scholarly journals Prehypertension and Hypertension among Schoolchildren in Brazzaville, Congo

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Bertrand Fikahem Ellenga Mbolla ◽  
Annie Rachel Okoko ◽  
Jean Robert Mabiala Babela ◽  
Gaston Ekouya Bowassa ◽  
Thierry Raoul Gombet ◽  
...  

Background.To determine the prevalence and associated factors of prehypertension (pre-HT) and hypertension (HT) in schoolchildren at Brazzaville (Congo).Methods.This cross-sectional study was conducted from March to May 2011 in five representative urban schools in Brazzaville. American Pediatric Society’s definition of pre-HT and HT was used. The measurement of blood pressure was obtained using auscultator method. Univariable and multivariable analyses were performed to establish associations between blood pressure levels and sociobiographical factors.Results.603 children were included. The mean age was11.8±3.6years (range 5–18 years). The prevalence of pre-HT was 20.7% (n=125). Factors associated with pre-HT were secondary school (P=0.02), private schools (P<0.004), migrants (P=0.03), the obese (P=0.004), high socioeconomic level (P<0.01), and overweight (P=0.02). In logistic regression, the independent determinants of pre-HT were secondary school (P=0.0001), migration (P=0.04), obesity (P=0.004), and overweight (P=0.01). The prevalence of HT was 10.1% (n=61) during the first screening and 3.3% (n=20) in second screening. The independent determinants of HT were obesity (P=0.0001) and overweight (P=0.0001).Conclusion.Pre-HT and HT are emerging as a mass problem in Congolese schoolchildren with urban migration and overweight/obesity to be controlled and prevented.

2021 ◽  
Vol 11 (3) ◽  
pp. 9-13
Author(s):  
Nourollah Ramroodi ◽  
Seyed Mehdi Hashemi ◽  
Mehrdad Ramroudi

Objective: The aim of the present study was to investigate the epidemiological pattern of factors associated with ischemic stroke among patients under 50 years old. Methods: The present cross-sectional study was performed on 197 Stroke patients. Individuals with confirmed ischemic stroke based on of CT scan were included in the study. Demographic information included age, sex, history of smoking, place of residence, season of disease incidence, history of contraceptive use in women, history of hypertension, having high blood pressure at the onset of diabetes, hyperlipidemia, heart disease and patient weight. Finally, the collected data was analyzed using SPSS ver. 22. Results: The mean age of participants was 40.18 years. The mean weight, height, body mass index (BMI) were 79.83, 168.63, and 28.12, respectively. A total of 60.4% of the participants were male and 39.6% were female. Moreover, 66.9% were urban residents, 38.6% had complications in winter, 67% were smokers, and 50% used contraceptives. The history of hypertension, diabetes, hyperlipidemia, and heart disease was seen in 69%, 49.7, 66%, and 73.6% of cases, respectively. Also, 53.8% of patients had high blood pressure upon admission. Conclusion: The present study showed that a history of heart disease and a history of hypertension in the past and nicotine use are very common in people with stroke. Considering the above mentioned epidemiological factors, it is recommended to prioritize the mentioned factors when identifying new cases


Author(s):  
Lisa Zumpe ◽  
Tobias Bensel ◽  
Andreas Wienke ◽  
Matilda Mtaya-Mlangwa ◽  
Jeremias Hey

There has been no research on the prevalence of and factors associated with dental caries in rural southwestern Tanzania among schoolchildren. Determining the prevalence of and factors associated with dental caries will help to assess the need for dental intervention and prophylactic measures among children in the region. In February 2020, a cross-sectional study was conducted in the Wanging’ombe District of the Ilembula Ward. The data were collected through clinical examinations and personal interviews at two primary schools. Univariable and multivariable logistic regression analyses were performed to identify potential risk indicators for caries. The study included 319 students aged 11–12 years (average 11.92 ± 0.27 years). The mean Decayed, Missing and Filled Teeth index was 0.24 ± 0.68, and the mean Specific affected Caries Index was 1.66 ± 0.9. The greatest influences on the caries risk were poor oral hygiene (OR 8.05, 95% CI 0.49–133.23), low tooth brushing frequency (OR 3.03, 95% CI 1.26–7.26) and low level of education in parents (OR 2.63, 95% CI 0.99–6.98). Dental caries was low among students in rural areas in the Wanging’ombe District.


2021 ◽  
Author(s):  
Eunji Kwon ◽  
Jeongok Park ◽  
Sue Kim ◽  
Kyung Hee Lee

Abstract Background: Health-related quality of life (HRQOL) is an important concept to consider both individuals' ability to manage their daily lives and health status across the lifespan. Despite this variable's importance, there is a lack of clarification on the factors associated with HRQOL, especially for military women. The aim of this study was to examine factors associated with HRQOL of military women in the Korea Army.Methods: This cross-sectional study included 196 participants who were currently within their 5-year service period. Differences in HRQOL according to general and occupational factors were analyzed using the independent t-test and analysis of variance. Multiple linear regression analysis was performed to identify factors associated with the HRQOL of women serving as military junior officers.Results: The mean score for the physical component summary (PCS) of HRQOL was 56.0±5.8, and that for the mental component summary (MCS) of HRQOL was 47.2±10.0. For depression, the mean score was 5.4±5.2, whereas 19.4% of the participants scored more than 10 out of 27 points, which means moderate to severe. No variables showed statistically significant relationships with the PCS. However, significant relationships with the MCS were found for rank (β = -3.63, p <. 001), duty time (β = -4.93, p = .029), perceived stress (β = -0.61, p <. 001), and depression (β = -0.90, p <. 001).Conclusions: Although depression levels were not severe, it was a significant factor of HRQOL and thus the need for depression screening and regular depression management in women serving in the ROK Army to improve their HRQOL. Considering these results, nursing officers should conduct frequent testing related to mental health and take steps to manage high-risk groups. This study also contributes to the literature by providing basic data for the establishment of an appropriate health service environment and systematic health management policies.


2019 ◽  
Vol 33 (1) ◽  
pp. 77-83
Author(s):  
Emanuela De Souza Gomes Dos Santos ◽  
Orivaldo Florencio De Souza

Abstract BACKGROUND Evidence suggests that sleep duration is related to blood pressure (BP), but the findings are still inconsistent for adolescents. OBJECTIVE To analyze the association between sleep duration and BP in Brazilian adolescents between 12 and 17 years of age. METHODS This study is part of the Study of Cardiovascular Risk in Adolescents (ERICA), a multicenter, school-based, cross-sectional study in 273 municipalities in Brazil. The sample consisted of 65,643 adolescents. Sleep duration was measured by a subjective method, and BP was measured by the oscillometric method. Multiple linear regression analyses were performed to evaluate the association between sleep duration and BP. RESULTS The mean sleep duration was 8.14 hours (± 1.40), with significant difference between the groups according to BP levels (P &lt; 0.0001). The mean systolic and diastolic BP were 110.59 (± 11.87) and 65.85 (± 7.94) mm Hg, respectively, in the group of adolescents. Sleep duration was significantly associated with BP. Each increase 1 hour in sleep was associated with BP reduction in both sexes combined (P &lt; 0.0001). Considering the effects of covariates, each increase 1 hour in sleep was associated with systolic BP (SBP) reduction among boys (P = 0.004) and SBP elevation among girls (P = 0.009), after full adjustment. CONCLUSION The results suggest that each increase in sleep duration was associated with SBP elevation among girls. Such findings may have important implications for cardiovascular health in adolescence.


2022 ◽  
pp. 263394472110586
Author(s):  
Anjana Nalina Kumari Kesavan Nair ◽  
Jisharaj Vijayakumari Rajasekharan Nair ◽  
Siji Vincent Swarnabai ◽  
Reshma Rajan Sudha ◽  
Alice Metilda Mendez ◽  
...  

Introduction The impact of SARS-CoV-2 is not only on physical health but also on mental health. This pandemic raised concerns of fear, anxiety, and stress among patients affected with the disease. Quarantine and home isolation might have created psychological distress and helplessness in patients due to social and economic reasons. This study aimed in assessing the level of perceived stress and factors associated with it among SARS-CoV-2-affected young adults who were under home isolation. Methodology A cross-sectional study was conducted among 147 SARS-CoV-2-affected young adults who were under home isolation during June 2021 to August 2021. A semi-structured proforma was created using KoBo Toolbox for humanitarian response for data collection. Perceived Stress Scale (PSS-10) was used for measurement of stress among COVID-19 patients. The questionnaire was shared in online platform. Data was analyzed using Statistical Package for Social Sciences version 23.0. Significance of association was tested using chi square test and independent sample t test. Logistic regression was done to predict the factors associated with perceived stress. Results Out of the 147 study participants, 56.5% were females and 43.5% were males. Symptoms were present in 94 (63.9%) of patients. The mean age of the study participants was 26 (10.5) years. The mean PSS score was 17.5 (6.4). Among the cases under home isolation, 24.5% had low stress levels, 68% had moderate stress levels, and 7.5% had severe stress levels. Feeling of loneliness during home isolation (odds ratio [OR]: 4.7, 95% confidence interval [CI] [1.9-11.63], P = .008), presence of elderly or under-5 children in the same house (OR: 15.45, 95% CI [2.03-117.5], P = .001), and presence of cough ( P = .05) were found to be significantly associated with higher PSS scores. Age and sleep were negatively correlated with stress score. Conclusion One-third of the study participants had moderate to severe levels of perceived stress. Age, sleep hours, presence of cough, presence of under-5 children or elderly in the same house, and feeling of loneliness during home isolation were found to be significantly associated with high perceived stress level scores.


2017 ◽  
Vol 4 (6) ◽  
pp. 2205
Author(s):  
Madhivanan S. ◽  
Harikrishnan E. ◽  
Kumarasamy K.

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.


2020 ◽  
pp. 1-3
Author(s):  
Aravind Raj G V ◽  
Umashankar R

Background. Hypertension is a leading cause of morbidity and mortality worldwide. We aimed to estimate the prevalence of hypertension in a population of drivers in Chennai, India. Methods. The study population included drivers working in Chennai city. Blood pressure, height, and weight of subjects were measured, and relevance was obtained using a structured questionnaire. Results. Age varied from 30 to 60 years with the mean age of 43 years. Among 400 drivers studied, 33% of them were hypertensive and based on diastolic and systolic blood pressure, 15% of them were in pre-hypertensive and 28% of the were in stage -1 HTN and 31% of them were in stage-2 HTN. Obesity, Smoking, alcohol and history diabetes play a major risk factor the development of hypertension Conclusion. Prevalence of hypertension was high among drivers. Life style may play a key role in the development of hypertension along with duration of work and behavioral pattern.Prevention strategies need to be emphasized in this kind of occupational group.


2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Rodrigo Dias Nunes ◽  
Amanda De Vasconcelos Mapelli ◽  
Nazaré Otília Nazário ◽  
Eliane Traebert ◽  
Mayara Seemann ◽  
...  

Objetivo: O estudo objetiva conhecer os fatores associados à realização da episiotomia no parto vaginal. Metodologia: Estudo transversal envolvendo 330 partos, de janeiro/2012 a dezembro/2013. Estudou-se a associação das variáveis independentes com a realização da episiotomia por meio de cálculo de razões de prevalência e seus respectivos intervalos de confiança, com nível de significância p < 0,05. Resultados: Na amostra estudada, 224 (67,9%) pacientes não realizaram episiotomia e 106 (32,1%) realizaram o procedimento. A idade média foi de 22,9 (± 5,9) anos e a episiotomia foi mais realizada naquelas com idade inferior a 20 anos [RP 1,61 (IC 95% 1,15; 2,25)] (p = 0,005). As mulheres com mais de 8 anos completos de estudo foram significativamente mais submetidas à episiotomia que as demais [RP 2,34 (IC 95% 1,70; 3,22)] (p < 0,001). Conclusão: A realização da episiotomia nesta população ocorreu com maior prevalência nas parturientes mais jovens e com maior escolaridade.Descritores: Episiotomia; Fatores associados; Parto vaginalEVALUATION OF THE DETERMINANT FACTORS TO EPISIOTOMY IN VAGINAL DELIVERYObjective: This study aims to evaluate the factors associated with its performance in vaginal delivery. Methodology: This is a cross-sectional study carried out with 330 births, from January / 2012 to December / 2013. The association of the independente variables with episiotomy was calculated by prevalence ratios and their respective confidence intervals, with significance level p < 0.05. Results: In the studied sample, 224 (67.9%) patients did not undergo episiotomy and 106 (32.1%) had the procedure. The mean age was 22.9 ± 5.9 years and the episiotomy was more frequently performed in those younger than 20 years old [PR 1.61 (95% CI 1.15; 2.25)] (p = 0.005). Women with more than 8 years of education were significantly more likely to undergo episiotomy than the others [PR 2.34 (95% CI 1.70; 3.22)] (p < 0.001). Conclusion: The episiotomy, in this population, occured more likely in younger and more educated parturients.Descriptors: Episiotomy; Associated factors; Vaginal birthEVALUACIÓN DE LOS FACTORES DETERMINANTES A LA REALIZACIÓN DE LA EPISIOTOMÍA EN EL PARTO VAGINALObjetivo: El estudio tiene como objetivo conocer los factores asociados a la realización de la episiotomía en el parto vaginal. Metodología: Estudio transversal que involucra 330 partos, de enero/2012 a diciembre/2013, para la asociación de las variables independientes con la episiotomía por razones de prevalencia y sus respectivos intervalos de confianza, con p <0,05. Resultados: En la muestra, 224 (67,9%) pacientes no realizaron episiotomía y 106 (32,1%) realizaron el procedimiento. La edad media fue de 22,9 (± 5,9) años y la episiotomía fue más realizada en aquellas con edad inferior a 20 años [RP 1,61 (IC 95% 1,15, 2,25)] (p = 0,005) ). Las mujeres con más de 8 años completos de estudio fueron significativamente más sometidas a la episiotomía que las demás [RP 2,34 (IC 95% 1,70; 3,22)] (p <0,001). Conclusión: La realización de la episiotomía ocurrió con mayor prevalencia en las parturientas más jóvenes y con mayor escolaridad.Descriptores: Episiotomía; Factores asociados; Parto vaginal


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Eunji Kwon ◽  
Jeongok Park ◽  
Sue Kim ◽  
Kyung Hee Lee

Abstract Background Health-related quality of life (HRQOL) is an important concept to consider both individuals' ability to manage their daily lives and health status across the lifespan. Despite this variable's importance, there is a lack of clarification on the factors associated with HRQOL, especially for military women. The aim of this study was to examine factors associated with HRQOL of military women in the Republic of Korea (ROK) Army. Methods This cross-sectional study included 196 participants who were currently within their 5-year service period. HRQOL was measured by the Korean version of the Short-Form 36 Health Survey Questionnaire version 2.0 (SF-36v2), and depression was assessed using the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Differences in HRQOL according to general and occupational factors were analyzed using the independent t-test and analysis of variance (ANOVA). Multiple linear regression analysis was performed to identify factors associated with the HRQOL of women serving as military junior officers. Results The mean score for the physical component summary (PCS) of SF-36v2 was 56.0 ± 5.8, and that for the mental component summary (MCS) of SF-36v2 was 47.2 ± 10.0. For depression, the mean score was 5.4 ± 5.2, whereas 19.4% of the participants scored more than 10 out of 27 points, which means moderate to severe. No variables showed statistically significant relationships with the PCS. However, military women showed a lower score for MCS when they were officers (adjusted β = − 3.52; 95% CI = − 5.47, − 1.58), had higher perceived stress (adjusted β = − 0.62, 95% CI = − 0.83, − 0.41), and a higher score for depression (adjusted β = − 0.86, 95% CI = − 1.10, − 0.63). Conclusions Although depression levels were not severe, it was a significant factor of HRQOL. Stress and depression were found to be significant factors associated with the MCS in military women. Therefore, to improve their HRQOL, the ROK Army should provide early screening, intervention, and management program for high-risk military women. In addition, an appropriate organizational atmosphere within the military must be created to promote such programs.


Author(s):  
Deni W. Suryono

Objective: To analyze the differences of calcium serum and calcium urine level in preeclampsia and normal pregnancy, and to analyze the correlation between calcium serum and calcium urine level with blood pressure. Method: This study is a cross sectional study with 44 women with preeclampsia and 45 women with normal pregnancies, that meet our inclusion criteria. The samples were obtained from Dr. Hasan Sadikin Hospital and six satellite hospitals from June to September 2011. The comparison of mean calcium serum and calcium urine level of the preeclampsia group was calculated using Mann-Whitney test, and the correlation between calcium serum and calcium urine level and preeclampsia were calculated using Rank Spearman correlation test. Result: The result of the characteristic test in two groups of study shows that both groups are homogenic and comparable. The mean of calcium serum level in women with preeclampsia (7.97 mg/dl) is lower than in normal pregnancy (8.82 mg/dl) with p


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