An alarming new study reveals that nearly 18 million U.S. adults may struggle to get accurate blood pressure readings at home due to poorly fitting cuffs. This issue disproportionately impacts Black adults, with approximately 12% unable to use standard cuff sizes, compared to just 6.6% of white adults. The study’s senior author, Dr. Kunihiro Matsushita, emphasizes that this disparity is particularly concerning given the already high and rising prevalence of high blood pressure among Black adults.
Most of the popular home blood pressure monitoring devices come with the same cuff size range, designed to fit arms with circumferences between 8.7 and 16.5 inches. However, many Black adults may require larger cuffs, which are often unavailable or come at an extra cost. This one-size-fits-all approach to cuff sizes can lead to inaccurate blood pressure measurements, leading to further complications for individuals with hypertension.
Matsushita advocates for manufacturers to develop and provide access to a wider range of cuff sizes at affordable prices. He insists that health care professionals should also take arm circumferences into account when assisting patients in selecting home monitoring devices. Addressing this issue is crucial for ensuring proper diagnosis and management of high blood pressure, particularly within minority communities already facing significant health inequities.
See “Cuffs on at-home blood pressure monitors might not fit properly” (September 6, 2024)
