âIf youâve been checking up on your blood pressure from home, itâs more than likely youâve gotten skewed results.
Home blood pressure monitors are wrong more often than not, according to a new study in the American Journal of Hypertension.
University of Alberta researchers compared 85 peopleâs at-home BP monitor results to measurements taken by two separate people with a mercury sphygmomanometerâa more reliable method known as the gold standard for accurate readings.
The at-home monitor results were off the mark by at least 5 millimeters of mercury (mmHg) 69 percent of the time. And 29 percent of the time, they werenât even within 10 mmHg.
Men, older people, and those with larger arm circumferences were more likely to get inaccurate results, and devices with hard cuffs were more likely to produce them.
These factors can give you a skewed reading because a poor fit can alter pulse pressure or make your veins stiffer, the researchers explain.
High blood pressure is the worldâs biggest source of death and disability, and accurate measurements are necessary for either initiating treatment or tweaking it accordingly.
So itâs important not to rely on skewed readings, lead author Jennifer Ringrose, M.D., said in a press release.
If you use a BP monitor, she suggests comparing its readings the doctorâs so you know how off it is. And donât base any medical decisions off just a few readings.
For instance, Canadian guidelinesâwhere the study took placeârecommend at least 28 at-home readings per week.
"What's really important is to do several blood pressure measurements and base treatment decisions on multiple readings,â she said in the release.
âTaking home readings empowers patients and is helpful for clinicians to have a bigger picture rather than just one snapshot in time."
In the meantime, make the most out of your at-home blood pressure measurements with these tips.
First, choose an upper-arm monitor over a wrist one, which tend to be less accurate, says Brent Egan, M.D., a hypertension researcher at the Medical University of South Carolina.
Try one that has been vetted by the Dabl Educational Trust and the European Society of Hypertensionâcheck out the list at dableducational.org.
Then, when itâs time to take your reading, sit with your feet on the floor and straighten your back with arms supported at heart level.
Give yourself five minutes to rest quietly before slapping on the cuff. This will help make sure you are getting a true reading, he says.
Additional reporting by Christa Sgobba