Discordant prevalence of hypertension using two different automated blood pressure measurement devices: a population-based study in Dar es Salaam (Tanzania)

Gervasoni, Jean-Pierre; Rwebogora, Anne; Mkamba, Mashombo; Waeber, Bernard; Paccaud, Fred; Burnier, Michel; Bovet, Pascal

doi:10.1097/00126097-200404000-00001

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…However, this problem is encountered less frequently with wrist-type monitors. Because the wrist size is more similar between obese and non-obese individuals, the wrist-type BP monitor measurements are not affected to such a great extent as arm cuff monitors by body size [ 26 – 29 ].…”

Section: Discussionmentioning

confidence: 99%

Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?

2021

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Background Ambulatory blood pressure monitoring (ABPM) is important in evaluating average 24-hour blood pressure (BP) levels, circadian rhythm, sleeping BP and BP variability but many patients are reluctant to use standard ABPM devices. Methods We compared two validated ABPM devices, the BPro tonometric wrist monitor and the A&D TM-2430 oscillometric upper arm monitor, for agreement of recordings and acceptability in 37 hypertensive patients (aged 55±9 years). Results Successful BP measurements were less frequent with the wrist-type than the arm-type device during the sleeping (66.3% vs. 92.9%, P <0.01) and awake periods (56.2% vs. 86.5%, P <0.01). Comparable paired readings showed no significant difference in systolic BP but diastolic BP (DBP) values were higher with the wrist compared to the arm monitor (24-hour 89±13 vs. 85±14 mmHg, P <0.01) with similar differences awake and sleeping. Bland-Altman analysis showed some large discrepancies between individual arm and wrist monitor measurements. More patients found the wrist monitor more comfortable to use than the arm monitor. Conclusions Despite the difference in individual BP measurements and the systematic overestimation of DBP values with the BPro device, wrist monitors with good patient acceptability may be useful to facilitate ABPM in some patients to provide additional information about cardiovascular risk and response to antihypertensive therapies.

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Section: Discussionmentioning

confidence: 99%

Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?

2021

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“…The device is validated in this group of patients, too; that is, these devices are able to make accurate measurements regardless of the thickness of the arm or wrist. In their comparisons carried out with electronic equipment, Chiolero et al [27] obtained results showing that the measurement values of devices that measure at the wrist were not affected by the thickness of the arm or by obesity. In another study, Cuckson et al [28] showed that the Omron RX model produced results close to those of a mercurial device if used with an appropriate cuff in those with an arm circumference greater than 33 cm.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Omron 637IT wrist blood pressure measuring device with a position sensor according to the International Protocol in adults and obese adults

Altunkan

Öztaş

Altunkan

2006

Blood Pressure Monitoring

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“…27 However, proper validation and calibration of such devices are necessary because substantial systematic bias can exist between different models and manufacturers. [28][29][30] Unfortunately, few devices have been validated for use in children. 31 Moreover, current validation protocols are quite lenient and allow, for example, for systematic underestimates or overestimates of BP by as much as 5 mm Hg.…”

Section: Limitations Related To Bp Estimation In Childrenmentioning

confidence: 99%

Has Blood Pressure Increased in Children in Response to the Obesity Epidemic?

et al. 2007

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The associations between elevated blood pressure and overweight, on one hand, and the increasing prevalence over time of pediatric overweight, on the other hand, suggest that the prevalence of elevated blood pressure could have increased in children over the last few decades. In this article we review the epidemiologic evidence available on the prevalence of elevated blood pressure in children and trends over time. On the basis of the few large population-based surveys available, the prevalence of elevated blood pressure is fairly high in several populations, whereas there is little direct evidence that blood pressure has increased during the past few decades despite the concomitant epidemic of pediatric overweight. However, a definite conclusion cannot be drawn yet because of the paucity of epidemiologic studies that have assessed blood pressure trends in the same populations and the lack of standardized methods used for the measurement of blood pressure and the definition of elevated blood pressure in children. Additional studies should examine if favorable secular trends in other determinants of blood pressure (eg, dietary factors, birth weight, etc) may have attenuated the apparently limited impact of the epidemic of overweight on blood pressure in children.

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Discordant prevalence of hypertension using two different automated blood pressure measurement devices: a population-based study in Dar es Salaam (Tanzania)

Abstract: A large discrepancy in the estimated prevalence of blood pressure categories was observed using two different automatic measurement devices. This emphasizes that prevalence estimates based on automatic devices should be considered with caution.

Cited by 7 publications

References 16 publications

Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?

Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?

Validation of the Omron 637IT wrist blood pressure measuring device with a position sensor according to the International Protocol in adults and obese adults

Has Blood Pressure Increased in Children in Response to the Obesity Epidemic?

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