Office BP measurement using conical cuffs in children and adolescents with obesity
Objective Findings from adult studies suggest that tronco-conical cuffs provide more accurate blood pressure (BP) measurements in individuals with obesity. The aim of the present study was to examine differences in office blood pressure (BP) levels using conical cuffs compared to standard-shaped cyl...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Blood Pressure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/08037051.2024.2411294 |
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| author | Kleo Evripidou Julio Alvarez-Pitti Ana De Blas-Zapata Athanasia Chainoglou Ioannis Goulas Karel Herberigs Gilad Hamdani Stella Stabouli |
| author_facet | Kleo Evripidou Julio Alvarez-Pitti Ana De Blas-Zapata Athanasia Chainoglou Ioannis Goulas Karel Herberigs Gilad Hamdani Stella Stabouli |
| author_sort | Kleo Evripidou |
| collection | DOAJ |
| description | Objective Findings from adult studies suggest that tronco-conical cuffs provide more accurate blood pressure (BP) measurements in individuals with obesity. The aim of the present study was to examine differences in office blood pressure (BP) levels using conical cuffs compared to standard-shaped cylindrical cuffs in children and adolescents with obesity.Design and method We performed an observational study, including 37 children and adolescents with obesity, who were consequently recruited from the outpatient clinics of the Obesity and Cardiovascular Risk Unit at General University Hospital Consortium of Valencia. Arm circumference AC was measured in all participants, and the appropriate cuff size was selected for both conical and cylindrical cuffs.Results Mean participants’ age was 11.8[Formula: see text]2.5 years, mean BMI was 28.8[Formula: see text]3.4 kg/m2, mean BMI z-score was 2.12[Formula: see text]0.32, and mean AC was 30.0[Formula: see text]3.6 cm. There was no statistical significance in BP levels measured by cylindrical compared to conical cuffs (mean difference cylindrical-conical cuff was −0.22[Formula: see text]6.55 mmHg for SBP, −0.02[Formula: see text]0.81 for SBP z-score, −0.70[Formula: see text]4.95 mmHg for DBP, and −0.06[Formula: see text]0.44 for DBP z-score). A significant positive association was found between the measurements obtained by cylindrical and conical cuffs in both mean and z-score SBP and DBP values (p < 0.001). Bland-Altman analysis showed good agreement, with 94.6% of the values for all BP parameters lying between the limits of agreement.Conclusions Although the use of conical cuffs in the study showed no advantage in enhancing the performance of BP measurements, they may be considered an alternative for office BP measurements in children and adolescents with obesity. Their reliability should be confirmed in larger populations and different settings. |
| format | Article |
| id | doaj-art-1a21d2ae497d40ba8ffbd1ac9e190b4f |
| institution | Kabale University |
| issn | 0803-7051 1651-1999 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Blood Pressure |
| spelling | doaj-art-1a21d2ae497d40ba8ffbd1ac9e190b4f2025-01-30T13:19:52ZengTaylor & Francis GroupBlood Pressure0803-70511651-19992024-12-0133110.1080/08037051.2024.2411294Office BP measurement using conical cuffs in children and adolescents with obesityKleo Evripidou0Julio Alvarez-Pitti1Ana De Blas-Zapata2Athanasia Chainoglou3Ioannis Goulas4Karel Herberigs5Gilad Hamdani6Stella Stabouli71st Department of Pediatrics, Hippocratio General Hospital, Aristotle University Thessaloniki, Thessaloniki, GreecePediatric Department, Consorcio Hospital General, University of Valencia, Valencia, SpainPediatric Department, Consorcio Hospital General, University of Valencia, Valencia, Spain1st Department of Pediatrics, Hippocratio General Hospital, Aristotle University Thessaloniki, Thessaloniki, Greece1st Department of Pediatrics, Hippocratio General Hospital, Aristotle University Thessaloniki, Thessaloniki, GreeceOMRON Healthcare Europe BV, Amsterdam, NetherlandsNephrology and Hypertension Institute, Schneider Children’s Medical Center, Petah Tikva, Israel1st Department of Pediatrics, Hippocratio General Hospital, Aristotle University Thessaloniki, Thessaloniki, GreeceObjective Findings from adult studies suggest that tronco-conical cuffs provide more accurate blood pressure (BP) measurements in individuals with obesity. The aim of the present study was to examine differences in office blood pressure (BP) levels using conical cuffs compared to standard-shaped cylindrical cuffs in children and adolescents with obesity.Design and method We performed an observational study, including 37 children and adolescents with obesity, who were consequently recruited from the outpatient clinics of the Obesity and Cardiovascular Risk Unit at General University Hospital Consortium of Valencia. Arm circumference AC was measured in all participants, and the appropriate cuff size was selected for both conical and cylindrical cuffs.Results Mean participants’ age was 11.8[Formula: see text]2.5 years, mean BMI was 28.8[Formula: see text]3.4 kg/m2, mean BMI z-score was 2.12[Formula: see text]0.32, and mean AC was 30.0[Formula: see text]3.6 cm. There was no statistical significance in BP levels measured by cylindrical compared to conical cuffs (mean difference cylindrical-conical cuff was −0.22[Formula: see text]6.55 mmHg for SBP, −0.02[Formula: see text]0.81 for SBP z-score, −0.70[Formula: see text]4.95 mmHg for DBP, and −0.06[Formula: see text]0.44 for DBP z-score). A significant positive association was found between the measurements obtained by cylindrical and conical cuffs in both mean and z-score SBP and DBP values (p < 0.001). Bland-Altman analysis showed good agreement, with 94.6% of the values for all BP parameters lying between the limits of agreement.Conclusions Although the use of conical cuffs in the study showed no advantage in enhancing the performance of BP measurements, they may be considered an alternative for office BP measurements in children and adolescents with obesity. Their reliability should be confirmed in larger populations and different settings.https://www.tandfonline.com/doi/10.1080/08037051.2024.2411294ObesitychildrenadolescentsBlood pressurehypertensioncuff |
| spellingShingle | Kleo Evripidou Julio Alvarez-Pitti Ana De Blas-Zapata Athanasia Chainoglou Ioannis Goulas Karel Herberigs Gilad Hamdani Stella Stabouli Office BP measurement using conical cuffs in children and adolescents with obesity Blood Pressure Obesity children adolescents Blood pressure hypertension cuff |
| title | Office BP measurement using conical cuffs in children and adolescents with obesity |
| title_full | Office BP measurement using conical cuffs in children and adolescents with obesity |
| title_fullStr | Office BP measurement using conical cuffs in children and adolescents with obesity |
| title_full_unstemmed | Office BP measurement using conical cuffs in children and adolescents with obesity |
| title_short | Office BP measurement using conical cuffs in children and adolescents with obesity |
| title_sort | office bp measurement using conical cuffs in children and adolescents with obesity |
| topic | Obesity children adolescents Blood pressure hypertension cuff |
| url | https://www.tandfonline.com/doi/10.1080/08037051.2024.2411294 |
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