ArticleBMC medical research methodology2015
Challenges in standardization of blood pressure measurement at the population level.
Article in BMC medical research methodology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Supplementation of Olive Oil and Flaxseed Oil on Blood Pressure and Inflammation in Healthy and At-Risk Adults: A Systematic Literature Review and Meta-Analysis.Current hypertension reviews · 2024Pooled it
- Pooled it
- Comparison of devices used to measure blood pressure, grip strength and lung function: A randomised cross-over study.PloS one · 2023Trial
- Blood pressure measurements in research: suitability of auscultatory, beat-to-beat, and ambulatory blood pressure measurements.Blood pressure monitoring · 2019Trial
- Deep learning-based automatic blood pressure measurement: evaluation of the effect of deep breathing, talking and arm movement.Annals of medicineTrial
- Reliability and device objectivity in oscillatory blood pressure measurement - a measurement error analysis to inform clinical decision making.BMC cardiovascular disorders · 2026Article
- Associations of starchy and non-starchy vegetable intake with depression, anxiety, stress, chronotype, and sleep quality among iranian women with overweight or obesity: a cross-sectional study.Journal of health, population, and nutrition · 2026Article
- Preference, Awareness, and Use of Sphygmomanometers in the Mercury-Free Era: A Cross-Sectional Survey of Physicians in Korea.Journal of Korean medical science · 2026Article
- Associations of arterial stiffness onset age with type 2 diabetes risk: a large-scale Chinese cohort study.BMJ open · 2025Article
- Automated office blood pressure measurement: a Hypertension Australia and National Hypertension Taskforce of Australia position statement.Journal of hypertension · 2025Article
- Relation of skinfold thickness with the serum lipids, glucose and blood pressure among Indian sedentary office workers.Journal of health, population, and nutrition · 2024Article
- Comparing blood pressure measurements between sitting in chairs and sitting on the floor.Clinical hypertension · 2024Article
- Unravelling the Belgian cascade of hypertension care and its determinants: insights from a cross-sectional analysis.BMC public health · 2024Article
- Nutrition, Physical Activity and Smoking Habit in the Italian General Adult Population: CUORE Project Health Examination Survey 2018-2019.Healthcare (Basel, Switzerland) · 2024Article
- The Promise and Illusion of Continuous, Cuffless Blood Pressure Monitoring.Current cardiology reports · 2023Review
- Quality is not an act, it is a habit-Aristotle.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Review
- Epidemiology of obesity and high blood pressure among school-age children from military families: the largest report from our region.BMC pediatrics · 2023Article
- A high protein low glycemic index diet has no adverse effect on blood pressure in pregnant women with overweight or obesity: a secondary data analysis of a randomized clinical trial.Frontiers in nutrition · 2023Article
- Prevalence and determinants of unmet needs for hypertension care among the older population in Selangor: cross-sectional study.Health research policy and systems · 2022Article
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Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccurate blood pressure measurements are needed in clinical practice, intervention studies and health examination surveys. Blood pressure measurements are sensitive: their accuracy can be affected by measurement environment, behaviour of the subject, measurement procedures, devices used for the measurement and the observer. To minimize errors in blood pressure measurement, a standardized measurement protocol is needed.
methodsThe European Health Examination Survey (EHES) Pilot project was conducted in 2009-2012. A pilot health examination survey was conducted in 12 countries using a standardized protocol. The measurement protocols used in each survey, training provided for the measurers, measurement data, and observations during site visits were collected and evaluated to assess the level of standardization.
resultsThe EHES measurement protocol for blood pressure was followed accurately in all 12 pilot surveys. Most of the surveys succeeded in organizing a quiet and comfortable measurement environment, and staff instructed survey participants appropriately before examination visits. In all surveys, blood pressure was measured three times, from the right arm in a sitting posture. The biggest variation was in the device used for the blood pressure measurement.
conclusionsIt is possible to reach a high level of standardization for blood pressure measurements across countries and over time. A detailed, standardized measurement protocol, and adequate training and monitoring during the fieldwork and centrally organized quality assessment of the data are needed. The recent EU regulation banning the sale of mercury sphygmomanometer in European Union Member States has set new challenges for the standardization of measurement devices since the validity of oscillometric measurements is device-specific and performance of aneroid devices depends very much on calibration.
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