title: The impact of bladder distension on blood pressure in middle aged women.
abstract: BACKGROUND
  The purpose of the present study was to investigate the relation between the extent of bladder distention and the rise of blood pressure in middle aged women.
  
  
  METHODS
  In a cross-sectional, descriptive observational study, we obtained data from 172 middle aged women at a health promotion center of Pusan National University Hospital. We measured duration of urine-holding as the degree of the extension of bladder distention. Blood pressure was measured twice while holding urine and immediately after urination. Urine holding with full bladder was confirmed by abdominal ultrasound.
  
  
  RESULTS
  Difference in systolic blood pressure was 4.2 ± 10.7 (P < 0.001), and that in diastolic blood pressure was 2.8 ± 7.7 mm Hg (P < 0.001) between holding urine and immediately after urination. There was no significant correlation between the urine-holding duration and differences in systolic and diastolic blood pressure.
  
  
  CONCLUSIONS
  Our findings suggest that systolic and diastolic blood pressure is increased by urine-holding at least 3 hours after the last urination in middle aged women. Thus in practice, blood pressure should be measured after the bladder is emptied.
authors: Family Medicine Clinic, Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors: Eun Jung
authors: EJ
authors: Choi
authors: Dong Wook
authors: DW
authors: Jeong
authors: Jeong Gyu
authors: JG
authors: Lee
authors: Sangyeoup
authors: S
authors: Lee
authors: Yun Jin
authors: YJ
authors: Kim
authors: Yu Hyone
authors: YH
authors: Yi
authors: Young Hye
authors: YH
authors: Cho
authors: Sun Ju
authors: SJ
authors: Im
authors: Mi Jin
authors: MJ
authors: Bae