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Oscillometric blood pressure values in infants at 3, 6 and 12 months of age: a cohort study
Elin Ørbeck Vallevik1,2, Mads Nikolaj Holten-Andersen3,2, Karin C Lødrup Carlsen2,4
1Department of Paediatric and Adolescent Medicine, Innlandet Hospital Trust, Lillehammer, Norway elin.orbeck.vallevik@sykehuset-innlandet.no.
Insights
This study establishes reference blood pressure (BP) values for healthy infants at 3, 6, and 12 months using oscillometric measurements. BP readings remained consistent across these infant age points.
Area of Science:
- Pediatrics
- Cardiology
- Public Health
Background:
- Establishing normative blood pressure (BP) data in infants is crucial for early detection of cardiovascular risks.
- Existing reference values for infant BP are limited, particularly for oscillometric methods.
Purpose of the Study:
- To determine reference blood pressure (BP) values in a cohort of healthy infants.
- To provide reliable BP data at 3, 6, and 12 months of age.
Main Methods:
- A population-based mother-child cohort study was conducted in Norway and Sweden.
- Infant oscillometric BP was measured at 3, 6, and 12 months in a cohort of 2100 infants.
- Successful BP measurements required three readings in a calm state.
Main Results:
- Reference BP values were established for 1778 infants.
- Median systolic/diastolic BP (mean arterial pressure) at 3 months was 95/56 (69) mm Hg.
- BP measurements showed consistency at 6 months (96/57 (72) mm Hg) and 12 months (95/57 (71) mm Hg).
Conclusions:
- This study provides essential reference values for oscillometric BP in healthy infants.
- Consistent BP measurements were observed across the first year of life.
- These findings support the use of oscillometric BP monitoring in infant health surveillance.
Objective:
To determine reference blood pressure (BP) values in a cohort of healthy infants at 3, 6 and 12 months of age.
Design:
An antenatally recruited population-based mother-child cohort study.
Setting:
The multicentre Preventing Atopic Dermatitis and ALLergies in children study, recruiting non-selected pregnant women in Norway and Sweden between 2014 and 2016. Infant oscillometric BP was measured at clinical follow-up visits at 3, 6 and 12 months of age.
Patients:
In total, 2100 infants had BP readings available during infancy.
Main Outcome Measures:
Systolic, diastolic and mean arterial BP at each follow-up visit based on successful BP measurements defined as three readings obtained in a calm state with systolic BP within a 20 mm Hg range.
Results:
Successful BP measurements were obtained in 1778 infants at 3, 6 and/or 12 months of age. Median systolic/diastolic BP (mean arterial pressure) was 95/56 (69) mm Hg at age 3 months, 96/57 (72) mm Hg at 6 months and 95/57 (71) mm Hg at 12 months.
Conclusions:
This study establishes reference values for oscillometric BP in healthy infants and shows consistent measurements across 3, 6 and 12 months of age.
Related Concept Videos
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.
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Measurement of Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)

