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The San Antonio Biethnic Children's Blood Pressure Study: auscultatory findings.
J Pediatr Health Care. 1999 Sep-Oct; 13(5):237-44.JP

Abstract

INTRODUCTION

The purpose of this study were to: (a) examine for possible ethnicity-related and gender-related differences in blood pressure (BP) in Mexican American and non-Hispanic White schoolchildren; (b) compare auscultatory and oscillometric BP levels; and (c) establish auscultatory BP standards using the width of the BP cuff based on the circumference of the arm in schoolchildren in K-12.

METHODS

Participants were 6259 schoolchildren in kindergarten through 12th grade in the San Antonio, Texas, area. Auscultatory and oscillometric BP readings were obtained in random sequence, using BP cuff width 40% to 50% of the circumference of the upper arm. Averages of 3 readings were used for statistical analyses.

RESULTS

Auscultatory systolic pressures (SPs) in preadolescent Mexican American boys and girls were higher (1 to 3 mm Hg) auscultatory (SP) than in their White counterparts, but the difference was clinically not important. Diastolic pressures (DP) showed no important differences. Auscultatory SPs in 13- to 18-year-old boys of both ethnic groups were significantly (P < .05) higher (3 to 12 mm Hg) than they were for girls, with no ethnic differences. Oscillometric SP was higher than auscultatory SP in children of all ages studied. Oscillometric (DP) was slightly lower (0 to 5 mm Hg) than was auscultatory K4 and higher (4 to 5 mm Hg) than was auscultatory K5 DP.

DISCUSSION

No important ethnicity-related difference was found for auscultatory BP, but significant gender-related differences (boys greater than girls) were found in SP in subjects ages 13 to 18 years. Differences in BP readings by oscillometric and auscultatory methods do not allow interchange of readings. This study provides, for the first time, auscultatory BP standards using BP cuff width 40% to 50% of the arm circumference.

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Publisher Full Text

Authors+Show Affiliations

Menard SW
Department of Family Nursing Care, University of Texas Health Science Center, San Antonio 78284-7951, USA.
Park MK
No affiliation info available
Yuan CH
No affiliation info available

MeSH

AdolescentAge FactorsAuscultationBiasBlood PressureBlood Pressure DeterminationChildChild, PreschoolEuropean Continental Ancestry GroupFemaleHumansHypertensionMaleMexican AmericansOscillometryReference ValuesReproducibility of ResultsTexas

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10776199

Citation

Menard, S W., et al. "The San Antonio Biethnic Children's Blood Pressure Study: Auscultatory Findings." Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners, vol. 13, no. 5, 1999, pp. 237-44.
Menard SW, Park MK, Yuan CH. The San Antonio Biethnic Children's Blood Pressure Study: auscultatory findings. J Pediatr Health Care. 1999;13(5):237-44.
Menard, S. W., Park, M. K., & Yuan, C. H. (1999). The San Antonio Biethnic Children's Blood Pressure Study: auscultatory findings. Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners, 13(5), 237-44.
Menard SW, Park MK, Yuan CH. The San Antonio Biethnic Children's Blood Pressure Study: Auscultatory Findings. J Pediatr Health Care. 1999 Sep-Oct;13(5):237-44. PubMed PMID: 10776199.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The San Antonio Biethnic Children's Blood Pressure Study: auscultatory findings. AU - Menard,S W, AU - Park,M K, AU - Yuan,C H, PY - 2000/4/25/pubmed PY - 2000/8/1/medline PY - 2000/4/25/entrez SP - 237 EP - 44 JF - Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners JO - J Pediatr Health Care VL - 13 IS - 5 N2 - INTRODUCTION: The purpose of this study were to: (a) examine for possible ethnicity-related and gender-related differences in blood pressure (BP) in Mexican American and non-Hispanic White schoolchildren; (b) compare auscultatory and oscillometric BP levels; and (c) establish auscultatory BP standards using the width of the BP cuff based on the circumference of the arm in schoolchildren in K-12. METHODS: Participants were 6259 schoolchildren in kindergarten through 12th grade in the San Antonio, Texas, area. Auscultatory and oscillometric BP readings were obtained in random sequence, using BP cuff width 40% to 50% of the circumference of the upper arm. Averages of 3 readings were used for statistical analyses. RESULTS: Auscultatory systolic pressures (SPs) in preadolescent Mexican American boys and girls were higher (1 to 3 mm Hg) auscultatory (SP) than in their White counterparts, but the difference was clinically not important. Diastolic pressures (DP) showed no important differences. Auscultatory SPs in 13- to 18-year-old boys of both ethnic groups were significantly (P < .05) higher (3 to 12 mm Hg) than they were for girls, with no ethnic differences. Oscillometric SP was higher than auscultatory SP in children of all ages studied. Oscillometric (DP) was slightly lower (0 to 5 mm Hg) than was auscultatory K4 and higher (4 to 5 mm Hg) than was auscultatory K5 DP. DISCUSSION: No important ethnicity-related difference was found for auscultatory BP, but significant gender-related differences (boys greater than girls) were found in SP in subjects ages 13 to 18 years. Differences in BP readings by oscillometric and auscultatory methods do not allow interchange of readings. This study provides, for the first time, auscultatory BP standards using BP cuff width 40% to 50% of the arm circumference. SN - 0891-5245 UR - https://www.unboundmedicine.com/medline/citation/10776199/The_San_Antonio_Biethnic_Children's_Blood_Pressure_Study:_auscultatory_findings_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0891-5245(99)90005-6 DB - PRIME DP - Unbound Medicine ER -