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Araujo-Moura, Keisyanne ; Ferreira De Moraes, Augusto Cesar ; Forkert, Elsie C. O. ; Berg, Gabriela ; Cucato, Gabriel Grizzo ; de Moraes Forjaz, Claudia Lucia ; Moliterno, Paula ; Gaitan-Charry, Diego ; Delgado, Carlos A. ; Gonzalez-Gil, Esther M. ; Alberto Moreno, Luis ; Carvalho, Heraclito Barbosa ; Torres-Leal, Francisco Leonardo

• Tipo de documento: Artigo Científico
• Fonte: OBESITY; v. 26, p. 6-pg., 2018-03-01.

Resumo

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)

• Processo FAPESP: 14/11468-6 - Desenho e implementação do Estudo SAYCARE: South American Youth/Child Cardiovascular and Environmental Study
• Beneficiário: Heraclito Barbosa de Carvalho
• Modalidade de apoio: Auxílio à Pesquisa - Regular
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• Beneficiário: Augusto César Ferreira de Moraes
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Pós-Doutorado
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• Beneficiário: Augusto César Ferreira de Moraes
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
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• Beneficiário: Heraclito Barbosa de Carvalho
• Modalidade de apoio: Auxílio à Pesquisa - Publicações científicas - Artigo
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• Beneficiário: Heraclito Barbosa de Carvalho
• Modalidade de apoio: Auxílio à Pesquisa - Pesquisador Visitante - Internacional