biostudies-literatureCohen LPJackson State UniversityTougaloo CollegeUniversity of Mississippi Medical CenterNHLBI NIH HHSNational Heart, Lung, and Blood InstituteNIMHD NIH HHSCoronary Artery Risk Development in Young Adults StudyMississippi State Department of HealthNational Institutes of HealthNIH HHSNational Institute for Minority Health and Health Disparities1181-1188https://www.ebi.ac.uk/biostudies/studies/S-EPMC9526804biostudies-literatureUnknown34(11)<h4>Background</h4>The 2017 American College of Cardiology/American Heart Association blood pressure (BP) guideline recommends ambulatory BP monitoring to exclude white coat hypertension (WCH) among adults with office systolic BP (SBP)/diastolic BP (DBP) of 130-159/80-99 mm Hg, and masked hypertension (MHT) among adults with office SBP/DBP of 120-129/75-79 mm Hg after a 3-month trial of lifestyle modification. We estimated the proportion of individuals with ideal lifestyle factors among those who meet these office BP criteria.<h4>Methods</h4>We analyzed data from participants not taking antihypertensive medication in the Coronary Artery Risk Development in Young Adults (CARDIA) and Jackson Heart Study (JHS) who met the office BP criteria for screening for WCH (CARDIA n = 490, JHS n = 873) and MHT (CARDIA n = 486, JHS n = 614). We estimated the prevalence of lifestyle factors including ideal body mass index (BMI), physical activity, diet, and alcohol use among participants who met office BP criteria for WCH or MHT screening.<h4>Results</h4>Among participants who met office BP criteria for WCH screening, 15.5% in CARDIA and 3.6% in JHS had 3 or more ideal lifestyle factors. Among participants who met office BP criteria for MHT screening, 22.6% in CARDIA and 4.7% in JHS had 3 or more ideal lifestyle factors. Ideal BMI, diet, and physical activity were present in less than half of participants in each sample.<h4>Conclusions</h4>Few participants who met office BP criteria for the screening of WCH or MHT had ideal lifestyle factors.American journal of hypertensionLifestyle Behaviors Among Adults Recommended for Ambulatory Blood Pressure Monitoring According to the 2017 ACC/AHA Blood Pressure Guideline.PMC9526804K24-HL125704T32-HL007343-38R01 HL139716R01-HL117323HHSN268201800005IK01-HL135467HHSN268201800015IHHSN268201800004IR01 HL117323HHSN268201800007IHHSN268201800006IHHSN268201800012IHHSN268201800011IHHSN268201800003IHHSN268201800014IHHSN268201800013IT32 HL007343HHSN268201800010IHHSN26800001K23 HL141682Hardy STLewis CEMuntner PCohen LPSims MHubbard DLangford ATColvin CLJaeger BCAbdalla MPoudel BShimbo DfalseLifestyle Behaviors Among Adults Recommended for Ambulatory Blood Pressure Monitoring According to the 2017 ACC/AHA Blood Pressure Guideline.<h4>Background</h4>The 2017 American College of Cardiology/American Heart Association blood pressure (BP) guideline recommends ambulatory BP monitoring to exclude white coat hypertension (WCH) among adults with office systolic BP (SBP)/diastolic BP (DBP) of 130-159/80-99 mm Hg, and masked hypertension (MHT) among adults with office SBP/DBP of 120-129/75-79 mm Hg after a 3-month trial of lifestyle modification. We estimated the proportion of individuals with ideal lifestyle factors among those who meet these office BP criteria.<h4>Methods</h4>We analyzed data from participants not taking antihypertensive medication in the Coronary Artery Risk Development in Young Adults (CARDIA) and Jackson Heart Study (JHS) who met the office BP criteria for screening for WCH (CARDIA n = 490, JHS n = 873) and MHT (CARDIA n = 486, JHS n = 614). We estimated the prevalence of lifestyle factors including ideal body mass index (BMI), physical activity, diet, and alcohol use among participants who met office BP criteria for WCH or MHT screening.<h4>Results</h4>Among participants who met office BP criteria for WCH screening, 15.5% in CARDIA and 3.6% in JHS had 3 or more ideal lifestyle factors. Among participants who met office BP criteria for MHT screening, 22.6% in CARDIA and 4.7% in JHS had 3 or more ideal lifestyle factors. Ideal BMI, diet, and physical activity were present in less than half of participants in each sample.<h4>Conclusions</h4>Few participants who met office BP criteria for the screening of WCH or MHT had ideal lifestyle factors.2021-01-01T00:00:00Z2021 Nov2025-04-21T18:56:43.212Z2025-04-05T17:25:25.759ZS-EPMC95268043427068710.1093/ajh/hpab110