The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patients
Introduction: The purpose of this study was to determine the correlation between body mass index (BMI) and upper and lower arm as well as lower leg circumferences and the frequency of correct blood pressure (BP) cuff fit. We explored recommendations for the most likely BP cuff size and location for...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=2;spage=182;epage=186;aulast=Schumann |
| _version_ | 1817979470716338176 |
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| author | R Schumann O Alyamani A Viswanath I Bonney |
| author_facet | R Schumann O Alyamani A Viswanath I Bonney |
| author_sort | R Schumann |
| collection | DOAJ |
| description | Introduction: The purpose of this study was to determine the correlation between body mass index (BMI) and upper and lower arm as well as lower leg circumferences and the frequency of correct blood pressure (BP) cuff fit. We explored recommendations for the most likely BP cuff size and location for the three BMI categories.
Materials and Methods: Following IRB approval we retrospectively analyzed a research database of bariatric surgical patients with a BMI of ≥40 kg/m 2 . Data included patients′ characteristics, upper and lower arm as well as lower leg circumferences. Patients were divided into three groups based on BMI (kg/m 2 , Group I: <45, Group II: 45-55, and Group III: >55). Appropriate cuff fit using a standard or large adult BP cuff (CRITIKON ® , GE Healthcare, Waukesha, Wisconsin, USA) on the upper and lower arm, and lower leg was determined. We analyzed the percent proportion of proper cuff fit for cuff sizes and locations between groups using appropriate nonparametric testing.
Results: Limb circumference correlated significantly with BMI (P = 0.01), and the upper arm correlated most closely (r = 0.76). A standard adult BP cuff on the lower arm fit properly in >90% and >80% and in Groups I and II, respectively. A large cuff on the lower arm was appropriate in 87% of Group III. In two participants, a large cuff fit properly on the lower leg.
Discussion: Limb circumference significantly correlated with BMI. Recommendations for proper cuff fit in different BMI categories can be made. |
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| format | Article |
| id | doaj.art-e4d7557b8e8546beb010626f93faa16d |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-04-13T22:42:19Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-e4d7557b8e8546beb010626f93faa16d2022-12-22T02:26:34ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2016-01-0110218218610.4103/1658-354X.168819The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patientsR SchumannO AlyamaniA ViswanathI BonneyIntroduction: The purpose of this study was to determine the correlation between body mass index (BMI) and upper and lower arm as well as lower leg circumferences and the frequency of correct blood pressure (BP) cuff fit. We explored recommendations for the most likely BP cuff size and location for the three BMI categories. Materials and Methods: Following IRB approval we retrospectively analyzed a research database of bariatric surgical patients with a BMI of ≥40 kg/m 2 . Data included patients′ characteristics, upper and lower arm as well as lower leg circumferences. Patients were divided into three groups based on BMI (kg/m 2 , Group I: <45, Group II: 45-55, and Group III: >55). Appropriate cuff fit using a standard or large adult BP cuff (CRITIKON ® , GE Healthcare, Waukesha, Wisconsin, USA) on the upper and lower arm, and lower leg was determined. We analyzed the percent proportion of proper cuff fit for cuff sizes and locations between groups using appropriate nonparametric testing. Results: Limb circumference correlated significantly with BMI (P = 0.01), and the upper arm correlated most closely (r = 0.76). A standard adult BP cuff on the lower arm fit properly in >90% and >80% and in Groups I and II, respectively. A large cuff on the lower arm was appropriate in 87% of Group III. In two participants, a large cuff fit properly on the lower leg. Discussion: Limb circumference significantly correlated with BMI. Recommendations for proper cuff fit in different BMI categories can be made.http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=2;spage=182;epage=186;aulast=SchumannArm circumference; bariatric; blood pressure; cuff fit; obesity |
| spellingShingle | R Schumann O Alyamani A Viswanath I Bonney The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patients Saudi Journal of Anaesthesia Arm circumference; bariatric; blood pressure; cuff fit; obesity |
| title | The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patients |
| title_full | The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patients |
| title_fullStr | The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patients |
| title_full_unstemmed | The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patients |
| title_short | The correlation between body mass index, limb circumferences and blood pressure cuff fit in bariatric surgical patients |
| title_sort | correlation between body mass index limb circumferences and blood pressure cuff fit in bariatric surgical patients |
| topic | Arm circumference; bariatric; blood pressure; cuff fit; obesity |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=2;spage=182;epage=186;aulast=Schumann |
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