Hypertension

Effects of Noise and Public Setting on Blood Pressure Readings : A Randomized Crossover Trial

Ann Intern MedPublished Randomized crossover trial

Authors' conclusion

The BP readings obtained in public spaces were minimally different from BPs obtained in a private office, suggesting that public spaces are reasonable settings to screen for hypertension.

Study context

Population
Community-dwelling adults from the Baltimore, Maryland, area recruited through measurement-screening campaigns, mailings to previous study participants, and referrals from hypertension clinics
Participants
108 randomly assigned participants
Comparison
Differences in mean blood pressure (BP) readings obtained in public loud and public quiet versus private quiet
Methodological detailssingle-center
  • Single-center

Primary result

As reported in the abstract

Average noise level

Further findings

Mean, mm Hg

OutcomePrivate quietPublic loudPublic quietEstimate
Mean SBPPublic loudvs private quietMinimal, non-clinically important differences128.9 (SD 22.3)128.3 (SD 21.7)129.0 (SD 22.2)ΔSBP −0.66 mm Hg (95% CI −2.25 to 0.93)
Mean SBPPublic quietvs private quietMinimal, non-clinically important differencesΔSBP 0.09 mm Hg (95% CI −1.53 to 1.72)
Mean DBPPublic loudvs private quietMinimal, non-clinically important differences74.2 (SD 11.4)75.9 (SD 11.6)75.7 (SD 12.0)ΔDBP 1.65 mm Hg (CI 0.77–2.54)
Mean DBPPublic quietvs private quietMinimal, non-clinically important differencesΔDBP 1.45 mm Hg (CI 0.64–2.27)

Baseline characteristics

Mean age
56 years (SD, 17)
Self-reported Black
84%
Female
41%
Systolic BP (SBP) of 130 mm Hg or more
45%

Subgroups by baseline SBP, age, and recent health care utilization

The patterns were generally consistent across subgroups

Original publication

Effects of Noise and Public Setting on Blood Pressure Readings : A Randomized Crossover Trial. Ann Intern Med. Published 28 January 2025. doi:10.7326/annals-24-00873

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.