Abstract

Ambulatory blood pressure (BP) monitoring is recommended to improve the management of hypertension. Here, we investigated the accuracy of BP estimated using a wearable cuff-less device, InBodyWATCH, compared with BP measured using a manual sphygmomanometer. Thirty-five adults were enrolled (age 57.1 ± 17.9 years). The BP was estimated using InBodyWATCH with an individualized estimation based on a neural network model. Three paired sets of BPs from the two devices were compared using correlation analysis and Bland–Altman plots (n = 105 paired BP readings). The correlations for both systolic and diastolic BP (SBP and DBP) between the two devices were high (r = 0.964 and 0.939, both P < 0.001). The mean difference was 2.2 ± 6.1 mmHg for SBP and −0.2 ± 4.2 mmHg for DBP; these were not significant (P = 0.472 for SBP and P = 0.880 for DBP). The proportions of estimated SBP/DBP obtained from the InBodyWATCH within ± 5 mmHg of manual SBP/DBP were 71.4%/83.8%; within ± 10 mmHg they were 86.7%/98.1%; and within ± 15 mmHg they were 97.1%/99.0%. The estimated BP from this wearable cuff-less device correlated highly with the manual BP and showed good accuracy, suggesting its potential to be used in ambulatory BP monitoring.

Highlights

  • Ambulatory blood pressure (BP) monitoring is recommended to improve the management of hypertension

  • pulse wave velocity (PWV) can be measured from different peripheral sites, such as brachial–ankle PWV, carotid–radial artery PWV and femoral–ankle PWV

  • The carotid–radial artery PWV (crPWV) is associated with systolic BP (SBP), diastolic BP (DBP) and total peripheral resistance, suggesting a potential use of peripheral PWV to estimate BP and assess arterial stiffness and cardiovascular r­ isk[15,16]

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Summary

Introduction

Ambulatory blood pressure (BP) monitoring is recommended to improve the management of hypertension. We investigated the accuracy of BP estimated using a wearable cuff-less device, InBodyWATCH, compared with BP measured using a manual sphygmomanometer. The estimated BP from this wearable cuff-less device correlated highly with the manual BP and showed good accuracy, suggesting its potential to be used in ambulatory BP monitoring. Along with the evolution of the Internet of Things and artificial intelligence, research and developments on wearable devices that can measure BP ubiquitously are actively being conducted in industries. These wearable cuff-less devices estimate BP from signals generated by the human body. It measures volumetric changes to capillaries on the wrist surface instead of measuring

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