Shahi Shamim, Streeter Taylor E, Wall Hilary K, Zhou Wen, Kuklina Elena V, Jackson Sandra L
Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Am J Hypertens. 2024 Dec 16;38(1):12-17. doi: 10.1093/ajh/hpae128.
The use of correctly sized blood pressure (BP) cuffs is important to ensure accurate measurement and effective management of hypertension. The goals of this study were to determine the proportions of pregnant women that would require small, adult, large, and extra-large (XL) cuff sizes, and to examine the demographic characteristics associated with need for a large or XL cuff.
This cross-sectional study analyzed 1,176 pregnant women (≥18 years) included in the National Health and Nutrition Examination Survey (NHANES) 1999-2006 cycles. Recommended BP cuff sizes, based on American Heart Association recommendations, were categorized by mid-arm circumference: small adult (≤26 cm), adult (>26 to ≤34 cm), large (>34 to ≤44 cm), and extra-large (XL) (>44 cm).
Among US pregnant women, recommended cuff sizes were: 17.9% small adult, 57.0% adult, and 25.1% for large or XL. About 38.5% of non-Hispanic Black, 21.6% of Mexican American and 21.0% of non-Hispanic White pregnant women required a large or XL cuff. About 81.8% of women in the highest quartile for BMI required large or XL cuffs, which was significantly higher than women in other quartiles.
Roughly one out of every four pregnant women required large or XL BP cuffs. The requirement for large or XL cuffs was highest among non-Hispanic Black women and women with the highest BMI. For pregnant women, measuring the arm circumference and selecting an appropriately sized cuff is important to facilitate accurate blood pressure monitoring and hypertension management.
使用尺寸合适的血压袖带对于确保准确测量和有效管理高血压至关重要。本研究的目的是确定需要小号、成人号、大号和特大号（XL）袖带尺寸的孕妇比例，并检查与需要大号或XL袖带相关的人口统计学特征。
这项横断面研究分析了1999 - 2006年国家健康与营养检查调查（NHANES）中纳入的1176名年龄≥18岁的孕妇。根据美国心脏协会的建议，推荐的血压袖带尺寸按上臂围分类：小号成人袖带（≤26厘米）、成人袖带（>26至≤34厘米）、大号袖带（>34至≤44厘米）和特大号袖带（XL，>44厘米）。
在美国孕妇中，推荐的袖带尺寸比例为：17.9%为小号成人袖带，57.0%为成人袖带，25.1%为大号或XL袖带。约38.5%的非西班牙裔黑人、21.6%的墨西哥裔美国人和21.0%的非西班牙裔白人孕妇需要大号或XL袖带。BMI处于最高四分位数的女性中，约81.8%需要大号或XL袖带，这显著高于其他四分位数的女性。
大约每四名孕妇中就有一名需要大号或XL血压袖带。非西班牙裔黑人女性和BMI最高的女性对大号或XL袖带的需求最高。对于孕妇来说，请测量上臂围并选择尺寸合适的袖带，这对于促进准确的血压监测和高血压管理很重要。
