背景:当前测量家庭血压(BP)的标准方法涉及坐在椅子上进行测量。在地板坐姿很普遍的文化中,包括韩国,坐在地板上评估BP会更可行。然而,仍然缺乏研究调查坐在椅子上和坐在地板上获得的BP测量值是否可以被视为可互换的。该研究的目的是评估韩国成年人坐在椅子上和坐在地板上的BP测量值之间是否存在差异。
方法:在访问以评估脉搏波速度的参与者中,我们随机选择了116名同意参与研究的参与者.所有受试者休息5分钟,根据标准方法(坐椅法)和坐在地板上的BP(坐椅法)的随机分配顺序,每隔1分钟进行一次BP测量.
结果:在116名参与者中,中位年龄为68岁(四分位距为59至75岁),82%是男性。收缩压(SBP,坐椅129.1±17.8mmHg,落椅130.1±18.9mmHg,P=0.228)和舒张压血压(DBP,坐椅73.9±11.4mmHg,落椅73.7±11.4mmHg,两个位置之间的P=0.839)。此外,在两个位置进行的BP测量结果之间存在高度一致性(组内相关系数:SBP为0.882,DBP为0.890).
结论:这些发现为确保家庭血压测量的可靠性提供了重要的见解,通过在常见的地板坐姿文化中常用的地板坐姿。此外,这可以作为向坚持就地生活方式的患者提供特定家庭BP测量指南的重要证据.
BACKGROUND: The current standard approach to measuring home blood pressure (BP) involves taking measurements while sitting in a chair. In cultures where floor sitting is common, including Korea, assessing BP while sitting on the floor would be more feasible. However, there is still a lack of research investigating whether BP measurements obtained while seated in a chair and while sitting on the floor can be regarded as interchangeable. The aim of the study was to evaluate whether there is a difference between BP measurements taken while sitting in a chair and while sitting on the floor in a Korean adult.
METHODS: Among the participants who visited for evaluation of pulse wave velocity, a total of 116 participants who agreed to participate in the study were randomly selected. All subjects rested for 5 min, and BP measurements were taken at 1-min intervals according to a randomly assigned order of standard method (chair-sitting) and BP in a seated on the floor (floor-sitting).
RESULTS: Of the 116 participants, the median age was 68 (with an interquartile range of 59 to 75), and 82% were men. There were no significant differences in systolic BP (SBP, 129.1 ± 17.8 mmHg in chair-sitting and 130.1 ± 18.9 mmHg in floor-sitting, P = 0.228) and diastolic BP (DBP, 73.9 ± 11.4 mmHg in chair-sitting and 73.7 ± 11.4 mmHg in floor-sitting, P = 0.839) between the two positions. In addition, there was a high level of agreement between BP measurements taken in the two positions (intraclass correlation coefficients: 0.882 for SBP and 0.890 for DBP).
CONCLUSIONS: These findings provide important insights into securing the reliability of home BP measurements through the commonly practiced floor-sitting posture in cultures where floor sitting is common. Furthermore, this could serve as substantial evidence for providing specific home BP measurement guidelines to patients who adhere to a floor-sitting lifestyle.