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Background/Objectives . The objective of this study was to compare casual BP taken in a bariatric clinic to standardized guideline-concordant BP.  Subjects/Methods . A cross sectional analysis was performed using baseline data from a weight management trial. Patients were recruited from a Canadian bariatric care program. Standardized BP was performed using a Watch BP oscillometric device. Casual in-clinic BP single readings, taken using a Welch Allyn oscillometric device, were chart-abstracted. Paired  t -tests, Bland-Altman plots, and Pearson's correlations were used for analysis.  Results . Data from 134 patients were analyzed. Mean age was 41.5 ± 8.9 y, mean BMI was 46.8 ± 6.5 kg/m 2 , and 40 (30%) had prior hypertension. Mean casual in-clinic BP was 128.8 ± 14.1/81.6 ± 9.9 mmHg and mean standardized BP was 133.2 ± 15.0/82.0 ± 10.3 mmHg (difference of −4.3 ± 12.0 for systolic ( p  < 0.0001) and −0.4 ± 10.0 mmHg for diastolic BP ( p  = 0.6)). Pearson's coefficients were 0.66 ( p  < 0.0001) for SBP and 0.50 ( p  < 0.0001) for DBP. 28.4% of casual versus 26.9% of standardized measurements were ≥140/90 mmHg ( p  < 0.0001).  Conclusion . In this bariatric clinic, casual BP was unexpectedly lower than standardized BP. This could potentially lead to the underdiagnosis of hypertension.

A Comparison of Casual In-Clinic Blood Pressure Measurements to Standardized Guideline-Concordant Measurements in Severely Obese Individuals