ArticleAmerican journal of hypertension2022
Blood Pressure Cuff Sizes for Adults in the United States: National Health and Nutrition Examination Survey, 2015-2020.
Article in American journal of hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 19 citations in OpenAlex.
- Disparities in Blood Pressure Measurement.Current hypertension reports · 2026Review
- Appropriate cuff size for blood pressure measurement: a target not yet achieved in clinical practice?Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Kiosk blood pressure measurement in Japan: clinical and population application.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Attention to blood pressure cuff sizes is important for home and in-clinic blood pressure measurement.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Size Dimension Chart for Reference Cuff Validation and Limitations in Current Recommendations.American journal of hypertension · 2024Article
- Biceps muscle injury associated with non-invasive automatic blood pressure monitoring.BMJ case reports · 2023Article
- Blood Pressure Measurement: There's More Than Meets the Arm.Arquivos brasileiros de cardiologia · 2023Article
- The Patient-Provider Gap: A Cross-sectional Survey to Understand Barriers and Motivating Factors for Home Blood Pressure Monitoring in a CKD Cohort.Canadian journal of kidney health and disease · 2023Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHypertension, defined as blood pressure (BP) ≥130/80 mm Hg or antihypertensive medication use, affects approximately half of US adults, and appropriately sized BP cuffs are important for accurate BP measurement and hypertension management.
methodsThis cross-sectional study analyzed 13,038 US adults (≥18 years) in the National Health and Nutrition Examination Survey 2015-March 2020 cycles. Recommended BP cuff sizes were categorized based on mid-arm circumference: small adult (≤26 cm), adult (>26 to ≤34 cm), large adult (>34 to ≤44 cm), and extra-large adult (>44 cm). Analyses were weighted and proportions were extrapolated to the US population.
resultsAmong US adults (246 million), recommended cuff sizes were: 6% (16 million) small adult, 51% adult (125 million), 40% large adult (98 million), and 3% extra-large adult (8 million). Among adults with hypertension (116 million), large or extra-large cuffs were needed by over half (51%) overall, including 65% of those aged 18-34 years and 84% of those with obesity (BMI ≥30 kg/m2). By race/ethnicity, the proportion needing a large or extra-large cuff was 57% of non-Hispanic Black adults, 54% of Hispanic adults, 51% of non-Hispanic White adults, and 23% of non-Hispanic Asian adults. Approximately 40% of adults with hypertension in Medicare needed a large or extra-large cuff, compared to 54% for private insurance and 53% for Medicaid.
conclusionsOver half of US adults with hypertension need a large or extra-large BP cuff.
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