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The Effect of Cuff Size on Blood Pressure Measurement in Adults

We measured blood pressure differences by cuff size in 181 adults aged 25 to 74 years, allocated to a random sequence that involved the measurement of blood pressure using a small cuff, a large cuff, and an appropriate cuff as determined by standardized arm circumference measurement. Systolic and di...

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Published in:	Epidemiology (Cambridge, Mass.) Mass.), 1991-05, Vol.2 (3), p.214-217
Main Authors:	Sprafka, J. Michael, Strickland, Daniel, Gómez-Marín, Orlando, Prineas, Ronald J.
Format:	Article
Language:	English
Subjects:	Adult Aged Arm circumference Blood pressure Blood Pressure - physiology Blood Pressure Determination - instrumentation Brief Reports Circumferences Diastolic blood pressure Epidemiology Equipment Design Female Humans Hypertension Male Men Middle Aged Pediatrics Public health Random Allocation Reproducibility of Results Sphygmomanometers
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container_issue	3
container_start_page	214
container_title	Epidemiology (Cambridge, Mass.)
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creator	Sprafka, J. Michael Strickland, Daniel Gómez-Marín, Orlando Prineas, Ronald J.
description	We measured blood pressure differences by cuff size in 181 adults aged 25 to 74 years, allocated to a random sequence that involved the measurement of blood pressure using a small cuff, a large cuff, and an appropriate cuff as determined by standardized arm circumference measurement. Systolic and diastolic blood pressure were underestimated by 3–5 mm Hg in men and 1–3 mm Hg in women when the cuff was one size larger than appropriate. Systolic and diastolic blood pressure were overestimated by 2–6 mm Hg in men and 3–4 mm Hg in women when the cuff was one size smaller than appropriate. In addition, 30–40% of subjects were "misclassified" when blood pressure cutpoints were used to define hypertension.
doi_str_mv	10.1097/00001648-199105000-00010
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In addition, 30–40% of subjects were "misclassified" when blood pressure cutpoints were used to define hypertension.</description><identifier>ISSN: 1044-3983</identifier><identifier>EISSN: 1531-5487</identifier><identifier>DOI: 10.1097/00001648-199105000-00010</identifier><identifier>PMID: 2054405</identifier><language>eng</language><publisher>United States: Blackwell Scientific Publications, Inc. and Epidemiology Resources Inc</publisher><subject>Adult ; Aged ; Arm circumference ; Blood pressure ; Blood Pressure - physiology ; Blood Pressure Determination - instrumentation ; Brief Reports ; Circumferences ; Diastolic blood pressure ; Epidemiology ; Equipment Design ; Female ; Humans ; Hypertension ; Male ; Men ; Middle Aged ; Pediatrics ; Public health ; Random Allocation ; Reproducibility of Results ; Sphygmomanometers</subject><ispartof>Epidemiology (Cambridge, Mass.), 1991-05, Vol.2 (3), p.214-217</ispartof><rights>Copyright 1991 Epidemiology Resources Inc.</rights><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3420-fa3cd82d87b3c3746657a5829e5ffba3ad0d045fafb4f65c8ebc2dfebcf46883</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25759885$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25759885$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,58238,58471</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2054405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sprafka, J. Michael</creatorcontrib><creatorcontrib>Strickland, Daniel</creatorcontrib><creatorcontrib>Gómez-Marín, Orlando</creatorcontrib><creatorcontrib>Prineas, Ronald J.</creatorcontrib><title>The Effect of Cuff Size on Blood Pressure Measurement in Adults</title><title>Epidemiology (Cambridge, Mass.)</title><addtitle>Epidemiology</addtitle><description>We measured blood pressure differences by cuff size in 181 adults aged 25 to 74 years, allocated to a random sequence that involved the measurement of blood pressure using a small cuff, a large cuff, and an appropriate cuff as determined by standardized arm circumference measurement. Systolic and diastolic blood pressure were underestimated by 3–5 mm Hg in men and 1–3 mm Hg in women when the cuff was one size larger than appropriate. Systolic and diastolic blood pressure were overestimated by 2–6 mm Hg in men and 3–4 mm Hg in women when the cuff was one size smaller than appropriate. In addition, 30–40% of subjects were "misclassified" when blood pressure cutpoints were used to define hypertension.</description><subject>Adult</subject><subject>Aged</subject><subject>Arm circumference</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Determination - instrumentation</subject><subject>Brief Reports</subject><subject>Circumferences</subject><subject>Diastolic blood pressure</subject><subject>Epidemiology</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Male</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Pediatrics</subject><subject>Public health</subject><subject>Random Allocation</subject><subject>Reproducibility of Results</subject><subject>Sphygmomanometers</subject><issn>1044-3983</issn><issn>1531-5487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><recordid>eNp1kU1PAyEQhonR1Fr9CSacvK3CArvsydSmfiQ1mtg7YWFIt-6WCrtp9Ne7tbWe5MDMMO-8kzwghCm5pqTIb0h_aMZlQouCEtFXyfaFHKEhFYwmgsv8uM8J5wkrJDtFZzEue0XOqBigQUoE50QM0e18AXjqHJgWe4cnnXP4rfoC7Ff4rvbe4tcAMXYB8DPobWxg1eJqhce2q9t4jk6criNc7OMIze-n88ljMnt5eJqMZ4lhPCWJ08xYmVqZl8ywnGeZyLWQaQHCuVIzbYklXDjtSu4yYSSUJrWuvx3PpGQjdLWzXQf_0UFsVVNFA3WtV-C7qCTJGE1J0QvlTmiCjzGAU-tQNTp8KkrUFp36RacO6NQPun70cr-jKxuwh8E9q77Pd_2Nr1sI8b3uNhDUAnTdLtR_P_Jnu4ytD3-uIheFlIJ9A53egec</recordid><startdate>199105</startdate><enddate>199105</enddate><creator>Sprafka, J. 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Michael</creatorcontrib><creatorcontrib>Strickland, Daniel</creatorcontrib><creatorcontrib>Gómez-Marín, Orlando</creatorcontrib><creatorcontrib>Prineas, Ronald J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epidemiology (Cambridge, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sprafka, J. 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Systolic and diastolic blood pressure were overestimated by 2–6 mm Hg in men and 3–4 mm Hg in women when the cuff was one size smaller than appropriate. In addition, 30–40% of subjects were "misclassified" when blood pressure cutpoints were used to define hypertension.</abstract><cop>United States</cop><pub>Blackwell Scientific Publications, Inc. and Epidemiology Resources Inc</pub><pmid>2054405</pmid><doi>10.1097/00001648-199105000-00010</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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language	eng
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source	JSTOR Archival Journals and Primary Sources Collection
subjects	Adult Aged Arm circumference Blood pressure Blood Pressure - physiology Blood Pressure Determination - instrumentation Brief Reports Circumferences Diastolic blood pressure Epidemiology Equipment Design Female Humans Hypertension Male Men Middle Aged Pediatrics Public health Random Allocation Reproducibility of Results Sphygmomanometers
title	The Effect of Cuff Size on Blood Pressure Measurement in Adults
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