Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Brief Communication
  • Published:

Seasonal effects on blood pressure variability in treated hypertensive patients assessed by office, home, and ambulatory measurements

Hypertension Research volume 47, pages 790–793 (2024)Cite this article

A Comment to this article was published on 12 January 2024

Abstract

This study investigated the seasonal effect on blood pressure (BP) variability. Patients on stable antihypertensive drug treatment were assessed with office (OBP), home (HBP), and ambulatory BP (ABP) measurements in winter, next summer, and in next winter. Fifty-eight participants with full data for winter and summer were analyzed (mean age 65.2 ± 7.9 [SD], 64% males). OBP, HBP and ABP (24-h; daytime) were lower in summer than in winter (P < 0.01), whereas nighttime ABP was unchanged (p = NS). Standard deviation (SD), coefficient of variation (CV) and average real variability (ARV) for systolic OBP were higher in winter than summer (p < 0.01/ < 0.05/ < 0.01, respectively). These indices for HBP and ABP measurements did not differ in winter and summer (p = NS). Forty participants had complete data for winter-summer-next winter and HBP/ABP variability indices did not differ for both winters versus summer. These preliminary data suggest that BP variability is unaffected by seasonal changes in contrast to average BP levels.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Fig. 1

References

  1. Schutte AE, Kollias A, Stergiou GS. Blood pressure and its variability: classic and novel measurement techniques. Nat Rev Cardiol. 2022;19:643–54.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Parati G, Bilo G, Kollias A, Pengo M, Ochoa JE, Castiglioni P, et al. Blood pressure variability: methodological aspects, clinical relevance and practical indications for management - a European Society of Hypertension position paper ∗. J Hypertens. 2023;41:527–44.

    Article  CAS  PubMed  Google Scholar 

  3. Stergiou GS, Palatini P, Modesti PA, Asayama K, Asmar R, Bilo G, et al. Seasonal variation in blood pressure: evidence, consensus and recommendations for clinical practice. Consensus statement by the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability. J Hypertens. 2020;38:1235–43.

    Article  CAS  PubMed  Google Scholar 

  4. Kollias A, Kyriakoulis KG, Stambolliu E, Ntineri A, Anagnostopoulos I, Stergiou GS. Seasonal blood pressure variation assessed by different measurement methods: systematic review and meta-analysis. J Hypertens. 2020;38:791–8.

    Article  CAS  PubMed  Google Scholar 

  5. Stergiou GS, Myrsilidi A, Kollias A, Destounis A, Roussias L, Kalogeropoulos P. Seasonal variation in meteorological parameters and office, ambulatory and home blood pressure: predicting factors and clinical implications. Hypertens Res. 2015;38:869–75.

    Article  PubMed  Google Scholar 

  6. Bilo G, Giglio A, Styczkiewicz K, Caldara G, Maronati A, Kawecka-Jaszcz K, et al. A new method for assessing 24-h blood pressure variability after excluding the contribution of nocturnal blood pressure fall. J Hypertens. 2007;25:2058–66.

    Article  CAS  PubMed  Google Scholar 

  7. Boubouchairopoulou N, Ntineri A, Kollias A, Destounis A, Stergiou GS. Blood pressure variability assessed by office, home, and ambulatory measurements: comparison, agreement, and determinants. Hypertens Res. 2021;44:1617–24.

    Article  CAS  PubMed  Google Scholar 

  8. Tang L, Zhang J, Xu Y, Xu T, Yang Y, Wang J. Novel insights into the association between seasonal variations, blood pressure, and blood pressure variability in patients with new-onset essential hypertension. BMC Cardiovasc Disord. 2022;22:401.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Saeki K, Obayashi K, Iwamoto J, Tone N, Okamoto N, Tomioka K, et al. The relationship between indoor, outdoor and ambient temperatures and morning BP surges from inter-seasonally repeated measurements. J Hum Hypertens. 2014;28:482–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece

    Anastasios Kollias, Ariadni Menti, Vasileios Ntousopoulos, Antonios Destounis, Konstantinos G. Kyriakoulis, Petros Kalogeropoulos, Aikaterini Myrsilidi & George S. Stergiou

  2. Department of Cardiology, Metropolitan Hospital, Athens, Greece

    Petros Kalogeropoulos

Authors
  1. Anastasios Kollias
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ariadni Menti
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vasileios Ntousopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Antonios Destounis
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Konstantinos G. Kyriakoulis
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Petros Kalogeropoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Aikaterini Myrsilidi
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. George S. Stergiou
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to George S. Stergiou.

Ethics declarations

Conflict of interest

GSS received consulting fees by Microlife, and research grants for studies through the Athens University Special Account for Research Grants, which are unrelated to this work. Microlife donated BP devices used in the study, but had no involvement in designing this study, interpreting the results, and preparing the paper. The other authors declare no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kollias, A., Menti, A., Ntousopoulos, V. et al. Seasonal effects on blood pressure variability in treated hypertensive patients assessed by office, home, and ambulatory measurements. Hypertens Res 47, 790–793 (2024). https://doi.org/10.1038/s41440-023-01537-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41440-023-01537-y

Keywords

This article is cited by

Search

Advanced search

Quick links