Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study

Introduction: Measurement of Blood Pressure (BP) in children provides insight into future Cardiovascular Disease (CVD) risk. Objective: To examine the feasibility and reliability of home BP monitoring in children with Autism Spectrum Disorder (ASD) and compare to office BP measurement. Methods: Se...

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Main Authors: Kevin S. Heffernan, Luis Columna, Laura Prieto, Patricia Pagan, Jacob DeBlois, Alyssa Prawl, Gianpietro Revolledo, Natalie Russo, Tiago V. Barreira
Format: Article
Language:English
Published: BMC 2019-12-01
Series:Artery Research
Subjects:
Online Access:https://www.atlantis-press.com/article/125924845/view
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author Kevin S. Heffernan
Luis Columna
Laura Prieto
Patricia Pagan
Jacob DeBlois
Alyssa Prawl
Gianpietro Revolledo
Natalie Russo
Tiago V. Barreira
author_facet Kevin S. Heffernan
Luis Columna
Laura Prieto
Patricia Pagan
Jacob DeBlois
Alyssa Prawl
Gianpietro Revolledo
Natalie Russo
Tiago V. Barreira
author_sort Kevin S. Heffernan
collection DOAJ
description Introduction: Measurement of Blood Pressure (BP) in children provides insight into future Cardiovascular Disease (CVD) risk. Objective: To examine the feasibility and reliability of home BP monitoring in children with Autism Spectrum Disorder (ASD) and compare to office BP measurement. Methods: Seven day home BP monitoring was completed using an electronic device in 16 children with ASD (mean age 7 ± 3, n = 2 girls) and compared with a single “office” BP measure. Parents were asked to take two measures in the morning and two measures in the early evening. Results: Eleven parents were able to obtain >75% of measures with eight of those 11 parents obtaining >90% of measures. There were no statistical differences between mean office Systolic BP (SBP) and mean home SBP (mean difference 2 ± 9 mmHg, p = 0.46) or mean office Diastolic BP (DBP) and mean home DBP (mean difference 1 ± 7 mmHg, p = 0.68). The correlation between home and office SBP was r = 0.44 (p = 0.02). The correlation between home and office DBP was r = 0.43 (p = 0.05). Home SBP correlated with age, height and BMI (p < 0.05) while office SBP did not (p > 0.05). Three days with 4 measurements/day was sufficient to achieve reliable home BP measurements (G > 0.8). Conclusion: Home BP monitoring is feasible in children with ASD, is associated with typical correlates (age, height), and is better associated with obesity status (BMI) than office BP measurement.
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spelling doaj.art-8a4e3105cb5b4f3d88e4afdc32785a6a2022-12-22T02:25:03ZengBMCArtery Research1876-44012019-12-0125310.2991/artres.k.191123.001Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility StudyKevin S. HeffernanLuis ColumnaLaura PrietoPatricia PaganJacob DeBloisAlyssa PrawlGianpietro RevolledoNatalie RussoTiago V. BarreiraIntroduction: Measurement of Blood Pressure (BP) in children provides insight into future Cardiovascular Disease (CVD) risk. Objective: To examine the feasibility and reliability of home BP monitoring in children with Autism Spectrum Disorder (ASD) and compare to office BP measurement. Methods: Seven day home BP monitoring was completed using an electronic device in 16 children with ASD (mean age 7 ± 3, n = 2 girls) and compared with a single “office” BP measure. Parents were asked to take two measures in the morning and two measures in the early evening. Results: Eleven parents were able to obtain >75% of measures with eight of those 11 parents obtaining >90% of measures. There were no statistical differences between mean office Systolic BP (SBP) and mean home SBP (mean difference 2 ± 9 mmHg, p = 0.46) or mean office Diastolic BP (DBP) and mean home DBP (mean difference 1 ± 7 mmHg, p = 0.68). The correlation between home and office SBP was r = 0.44 (p = 0.02). The correlation between home and office DBP was r = 0.43 (p = 0.05). Home SBP correlated with age, height and BMI (p < 0.05) while office SBP did not (p > 0.05). Three days with 4 measurements/day was sufficient to achieve reliable home BP measurements (G > 0.8). Conclusion: Home BP monitoring is feasible in children with ASD, is associated with typical correlates (age, height), and is better associated with obesity status (BMI) than office BP measurement.https://www.atlantis-press.com/article/125924845/viewBlood pressurechildrenautism spectrum disorderreliability
spellingShingle Kevin S. Heffernan
Luis Columna
Laura Prieto
Patricia Pagan
Jacob DeBlois
Alyssa Prawl
Gianpietro Revolledo
Natalie Russo
Tiago V. Barreira
Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
Artery Research
Blood pressure
children
autism spectrum disorder
reliability
title Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
title_full Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
title_fullStr Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
title_full_unstemmed Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
title_short Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
title_sort home blood pressure assessment in children with autism spectrum disorder a feasibility study
topic Blood pressure
children
autism spectrum disorder
reliability
url https://www.atlantis-press.com/article/125924845/view
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