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Arm circumference: its importance for dialysis patients in the obesity era |
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| Authors: | Tekin Akpolat Coşkun Kaya Cengiz Utaş Turgay Arinsoy Hülya Taşkapan Emre Erdem M. Emin Yilmaz Rezzan Ataman Semra Bozfakioğlu Çetin Özener İbrahim Karayaylali Rümeyza Kazancioğlu Taner Çamsari Mahmut Yavuz Fevzi Ersoy Soner Duman Kenan Ateş |
| Affiliation: | 1. Department of Nephrology, Ondokuz Mayis University School of Medicine, Samsun, 55139, Turkey 2. Department of Nephrology, Erciyes University School of Medicine, Kayseri, Turkey 3. Department of Nephrology, Gazi University School of Medicine, Ankara, Turkey 4. Department of Nephrology, ?n?nü University School of Medicine, Malatya, Turkey 5. Department of Nephrology, Dicle University School of Medicine, Diyarbakir, Turkey 6. Department of Nephrology, Cerrahpa?a School of Medicine, ?stanbul University, Istanbul, Turkey 7. Department of Nephrology, ?apa School of Medicine, ?stanbul University, Istanbul, Turkey 8. Department of Nephrology, Marmara University School of Medicine, Istanbul, Turkey 9. Department of Nephrology, ?ukurova University School of Medicine, Adana, Turkey 10. Department of Nephrology, Bezmi Alem University School of Medicine, Istanbul, Turkey 11. Department of Nephrology, Dokuz University School of Medicine, Istanbul, Turkey 12. Department of Nephrology, Uluda? University School of Medicine, Bursa, Turkey 13. Department of Nephrology, Akdeniz University School of Medicine, Antalya, Turkey 14. Department of Nephrology, Ege University School of Medicine, Izmir, Turkey 15. Department of Nephrology, Ankara University School of Medicine, Ankara, Turkey |
| Abstract: | PurposeThe purposes of this study were to investigate the association between arm circumference and body mass index (BMI) and to discuss problems, mainly arm circumference and cuff size mismatch, that could affect the reliability of home blood pressure monitoring (HBPM) among peritoneal dialysis (PD) and hemodialysis (HD) patients.Methods525 PD and 502 HD patients from 16 centers were included in the study. A two-part questionnaire was used to gather information from the participants. Arm circumferences were categorized into four groups according to the British Hypertension Society cuff size recommendations.ResultsMean BMI and arm circumference of all participants were 25.0 kg/m2 and 27.6 cm, respectively. There was a significant correlation between BMI and arm circumference. The mean BMI and arm circumference values were higher in PD patients than in HD patients. Requirement of a large-sized adult cuff was more common among PD patients compared to HD patients (14 % vs 8 %, p = 0.002).ConclusionsSince HBPM is a useful tool for clinicians to improve BP control, nephrologists should be aware of the problems related to HBPM in dialysis patients and take an active role to increase the reliability of HBPM. |
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