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. 2022 Apr 19;19(10):643–654. doi: 10.1038/s41569-022-00690-0

Table 1.

Factors that influence office systolic BP readings

Measurement methodology Factors Change in BP level (mmHg)
Physiological variables Recent meal ingestion –6
Recent alcohol intake –24 to +24
Recent caffeine intake +3 to +14
Bladder extension +4 to +33
Cold exposure +5 to +32
Posture Standing –3 to +5
Lying –11 to +10
Setting Effect of clinical office setting –13 to +27
Presence of observer +12 to +22
Procedural variables Insufficient rest period +4 to +12
Reliance on single measure +3 to +10
Talking during procedure +4 to +19
Arm lower than heart level +4 to +23
Unsupported arm +5
Legs crossed at knees +3 to +15

Data from refs4,7,95. BP, blood pressure.