Evidence map›Paper›PMID 39443705›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2025

Seasonal variation in home blood pressure during pregnancy and frequency of hypertensive disorders of pregnancy: a multicenter prospective study of home blood pressure measurements in pregnant women using information technology.

Seung Chik Jwa, Natsuko Takano, Shunsuke Tamaru, Sachi Kijima, Tadashi Uesato, Keiichi Matsubara, Kanji Tanaka, Koutarou Doi, Hiroshi Sameshima, Takayuki Iriyama and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Comparison of the associations between office and home BP with placenta-mediated pregnancy complications: the BOSHI study.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Seung Chik JwaDepartment of Obstetrics and Gynecology, Saitama Medical University, Saitama, Japan. jwa.seungchik@jichi.ac.jp.
Natsuko TakanoDepartment of Obstetrics and Gynecology, Saitama Medical University, Saitama, Japan.
Shunsuke TamaruDepartment of Obstetrics and Gynecology, Saitama Medical University, Saitama, Japan.
Sachi KijimaDepartment of Obstetrics and Gynecology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Tadashi UesatoAiwa Hospital, Saitama, Japan.
Keiichi MatsubaraDepartment of Regional Pediatrics and Perinatology, Ehime University Graduate School of Medicine, Ehime, Japan.
Kanji TanakaPerinatal Medical Center, Hirosaki University Hospital, Hirosaki, Japan.
Koutarou DoiDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Hiroshi SameshimaDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Takayuki IriyamaDepartment of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Kotaro FukushimaFukushima Clinic, Fukuoka, Japan.
Yoshiyasu HirataHirata Clinic, Saitama, Japan.
Tomoyuki FujiiSanno Hospital, Tokyo, Japan.
Isamu IshiwataIshiwata Obstetrics and Gynecology Hospital, Ibaraki, Japan.
Yoshimasa KameiDepartment of Obstetrics and Gynecology, Saitama Medical University, Saitama, Japan.
Hiroyuki SekiDepartment of Obstetrics and Gynecology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Japan Association of Obstetricians and Gynecologists Telemedicine Proof-of-Concept Home Blood Pressure Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This multicenter prospective study investigated seasonal variation in home blood pressure (HBP) during pregnancy and its association with the frequency of hypertensive disorders of pregnancy (HDP) and developed trimester-specific upper limits of HBP according to season. Low-risk women with singleton pregnancies were recruited at six university hospitals and three maternity clinics. HBP was measured by a sphygmomanometer twice daily and recorded online using a mobile application. HBP was evaluated according to season (winter, spring, summer, and autumn) and gestational age. Of 705 women recruited, 603 were finally included. Mean diastolic HBP values were lowest in summer and highest in winter throughout pregnancy (mean difference between summer and winter, 3.5-4.6 mmHg). Mean systolic HBP values were also lowest in summer and highest in winter except during the early period of the second trimester (mean difference between summer and the season with the highest value, 2.5-3.4 mmHg). HDP was diagnosed in 32 women (5.3%). The risk of HDP was significantly higher in women who delivered in spring and autumn but not in winter compared with summer. The rounded upper limit of HBP was 120/80 mmHg in the first trimester, 120/75 mmHg in the second trimester, and 125/80 mmHg in the third trimester for summer and 125/85 mmHg, 125/80 mmHg, and 130/85 mmHg, respectively, for other seasons. Systolic and diastolic HBP were lowest in summer throughout pregnancy. Seasonal variation should be considered when interpreting HBP and the risk of HDP during pregnancy.

Indexed as

Blood PressureBlood Pressure Monitoring, AmbulatoryHypertension, Pregnancy-InducedSeasonsAdultFemaleHumansPregnancyProspective StudiesComplicationsHome blood pressureHypertensive disorders of pregnancyPregnancySeasonality

Identifiers

PMID39443705

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.