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Wireless and Noninvasive Blood Pressure Measurement System
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Longitudinal association between adiposity and inter-arm blood pressure difference.

Francisco J Muñoz-Torres1, Oelisoa M Andriankaja1, José I Ruiz1

  • 1Center for Clinical Research and Health Promotion, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

Journal of Clinical Hypertension (Greenwich, Conn.)
|September 7, 2019
PubMed
Summary

This study found that higher body fat is linked to greater differences in blood pressure between arms. Managing adiposity could be key for public health, potentially reducing inter-arm blood pressure differences.

Keywords:
adipositycardiovascular morbidity and mortalityinter-arm blood pressure difference

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Area of Science:

  • Cardiovascular Health
  • Obesity Research
  • Blood Pressure Monitoring

Background:

  • Inter-arm blood pressure difference (IAD) is a potential indicator of cardiovascular risk.
  • The association between adiposity and IAD has not been previously studied longitudinally.
  • Overweight and obesity are prevalent global health issues.

Purpose of the Study:

  • To investigate the longitudinal association between various measures of adiposity and inter-arm blood pressure difference (IAS and IAD).
  • To identify specific adiposity indicators most strongly associated with IAS and IAD.
  • To explore the potential public health impact of adiposity as a modifiable risk factor for IAD.

Main Methods:

  • Longitudinal study of 714 overweight/obese adults (40-65 years) over 3 years.
  • Simultaneous bilateral arm blood pressure measurements using automated devices.
  • Linear and Poisson regression analyses adjusted for covariates (age, gender, smoking, physical activity, HOMA-IR).

Main Results:

  • Adiposity measures were significantly associated with increased inter-arm systolic (IAS) and diastolic (IAD) blood pressure differences.
  • Neck circumference showed the strongest association with both IAS and IAD.
  • Higher quartiles of BMI, waist, neck, and arm circumferences were significantly associated with increased IAD.

Conclusions:

  • Adiposity is a significant factor associated with inter-arm blood pressure differences.
  • Specific measures like neck and arm circumference, along with general adiposity (BMI, waist), are linked to greater blood pressure discrepancies between arms.
  • Adiposity represents a potentially modifiable risk factor for inter-arm blood pressure difference, warranting further investigation and public health consideration.