J Clin Hypertens (Greenwich). 2026 Nov;28(11):e70384. doi: 10.1111/jch.70384.
ABSTRACT
BACKGROUND: Workplace health checkups may identify elevated blood pressure (BP), but a single measurement may not reflect usual BP. We evaluated home BP-guided lifestyle management after elevated BP was detected at a workplace health checkup.
METHODS: Fifty-eight municipal employees were randomized to home BP monitoring plus physician-led lifestyle counseling (n = 31) or the same counseling without home BP feedback (n = 27). Both groups received two scheduled counseling sessions. The primary outcome was change in systolic BP at the subsequent annual health checkup.
RESULTS: Compared with the control group, the intervention group had greater reductions in systolic BP (between-group difference, -9.9 mmHg; 95% CI, -17.0 to -2.8; p = 0.007). After excluding three participants who initiated antihypertensive medication, the systolic BP difference remained significant (-7.7 mmHg; 95% CI, -14.6 to -0.8; p = 0.029).
CONCLUSIONS: Home BP-guided lifestyle counseling may improve management of elevated BP detected at workplace health checkups.
PMID:42998904 | DOI:10.1111/jch.70384
