Ostchega Yechiam, Hughes Jeffery P, Zhang Guangyu, Nwankwo Tatiana, Chiappa Michele M
Division of Health and Nutrition Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland 20782, USA.
Blood Press Monit. 2013 Jun;18(3):138-43. doi: 10.1097/MBP.0b013e3283617606.
Accurately measuring blood pressure (BP) requires choosing an appropriate BP cuff size.
This study examined trends in mid-arm circumference (mid-AC) and distribution of BP cuff sizes using 1999-2002, 2003-2006, and 2007-2010 National Health and Nutrition Examination Survey (NHANES) data.
NHANES uses a complex multistage probability sample design to select participants who are representative of the entire civilian, noninstitutionalized US population. The analytic sample consisted of 28 233 participants aged 20 years or older. Mid-AC and BP cuff sizes were analyzed across survey years by sex, age, race/ethnicity, hypertension, and diabetic status.
Data from NHANES 2007-2010 show that the mean mid-AC for men was 34.2 cm and for women was 31.9 cm. Men showed a significant trend in mid-AC (from 33.9 cm in 1999-2002 to 34.2 cm in 2007-2010; P<0.05 for trend). In addition, 42.9% of men and 25.3% of women needed a large adult BP cuff and 1.9% of men and 2.8% of women needed thigh cuffs to be appropriately cuffed. Moreover, 52% of hypertensive men, 38% of hypertensive women, 59.1% of diabetic men, and 53.6% of diabetic women required the use of BP cuffs with sizes different from those of standard adult-sized BP cuffs for accurate BP measurement.
There was an overall significant trend in the mean mid-AC in cm for men but not for women. On the basis of NHANES 2007-2010 data, ∼45% of adult men and ∼28% of adult women required the use of BP cuffs with sizes different from those of standard adult-sized BP cuffs for accurate BP measurement.
准确测量血压需要选择合适的血压袖带尺寸。
本研究利用1999 - 2002年、2003 - 2006年以及2007 - 2010年美国国家健康与营养检查调查（NHANES）数据，研究上臂中段周长（mid - AC）趋势及血压袖带尺寸分布情况。
NHANES采用复杂的多阶段概率抽样设计来选取能代表全体美国非机构化平民人口的参与者。分析样本包括28233名20岁及以上的参与者。按调查年份、性别、年龄、种族/族裔、高血压及糖尿病状况对上臂中段周长和血压袖带尺寸进行分析。
2007 - 2010年NHANES数据显示，男性的平均上臂中段周长为34.2厘米，女性为31.9厘米。男性的上臂中段周长呈现显著趋势（从1999 - 2002年的33.9厘米增至2007 - 2010年的34.2厘米；趋势P<0.05）。此外，42.9%的男性和25.3%的女性需要使用大号成人血压袖带，1.9%的男性和2.8%的女性需要使用大腿袖带才能正确佩戴。而且，52%的高血压男性、38%的高血压女性、59.1%的糖尿病男性以及53.6%的糖尿病女性需要使用与标准成人尺寸血压袖带不同尺寸的血压袖带才能准确测量血压。
男性的平均上臂中段周长（以厘米计）总体呈显著趋势，而女性则不然。根据2007 - 2010年NHANES数据，约45%的成年男性和约28%的成年女性需要使用与标准成人尺寸血压袖带不同尺寸的血压袖带才能准确测量血压。
