Mean mid-arm circumference and blood pressure cuff sizes for US children, adolescents and adults: National Health and Nutrition Examination Survey, 2011-2016

Blood Pressure Monitoring
Yechiam OstchegaGuangyu Zhang

Abstract

Measuring blood pressure (BP) requires an appropriate BP cuff size given measured mid-arm circumference (mid-AC). To provide mid-AC means and percentiles for US population aged more than 3 years and examine the frequency distribution of mid-AC cuffed by Baum and Welch Allyn cuff systems. The 2011-2016 National Health and Nutrition Examination Survey, a cross-sectional survey, was used to estimate mean mid-AC (n=24 723). Mean mid-AC did not differ from 2011 to 2016 (31.0 vs. 31.3 cm, P>0.05). During 2011-2016, mean mid-AC was greater for males than females (32.0 vs. 30.4 cm, P<0.001) and was largest among adults 40-49 years (34.0 cm). Non-Hispanic Black persons had the largest mean mid-AC (32.0 cm) and non-Hispanic Asian persons the smallest (28.4 cm). Increased BMI was associated with increased mean mid-AC for those 3-19 years (normal, 22.0 cm and obese, 31.5 cm, P<0.001) and more than 20 years (normal, 28.2 cm and obese, 37.8 cm, P<0.001). Among those aged 8-17 years, high BP status was associated with a larger mean mid-AC (normotensive 26.1 cm vs. high BP 28.2 cm, P=0.001). Among adults aged 18 years and older, hypertension status was associated with a larger mean mid-AC (normotensive 32.4 cm vs. hypertensive 34.2 cm, P<0.001...Continue Reading

References

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Citations

Mar 7, 2020·Journal of Hypertension·Paolo PalatiniEuropean Society of Hypertension Working Group on Blood Pressure Monitoring, Cardiovascular Variability, the International S
May 7, 2020·Current Opinion in Cardiology·Andrew H Tran, Elaine M Urbina

Related Concepts

Teens
Upper Arm
Diastolic Blood Pressure
Hypertensive Disease
Obesity
Continuous Sphygmomanometers
Body Mass Index Procedure
Blood Pressure
Cross-Sectional Studies
Pharmacy (Field)

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