{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:43:38Z","timestamp":1790808218653,"version":"4.1.0"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100020485","name":"Foundation for High Blood Pressure Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020485","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objectives<\/jats:title>\n<jats:p>Inter-arm blood pressure difference (IABPD) can lead to underdiagnosis and poor management of hypertension, when not recognized and are associated with increased cardiovascular mortality and morbidity. However, the prevalence and associated risk factors of IABPD in sub-Saharan Africa are unknown. This study aims to determine the prevalence and associated risk factors of IABPD among Tanve Health Study (TAHES) participants, a cohort about cardiovascular diseases in a rural area in Benin.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>The cohort was conducted since 2015 among adults aged 25 years and over in Tanve village. Data were collected from February to March, 2020. Brachial blood pressure were recorded at rest on both arm with an electronic device. Systolic IABPD (sIABPD) was defined as the absolute value of the difference in systolic blood pressure between left and right arms \u2265 10 mmHg. A multivariate logistic regression models identified factors associated with sIABPD.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 1,505 participants (women 59%) were included. The mean age was 45.08 \u00b115.65 years. The prevalence of sIABPD \u2265 10 mmHg was 19% (95%CI: 17\u201321). It was 19% (95%CI: 16\u201322) in men and 20% (95%CI: 17\u201322) in women. In final multivariable model, the probability of sIABPD \u2265 10 mmHg increased significantly with age (adjusted OR (aOR) = 1.1; 95%CI: 1.02\u20131.20 per 10-years), hypertension (aOR = 2.33; 95%CI: 1.77\u20133.07) and diabetes (aOR = 1.96; 95%CI: 1.09\u20133.53).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Almost quarter of sample have a sIABPD \u2265 10 mmHg, with an increased risk with older age and hypertension and diabetes.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0272619","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T17:36:48Z","timestamp":1661967408000},"page":"e0272619","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["Inter-arm difference in systolic blood pressure: Prevalence and associated factors in an African 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Stephan","family":"Houinato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Aboyans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Lacroix","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,8,31]]},"reference":[{"key":"pone.0272619.ref001","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2147\/IPRP.S133088","article-title":"Cardiovascular disease as a leading cause of death: how are pharmacists getting involved","volume":"8","author":"K Mc Namara","year":"2019","journal-title":"Integr Pharm Res Pract"},{"key":"pone.0272619.ref002","doi-asserted-by":"crossref","first-page":"317","DOI":"10.3109\/10641963.2015.1116542","article-title":"The inter-arm systolic blood pressure difference and risk of cardiovascular mortality: A meta-analysis 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Hypertens"},{"key":"pone.0272619.ref019","doi-asserted-by":"crossref","first-page":"1270528","DOI":"10.1080\/16549716.2017.1270528","article-title":"Feasibility of a cardiovascular cohort in a Sub-Saharan Africa community: preliminary report of the pilot project TAHES (Tanv\u00e8 Health Study) in Benin","volume":"10","author":"YC Houehanou","year":"2017","journal-title":"Glob Health Action"},{"key":"pone.0272619.ref020","author":"World Health Organization","year":"2005","journal-title":"WHO STEPS surveillance manual: the WHO STEPwise approach to chronic disease risk factor surveillance: World Health Organization"},{"key":"pone.0272619.ref021","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1002\/pdi.1960020415","article-title":"Testing for urinary protein: Comparison of Albustix and laboratory albumin measurement","volume":"2","author":"W Gatling","year":"1985","journal-title":"Practical Diabetes International"},{"key":"pone.0272619.ref022","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1136\/bmj.297.6653.897","article-title":"Detecting anxiety and depression in general medical settings","volume":"297","author":"D Goldberg","year":"1988","journal-title":"BMJ"},{"key":"pone.0272619.ref023","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1097\/HJH.0000000000000040","article-title":"Interarm blood pressure difference and target organ damage in the general population","volume":"32","author":"JK Johansson","year":"2014","journal-title":"J Hypertens"},{"key":"pone.0272619.ref024","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1097\/00004872-200412000-00009","article-title":"Patient characteristics and factors associated with inter-arm difference of blood pressure measurements in a general population in Ohasama, Japan","volume":"22","author":"A Kimura","year":"2004","journal-title":"J Hypertens"},{"key":"pone.0272619.ref025","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.amjmed.2013.10.027","article-title":"The systolic blood pressure difference between arms and cardiovascular disease in the Framingham Heart Study","volume":"127","author":"I Weinberg","year":"2014","journal-title":"Am J Med"},{"key":"pone.0272619.ref026","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1161\/HYPERTENSIONAHA.120.15026","article-title":"2020 International Society of Hypertension Global Hypertension Practice Guidelines","volume":"75","author":"Unger Thomas","year":"2020","journal-title":"Hypertension"},{"key":"pone.0272619.ref027","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1093\/eurheartj\/ehy339","article-title":"2018 ESC\/ESH Guidelines for the management of arterial hypertension","volume":"39","author":"B Williams","year":"2018","journal-title":"Eur Heart J"},{"key":"pone.0272619.ref028","first-page":"303","article-title":"The assessment of the clinical significance of inter-arm blood pressure difference and depression in general practice: a health initiative cross sectional study","volume":"3","author":"B Sharma","year":"2013","journal-title":"Journal of Health Sciences (J O H Ss)"},{"key":"pone.0272619.ref029","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.ijcard.2017.06.044","article-title":"Inter-arm systolic blood pressure differences, relations with future vascular events and mortality in patients with and without manifest vascular disease","volume":"244","author":"G Kranenburg","year":"2017","journal-title":"International Journal of Cardiology"},{"key":"pone.0272619.ref030","doi-asserted-by":"crossref","first-page":"374","DOI":"10.4070\/kcj.2016.46.3.374","article-title":"Inter-Arm Difference in Brachial Blood Pressure in the General Population of Koreans","volume":"46","author":"BM Song","year":"2016","journal-title":"Korean Circ J"},{"key":"pone.0272619.ref031","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1097\/MBP.0b013e32836175e3","article-title":"Blood pressure differences between arms and association of dominant hands with blood pressure differences and carotid atherosclerosis","volume":"18","author":"S. Maeda","year":"2013","journal-title":"Blood Press Monit"},{"key":"pone.0272619.ref032","unstructured":"NICE (2019) Hypertension in adults: diagnosis and management (CG127). NICE, London. 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