Date of Award

2014

Degree Type

Thesis

Degree Name

M.H.K.

Department

Kinesiology

First Advisor

McGowan, Cheri

Second Advisor

Kenno, Kenji

Keywords

Ambulatory Blood Pressure, Blood Pressure, Blood Pressure Measurement, Dual-Arm Blood Pressure, Inter-Arm Differences, Resting Blood Pressure

Rights

CC BY-NC-ND 4.0

Abstract

Current guidelines recommend dual-arm blood pressure measurement when screening all patients for hypertension, however the prevalence and reliability of systolic and diastolic inter-arm differences (sIADs and dIADs) are unclear in young, healthy adults. Furthermore, no study has investigated ambulatory sIADs and dIADs in this population. This study examined the prevalence and reliability of sIADs and dIADs&ge5, 10, 15, and 20mmHg, using sequential and simultaneous resting, and sequential ambulatory blood pressure measurements, in 18 healthy adults aged 20-38 years. Key findings were: First-day prevalence of resting sIADs&ge10mmHg was 5.6% (p0.05), prevalence of resting and ambulatory sIADs and dIADs decreased on a second day, and resting sIADs&ge10mmHg disappeared altogether. Further research is required to clarify the clinical relevance of these findings.

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