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Arm circumference: its importance for dialysis patients in the obesity era

  • Nephrology - Original Paper
  • Published:
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Abstract

Purpose

The 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.

Methods

525 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.

Results

Mean 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).

Conclusions

Since 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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Conflict of interest

There is no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Nephrology, Ondokuz Mayis University School of Medicine, Samsun, 55139, Turkey

    Tekin Akpolat, Coşkun Kaya & Emre Erdem

  2. Department of Nephrology, Erciyes University School of Medicine, Kayseri, Turkey

    Cengiz Utaş

  3. Department of Nephrology, Gazi University School of Medicine, Ankara, Turkey

    Turgay Arinsoy

  4. Department of Nephrology, İnönü University School of Medicine, Malatya, Turkey

    Hülya Taşkapan

  5. Department of Nephrology, Dicle University School of Medicine, Diyarbakir, Turkey

    M. Emin Yilmaz

  6. Department of Nephrology, Cerrahpaşa School of Medicine, İstanbul University, Istanbul, Turkey

    Rezzan Ataman

  7. Department of Nephrology, Çapa School of Medicine, İstanbul University, Istanbul, Turkey

    Semra Bozfakioğlu

  8. Department of Nephrology, Marmara University School of Medicine, Istanbul, Turkey

    Çetin Özener

  9. Department of Nephrology, Çukurova University School of Medicine, Adana, Turkey

    İbrahim Karayaylali

  10. Department of Nephrology, Bezmi Alem University School of Medicine, Istanbul, Turkey

    Rümeyza Kazancioğlu

  11. Department of Nephrology, Dokuz University School of Medicine, Istanbul, Turkey

    Taner Çamsari

  12. Department of Nephrology, Uludağ University School of Medicine, Bursa, Turkey

    Mahmut Yavuz

  13. Department of Nephrology, Akdeniz University School of Medicine, Antalya, Turkey

    Fevzi Ersoy

  14. Department of Nephrology, Ege University School of Medicine, Izmir, Turkey

    Soner Duman

  15. Department of Nephrology, Ankara University School of Medicine, Ankara, Turkey

    Kenan Ateş

Authors
  1. Tekin Akpolat
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  2. Coşkun Kaya
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  3. Cengiz Utaş
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  4. Turgay Arinsoy
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  5. Hülya Taşkapan
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  6. Emre Erdem
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  7. M. Emin Yilmaz
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  8. Rezzan Ataman
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  9. Semra Bozfakioğlu
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  10. Çetin Özener
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  11. İbrahim Karayaylali
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  12. Rümeyza Kazancioğlu
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  13. Taner Çamsari
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  14. Mahmut Yavuz
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  15. Fevzi Ersoy
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  16. Soner Duman
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  17. Kenan Ateş
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Corresponding author

Correspondence to Tekin Akpolat.

Additional information

Tekin Akpolat, Cengiz Utaş, Turgay Arinsoy, Hülya Taşkapan, M. Emin Yilmaz, Rezzan Ataman, Semra Bozfakioğlu, Çetin Özener, İbrahim Karayaylali, Rümeyza Kazancioğlu, Taner Çamsari, Mahmut Yavuz, Fevzi Ersoy, Soner Duman, Kenan Ateş are the members of Turkish Multicenter Peritoneal Dialysis Study Group (TULIP).

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Akpolat, T., Kaya, C., Utaş, C. et al. Arm circumference: its importance for dialysis patients in the obesity era. Int Urol Nephrol 45, 1103–1110 (2013). https://doi.org/10.1007/s11255-012-0219-8

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  • DOI: https://doi.org/10.1007/s11255-012-0219-8

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