Impacts of measurement protocols on blood pressure tracking from childhood into adulthood: a metaregression analysis

Hypertension
Xiaoli ChenJie Mi

Abstract

The best approach for blood pressure (BP) measurement in children remains controversial, specifically regarding the choice of Korotkoff phase 4 versus Korotkoff phase 5 for diastolic BP (DBP) and the use of automated devices. To examine the impacts of different BP measurement protocols on BP tracking from childhood into adulthood, we conducted a meta-analysis of 50 related studies published between 1970 and 2006 identified based on a systematic search of PubMed. These studies provided 617 data points (tracking correlation coefficient, our outcome variable) for systolic BP and 547 data points for DBP for our meta-analysis. The explanatory variables included the use of Korotkoff phase 4/Korotkoff phase 5, BP device, and number of BP measurements per visit. Analyses were adjusted for potential confounders, including sex, baseline age, follow-up length, publication year, and study country. Tracking correlation coefficients for DBP measured using Korotkoff phase 4 was higher than that of Korotkoff phase 5 by 0.035 but not significant. DBP tracking assessed by automated device was higher than that of Korotkoff phase 5 by 0.152 (P=0.024) and higher than the mercury manometer by 0.223 (P=0.005). BP tracking was slightly higher with mul...Continue Reading

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Citations

Mar 28, 2009·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Zhibin LiXiaoling Wang
Apr 17, 2013·International Journal of Obesity : Journal of the International Association for the Study of Obesity·B XiJ Mi
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Aug 21, 2012·Journal of Hypertension·Lamberto ManzoliGiancarlo Cicolini

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