Document Detail

Ratio of cuff width/arm circumference as a determinant of arterial blood pressure measurements in adults.
MedLine Citation:
PMID:  2324676     Owner:  NLM     Status:  MEDLINE    
Recommendations state that the optimum ratio of blood pressure cuff width/arm circumference (CW/AC) is about 0.4. In this study of middle-aged men (n = 940) and women (n = 1484), we analysed the effect of CW/AC on blood pressure measurement variability and its interaction with age, body mass index (BMI), pulse rate and room temperature. In univariate polynomial regression, the variability (R2) in blood pressure that was explained by CW/AC was greater for women (systolic 6.3% and diastolic 5.7%) than for men (2.0% and 0.5%). In multivariate analysis the maximum variability explained independently by CW/AC was 2.7% for male and 6.7% for female systolic blood pressure, and 1.1% and 6.0% for male and female diastolic blood pressure, respectively. For systolic blood pressure this represented 10.4% of the explained variability in men and 9.3% of that in women. CW/AC is an important independent contributor to inter-individual variation in blood pressure measurement. It should therefore be taken into consideration in epidemiological studies and when medical care is being planned.
L Råstam; R J Prineas; O Gomez-Marin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of internal medicine     Volume:  227     ISSN:  0954-6820     ISO Abbreviation:  J. Intern. Med.     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-24     Completed Date:  1990-05-24     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8904841     Medline TA:  J Intern Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  225-32     Citation Subset:  IM    
Division of Epidemiology, School of Public Health, University of Minnesota.
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MeSH Terms
Age Factors
Blood Pressure Determination / instrumentation,  standards*
Body Mass Index
Middle Aged
Multivariate Analysis
Regression Analysis
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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