Effect of Deep Breathing Relaxation Intervention on Caregiver Strain and Blood Pressure in Family Caregivers of Persons with Dementia

2021 ◽  
Author(s):  
Jean Marie Petrilack
Keyword(s):  
Blood Pressure ◽  
Family Caregivers ◽  
Caregiver Strain ◽  
Deep Breathing ◽  
Relaxation Intervention

Effectiveness of a Primary Care Program to Increase Physical Activity in People With Dementia and Their Family Caregivers (AFISDEMYF Study).

2021 ◽  
Author(s):  
Elena DE DIOS-RODRIGUEZ ◽  
María C PATINO-ALONSO ◽  
Susana GONZÁLEZ-SÁNCHEZ ◽  
Joana RIPOLL ◽  
Olaya TAMAYO-MORALES ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Primary Care ◽  
Systolic Blood Pressure ◽  
Family Caregivers ◽  
Intervention Group ◽  
Care Program ◽  
Control Group ◽  
People With Dementia ◽  
The Family

Abstract Aim: To evaluate the effectiveness of an intervention in primary health care designed to increase physical activity in people with dementia and their family caregivers.Methods: A cluster-randomized multicentre clinical trial was carried out.Participants: 140 people with dementia (median age 82 years;63.6% women) and 176 caregivers (median age 62 years ;72.7% women). Seventy patients and 80 caregivers were assigned to the Control Group (CG) and 70 patients and 96 caregivers to the Intervention Group (IG). The physical activity was measured with the pedometer and with the IPAQ-SF questionnaire. The intervention consisted of applying in primary care the program promoting physical activity (PEPAF) for 3 months. The changes observed at 6 months were analyzed. Results:In people with dementia, in the pedometer assessment a decrease was observed in both groups, but it was larger in the CG both in the total number step/day lower in the IG than in the CG and in the aerobic steps / day (52.89 vs -615.93). The activity reported with the IPAQ-SF decreased more in IG, both in the MET/min/week (-258.470 vs -148.23) and in the MVPA min/week. In caregivers the pedometer assessment showed that total steps/day increased more in the IG, as did aerobic steps/day (356.91 vs -12.95). The IPAQ-SF a smaller increase in global activity was declared in the IG than in the CG (545.25 MET/min/week vs 609.55), but the increase in vigorous activity was greater. No differences were found in changes in the functional status and the cognitive performances of people with dementia nor in the mental health in the caregivers, but systolic blood pressure, the Family APGAR and overload in the IG did improve.Conclusions: The results suggest that the intervention carried out may be effective on physical activity in both patients and caregivers. It can also improve systolic blood pressure, the Family APGAR and overload in caregivers. This is the first study to implement a primary care intervention aimed at simultaneously increasing physical activity in people with dementia and their relatives. These results reinforce the importance of using objective measures in clinical trials in people with dementia.Trial registration number: NCT 02044887.

Cardiac autonomic dysfunction in obese subjects

1989 ◽  
Vol 76 (6) ◽  
pp. 567-572 ◽  
Author(s):  
Marco ROSSI ◽  
Giuliano Marti ◽  
Luigi Ricordi ◽  
Gabriele Fornasari ◽  
Giorgio Finardi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Heart Rate ◽  
Autonomic Dysfunction ◽  
Cross Correlation ◽  
Heart Rate Response ◽  
Valsalva Manoeuvre ◽  
Deep Breathing ◽  
Cardiac Autonomic Dysfunction ◽  
Obese Subjects

1. The prevalence of cardiac autonomic alterations was evaluated in 23 obese subjects with body mass index 37.2 ± 3.03 kg/m2 (mean ± sd), compared with 78 controls with body mass index 22.5 ± 2.6 kg/m2 (P < 0.001). 2. Cardiac autonomic function was assessed by four standard tests (heart rate response to deep breathing and to the Valsalva manoeuvre, systolic blood pressure fall after standing and diastolic pressure rise during handgrip) and by the cross-correlation test, a new method of computerized analysis of respiratory sinus arrhythmia based on spectral analysis of electrocardiographic and respiratory signals. 3. Considering tests indicative of parasympathetic function, only the heart rate response to the deep breathing and the cross-correlation test were significantly lower in the obese than in the control group [deep breathing = 13.95 ± 8.65 beats/min (mean ± sd) vs 24.5 ± 7.65, P < 0.001; cross-correlation 4.28 ± 0.74 units vs 5.14 ± 0.63, P < 0.001]. Deep breathing and/or cross-correlation were abnormal in 10 (43.5%) obese subjects (deep breathing: seven subjects, cross-correlation: eight subjects). No significant difference between groups was found for the response to the Valsalva manoeuvre: the Valsalva ratio was 1.69 ± 0.45 in obese subjects and 1.88 ± 0.33 in controls (P = NS). The Valsalva ratio was abnormal in three obese subjects. 4. No significant differences were found between groups for tests indicative of sympathetic function. The rise in diastolic blood pressure after handgrip was 12.6 ± 6.2 mmHg (1.67 ± 0.82 kPa) in obese subjects and 18.2 ± 4.9 mmHg (2.42 ± 0.65 kPa) in controls (P = NS), and the fall in systolic blood pressure after standing was −6.8 ± 8.6 mmHg (−0.90 ± 1.14 kPa) in obese subjects and −6.9 ± 10.4 mmHg (−0.91 ± 1.38 kPa) in controls (P = NS). The handgrip test was abnormal in four obese subjects, while no obese subject had an abnormal blood pressure response to standing. 5. Our findings suggest a high incidence of cardiac autonomic dysfunction in obese subjects. Since cardiac autonomic alterations have been shown to be involved in the mechanisms of cardiac sudden death, our data suggest a possible role of autonomic dysfunction in the increased risk for sudden death in obesity.

Cardiovascular reflex responses in Bangladeshi and European subjects

1991 ◽  
Vol 80 (1) ◽  
pp. 39-45 ◽  
Author(s):  
M. A. Rahman ◽  
I. Farquhar ◽  
T. Bennett
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Vascular Resistance ◽  
Cardiovascular Responses ◽  
Mean Blood Pressure ◽  
Valsalva Manoeuvre ◽  
Deep Breathing ◽  
Reflex Responses ◽  
Forearm Vascular Resistance

1. Cardiovascular responses to three different interventions, namely the Valsalva manoeuvre, deep breathing and a cold stimulus on the face, were studied in two ethnic groups (European and Bangladeshi) that have been shown to differ in the prevalence of hypertensive-vascular disease. The data obtained consisted of systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate measured by using a beat-by-beat non-invasive blood pressure monitor (the Finapres), forearm blood flow determined by venous occlusion plethysmography, and calculated forearm vascular resistance. 2. The resting haemodynamic status was similar in European and Bangladeshi subjects. However, Bangladeshi subjects showed a greater increase in heart rate, but only after 20 s into the Valsalva manoeuvre, and greater overshoots in mean blood pressure after the manoeuvre than the European subjects. Furthermore, after cold face stimulation the fall in forearm vascular resistance to baseline levels was delayed in Bangladeshi subjects relative to that in the European subjects. 3. There were no inter-group differences in the reflex bradycardia relative to mean blood pressure or in the cardiac baroreflex sensitivity estimated from systolic blood pressure and pulse interval after the Valsalva manoeuvre. In addition, values for the mean difference between maximum and minimum pulse intervals during deep breathing did not differ in Bangladeshi and European subjects. 4. These findings together suggest that, although cardiac vagal reflex responses appear similar in the two groups, sympatho-adrenal influences on the heart and vasculature may be greater in Bangladeshi subjects than in European subjects.

Effect of deep breathing test on finger blood pressure

2003 ◽  
pp. 211-214 ◽  
Author(s):  
Kersti Jagom??gi ◽  
Rein Raamat ◽  
Jaak Talts ◽  
Esko L??nsimies ◽  
Jukka Jurvelin
Keyword(s):  
Blood Pressure ◽  
Deep Breathing ◽  
Finger Blood Pressure ◽  
Deep Breathing Test

scholarly journals How Does Deep Breathing Affect Office Blood Pressure and Pulse Rate?

2005 ◽  
Vol 28 (6) ◽  
pp. 499-504 ◽  
Author(s):  
Hisao MORI ◽  
Hareaki YAMAMOTO ◽  
Masaomi KUWASHIMA ◽  
Saburo SAITO ◽  
Hiroshi UKAI ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pulse Rate ◽  
Office Blood Pressure ◽  
Deep Breathing

scholarly journals THE INFLUENCE OF SLOW DEEP BREATHING ON BLOOD PRESSURE OF HYPERTENSION PATIENT

2016 ◽  
Vol 2 (1) ◽  
pp. 33
Author(s):  
Ni Putu Emy Darma Yanti
Keyword(s):  
Blood Pressure ◽  
Sampling Technique ◽  
P Value ◽  
Deep Breathing ◽  
Mortality And Morbidity ◽  
Hypertension Patient ◽  
Pharmacology Therapy ◽  
Major Interest ◽  
Post Test ◽  
Bivariate Test

Hypertension is one of non-communicable diseases, which is become major interest because mortality and morbidity of hypertension is the highest in the world. Slow deep breathing is non pharmacology therapy that can influence baroreflex and decrease the blood pressure. This research aimed to know the influence of slow deep breathing on blood pressure of hypertension patient in Puskesmas I Denpasar Timur. This research was pre experimental quantitative study. Design of this study was using one group pre test post test design with the intervention was slow deep breathing during 21 days, twice a day. The amount of sample in this study was 28 patients, in 35-80 years old which is chosen by simple random sampling technique. This research was conducted from� March 28th� until April 25th 2016. Univariate test was used to analyze respondent�s characteristics and bivariate test was used to analyze the difference of systolic and diastolic blood pressure to pre test and post test. The Bivariate test was using Wilcoxon because the data wasn�t� normal distributed. The result of bivariate test was significant (p-value =0,000), with level of confidence 5% so H0 was rejected. The conclusion of this study: there was influence of slow deep breathing in decrease the blood pressure of hypertension patients in Puskesmas I Denpasar Timur. Based on the result of this study, It is suggested to use slow deep breathing as non pharmacology therapy for hypertension.�Key Word: Blood Pressure, Hypertension, Slow Deep Breathing

scholarly journals Effect of deep breathing exercise on oxygenation of patients under major abdominal surgery: randomized clinical trial

2021 ◽  
pp. 8-16
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Abdominal Surgery ◽  
Randomized Clinical Trial ◽  
T Test ◽  
Major Abdominal Surgery ◽  
Deep Breathing ◽  
Breathing Exercise ◽  
And Control ◽  
Experimental Group

Introduction: The number of major abdominal surgical procedures is increasing around the world. A large number of the patients complain about postoperative pulmonary complications (PPCs) after abdominal surgery and show symptoms of breathing pattern disorder. Therefore, this study aimed to investigate the effect of deep breathing exercise on the oxygenation of patients undergoing major abdominal surgery. Methods: This single-blind randomized clinical trial was conducted on 40 patients who needed major abdominal surgery in Qom, Iran, in 2014. The participants were divided into two equal experimental (n=20) and control (n=20) groups. The cases in both groups received routine care, however, those in the experimental group exercised repeated deep breathing four times per hour for two consecutive hours after the surgery as well. The condition of the patients in both groups was similar in terms of position, mobility, and oxygen therapy. The patient’s oxygen saturation, respiratory rate (RR), heart rate, and the severity of pain in the surgery site were measured. The collected data were analyzed in SPSS software (Version. 18) using paired t-test, independent t-test, Mann-Whitney U test, Wilcoxon rank-sum test, Multiple regression analyses, Chi-square test, and Fischer’s exact test. A p-value less than 0.05 was considered statistically significant. Results: Based on the study findings, the deep breathing exercise significantly reduced the surgery site pain and mean blood pressure and increased O2 saturation in the experimental group after the intervention (P<0.05). Moreover, there was a statistically significant difference between the experimental and control groups, and a significantly higher O2 saturation was observed in the experimental group after deep breathing exercise post-operation (β=2.01, P<0.001). Conclusion: Deep breathing exercises can reduce the severity of pain in the surgery site and mean arterial blood pressure and increase O2 saturation in patients after major abdominal surgery.

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