Impact of single-visit American versus European office blood pressure measurement procedure on individual blood pressure classification: a cross-sectional study

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.

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PROPOSAL OF A UNIVERSAL OFFICE BLOOD PRESSURE MEASUREMENT PROCEDURE FOR CLINICAL AND SCIENTIFIC USE

Journal of Hypertension ◽

10.1097/01.hjh.0000745592.28719.dc ◽

2021 ◽

Vol 39 (Supplement 1) ◽

pp. e115-e116

Author(s):

Annina Vischer ◽

Thenral Socrates ◽

Clemens Winterhalder ◽

Jens Eckstein ◽

Michael Mayr ◽

...

Keyword(s):

Blood Pressure ◽

Pressure Measurement ◽

Blood Pressure Measurement ◽

Measurement Procedure ◽

Office Blood Pressure

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Hypertension and its Determinants Among School Going Adolescents: A Cross Sectional Study in Nepal

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v39i2.25377 ◽

2019 ◽

Vol 39 (2) ◽

pp. 87-94

Author(s):

Sujata Shakya ◽

Shanti Bajracharya

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Blood Pressure Measurement ◽

Cross Sectional Study ◽

Lifestyle Changes ◽

Elevated Blood Pressure ◽

Bivariate Analysis ◽

Elevated Blood ◽

Sectional Study ◽

Cross Sectional

Introduction: Hypertension is a chronic life threatening non- communicable disease. It increases the risk for cardiovascular diseases even leading to premature death. Almost half of the adults with hypertension had elevated blood pressure during childhood. With globalisation and lifestyle changes, adolescents are exposed to various risk factors. However, diagnosis in this population is difficult due to absence of symptoms. Thus, regular blood pressure screening is essential in these groups. This study aimed to find out the prevalence of hypertension and its determinants among the school going adolescents of Kathmandu, Nepal. Methods: This was a descriptive cross sectional study which included five private secondary schools of Kathmandu, Nepal. The adolescent students studying in classes VIII, IX and X were the study subjects. Two stage cluster random sampling technique was used to select 356 participants. Data collection was done by doing anthropometric measurements, blood pressure measurement and through self administered questionnaire. Results: The study depicted that the prevalence of elevated blood pressure was 12.4%, stage 1 hypertension 32.3% and stage 2 hypertension 9.8%. Similarly, 13.8% were overweight and 1.4% were obese. Bivariate analysis depicted significant association of prevalence of hypertension with gender, religion and obesity (p < 0.05). The multivariate analysis shows that the significant predictors of elevated blood pressure and/or hypertension were gender and obesity. Males were six times more likely to have elevated blood pressure (AOR = 6.058, CI = 2.571 - 14.274) and 2.8 times more likely to be hypertensive (AOR = 2.838, CI = 1.688 - 4.773) compared to females. Similarly, compared to obese/ overweight students, thin and normally built ones have less likelihood of having elevated blood pressure and hypertension. Conclusions: Hypertension has been prevalent among adolescents, due to various behavioural risk factors. This is really challenging and of public health significance. Regular screening of adolescents is essential for early detection and management of hypertension.

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Diagnostic accuracy of office blood pressure compared to home blood pressure in patients with mild cognitive impairment and dementia

European Journal of Cardiovascular Nursing ◽

10.1177/1474515119855822 ◽

2019 ◽

Vol 18 (7) ◽

pp. 637-642 ◽

Cited By ~ 1

Author(s):

Rianne AA de Heus ◽

Maxime V Tumelaire ◽

Marcel GM Olde Rikkert ◽

Jurgen AHR Claassen

Keyword(s):

Blood Pressure ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Diagnostic Accuracy ◽

Pressure Measurement ◽

Blood Pressure Measurement ◽

Home Blood Pressure ◽

Office Blood Pressure ◽

Memory Clinic ◽

Cross Sectional

Background: Hypertension and cognitive impairment often coexist in older people. Office blood pressure measurement is a poor indicator for diagnosing hypertension in the general population. However, its diagnostic accuracy has not been substantially studied in patients with cognitive impairment. Aim: The aim of this study was to determine the proportion of misdiagnosis of hypertension in patients with mild cognitive impairment and dementia compared to no cognitive impairment, by comparing office blood pressure measurement with home blood pressure measurement. Methods: A cross-sectional study including consecutive patients visiting a memory clinic between 2014 and 2017. Home blood pressure was measured for one week according to the European guidelines. Office blood pressure was assessed during routine clinical practice. Using guideline definitions for normal blood pressure and hypertension, we investigated the proportion of disagreement between office blood pressure measurement and home blood pressure measurement. Univariable and multivariable logistic regression compared disagreement in diagnosis between patients with dementia, mild cognitive impairment and no cognitive impairment. Results: Of 213 patients (aged 73.4±9.0 years, 42% women) 82 had dementia, 65 had mild cognitive impairment and 66 had no cognitive impairment. Mean office blood pressure was 156/84±23/11 mmHg and mean home blood pressure was 139/79±16/10 mmHg. In 31% of patients, there was disagreement in hypertension diagnosis. This proportion was higher for mild cognitive impairment (38.5%) and dementia (35.4%) compared to no cognitive impairment (18.2%), with adjusted odds ratios of 3.7 (95% confidence interval 1.5–9.0), P=0.005 for mild cognitive impairment and 3.4 (1.3–8.6), P=0.011 for dementia. Conclusions: In memory clinic patients with dementia and mild cognitive impairment, the diagnostic accuracy of office blood pressure measurement is lower compared to patients without cognitive impairment. To avoid the risk of making improper treatment decisions in this vulnerable group, a diagnosis of hypertension should be based on home blood pressure measurement, not office blood pressure measurement.

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COMPARISON OF BLOOD PRESSURE VARIABILITY BETWEEN 24H AMBULATORY MONITORING AND OFFICE BLOOD PRESSURE IN DIABETICS AND NON-DIABETIC PATIENTS A CROSS-SECTIONAL STUDY

Journal of Hypertension ◽

10.1097/01.hjh.0000746796.05027.2f ◽

2021 ◽

Vol 39 (Supplement 1) ◽

pp. e208

Author(s):

Ana Lídia Rouxinol-Dias ◽

Marta Lisandra Gonçalves ◽

José Silva ◽

Diogo Ramalho ◽

Loide Barbosa ◽

...

Keyword(s):

Blood Pressure ◽

Blood Pressure Variability ◽

Ambulatory Monitoring ◽

Cross Sectional Study ◽

Office Blood Pressure ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional

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Impact of rest on office blood pressure in patients with hypertension and diabetes at the national obesity centre of Yaounde: a cross-sectional study in Sub-Saharan Africa

Journal of Xiangya Medicine ◽

10.21037/jxym.2019.10.05 ◽

2020 ◽

Vol 5 ◽

pp. 2-2

Author(s):

Sylvain Raoul Simeni Njonnou ◽

Aimée Tiodoung Timnou ◽

Martine Claude Etoa Etoga ◽

Ahmadou Musa Jingi ◽

Jerome Boombhi ◽

...

Keyword(s):

Blood Pressure ◽

Cross Sectional Study ◽

Office Blood Pressure ◽

Sub Saharan Africa ◽

Sectional Study ◽

Cross Sectional ◽

Sub Saharan

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Relation of Obesity and Hypertension among Chinese Community in Melaka, Malaysia–A Cross-sectional Study

Asian Journal of Research in Medical and Pharmaceutical Sciences ◽

10.9734/ajrimps/2020/v9i130143 ◽

2020 ◽

pp. 23-29

Author(s):

Htay Lwin ◽

Mila Nu Nu Htay ◽

Htoo Htoo Kyaw Soe ◽

Mra Aye ◽

Adinegara Lutfi Abas ◽

...

Keyword(s):

Blood Pressure ◽

Body Weight ◽

Blood Pressure Measurement ◽

Secondary Data ◽

Ideal Body Weight ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Sectional Study ◽

Cross Sectional

Introduction: The main cause of overweight and obesity is the imbalance between energy intake and expenditure. Obesity is the abnormal accumulation of ≥20% of body fat, over the individual's ideal body weight. Obesity is diagnosed by measuring the weight in relation to the height of an individual, thereby determining or calculating the body mass index (BMI). Methodology: This study is a cross-sectional study with the secondary data analysis of the health records of the patients who had attended the medical camps conducted in Melaka, Malaysia. All of the attendee’s body weight and height were measured. The blood pressure measurement was done according to the Clinical Practice Guidelines, Ministry of Health, Malaysia. Hypertension is defined as if the participant has systolic blood pressure (SBP) of > 140 mmHg and/ or diastolic blood pressure (DBP) of 90 mmHg or more. Some peoples were taking treatment of Hypertension. Results: The mean SBP among females was 11.64 units and mean DBP was 5.29 units lower compared to male participants. With an increase in age, SBP is expected to increase by .29 units, provided other variables remain unchanged. Regarding to BMI, every unit increase in BMI, SBP increased by 1.99 units and DBP increased by .86 units provided other variables remain unchanged. Conclusion: This study found that BMI is associated with SBP and DBP, which suggested that interventions for bodyweight management might be beneficial for the management of hypertension.

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