ABSTRACT
INTRODUCTION: Recently, we established that a group of obese children and adolescents had a higher blood pressure (BP) than a healthy control group. In the present study, we investigate whether the higher BP in the obese group was influenced by BP cuff sizes. METHODS: A total of 104 obese patients aged 10-18 years were compared with 50 controls. BP was measured with a validated oscillometric device using an appropriate cuff size depending on each person's arm circumferences (AC) according to the manufacturer's recommendation; small (AC < 23 cm), medium (23 ≤ AC < 32 cm) and large (AC ≥ 32 cm). RESULTS: Cuff sizes had a significant impact on BP measurements. Despite the influence of cuff size, multiple regression analyses revealed that systolic BP was 6.8 mmHg higher and diastolic BP 3.2 mmHg higher in the obese group than in the control group. A step function, i.e. a sudden fall in BP, was seen at the point of switching from small to medium cuff size in the control group, which suggests that systolic BP was overestimated when using small cuff size and underestimated when using medium cuff size in subjects with an AC near 23 cm. CONCLUSIONS: BP was higher in the obese group than in the control group although BP was influenced by BP cuff sizes. FUNDING: The present project received funding from The Health Sciences Research Foundation of Region Zealand, The Danish Heart Foundation, Kathrine og Vigo Skovgaards Fond, Det Medicinske Selskab i København, Edith og Henrik Henriksens Mindelegat and LEO Pharma's Travel Grant. TRIAL REGISTRATION: ClinicalTrials.gov id: NCT01310088.
Subject(s)
Arm/pathology , Blood Pressure Determination , Diagnostic Errors/prevention & control , Obesity/complications , Adolescent , Blood Pressure Determination/instrumentation , Blood Pressure Determination/methods , Blood Pressure Determination/standards , Child , Dimensional Measurement Accuracy , Equipment Failure Analysis , False Positive Reactions , Female , Humans , Hypertension/diagnosis , Hypertension/etiology , Male , Organ SizeABSTRACT
Zinc is one of the most important trace elements. Zinc deficiency is a major health problem worldwide. Causes of zinc deficiency can be nutritional, iatrogenic, genetic or a result of diseases. Severe zinc deficiency results in symptoms like pustular dermatitis, alopecia, weight loss, diarrhoea, infections secondary to immune dysfunction, hypogonadism and problems in ulcer healing. Zinc supplementation is necessary in cases of zinc deficiency, but high doses zinc supplementation through a long time can result in copper deficiency or anaemia. Thus a rational use of zinc supplementation in the required time is necessary.