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Interarm Blood Pressure Difference in Young Healthy Adults
Poonam Karmacharya1, Anshu Bhattarai1, Indu Tiwari1
1Manipal College of Medical Sciences,Pokhara,Nepal.
Journal of Nepal Health Research Council
|January 10, 2024
Summary
Significant inter-arm blood pressure differences exist in young adults, particularly for systolic pressure. Increased differences correlate with family history of hypertension, age, and BMI, highlighting the need for bilateral measurement.
Area of Science:
- Cardiology
- Vascular Medicine
- Public Health
Background:
- Inter-arm blood pressure difference (IADBP) is a key indicator, with >10 mm Hg linked to peripheral vascular disease.
- Assessing IADBP in young, healthy populations is crucial for early detection of cardiovascular risks.
- Hypertension risk factors like family history, age, sex, and BMI may influence IADBP.
Purpose of the Study:
- To quantify IADBP in young, healthy individuals.
- To investigate the association between IADBP and hypertension risk factors (family history, age, sex, BMI).
Main Methods:
- A cross-sectional study involving 270 students.
- Blood pressure measured in both arms using a mercury sphygmomanometer.
- Statistical analysis included paired t-tests, chi-square, and Pearson's correlation.
Main Results:
- Mean IADBP was 11.03±0.67 mm Hg for systolic and 6.02±0.21 mm Hg for diastolic.
- Significant IADBP found for both systolic and diastolic pressures (p<0.001).
- Systolic IADBP correlated significantly with family history of hypertension, age, and BMI (p<0.001).
Conclusions:
- Young, healthy individuals exhibit significant inter-arm systolic and diastolic blood pressure differences.
- A positive correlation exists between increased IADBP and family history of hypertension.
- Routine measurement of blood pressure in both arms is recommended for early diagnosis and treatment of hypertensive disorders.
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