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Published on: May 3, 2018
Assessment of Blood Pressure Variability in Postmenopausal Women
Ayushi Jain1, Sunil Kumar1, Sourya Acharya1
1Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.
Insights
Blood pressure variability in postmenopausal women is linked to increased body mass index (BMI) and neck circumference. These factors, along with lipid changes, are independent contributors to cardiovascular risk in this demographic.
Area of Science:
- Cardiovascular Health
- Menopause Research
- Metabolic Syndrome
Background:
- Elevated blood pressure is a primary cause of cardiovascular and cerebrovascular disease.
- Blood pressure variability is an independent risk factor for cardiovascular events in menopausal women.
- Estrogen decline during menopause disrupts metabolic pathways, increasing insulin resistance, BMI, and dyslipidemia.
Purpose of the Study:
- To assess blood pressure variability in postmenopausal women.
- To investigate the association between blood pressure variability and Body Mass Index (BMI).
Main Methods:
- A cross-sectional study included 175 postmenopausal females over 50 years old.
- Blood pressure (diastolic and systolic) was recorded manually at 6 am, 12 pm, and 7 pm.
- Body Mass Index (BMI), neck circumference, and lipid profiles were also measured.
Main Results:
- Systolic and diastolic blood pressure variations were recorded at different times of the day.
- Blood pressure showed specific readings in association with BMI over 25 kg/m².
- Similar blood pressure patterns were observed with neck circumference greater than 32 cm.
Conclusions:
- Increased BMI and neck circumference are independently associated with blood pressure variability in menopausal women.
- Elevated triglyceride and cholesterol levels may also independently contribute to blood pressure variability.
- These findings highlight key factors influencing cardiovascular risk in postmenopausal women.
Introduction:
Increase in blood pressure is the leading cause of comorbidity, especially cardiovascular and cerebrovascular disease, but its variability represents an independent risk factor for the same in menopausal women. Dramatic decrease of estrogen production in menopause interferes with many metabolic pathways leading to insulin resistance, increased body mass index (BMI) and dyslipidemia hence cardiovascular morbidity and mortality. In this study an assessment of the variability of blood pressure in postmenopausal women and its association with BMI have been highlighted.
Method:
In this cross-sectional study, a total of 175 postmenopausal females more than 50 years of age who were admitted to or visited medicine wards with no known major medical condition were enrolled between June and July 2019. Recording of both diastolic and systolic blood pressure of postmenopausal women was done at 6 am, 12 pm and 7 pm manually by mercury sphygmomanometer. In addition, BMI, neck circumference, and lipid profile values were also recorded.
Results:
Variation of both systolic and diastolic blood pressure at 6 am, 12 pm and 7 pm in association with various parameters like BMI (more than 25 kg/m2 ) were 128.57 ± 12.68/78.93 ± 9.56; 124.64 ± 12.32/77.14 ± 5.35 and 124.29 ± 12.60/75.36 ± 6.37 mmHg respectively. Neck circumference (>32 cm) was similar at 128.89 ± 13.49/79.86 ± 8.47; 124.58 ± 12.99/77.08 ± 7.59 and 125.56 ± 12.21/76.94 ± 7.62 mmHg respectively.
Conclusion:
BMI and neck circumference as well as triglyceride and cholesterol increase may all independently contribute to the blood pressure variability in menopausal women.
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Prepare for the Procedure:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Factors affecting Blood pressure
Physiological Factors:

