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March 12, 2007Blood Pressure Monitoring

US demographic trends in mid-arm circumference and recommended blood pressure cuffs for children and adolescents: data from the National Health and Nutrition Examination Survey 1988–2004

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Population

US children and adolescents aged 7-17 years from NHANES III and NHANES 1999-2004. Total n=12,969.

Design

Cross-sectional

Authors

RPRonald J. PrineasPreventive CardiologyYOYechiam OstchegaPreventive CardiologyMCMargaret D. CarrollBoston University

Discussion

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Implication

Increasing mid-arm circumferences may necessitate larger cuffs for accurate BP assessment in US youth; cross-sectional data leave open whether guidelines require revision.

Structured PICO

P
Population
US children and adolescents aged 7-17 years from NHANES III (1988-1994, n=5,111) and NHANES 1999-2004 (n=7,858). Total n=12,969.
O
Outcome
Mean mid-arm circumference and recommended blood pressure cuff sizessurrogate

The increasing mid-arm circumference in US children and adolescents necessitates the use of larger, often adult-sized, blood pressure cuffs to ensure accurate blood pressure measurement.

Cite This Study

Prineas et al. (2007) studied this question.

synapsesocial.com/papers/6a727e0f6ceb2bbd16e06045https://doi.org/10.1097/mbp.0b013e3280b08342

Topics

Hypertension management
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Also Consider

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  1. 1Cuff bladder width and blood pressure measurement in children and adolescents1992 · 72 citations
  2. 2Optimizing cuff width for noninvasive measurement of blood pressure2000 · 85 citations
  3. 3Ratio of cuff width/arm circumference as a determinant of arterial blood pressure measurements in adults1990 · 29 citations
  4. 4European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement2003 · 1,666 citations
  5. 5The changing distribution of arm circumferences in NHANES III and NHANES 2000 and its impact on the utility of the ???standard adult??? blood pressure cuff2003 · 40 citations