Mohammadi-Dolatabadi Alireza, Vakhshoori Mehrbod, Eghbali-Babadi Maryam, Heidarpour Maryam, Shafie Davood, Garakyaraghi Mohammad, Khosravi Alireza
Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2020 Apr 13;25:40. doi: 10.4103/jrms.JRMS_129_19. eCollection 2020.
Proper blood pressure (BP) measurement frequency method is less evaluated to optimize hypertension (HTN) status among different nations due to cultural patience variations. The aim of this study was to compare the first (BP), second (BP), and the mean of first and second (BP) and all the three (BP) with the second and third BP measurements in Iranian individuals.
This cross-sectional study was done on 2264 individuals aged 18 years or more living in Isfahan city, Iran. Their BPs were assessed from right arms by the standard tools and methods after 5 min of rest in a quiet room by a trained staff. The mean second and third readings were considered as reference, and the other aforementioned variables were compared with it.
The mean age of total population was 40.9 ± 16.1 years (males: 52%). Men had significant higher means of systolic BP (SBP) and diastolic BP (DBP) with any measurement frequency methods than women ( < 0.001 and = 0.009). Considerable clinical significant (≥5 mmHg) ranges were mostly observed in BP compared with BP. SBP and DBP indices showed insignificant differences compared with reference mean. Moreover, abnormal BP levels (≥140/90 mmHg) were mostly observed in terms of BP measurement with no remarkable variability in BP reading in comparison to the reference.
Our considerable data suggested that BP could appropriately categorize BP status similar to BP and it may be rational for physicians considering this mean and excluding the first BP measurement as a sole criterion for HTN assessment in Iranian adults. Multiple researches are necessary quantifying appropriate frequencies of BP reading.
由于文化耐心差异，在不同国家中，关于优化高血压（HTN）状态的适当血压（BP）测量频率方法评估较少。本研究的目的是比较伊朗个体中第一次（BP）、第二次（BP）、第一次和第二次的平均值（BP）以及这三次（BP）与第二次和第三次BP测量值。
这项横断面研究针对居住在伊朗伊斯法罕市的2264名18岁及以上的个体进行。在安静房间休息5分钟后，由经过培训的工作人员使用标准工具和方法从右臂评估他们的血压。将第二次和第三次读数的平均值作为参考，并将上述其他变量与之进行比较。
总人口的平均年龄为40.9±16.1岁（男性：52%）。在任何测量频率方法下，男性的收缩压（SBP）和舒张压（DBP）平均值均显著高于女性（<0.001和=0.009）。与BP相比，在BP中大多观察到相当大的临床显著（≥5 mmHg）范围。与参考平均值相比，SBP和DBP指数显示出无显著差异。此外，就BP测量而言，大多观察到异常血压水平（≥140/90 mmHg），与参考值相比，BP读数没有明显变化。
我们的大量数据表明，BP可以像BP一样适当地对BP状态进行分类，对于医生来说，考虑这个平均值并将第一次BP测量排除作为伊朗成年人HTN评估的唯一标准可能是合理的。需要进行多项研究来量化适当的BP读数频率。
