Evidence map›Paper›PMID 30003528›Full record

ArticleHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2018

Inter-arm Systolic Blood Pressure Difference in Physically Active, Adult Subjects.

Daniel Neunhäuserer, Andrea Gasperetti, Sara Ortolan, Francesca Battista, Pietro Pettenella, Marco Zaccaria, Marco Bergamin, Andrea Ermolao

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Longitudinal association between adiposity and inter-arm blood pressure difference.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Daniel NeunhäusererSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy.
Andrea GasperettiSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy.
Sara OrtolanSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy.
Francesca BattistaSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy.
Pietro PettenellaSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy.
Marco ZaccariaSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy.
Marco BergaminSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy.
Andrea ErmolaoSport and Exercise Medicine Division, Department of Medicine, University of Padova, via Giustiniani 2, 35128, Padua, Italy. andrea.ermolao@unipd.it.ORCID http://orcid.org/0000-0002-0546-1514
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIncreased inter-arm systolic blood pressure difference (ΔPsys) has been associated with cardiovascular (CV) disease in elderly patients with CV risk factors. However, its significance in healthy subjects is unclear.

aimTo determine the relationship between ΔPsys, the individual level of physical activity and the global CV risk in apparently healthy adults.

methodsSystolic blood pressure was measured in both arms in 400 subjects aged 46.5 ± 12.2 years, using a simultaneous oscillometric device (WatchBP Office, Microlife, Widnau, Switzerland). In the subjects with ΔPsys ≥ 10 mmHg (Cases n = 20) and in a Control group (20 subjects without ΔPsys ≥ 10 mmHg), another simultaneous measurement was repeated during a second visit. The physical activity level was assessed via the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the ankle brachial pressure index (ABPI) with a photoplethysmographic method (Angioflow-Microlab, Padova, Italy) and the CV risk via the Framingham Risk Score (FRS).

resultsThe prevalence of ΔPsys ≥ 10 mmHg in the whole population was 5% (95% CI 3.24-8.01%). Cases and Controls were comparable in gender, age, and BMI. ΔPsys ≥ 10 mmHg was only confirmed in 17.6% of the Cases. No statistically significant differences were found between groups for IPAQ-SF, ABPI, or FRS.

conclusionsThe prevalence of ΔPsys ≥ 10 mmHg in this population was only slightly lower than what observed in older, hypertensive or diabetic patients. Cases and Controls did not differ in physical activity level, ankle brachial pressure index and CV risk. However, low test-retest reliability might limit the use of ΔPsys as a reliable marker for CV screening in this population.

Indexed as

Blood PressureExerciseAdultAgedAnkle Brachial IndexBlood Pressure DeterminationFemaleHealthy VolunteersHumansMaleMiddle AgedPhotoplethysmographyPredictive Value of TestsReproducibility of ResultsSurveys and QuestionnairesUpper ExtremityAnkle brachial pressure indexCardiovascular riskFramingham risk scoreInter-arm blood pressure differenceIPAQ

Identifiers

PMID30003528
OpenAlexW2870689305

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.