In all participating centers, an electronic manometer (M6, HEM‐7001‐E, Omron, Tokio, Japan), which has been approved by the British Hypertension Society,27 was used to measure systolic and diastolic blood pressure (SBP, DBP). The cuff‐size was adapted to the arm circumference of each child. The blood pressure measure was taken by a trained personal in a quiet room. The child was seated on a chair with the back supported and feet undercrossed on the floor and waited 5 min until the first measurement of BP. The measures were repeated twice with a 5 min interval on the right arm and in sitting position. If the first two measures differed by more than 20% the measure was repeated a third time. Children were classified as having elevated SBP or DBP (> P90th for sex, age and height) or not, according to the AAP CPG.14 In order to avoid the risk of white coat hypertension (WCH), the BP levels of 154 of that children (77 with normal weight and 77 with obesity or overweight) were measured too by ambulatory blood pressure monitoring.
M6 hem 7001 e
Manufactured by Omron
Sourced in Japan
The M6 (HEM-7001-E) is an automated blood pressure monitor. It is designed to measure and display systolic and diastolic blood pressure, as well as pulse rate, in an easy-to-read format.
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Lab products found in correlation
6 protocols using m6 hem 7001 e
1
Childhood Blood Pressure Measurement
2
Metabolic and Anthropometric Profile Assessment
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The women attended hospital between 8:00 and 10:00 am after overnight fast. A blood sample was obtained for biochemical determinations and DNA extraction. On the same visit anthropometric characteristics were recorded and blood pressure was taken after sitting for at least 5 minutes.
Blood pressure was measured with an Omron M6 (HEM-7001-E) oscillometric blood pressure monitor (Omron Healthcare, Kyoto, Japan). Body mass index (BMI) was calculated as weight (kg) divided by height squared (m2).
The serum was separated and freshly used for most biochemical determinations, and kept frozen at −80°C for tests not performed on the same day. Insulin levels were measured with electrochemiluminescence immunoassay (ECLIA, Elecsys Insulin kit, Roche Cobas, Mannheim, Germany) in a Modular Analytics E170 analyzer. Levels of glucose, total calcium and phosphate, total alkaline phosphatase (ALP), triglycerides (TG), total cholesterol (TC), and high-density lipoprotein cholesterol (HDL) were measured using a spectrophotometer (Olympus 5400, Olympus, Melville, NY, USA).
Low-density lipoprotein cholesterol (LDL; mg/dl)) was calculated as TC − (HDL+TG/5),[29] (link) and the HOMAIR (homeostasis model assessment) insulin resistance index was estimated as fasting serum insulin in μIU/ml × (fasting serum glucose in mg/dl × 0.05551)/22.5.[30] (link)
Blood pressure was measured with an Omron M6 (HEM-7001-E) oscillometric blood pressure monitor (Omron Healthcare, Kyoto, Japan). Body mass index (BMI) was calculated as weight (kg) divided by height squared (m2).
The serum was separated and freshly used for most biochemical determinations, and kept frozen at −80°C for tests not performed on the same day. Insulin levels were measured with electrochemiluminescence immunoassay (ECLIA, Elecsys Insulin kit, Roche Cobas, Mannheim, Germany) in a Modular Analytics E170 analyzer. Levels of glucose, total calcium and phosphate, total alkaline phosphatase (ALP), triglycerides (TG), total cholesterol (TC), and high-density lipoprotein cholesterol (HDL) were measured using a spectrophotometer (Olympus 5400, Olympus, Melville, NY, USA).
Low-density lipoprotein cholesterol (LDL; mg/dl)) was calculated as TC − (HDL+TG/5),[29] (link) and the HOMAIR (homeostasis model assessment) insulin resistance index was estimated as fasting serum insulin in μIU/ml × (fasting serum glucose in mg/dl × 0.05551)/22.5.[30] (link)
3
Blood Pressure Measurement Protocol
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Systolic and diastolic blood pressure was measured in mm Hg using Omron M6 (HEM-7001-E), after subjects had been resting for approximately 8–10 min.
4
Standardized Anthropometric Measurements and Blood Pressure Assessment
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Weight and height were measured by trained researchers in underwear and barefoot with an electronic scale (Type SECA 861) and a stadiometer (Type SECA 225), following a standardized protocol [19 ], and BMI was calculated from height and weight (kg/m2).
A previously validated automated digital BP device for clinical use (OMRON M6 (HEM-7001-E)) [20 ] was used to measure the systolic and diastolic BP. BP was measured two times in a sitting position with a 10-min interval in between. The cuff size was adapted to the arm circumference of each adolescent, and the lowest recorded BP levels were used. The entire process of BP measurement has been explained in detail previously [21 ]. For the analysis, the lowest blood pressure (BP) recording was used. Then, standardized z-scores for systolic BP (SBP) and diastolic BP (DBP) variables were calculated based on age and sex-specific cut-off points [22 ]. In addition, pubertal status was assessed according to Tanner’s stage by a well-trained physician [23 ].
A previously validated automated digital BP device for clinical use (OMRON M6 (HEM-7001-E)) [20 ] was used to measure the systolic and diastolic BP. BP was measured two times in a sitting position with a 10-min interval in between. The cuff size was adapted to the arm circumference of each adolescent, and the lowest recorded BP levels were used. The entire process of BP measurement has been explained in detail previously [21 ]. For the analysis, the lowest blood pressure (BP) recording was used. Then, standardized z-scores for systolic BP (SBP) and diastolic BP (DBP) variables were calculated based on age and sex-specific cut-off points [22 ]. In addition, pubertal status was assessed according to Tanner’s stage by a well-trained physician [23 ].
5
Hypertension Risk Assessment in Adolescents
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The SBP and DBP were measured twice in sitting position with a 10-minute interval in between, using a previously validated automated digital BP device for clinical use [OMRON M6 (HEM-7001-E)] (29 (link)). The blood pressure measure was measured by trained professionals in a quiet room. The cuff-size was adapted to the arm circumference of participant. The complete procedures of BP measurement have been previously described (30 ). In the present study, the lowest BP measurement, in both SBP and DBP, was selected as the final value. Following the AAP CPG 2017 recommendations, the cut-off points determined in these guidelines were used. The AAP CPG 2017 were created based on children and adolescents with normal weight. Also, unlike ESH, AAP CPG establishes specific cut-off points for adolescents 13 and over. For instance, adolescents aged 13 years or older are classified as having stage 1 HTN when their SBP is at or above 130 mmHg, or their DBP is at or above 80 mmHg (8 (link)). Although, three BP reading separated in time are necessary to confirm HTN. In the present study, the term HTN or risk of HTN has been used interchangeably to refer to those participants who had BP levels above or equal the cut-off-points at the time of the BP measurement.
6
Metabolic Syndrome and Depressive Symptoms
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Body weight was measured in light clothing to the nearest 0.1kg using a SECA beam balance scale, and height to the nearest 0.1cm using a wall-mounted stadiometer. Waist circumference (WC) was measured to nearest 1cm at the level of the umbilicus and at the end of expiration with the participant upright and his/her hands by the side. Blood pressure was recorded twice in the sitting position after a five minutes rest with an Omron M6 (HEM-7001-E) (Omron® Healthcare Europe). The average of both measures was taken. Patients received a full fasting laboratory screening. The presence of abdominal obesity, hypertension, dyslipidemia (hypertriglyceridemia and/or hypoalphalipoproteinemia), hyperglycemia and metabolic syndrome (MetS) was assessed using the International Diabetes Federation (IDF) criteria (Alberti et al., 2005) .
2.6. Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR)
The QIDS-SR (Rush et al., 1996) consists of 16 items that assess the severity of depressive symptomatology in the past week on a 0 to 3-scale. The total score ranges from 0 to 27.
2.6. Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR)
The QIDS-SR (Rush et al., 1996) consists of 16 items that assess the severity of depressive symptomatology in the past week on a 0 to 3-scale. The total score ranges from 0 to 27.
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