[[2025,11,10]]},"container-title":["Journal of the Association of Physicians of India"],"original-title":[],"deposited":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T11:47:59Z","timestamp":1766058479000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.japi.org\/article\/japi-73-11-e1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,10]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11,10]]},"published-print":{"date-parts":[[2025,11,10]]}},"URL":"https:\/\/doi.org\/10.59556\/japi.73.1211","relation":{},"ISSN":["0004-5772"],"issn-type":[{"value":"0004-5772","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,10]]}}}