TY - JOUR
T1 - Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate?
T2 - SAYCARE Study
AU - Araújo-Moura, Keisyanne
AU - De Moraes, Augusto César Ferreira
AU - Forkert, Elsie C O
AU - Berg, Gabriela
AU - Cucato, Gabriel Grizzo
AU - Forjaz, Claúdia Lucia de Moraes
AU - Moliterno, Paula
AU - Gaitan-Charry, Diego
AU - Delgado, Carlos A
AU - González-Gil, Esther M
AU - Moreno, Luis Alberto
AU - Carvalho, Heráclito Barbosa
AU - Torres-Leal, Francisco Leonardo
N1 - © 2018 The Obesity Society.
PY - 2018/3
Y1 - 2018/3
N2 - OBJECTIVE: This study aimed to test the validity of an automatic oscillometric device to measure the blood pressure (BP) in children (n = 191) and adolescents (n = 127) aged 3 to 18 years.METHODS: Systolic BP (SBP) and diastolic BP (DBP) levels were measured simultaneous by automatic device and mercury column with Y-connection. To verify the validity, Bland-Altman plots and limits of agreement of 95% (95% LOA), specificity and sensitivity of the device, and the grade of British Hypertension Society (BHS) criteria were used.RESULTS: The monitor measurements demonstrated lower measurement bias (mean difference [95% LOA]): 1.4 (-9.9 to 12.8) mmHg in children and 4.3 (-7.8 to 16.5) mmHg in adolescents for SBP. For DBP, it was 2.2 (-7.4 to 11.7) mmHg in children and 1.4 (-8.4 to 11.1) mmHg in adolescents. The sensitivity in children was 21.4 (95% CI = 16.3-26.6), and in adolescents, it was 20.0 (95% CI = 13.2-26.8); the specificity was 95.9 (95% CI = 93.4-98.4) in children and 100.0 (95% CI = 100.0-100.0) in adolescents. The monitor-tested ratings are Grade B for SBP in children and SBP and DBP in adolescents and Grade C for DBP in children.CONCLUSIONS: The automatic monitor presented high values of specificity and lower values of sensitivity to the diagnosis of HBP; however, it can be considered accurate (lower measurement bias) and valid for epidemiological and clinical practice in accordance with BHS criteria.
AB - OBJECTIVE: This study aimed to test the validity of an automatic oscillometric device to measure the blood pressure (BP) in children (n = 191) and adolescents (n = 127) aged 3 to 18 years.METHODS: Systolic BP (SBP) and diastolic BP (DBP) levels were measured simultaneous by automatic device and mercury column with Y-connection. To verify the validity, Bland-Altman plots and limits of agreement of 95% (95% LOA), specificity and sensitivity of the device, and the grade of British Hypertension Society (BHS) criteria were used.RESULTS: The monitor measurements demonstrated lower measurement bias (mean difference [95% LOA]): 1.4 (-9.9 to 12.8) mmHg in children and 4.3 (-7.8 to 16.5) mmHg in adolescents for SBP. For DBP, it was 2.2 (-7.4 to 11.7) mmHg in children and 1.4 (-8.4 to 11.1) mmHg in adolescents. The sensitivity in children was 21.4 (95% CI = 16.3-26.6), and in adolescents, it was 20.0 (95% CI = 13.2-26.8); the specificity was 95.9 (95% CI = 93.4-98.4) in children and 100.0 (95% CI = 100.0-100.0) in adolescents. The monitor-tested ratings are Grade B for SBP in children and SBP and DBP in adolescents and Grade C for DBP in children.CONCLUSIONS: The automatic monitor presented high values of specificity and lower values of sensitivity to the diagnosis of HBP; however, it can be considered accurate (lower measurement bias) and valid for epidemiological and clinical practice in accordance with BHS criteria.
KW - Adolescent
KW - Blood Pressure
KW - Blood Pressure Determination/instrumentation
KW - Blood Pressure Monitors/standards
KW - Child
KW - Child, Preschool
KW - Cross-Sectional Studies
KW - Electronic Data Processing
KW - Ethnic Groups
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Hypertension/diagnosis
KW - Male
KW - Monitoring, Physiologic/instrumentation
KW - Reproducibility of Results
KW - Sensitivity and Specificity
KW - South America/epidemiology
U2 - 10.1002/oby.22119
DO - 10.1002/oby.22119
M3 - Article
C2 - 29464919
VL - 26
SP - S41-S46
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - S1
ER -