ArticlePediatric nephrology (Berlin, Germany)2020
Multiple office blood pressure measurement: a novel approach to overcome the weak cornerstone of blood pressure measurement in children. Data from the SPA project.
Article in Pediatric nephrology (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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.
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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
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Vitamin D status and blood pressure in children and adolescents: a systematic review of observational studies.Systematic reviews · 2021Pooled it
- Increased fluid intake and blood pressure in healthy children: a randomized controlled trial. The SPA Project.Pediatric nephrology (Berlin, Germany) · 2026Trial
- Pediatric hypertension prevalence with 1 vs. 2 vs. 3 within-visit blood pressure readings (NHANES 2013-2020).Journal of human hypertension · 2026Article
- How many times should blood pressure be measured?European journal of pediatrics · 2025Article
- Multiple office blood pressure monitoring for the diagnosis of hypertension in children.European journal of pediatrics · 2025Article
- Benefits in Cardiac Function from a Remote Exercise Program in Children with Obesity.International journal of environmental research and public health · 2023Article
- Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter!Children (Basel, Switzerland) · 2022Review
- Fenoldopam and renal hemodynamics in shiga toxin-related hemolytic uremic syndrome.Pediatric nephrology (Berlin, Germany) · 2021Article
- Blood Pressure in Childhood and Adolescence.American journal of hypertension · 2021Review
Corrections and comments
- Erratum issued
Authors and funding
14 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis contribution aims to report and analyze a novel approach for office blood pressure measurement in children.
methodsHealthy children 5 to 8 years of age were eligible. After 5 minutes rest, 10 unattended blood pressure readings were taken at 3-minute intervals using a validated automated oscillometric device. After discarding outlier values (< 5th or > 95th percentile of the recorded values), the coefficient of variation and the mean of the 10 readings were calculated. The single readings #1 to #10 were compared with this elaborated average of the 10 measurements.
resultsTwo hundred eighty-one healthy, non-obese children (137 females, 49%), median age 5.7 (IQR 5.3-6.1) years, were analyzed. The median coefficients of variation were 7% (IQR 5-9) for systolic and 4% (IQR 3-6) for diastolic blood pressure. The first 3 measurements were significantly different from the average, while the readings #4 to #10 were not. Based on the average, only nine subjects had a systolic or diastolic blood pressure > 90th centile (n = 3 > 95th percentile).
conclusionsAlthough most guidelines advise three blood pressure readings, these findings suggest that in children, office blood pressure measurement might be improved by including ten measurements. In situations of time constraints, the fourth blood pressure reading might be used as a reliable approximation.
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Registered trials
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.