Differences and effects of medium and large adult cuffs on blood pressure readings in individuals with muscular arms
Differences and effects of medium and large adult cuffs on blood pressure readings in individuals with muscular arms
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DOI：
10.1097/mbp.0b013e32832ea9f0
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发表时间：
2009-08-01
影响因子：
1.3
通讯作者：
Forsyth-MacQuarrie, Avril
中科院分区：
文献类型：
--
作者：
Fonseca-Reyes, Salvador;Fajardo-Flores, Ismael;Forsyth-MacQuarrie, Avril
目的分析臂膀肌肉发达个体收缩压和舒张压（SBP和DBP）读数的差异。材料和方法对参加墨西哥国家健美和健身锦标赛的健美运动员进行静息血压（bp）测量。使用两种不同袖带尺寸，12 cm（中成人）和16 cm（大成人），获得双侧同时手臂BID测量的方法。结果共193名健美运动员完成了测量。当臂围大于33 cm时，中号袖带测量的收缩压和舒张压平均值高于大号袖带测量的收缩压和舒张压平均值，分别为8.2 +/- 10.6和1.6 +/- 74 mmHg；然而，仅在收缩压上观察到显著差异。中等袖带的144人中有48人显示收缩压至少140 mmHg，而大袖带的144人中只有17人。在那些臂围小于33厘米的参与者中，大袖带的血压无显著降低，收缩压和舒张压分别为-4.24 +/- 9.2和-2.24 +/- 5.4 mmHg。结论不正确的肌肉臂夹带导致收缩压和131313测量误差显著，与非肌肉臂夹带相似。《血压监测》（英文版），2009。
Objective This study analyzed systolic and diastolic blood pressure (SBP and DBP) reading differences in individuals with muscular arms, using medium and large adult cuffs.Materials and methods Resting blood pressures (BPs) were measured in bodybuilders competing at the Mexican National Bodybuilding and Fitness Championship. The means of two bilateral simultaneous arm BID measurements were obtained using two different cuff sizes, 12 cm (medium adult) and 16 cm (large adult).Results A total of 193 bodybuilders completed the measurements. With an arm circumference greater than 33 cm, the SBP and DBP average taken with the medium adult cuff was higher than that obtained with the large adult cuff, 8.2 +/- 10.6 and 1.6 +/- 74 mmHg, respectively; however, a significant difference was observed only with the SBP. With the medium adult cuff, 48 of 144 individuals showed SBP at least 140 mmHg, whereas with the large adult cuff there were only 17 of 144 individuals. In those participants with an arm circumference less than 33 cm, the BP was nonsignificantly lower with the large cuff, -4.24 +/- 9.2 and -2.24 +/- 5.4 mmHg for the SBP and DBP, respectively.Conclusion Incorrect cuffing of a muscular arm leads to significant errors in the measurement of SBP and 131313, similar to that observed in miscuffing of nonmuscular arms. Blood Press Monit 14:166-171 (C) 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.