Department of Nephrology, Ondokuz Mayis University School of Medicine, Samsun, 55139, Turkey.
Int Urol Nephrol. 2013 Aug;45(4):1103-10. doi: 10.1007/s11255-012-0219-8. Epub 2012 Jun 30.
The purposes of this study were to investigate the association between arm circumference and body mass index (BMI) and to discuss problems, mainly arm circumference and cuff size mismatch, that could affect the reliability of home blood pressure monitoring (HBPM) among peritoneal dialysis (PD) and hemodialysis (HD) patients.
525 PD and 502 HD patients from 16 centers were included in the study. A two-part questionnaire was used to gather information from the participants. Arm circumferences were categorized into four groups according to the British Hypertension Society cuff size recommendations.
Mean BMI and arm circumference of all participants were 25.0 kg/m(2) and 27.6 cm, respectively. There was a significant correlation between BMI and arm circumference. The mean BMI and arm circumference values were higher in PD patients than in HD patients. Requirement of a large-sized adult cuff was more common among PD patients compared to HD patients (14 % vs 8 %, p = 0.002).
Since HBPM is a useful tool for clinicians to improve BP control, nephrologists should be aware of the problems related to HBPM in dialysis patients and take an active role to increase the reliability of HBPM.
本研究旨在探讨臂围与体重指数（BMI）之间的关系，并讨论可能影响腹膜透析（PD）和血液透析（HD）患者家庭血压监测（HBPM）可靠性的问题，主要是臂围和袖带尺寸不匹配的问题。
本研究纳入了来自 16 个中心的 525 名 PD 患者和 502 名 HD 患者。使用两部分问卷从参与者那里收集信息。根据英国高血压学会袖带尺寸建议，将臂围分为四组。
所有参与者的平均 BMI 和臂围分别为 25.0 kg/m(2)和 27.6 cm。BMI 和臂围之间存在显著相关性。PD 患者的平均 BMI 和臂围值高于 HD 患者。与 HD 患者相比，PD 患者更需要使用大尺寸成人袖带（14%比 8%，p = 0.002）。
由于 HBPM 是临床医生改善血压控制的有用工具，肾病学家应意识到透析患者 HBPM 相关问题，并积极提高 HBPM 的可靠性。
