Blood pressure measurement in pediatric population: comparison between automated oscillometric devices and mercury sphygmomanometers—a systematic review and meta-analysis

2021 ◽  
Author(s):  
Keisyanne Araujo-Moura ◽  
Letícia Gabrielle Souza ◽  
Gabriele Luz Mello ◽  
Augusto César Ferreira De Moraes
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Pressure Measurement ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Blood Pressure Measurement ◽  
Population Comparison

scholarly journals Diagnostic Accuracy of Anthropometric Indices for Discriminating Elevated Blood Pressure in Pediatric Population: A Systematic Review and a Meta-Analysis

2021 ◽  
Author(s):  
Jun-Min Tao ◽  
Wei Wei ◽  
Xiao-Yang Ma ◽  
Ying-Xiang Huo ◽  
Meng-Die Hu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Childhood Obesity ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Discriminatory Power ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Anthropometric Index ◽  
Receiver Operating

Abstract Background: Childhood obesity is more likely to increase the chance of many adult health problems. Numerous studies have shown obese children to be more prone to elevated blood pressure (BP) and hypertension. It is important to identify an obesity anthropometric index with good discriminatory power for them in pediatric population.Methods: MEDLINE/PubMed, Web of Science, and Cochrane databases were retrieved comprehensively for eligible studies on childhood obesity and hypertension/elevated BP through June 2021. The systematic review and meta-analysis of studies used receiver operating characteristics (ROC) curves for evaluating the discriminatory power of body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) in distinguishing children with elevated BP and hypertension. Results: 21 cross-sectional studies involving 177,943 children and 3–19 years of age were included in our study. Meta-analysis showed that the pooled area under the reporting receiver-operating characteristic curves (AUC) and 95% confidence intervals (CIs) for BMI, WC, and WHtR to detect hypertension of boys were 0.68 (0.64, 0.72), 0.69 (0.64, 0.74), 0.67 (0.63, 0.71), for elevated BP, the pooled AUCs and 95% CIs were 0.67 (0.61, 0.73), 0.65 (0.58, 0.73), 0.65 (0.61, 0.71). The pooled AUCs and 95% CIs for BMI, WC and WHtR of predicting hypertension were 0.70 (0.66, 0.75), 0.69 (0.64, 0.75), 0.67 (0.63, 0.72) in girls, the pooled AUCs and 95% CIs of predicting elevated BP were 0.63 (0.61, 0.65), 0.62 (0.60, 0.65), 0.62 (0.60, 0.64) respectively. There was no anthropometric index was statistically superior in identifying hypertension and elevated BP, however, the accuracy of BMI predicting hypertension was significantly higher than elevated BP in girls (P< 0.05). The subgroup analysis for the comparison of BMI, WC and WHtR was performed, no significant difference in predicting hypertension and elevated BP in pediatric population. Conclusions: This systematic review showed that no anthropometric index was superior in identifying hypertension and elevated BP in pediatric population. while compared with predicting elevated BP, all the indicators showed superiority in predicting hypertension in children, the difference was especially obvious in girls. A better anthropometric index should be explored to predict children’s early blood pressure abnormalities.

scholarly journals Diagnostic accuracy of anthropometric indices for discriminating elevated blood pressure in pediatric population: a systematic review and a meta-analysis

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jun-Min Tao ◽  
Wei Wei ◽  
Xiao-Yang Ma ◽  
Ying-Xiang Huo ◽  
Meng-Die Hu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Childhood Obesity ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Discriminatory Power ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Anthropometric Index ◽  
Receiver Operating

Abstract Background Childhood obesity is more likely to increase the chance of many adult health problems. Numerous studies have shown obese children to be more prone to elevated blood pressure (BP) and hypertension. It is important to identify an obesity anthropometric index with good discriminatory power for them in pediatric population. Methods MEDLINE/PubMed, Web of Science, and Cochrane databases were retrieved comprehensively for eligible studies on childhood obesity and hypertension/elevated BP through June 2021. The systematic review and meta-analysis of studies used receiver operating characteristics (ROC) curves for evaluating the discriminatory power of body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) in distinguishing children with elevated BP and hypertension. Results 21 cross-sectional studies involving 177,943 children and 3–19 years of age were included in our study. Meta-analysis showed that the pooled area under the reporting receiver-operating characteristic curves (AUC) and 95% confidence intervals (CIs) for BMI, WC, and WHtR to detect hypertension of boys were 0.68 (0.64, 0.72), 0.69 (0.64, 0.74), 0.67 (0.63, 0.71), for elevated BP, the pooled AUCs and 95% CIs were 0.67 (0.61, 0.73), 0.65 (0.58, 0.73), 0.65 (0.61, 0.71). The pooled AUCs and 95% CIs for BMI, WC and WHtR of predicting hypertension were 0.70 (0.66, 0.75), 0.69 (0.64, 0.75), 0.67 (0.63, 0.72) in girls, the pooled AUCs and 95% CIs of predicting elevated BP were 0.63 (0.61, 0.65), 0.62 (0.60, 0.65), 0.62 (0.60, 0.64) respectively. There was no anthropometric index was statistically superior in identifying hypertension and elevated BP, however, the accuracy of BMI predicting hypertension was significantly higher than elevated BP in girls (P < 0.05). The subgroup analysis for the comparison of BMI, WC and WHtR was performed, no significant difference in predicting hypertension and elevated BP in pediatric population. Conclusions This systematic review showed that no anthropometric index was superior in identifying hypertension and elevated BP in pediatric population. While compared with predicting elevated BP, all the indicators showed superiority in predicting hypertension in children, the difference was especially obvious in girls. A better anthropometric index should be explored to predict children’s early blood pressure abnormalities.

scholarly journals Blood Pressure Measurement Method and Inter-Arm Differences: A Meta-Analysis

2011 ◽  
Vol 24 (11) ◽  
pp. 1201-1208 ◽  
Author(s):  
Willem J. Verberk ◽  
Alfons G.H. Kessels ◽  
Theo Thien
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Measurement Method ◽  
Meta Analysis ◽  
Blood Pressure Measurement

Blood pressure measurement prior to initiating hormonal contraception: a systematic review

Contraception ◽  
2013 ◽  
Vol 87 (5) ◽  
pp. 631-638 ◽  
Author(s):  
Naomi K. Tepper ◽  
Kathryn M. Curtis ◽  
Maria W. Steenland ◽  
Polly A. Marchbanks
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Hormonal Contraception

scholarly journals Diagnostic performance of clinic and home blood pressure measurements compared with ambulatory blood pressure: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Auttakiat Karnjanapiboonwong ◽  
Thunyarat Anothaisintawee ◽  
Usa Chaikledkaew ◽  
Charungthai Dejthevaporn ◽  
John Attia ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Ambulatory Blood Pressure ◽  
Pressure Measurement ◽  
Diagnostic Performance ◽  
Blood Pressure Measurement ◽  
Home Blood Pressure ◽  
Reference Standard ◽  
Sensitivity Specificity ◽  
Pool Prevalence

Abstract Background: Clinic blood pressure measurement (CBPM) is currently the most commonly used form of screening for hypertension, however it might have a problem of white coat hypertension (WCHT) and masked hypertension (MHT). Home blood pressure measurement (HBPM) may be an alternative, but its diagnostic performance is inconclusive relative to CBPM. Therefore, this systematic review aimed to estimate the performance of CBPM and HBPM compared with ambulatory blood pressure measurement(ABPM) and to pool prevalence of WCHT and MHT. Methods: Medline, Scopus, Cochrane Central Register of Controlled Trials and WHO's International Clinical Trials Registry Platform databases were searched up to 23rd January 2020. Studies having diagnostic tests as CBPM or HBPM with reference standard as ABPM which reported sensitivity and specificity of both tests and/or proportion of WCHT or MHT were eligible. Diagnostic performance of CBPM and HBPM were pooled using bivariate mixed-effect regression model. Random effect model was applied to pool prevalence of WCHT and MHT. Results: Fifty-eight studies were eligible. Pooled sensitivity, specificity, and diagnostic odds ratio (DOR) of CBPM, when using 24-hour ABPM as the reference standard, were 74%(95%CI:65%-82%), 79%(95%CI:61%-87%), and 11.11(95%CI:6.82-14.20), respectively. Pooled prevalence of WCHT and MHT were 0.24 (95% CI: 0.19, 0.29) and 0.29 (95% CI: 0.20, 0.38). Pooled sensitivity, specificity, and DOR of HBPM were 71%(95%CI:61%-80%), 82%(95%CI:77%-87%), and 11.60(95%CI:8.55.0-22.03), respectively. Conclusions: Diagnostic performances of HBPM were slightly higher than CBPM. However, the prevalence of MHT was high in negative CBPM and some persons with normal HBPM had elevated BP from 24-hour ABPM. Therefore, ABPM is still necessary for confirming the diagnosis of HT.

META-ANALYSIS: RELIABILITY OF AUTOMATED HOME BLOOD PRESSURE MEASUREMENT DEVICES.

2004 ◽  
Vol 18 (4) ◽  
pp. 31
Author(s):  
Dana E. Brusky ◽  
Erin Thull ◽  
Ramon Scott ◽  
Jacqueline S. Drouin ◽  
Rebecca White
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Meta Analysis ◽  
Blood Pressure Measurement ◽  
Home Blood Pressure ◽  
Measurement Devices
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