{
  "abstract": "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. 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. 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). Home BP-guided lifestyle counseling may improve management of elevated BP detected at workplace health checkups.",
  "abstract_shown": true,
  "affiliations": [
    "Department of General Medicine, School of Medicine, Iwate Medical University, Iwate, Japan."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Shinichi Omama"
    },
    {
      "affs": [
        0
      ],
      "name": "Tomohiro Takahashi"
    },
    {
      "affs": [
        0
      ],
      "name": "Tetsuya Yamada"
    },
    {
      "affs": [
        0
      ],
      "name": "Shinya Maita"
    },
    {
      "affs": [
        0
      ],
      "name": "Osamu Shimooki"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3jrhrmb3q802b.bib",
  "cited_by": 0,
  "doi": "10.1111/jch.70384",
  "fulltext_url": "https://europepmc.org/articles/PMC13744430",
  "id": "3jrhrmb3q802b",
  "issns": [
    "1524-6175",
    "1751-7176"
  ],
  "landing_url": "https://europepmc.org/article/MED/42998904",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2705|Blood Pressure and Hypertension Studies"
    ]
  ],
  "openalex": "W7225452544",
  "pdf_url": "https://europepmc.org/articles/PMC13744430?pdf=render",
  "pmcid": "PMC13744430",
  "pmid": "42998904",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/3jrhrmb3q802b.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42998904",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42998904"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Blood Pressure and Hypertension Studies",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Home Blood Pressure-Guided Lifestyle Intervention for Elevated Blood Pressure Detected at Workplace Health Checkups: A Randomized Pilot Trial.",
  "title_text": "Home Blood Pressure-Guided Lifestyle Intervention for Elevated Blood Pressure Detected at Workplace Health Checkups: A Randomized Pilot Trial.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/3jrhrmb3q802b",
  "venue": "Journal of clinical hypertension (Greenwich, Conn.)",
  "versions": []
}