Skip to main content

Data Analysis of Ambulatory Blood Pressure Readings

Before p Values

  • Chapter
Handbook of Research Methods in Cardiovascular Behavioral Medicine

Abstract

The nature of ambulatory blood pressure (BP) monitoring is such that exploratory data analysis is both useful and necessary. In any study using ambulatory monitoring there are many sources of uncontrolled variability, including individual levels of BP, individual diurnal patterns of BP, individual physical activity patterns, individual mental activity (psychological) patterns, and artifactual readings. Failure to properly account for these sources of variation will typically obscure real effects in the data and can bias the estimates of the effects of primary interest. In this chapter we report our experience with the exploratory analysis which should precede the calculation of p values. Our experience has been primarily with large samples. When the sample size is large, computing resources can be severely strained and statistical significance (via a p value) takes a backseat to practical significance. We do not discuss the interpretation of significance tests in any detail but refer readers to the discussions by Ware, Mosteller, and Ingelfinger (1986) and Royall (1986).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Becker, R.A., & Chambers, J. M. (1984). S: An interactive environment for data analysis and graphics. Belmont, CA: Wadsworth.

    Google Scholar 

  • Clark, L. A., Denby, L., Pregibon, D., Harshfield, G. A., Pickering, T. G., Blank, S., & Laragh, J. H. (1987a). A data based method for bivariate outlier detection: Application to automatic blood pressure recording devices. Psychophysiology, 24, 119–125.

    Article  PubMed  CAS  Google Scholar 

  • Clark, L. A., Denby, L., Pregibon, D., Harshfield, G. A., Pickering, T. G., Blank, S., & Laragh, J. H. (1987b). A quantitative analysis of the effects of activity and time of day on the diurnal variations of blood pressure. Journal of Chronic Diseases, 40, 671–681.

    Article  PubMed  CAS  Google Scholar 

  • Cleveland, W. S. (1985). The elements of graphing data. Belmont, CA: Wadsworth.

    Google Scholar 

  • Collomb, G. (1981). Estimation Non-Parametrique de la Regression: Revue Bibliographique. International Statistics Review, 49, 75–94.

    Article  Google Scholar 

  • Draper, N. R., & Smith, H. (1981). Applied regression analysis. New York: Wiley.

    Google Scholar 

  • Halberg, F., Halberg, E., Halberg, J., & Halberg, F. (1984). Chronobiologic assessment of human blood pressure variation in health and disease. In M. A. Weber & J. I. M. Drayer (Eds.), Ambulatory blood pressure monitoring (pp. 137–156). Berlin: Springer-Verlag.

    Chapter  Google Scholar 

  • Hastie, T., & Tibshirani, R. (1986). Generalized additive models (with discussion). Statistical Science, 1, 297–318.

    Article  Google Scholar 

  • Healy, M. J. R. (1968). Multivariate normal plotting. Applied Statistics, 17, 157–161.

    Article  Google Scholar 

  • Marier, M. A., Jacob, R. G., Lehoczky, J. P., & Shapiro, A. P. (1988). The statistical analysis of treatment effects in 24-hour ambulatory blood pressure recordings. Statistics in Medicine, 7, 697–716.

    Article  Google Scholar 

  • McDonald, J. A. (1986). Periodic smoothing of time series. SIAM Journal of Scientific and Statistical Computing, 7, 665–688.

    Article  Google Scholar 

  • Millar-Craig, M. W., Bishop, C. N., & Raftery, E. B. (1978). Orcadian variation of blood pressure. Lancet, 1, 795.

    Article  PubMed  CAS  Google Scholar 

  • Millar-Craig, M. W., Mann, S., Balasubramanian, V., & Raftery, E. G. (1978). Blood pressure circadian rhythm in essential hypertension. Clinical Science and Molecular Medicine, 55, 391s.

    Google Scholar 

  • Royall, R. M. (1986). The effect of sample size on the meaning of significance tests. American Statistician, 40, 313–315.

    Google Scholar 

  • Snedecor, G. W., & Cochran, W. G. (1967). Statistical methods (6th ed.). Ames: Iowa State University Press.

    Google Scholar 

  • Ware, J. H., Mosteller, F., & Ingelfinger, J. A. (1986). P values. In J. C. Bailar, III, & F. Mosteller (Eds.), Medical uses of statistics. Waltham, MA: NEJM Books.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer Science+Business Media New York

About this chapter

Cite this chapter

Clark, L.A., Denby, L., Pregibon, D. (1989). Data Analysis of Ambulatory Blood Pressure Readings. In: Schneiderman, N., Weiss, S.M., Kaufmann, P.G. (eds) Handbook of Research Methods in Cardiovascular Behavioral Medicine. The Springer Series in Behavioral Psychophysiology and Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0906-0_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0906-0_21

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0908-4

  • Online ISBN: 978-1-4899-0906-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics