The DOI matches its Crossref record.
Comparability of two commonly used automated office blood pressure devices in the severely obese
Abstract
The accuracy of automated office blood pressure (BP) devices in severely obese individuals is unknown. In an exploratory study, we compared standardized BP measurements using a BpTRU device with those taken using a WatchBP Office monitor. Paired t-tests, Bland-Altman plots, and Pearson's correlations were used to compare devices. A total of 62 patients were analyzed: their mean age was 39.5±9.3 years and their mean BMI was 45.1±5.7 kg/m. Fifty-five patients (89%) were women and 21 (34%) had a diagnosis of hypertension. The mean BpTRU values were 117.2±12.7/76.7±9.7 mmHg and the mean WatchBP measurements were 126.6±13.8/79.7±10.9 mmHg [difference of -9.4±11.6 for systolic (P<0.0001) and -3.0±7.7 mmHg for diastolic (P=0.003)]. A Bland-Altman plot for systolic BP showed considerable variability. Only four (6.5%) patients had hypertension (>140/90 mmHg) according to BpTRU versus 15 (24%) according to WatchBP. In conclusion, the mean BP measurements taken using two commonly used automated office devices differed markedly and by a clinically important magnitude. These data indicate the need for formal validation of these devices specifically in severely obese individuals.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“also showing a significant association between morning home DBP and HMOD in winter [62].”
In the citing paper
“the prevalence of masked hypertension is higher in seasons other than summer”
Citations
Cites
No references could be resolved yet.
Research works printed but not linked: 9
- Shields, 2011, Adult obesity prevalence in Canada and the United States, NCHS Data Brief, 56, 1
- Vahidy, 2015, A comparison of casual in-clinic blood pressure measurements to standardized guideline-concordant measurements in severely obese individuals, Int J Hypertens, 2015, 801709, 10.1155/2015/801709 · DOI
- Daskalopoulou, 2015, The 2015 Canadian hypertension education program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension, Can J Cardiol, 31, 549, 10.1016/j.cjca.2015.02.016 · DOI
- Alpert, 2014, Oscillometric blood pressure: a review for clinicians, J Am Soc Hypertens, 8, 930, 10.1016/j.jash.2014.08.014 · DOI
- Wright, 2001, Validation of a new algorithm for the BPM-100 electronic oscillometric office blood pressure monitor, Blood Press Monit, 6, 161, 10.1097/00126097-200106000-00008 · DOI
- Stergiou, 2008, Validation of the microlife Watch BP Office professional device for office blood pressure measurement according to the International protocol, Blood Press Monit, 13, 299, 10.1097/MBP.0b013e3283057af6 · DOI
- Padwal, 2013, The evaluating self-management and educational support in severely obese patients awaiting multidisciplinary bariatric care (Evolution) trial: rationale and design, BMC Health Serv Res, 13, 321, 10.1186/1472-6963-13-321 · DOI
- Palatini, 2012, Rectangular cuffs may overestimate blood pressure in individuals with large conical arms, J Hypertens, 30, 530, 10.1097/HJH.0b013e32834f98a0 · DOI
- Palatini, 2012, Cuff and bladder: overlooked components of BP measurement devices in the modern era?, Am J Hypertens, 25, 136, 10.1038/ajh.2011.213 · DOI · Paper page
Cited by
Sorted by citations
Parati, G., Stergiou, G. S., Bilo, G., Kollias, A., Pengo, M., Ochoa, J. E., Agarwal, R., Asayama, K., Asmar, R., Burnier, M., et al. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002922 · Cited by 178
Metadata
- Authors
- Padwal, R. S., & Majumdar, S. R.
- Affiliations
- University of Alberta (CA)
- Corresponding author
- Padwal, Raj S.
- Venue
- Blood Pressure Monitoring
- Published
- 2016-10
- Volume
- 21
- Issue
- 5
- Pages
- 313-315
- ISSN
- 1359-5237 (ISSN-L)
- OpenAlex
- W2338850466
- Cited by
- 9
- References
- 0
- Citations by year
- 2025: 1 · 2021: 3 · 2020: 1 · 2019: 4
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Blood Pressure Monitoring (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Keywords
- automated office blood pressure, blood pressure monitors, device accuracy, hypertension diagnosis, measurement agreement, obesity
- MeSH terms
- Adult, Blood Pressure, Female, Humans, Male, Middle Aged, Obesity, Morbid, Blood Pressure Monitors, Blood Pressure Monitoring, Ambulatory
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
