Key result
Daytime ambulatory blood pressure was more closely correlated with home readings than with office readings in children and adolescents.
Why the study?
How do home blood pressure measurements compare and correlate with office and ambulatory blood pressure measurements in children and adolescents with previous high BP?
Cross-Sectional (n=109)
How do home blood pressure measurements compare and correlate with office and ambulatory blood pressure measurements in children and adolescents with previous high BP?
In children and adolescents with suspected hypertension, ambulatory blood pressure monitoring correlates better with home blood pressure measurements than with office measurements.
Answers are grounded in this paper and cite their sources.
Home BP may better approximate ambulatory values than office readings in youth; hypothesis-generating and needs prospective validation before guiding practice.
AIM: To compare BP measurements of children and adolescents using different methods office BP (OBP), ambulatory BP monitoring (ABPM) and home BP measurement (HBPM) and to study their correlations. METHOD: Individuals were evaluated between 5 and 15 years of age who had been referred because of a previous high BP. OBP was measured with the OMRON-705CP. Three measurements were carried out at 5-min intervals. HBPM were taken using the same device, two measurements at 5-min intervals in the morning and in the evening during 7 days. ABPM was performed using the SpaceLabs 90207 monitors. RESULTS: A total of 109 children and adolescents were evaluated (9.82 ± 2.63 years), 52.3% boys, 56.9% non-white. The office systolic BP (SBP) was lower than in daytime ABPM (p < 0.001) but similar HBPM (p = 0.294), and the office diastolic BP (DBP) was lower than daytime ABPM (p < 0.001) and in HBPM (p = 0.035). The SBP and DBP at HBPM was lower than daytime ABPM (p < 0.001). Daytime ambulatory BP was more closely associated with home readings (SBP r = 0.731 and DBP r = 0.616) than with office's readings (SBP r = 0.653 and DBP r = 0.394). CONCLUSION: The BP of children and adolescents varies depending on the place and manner of measurement. ABPM presents better correlation with HBPM than with the office measurements.
No takes yet. Share an insight, caveat, or question.
Salgado et al. (2011) conducted a cross-sectional in Previous high blood pressure (n=109). Home blood pressure measurement (HBPM) vs. Office BP (OBP) and Ambulatory BP monitoring (ABPM) was evaluated on Blood pressure measurements and their correlations across different methods (p=<0.001). Daytime ambulatory blood pressure was more closely correlated with home readings than with office readings in children and adolescents.
Synapse has enriched 10 related papers. Consider them for comparative context: