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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate? SAYCARE Study

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Araujo-Moura, Keisyanne [1, 2] ; Ferreira De Moraes, Augusto Cesar [1, 3] ; Forkert, Elsie C. O. [1] ; Berg, Gabriela [4] ; Cucato, Gabriel Grizzo [5] ; de Moraes Forjaz, Claudia Lucia [6] ; Moliterno, Paula [7] ; Gaitan-Charry, Diego [8] ; Delgado, Carlos A. [9] ; Gonzalez-Gil, Esther M. [10] ; Alberto Moreno, Luis [10] ; Carvalho, Heraclito Barbosa [1] ; Torres-Leal, Francisco Leonardo [2]
Total Authors: 13
[1] Univ Sao Paulo, Sch Med, Youth Child & Cardiovasc Risk & Environm Res Grp, Sao Paulo - Brazil
[2] Univ Fed Piaui, Ctr Hlth Sci, DOMEN Metab Dis Exercise & Nutr Res Grp, Teresina - Brazil
[3] Johns Hopkins Univ, Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 - USA
[4] Univ Buenos Aires, Fac Pharm & Biochem, Buenos Aires, DF - Argentina
[5] Hosp Israelita Albert Einstein, Sao Paulo - Brazil
[6] Univ Sao Paulo, Sch Phys Educ & Sport, Exercise Hemodynam Lab, Sao Paulo - Brazil
[7] Univ Republica, Sch Nutr, Montevideo - Uruguay
[8] Univ Antioquia, Sch Nutr Dietet, Medellin - Colombia
[9] Natl Inst Child Hlth, Lima - Peru
[10] Univ Zaragoza, Fac Hlth Sci, IA2, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza - Spain
Total Affiliations: 10
Document type: Journal article
Source: OBESITY; v. 26, n. 1, SI, p. S41-S46, MAR 2018.
Web of Science Citations: 1

ObjectiveThis study aimed to test the validity of an automatic oscillometric device to measure the blood pressure (BP) in children (n=191) and adolescents (n=127) aged 3 to 18 years. MethodsSystolic BP (SBP) and diastolic BP (DBP) levels were measured simultaneous by automatic device and mercury column with Y-connection. To verify the validity, Bland-Altman plots and limits of agreement of 95% (95% LOA), specificity and sensitivity of the device, and the grade of British Hypertension Society (BHS) criteria were used. ResultsThe monitor measurements demonstrated lower measurement bias (mean difference {[}95% LOA]): 1.4 (-9.9 to 12.8) mmHg in children and 4.3 (-7.8 to 16.5) mmHg in adolescents for SBP. For DBP, it was 2.2 (-7.4 to 11.7) mmHg in children and 1.4 (-8.4 to 11.1) mmHg in adolescents. The sensitivity in children was 21.4 (95% CI=16.3-26.6), and in adolescents, it was 20.0 (95% CI=13.2-26.8); the specificity was 95.9 (95% CI=93.4-98.4) in children and 100.0 (95% CI=100.0-100.0) in adolescents. The monitor-tested ratings are Grade B for SBP in children and SBP and DBP in adolescents and Grade C for DBP in children. ConclusionsThe automatic monitor presented high values of specificity and lower values of sensitivity to the diagnosis of HBP; however, it can be considered accurate (lower measurement bias) and valid for epidemiological and clinical practice in accordance with BHS criteria. (AU)

FAPESP's process: 15/14319-4 - Energy balance-related behaviors in the SAYCARE study - compared and agreement to objective measurement and self-reported: a validation statistical methods
Grantee:Augusto César Ferreira de Moraes
Support type: Scholarships abroad - Research Internship - Post-doctor
FAPESP's process: 14/11468-6 - Design and implementation of the SAYCARE Study: South American Youth/Child Cardiovascular and Environmental Study
Grantee:Heraclito Barbosa de Carvalho
Support type: Regular Research Grants
FAPESP's process: 14/13367-2 - Design and implementation of methods to assess behaviors related to energy balance in children/adolescents in a multicenter study: SAYCARE study
Grantee:Augusto César Ferreira de Moraes
Support type: Scholarships in Brazil - Post-Doctorate
FAPESP's process: 17/15588-4 - Is the measurement of blood pressure by automatic monitor in South American pediatric population accurate? The SAYCARE Study
Grantee:Heraclito Barbosa de Carvalho
Support type: Regular Research Grants - Publications - Scientific article
FAPESP's process: 15/11406-3 - SAYCARE study: South American youth/child cardiovascular and environmental study
Grantee:Heraclito Barbosa de Carvalho
Support type: Research Grants - Visiting Researcher Grant - International