The Effect of Cuff Size on Blood Pressure Measurement in Adults

J. Michael Sprafka, Daniel Strickland, Orlando Gómez-Marín, Ronald J. Prineas

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

We measured blood pressure differences by cuff size in 181 adults aged 25 to 74 years, allocated to a random sequence that involved the measurement of blood pressure using a small cuff, a large cuff, and an appropriate cuff as determined by standardized arm circumference measurement. Systolic and diastolic blood pressure were underestimated by 3-5 mm Hg in men and 1-3 mm Hg in women when the cuff was one size larger than appropriate. Systolic and diastolic blood pressure were overestimated by 2-6 mm Hg in men and 3-4 mm Hg in women when the cuff was one size smaller than appropriate. In addition, 30-40% of subjects were ''misclassified'' when blood pressure cutpoints were used to define hypertension.

Original languageEnglish (US)
Pages (from-to)214-217
Number of pages4
JournalEpidemiology
Volume2
Issue number3
DOIs
StatePublished - May 1991

Keywords

  • Blood pressure
  • Cuff size
  • Measurement

ASJC Scopus subject areas

  • Epidemiology

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    Michael Sprafka, J., Strickland, D., Gómez-Marín, O., & Prineas, R. J. (1991). The Effect of Cuff Size on Blood Pressure Measurement in Adults. Epidemiology, 2(3), 214-217. https://doi.org/10.1097/00001648-199105000-00010