Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 1
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Lüders, Stephan 2014. Kardiovaskuläres Risiko besser abschätzen. pädiatrie: Kinder- und Jugendmedizin hautnah, Vol. 26, Issue. 5, p. 306.


Factors affecting success of blood pressure measurements during ambulatory blood pressure monitoring in children with renal disease

  • Manish D. Sinha (a1), Caroline J. Booth (a1) and Christopher J.D. Reid (a1)
  • DOI:
  • Published online: 25 January 2011

To analyse blood pressure characteristics during 24-hour ambulatory blood pressure monitoring in children and to assess factors that influence its success over 24 hours and during patient-recorded awake (DAY) and sleep (NIGHT) periods.


A total of 169 consecutive ambulatory blood pressure monitoring studies were conducted in 154 patients over 30 months. For each ambulatory study, we measured the percentage of successful measurements both at the first attempt (S-initial%) and following any automated repeat attempt if initial attempts had failed (S-final%). These were measured over 24-hour, DAY, and NIGHT periods.


We found that blood pressure measurements at NIGHT were more successful than measurements attempted during the DAY (p<0.05). There was no influence of age, gender, height, weight, body mass index and estimated glomerular filtration rate with the proportion of successful measurements during the 24-hour, DAY, and NIGHT periods. On stepwise multiple regression analysis, the indexed mean systolic blood pressure over 24 hours was the only factor having a significant influence on the proportion of successful measurements over the 24-hour and DAY periods, although it only accounted for three-tenths of the variance; it had no influence on the overall success of measurements at NIGHT.


Ambulatory blood pressure monitoring in children provides reliable data both during the patient's awake and sleep periods with higher success of measurements at NIGHT as opposed to DAY periods.

Corresponding author
Correspondence to: Dr Manish D. Sinha, Department of Paediatric Nephrology, Room 64, Sky Level, Evelina Children's Hospital, Guys and St Thomas’ NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, United Kingdom. Tel: +44 20 7188 4587; Fax: +44 20 7188 4591; E-mail:
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

2.JM Sorof , G Cardwell , K Franco , RJ Portman . Ambulatory blood pressure and left ventricular mass index in hypertensive children. Hypertension 2002; 39: 903908.

4.WB White , HM Dey , P Schulman . Assessment of the daily blood pressure load as a determinant of cardiac function in patients with mild to-moderate hypertension. Am Heart J 1989; 118: 782795.

5.E Dolan , A Stanton , L Thijs , . Superiority of ambulatory over clinic blood pressure measurement in predicting mortality the dublin outcome study. Hypertension 2005; 46: 156161.

6.T Ohkubo , A Hozawa , K Nagai , . Prediction of stroke by mortality by ambulatory blood pressure monitoring versus screening blood pressure measurements in a general population: the Ohasama study. J Hypertens 2000; 18: 847854.

7.DL Clement , M De Buyzere , DA De Bacquer , . For the office versus ambulatory blood pressure (ova) study investigators. Prognostic value of ambulatory blood pressure recordings in patients with treated hypertension. N Engl J Med 2003; 348: 207215.

8.M Soergel , M Kirschstein , C Busch , . Oscillometric twenty four-hour ambulatory blood pressure values in healthy children and adolescents: a multicenter trial including 1141 subjects. J Pediatr 1997; 130: 178184.

9.E Wuhl , K Witte , M Soergel , . German working group on pediatric hypertension. Distribution of 24-h ambulatory blood pressure in children: normalised reference values and role of body dimensions. J Hypertens 2002; 20: 19952007.

10.JW Graves , MM Althaf . Utility of ambulatory blood pressure monitoring in children and adolescents. Pediatr Nephrol 2006; 21: 16401652.

11.AC Jacoby , DE Fixler , EJ Torres . Limitations of an oscillometric ambulatory blood pressure monitor in physically active children. J Pediatr 1993; 122: 231236.

12.RJ Portman , RJ Yetman , M Stewart West . Efficacy of 24-hour ambulatory blood pressure monitoring in children. J Pediatr 1991; 118: 842849.

13.RJ Portman , RJ Yetman . Clinical use of ambulatory blood pressure monitoring. Pediatr Nephrol 1994; 8: 367376.

14.P Verdecchia , F Angeli , C Borgioni , R Gattobigio , G Reboldi . Ambulatory blood pressure and cardiovascular outcome in relation to perceived sleep deprivation. Hypertension 2007; 49: 777783.

15.E Lurbe , B Cremades , C Rodriguez , MI Torro , V Alvarez , J Redon . Factors related to quality of ambulatory blood pressure monitoring in a pediatric population. Am J Hypertens 1999; 12: 929933.

17.E Lurbe , V Alvarez , Y Liao , . The impact of obesity and body fat distribution on ambulatory blood pressure in children and adolescents. Am J Hypertens 1998; 11: 418424.

18.MA Fravel , ME Ernst , CA Weber , JD Dawson , BL Carter , GR Bergus . Influence of patient characteristics on success of ambulatory blood pressure monitoring. Pharmacotherapy 2008; 28: 13411347.

19.ID Davis , J Baron , MA O'Riordan , CL Rosen . Sleep disturbances in pediatric dialysis patients. Pediatr Nephrol 2005; 20: 6975.

20.GA Applebee , AP Guillot , CC Schuman , S Teddy , HP Attarian . Restless legs syndrome in pediatric patients with chronic kidney disease. Pediatr Nephrol 2009; 24: 545548.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *