scholarly journals Evaluating Anthropometric Indicators: Which is the Best Marker of Blood Pressure in 10 - 15 Years Old Children?

2003 ◽  
Vol 9 (1) ◽  
pp. 55-62
Author(s):  
C. UNDERHAY ◽  
J. H. de RIDDER ◽  
H. S. KRUGER ◽  
J. M. van ROOYEN

LANGUAGE NOTE | Document text in English; abstract also in Chinese.The aim of this study was to determine which anthropometric indicator is the best marker of blood pressure in 10 - 15 year old children. A one-time cross sectional experimental design was used for this study. A total of 605, 10 - 15 year old males and 640 females were recruited from 44 randomly selected schools in the North-West Province, which formed part of the THUSA BANA study during 2000 and 2001. Anthropometric measurements selected, were primarily those described in Norton and Olds (1996). Blood pressure was measured with the Finapres in a non-invasive way. Data analysis was performed using Statistica 2001 (Stat Soft., Inc) for Windows 98. A forward stepwise discriminant analysis was performed to determine which anthropometric indicator is the best marker of high systolic and diastolic blood pressure in 10 - 15 year old children. According to the results of the discriminant analysis, percentage body fat were the best marker of both high systolic and diastolic blood pressure followed by triceps skinfold and abdomen girth. Prediction models for high systolic and diastolic blood pressure were developed for males and females, using the results of the discriminant analysis. This prediction models had an overall accuracy of 89.25% of predicting high systolic blood pressure and a 90.91% overall accuracy of predicting high diastolic blood pressure.本文旨在探討那些體型特徵是評估少年血壓的最佳指標,共有605男生和640女生年齡由10至15歲參與本研究,作者利用應用統計學方式,嘗試尋找出最理想的指標。

2001 ◽  
Vol 86 (6) ◽  
pp. 733-740 ◽  
Author(s):  
H. S. Kruger ◽  
C. S. Venter ◽  
H. H. Vorster

The objective of the present study was to assess the relationship between anthropometric measurements and risk factors for non-communicable diseases (NCD) in South African black women. A cross-sectional sample of 1040 apparently healthy black female volunteers, 15–70 years old, was recruited from thirty-seven randomly selected sites in the North West Province, stratified according to level of urbanisation. We analysed the association between BMI, waist:hip (WHR), waist circumference (WC) and skinfold measurements and the following risk factors for NCD: blood pressure, serum lipids, fasting serum glucose and insulin and plasma fibrinogen, by using age-adjusted correlation analyses and stepwise regression analysis. Of the subjects, 28·6 % were obese (BMI>30). After adjustment for age and smoking status, BMI correlated significantly with diastolic blood pressure (r0·21,P=0·037), serum triacylglycerols (TG) (r0·30,P=0·003), fasting glucose (r0·29,P=0·005) and log fasting insulin (r0·24,P=0·02). There was a significant negative correlation between BMI and HDL-cholesterol (r-0·38,P<0·001). Similar but stronger correlations were found between both WC and WHR and these risk factors. Together with age, WC was a significant predictor of TG, HDL-cholesterol and fasting glucose in regression analysis, while subscapular skinfold was a significant predictor of diastolic blood pressure and fasting glucose concentration. Triceps skinfold was a significant predictor of total serum cholesterol, LDL-cholesterol, plasma fibrinogen and the insulin sensitivity index. Measures of obesity, particularly WC, are associated with the risk for NCD in black South African women, in which a high rate of obesity has been found.


2021 ◽  
Vol 9 (2) ◽  
pp. 123-127
Author(s):  
Etisa Adi Murbawani ◽  
Etika Ratna Noer ◽  
Enny Probosari

Background: Hypertension is a highly prevalent health problem which incidence is greatest among the elderly. Hypertension may increase creatinine level and leads to other health problems like diabetes mellitus, kidney damage, and cardiovascular disease. Wrist circumference is a simple anthropometric measurement that can be used to identify hypertension and increasing level of serum creatinine.Objectives: To analyze the correlation of wrist circumference with blood pressure and creatinine level among the elderly.Materials and Methods: This was a cross-sectional study with a purposive sampling method. Subjects of this study were 84 women aged 60 years old or above at Unit Rehabilitasi Sosial Pucang Gading Semarang. The independent variable of this study was wrist circumference, and the dependent variables were systolic blood pressure, diastolic blood pressure, and creatinine level. The result was analyzed using the Spearman-rho test.Results: The participants of this research were 49% women aged 60-65 years old, with an average age was 65.5 years old. The prevalence of hypertension was 61.9%. Most hypertension incidence in this research was caused by high systolic blood pressure (50%), and the rest was caused by high diastolic blood pressure (3.9%) and both (46.1%). The level of creatinine was normal with an average level was 0.75 mg/dL. There was no correlation of wrist circumference with systolic blood pressure systolic (r=0.15; p=0.19), diastolic blood pressure (r=0.1; p=0.38), and creatinine serum (r=0.18; p=0.09) among elderly.Conclusions: There was no correlation of wrist circumference with blood pressure and creatinine level among the elderly.


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Mercy Manembu ◽  
Jimmy Rumampuk ◽  
Vennetia R. Danes

Abstract: Blood Pressure (BP) is the pressure of blood that is pumped by the heart against arterial wall. Blood Pressure is the pushing force for the blood which can circulate to the whole body to give fresh blood that contains oxygen and nutrients to body organs. This study aimed to obtain the blood pressure measurements of the North Minahasa Regency civil servants in two body positions, namely sitting position (SeP) and standing position (StP). This study was conducted in the period of June to July 2015 at the complex of the Mayor office of North Minahasa Regency in Airmadidi District. This was an observational analytical study with a cross sectional approach. Samples were determined with simple random sampling and the amount of samples was 42 people. The data were analyzed by using SPSS 20 with the Wilcoxon signed ranks test. The results showed that there was a significant difference between measurements of blood pressure during sitting position (SeP) and standing position (StP). The data showed that Systoloc BP SeP = 117.9841±12.5877 mmHg vs Systolic StP = 124.7302 ±11.9546 mmHg, whereas Diastolic BP SeP = 79.2698±9.0656 mmHg vs Diastolic StP = 87.5238 ±8.6639 mmHg. The Wilcoxon signed ranks test indicated that there was a significant difference between the two groups (p=0.000 < α=0.05). Coclusion: Body positions namely sitting position and standing position affected both systolic and diastolic blood pressure. Blood pressure in standing position showed a tendency to be higher than that of sitting position.Keywords: systolic, diastolic, blood pressure, sitting position, standing position, civil servantsAbstrak: Tekanan darah adalah tekanan dari darah yang dipompa oleh jantung terhadap dinding arteri. Tekanan darah merupakan kekuatan pendorong bagi darah agar dapat beredar ke seluruh tubuh untuk memberikan darah segar yang mengandung oksigen dan nutrisi ke organ-organ tubuh. Penelitian ini bertujuan untuk mengetahui hasil pengukuran tekanan darah antara posisi duduk dan posisi berdiri pada Pegawai Negeri Sipil (PNS) Pemerintah Kabupaten Minahasa Utara. Penelitian dilaksanakan di kompleks Kantor Bupati Minahasa Utara, Airmadidi pada bulan Juni-Juli 2015. Metode penelitian ini yaitu observasional analitik dengan pendekatan potong lintang. Sampel ditentukan secara simple random sampling yang berjumlah 42 orang. Data dianalisis menggunakan SPSS 20 dengan Wilcoxon Signed Ranks Test. Hasil penelitian menunjukkan terdapat perbedaan hasil pengukuran tekanan darah antara posisi duduk dan posisi berdiri. Tekanan darah sistolik antara posisi duduk vs posisi berdiri 117,9841±12,5877 mmHg vs 124,7302±11,9546 mmHg dan tekanan darah diastolik antara posisi duduk vs posisi berdiri 79,2698±9,0656 mmHg vs 87,5238±8,6639 mmHg. Hasil Wilcoxon Signed Ranks Test menunjukkan bahwa terdapat perbedaan bermakna antara posisi duduk dan posisi berdiri dengan nilai p=0,000 <α=0,05. Simpulan: Posisi badan yaitu posisi duduk dan berdiri pada saat dilakukan pengukuran tekanan darah memengaruhi hasil tekanan darah baik sistolik maupun diastolik. Pada posisi berdiri tekanan darah cenderung lebih tinggi dibanding pada posisi duduk.Kata kunci: tekanan darah, posisi duduk, posisi berdiri


2007 ◽  
Vol 92 (3) ◽  
pp. 841-845 ◽  
Author(s):  
Bjørn O. Åsvold ◽  
Trine Bjøro ◽  
Tom I. L. Nilsen ◽  
Lars J. Vatten

Abstract Context: The association between thyroid function and blood pressure is insufficiently studied. Objective: The objective of the investigation was to study the association between TSH within the reference range and blood pressure. Design and Setting: This was a cross-sectional, population-based study. Subjects: A total of 30,728 individuals without previously known thyroid disease were studied. Main Outcome Measures: The main outcome measures were mean systolic and diastolic blood pressure and pulse pressure and odds ratio for hypertension (&gt;140/90 mm Hg or current or previous use of antihypertensive medication), according to categories of TSH. Results: Within the reference range of TSH (0.50–3.5 mU/liter), there was a linear increase in blood pressure with increasing TSH. The average increase in systolic blood pressure was 2.0 mm Hg [95% confidence interval (CI) 1.4–2.6 mm Hg] per milliunit per liter increase in TSH among men, and 1.8 mm Hg (95% CI 1.4–2.3 mm Hg) in women. The corresponding increase in diastolic blood pressure was 1.6 mm Hg (95% CI 1.2–2.0 mm Hg) in men and 1.1 mm Hg (95% CI 0.8–1.3 mm Hg) in women. Comparing TSH of 3.0–3.5 mU/liter (upper part of the reference) with TSH of 0.50–0.99 mU/liter (lower part of the reference), the odds ratio for hypertension was 1.98 (95% CI 1.56–2.53) in men and 1.23 (95% CI 1.04–1.46) in women. Conclusion: Within the reference range of TSH, we found a linear positive association between TSH and systolic and diastolic blood pressure that may have long-term implications for cardiovascular health.


2017 ◽  
Vol 124 (6) ◽  
pp. 1107-1120 ◽  
Author(s):  
Heloyse E. G. Nunes ◽  
Carlos A. S. Alves ◽  
Eliane C. A. Gonçalves ◽  
Diego A. S. Silva

This study aimed to determine which of four selected physical fitness variables, would be most associated with blood pressure changes (systolic and diastolic) in a large sample of adolescents. This was a descriptive and cross-sectional, epidemiological study of 1,117 adolescents aged 14–19 years from southern Brazil. Systolic and diastolic blood pressure were measured by a digital pressure device, and the selected physical fitness variables were body composition (body mass index), flexibility (sit-and-reach test), muscle strength/resistance (manual dynamometer), and aerobic fitness (Modified Canadian Aerobic Fitness Test). Simple and multiple linear regression analyses revealed that aerobic fitness and muscle strength/resistance best explained variations in systolic blood pressure for boys (17.3% and 7.4% of variance) and girls (7.4% of variance). Aerobic fitness, body composition, and muscle strength/resistance are all important indicators of blood pressure control, but aerobic fitness was a stronger predictor of systolic blood pressure in boys and of diastolic blood pressure in both sexes.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S157-S158
Author(s):  
Chirag Shroff

AimsHealth Education England launched a new system for study leave and study budget on 1st April 2018, in response to trainees' concerns regarding the previous system. According to this, Health Education England would manage the study leave budget through its local offices, making the process of accessing study ‘more transparent, equitable and streamlined' for all trainees. At the RAP Oversight Committee meeting of the North West Deanery in 2019, trainees' uncertainties over the process was discussed by the local reps. It was aimed that there was a need to gather information on trainees' needs and understanding of local processes in place by the deanery to access study leave and study budgetMethodA cross sectional survey was sent out to all the trainees by the Core Trainees year 1 RAP rep. A total of 6 relevant questions were designed and sent out to the trainees, allowing them 2 weeks’ time to respond. There were a total of 66 trainees who were sent the survey. The guidance mentioned in the 2016 Gold guide was used for reference to ensure the questions are relevant.ResultOf the total of 66 trainees who were sent the survey, there were 48 respondents. The results indicated that all 48 responders preferred study budget and leave process explained at induction. 47 of 48 respnders sought access to their study budget, 46 of 48 responders sought use of budget for external course and exam fees fudning, 27 of the 48 responders struggled to get study leave and 27 of 48 responders felt the current leave process was not satisfactory with 14 opining that there was scope for improvemement.ConclusionThe responses were collated by the trainee rep as a PowerPoint presentation containing graphical representation of trainees’ views regarding their study leaves and budget access. The survey results were made aware to the local board at the subsequent RAP Oversight Committee meeting to seek response and new guidance. There is a new system in place for study leave and study budgets, overseen by Health Education England. Overall, the survery attempted to understand and collate trainees' wants and needs, in effect improving trainee experiences.


2017 ◽  
Vol 4 (4) ◽  
pp. 1218
Author(s):  
Balakrishnan Nadesan ◽  
Mani Madhavan Sachithananthamoorthi ◽  
Sivaraman Thirumalaikumarasamy ◽  
Ezhilarasu Ramalingam

Background: Hypertension is considered as a major health issue in developed as well as developing countries and its possible origin during childhood prompts pediatricians to routinely include measurement of blood pressure (BP) as an integral part of pediatric physical examination. The objectives of the study were to evaluate the normal range of blood pressure in adolescent school going students of 12-16 years, prevalence of hypertension and relationship of BP with variables like age, body mass index (BMI), socioeconomic status and family history of hypertension.Methods: A cross sectional study was undertaken for a period of one year in adolescent school children in age groups between 12-16 years. Detailed clinical examination was done in 1060 adolescent school children and BP was recorded in right upper limb and correlation of BP with BMI, family history of hypertension and diabetes were studied.Results: Mean systolic and diastolic pressure showed linear relationship with age. There was a highly statistically significant difference between mean systolic and diastolic blood pressure between lower and middle socio-economic class. Prevalence of obesity in our study was 1.13%, overweight was 7.83%. Prevalence of hypertension in obese children was 33.33% and in overweight children 18.07%. Family history of hypertension and diabetes carry a significant correlation with elevated systolic and diastolic blood pressure in adolescents.Conclusions: This study revealed that socio economic factors play a significant role in determining the blood pressure of the individual. Children of middle class have significantly elevated mean systolic pressure and mean diastolic pressure than low socio-economic groups. 


2019 ◽  
Vol 36 (1) ◽  
pp. 69-78
Author(s):  
Neda Safaeifard ◽  
Hossein Namdar Areshtanab ◽  
Fariborz Roshangar ◽  
Hossein Ebrahim ◽  
Hossein Karimi Moonaghi ◽  
...  

Summary Generally, progress, productivity and success of any organization depends on the skills and knowledge of their manpower. Thus, better and more accurate training programs in organizations will lead to their growth and efficiency will be eventually achieved. Due to the many advances in the field of medicine, nurses are the backbone of activities in organizations of medical sciences and patient’s affairs. For this purpose, in-service training courses for employees are the most important courses in nursing. This study was conducted at the University of Medical Sciences (Tabriz-Iran) aiming to determine the preferred learning styles of nurses in in-service training courses. In this cross-sectional study, all nurses working in medical and educational centers in a university in the North West of Iran were randomly selected. To collect data, a two-part questionnaire of Kolb’s demographic and social information was used. Data was analyzed by using descriptive and analytical statistics SPSS version 17 software. A total of 470 nurses with an average age of 36.46 ± 5.77 were studied. There was a significant correlation between preferred learning styles of nurses with nursing position, employment status, and income level. There was no a significant statistical relationship between the preferred learning style of nurses with age, work experience and experience in the center. The present study shows that the highest percentage of Kolb’s learning style is related to the preferential converging learning style (57.8%). This study aimed to determine the preferred learning styles of nurse’s in-service training courses in Tabriz University of Medical Sciences. The results of the study showed that converging and assimilating styles were the preferred learning ones among the majority of nurses; these styles are effective and interpreted according to their profession requiring a lot of information and knowledge. Due to the dominance of converging learning style among nurses, it is recommended to use appropriate teaching methods tailored to the style including the use of diagrams, presentations, lectures and self-learning with enjoyable materials.


2002 ◽  
Vol 16 (3) ◽  
pp. 215-227 ◽  
Author(s):  
R.O. Abidoye ◽  
L.A. Madueke ◽  
G.O. Abidoye

This was a cross sectional survey of selected sample of staff of the Federal Airport Authority of Nigeria, Lagos, conducted in July to August, 2000. Feeding patterns observed among the sampled population showed that most (74.4%) ate three meals while 11.2% ate more than three meals daily. However, lunch was the most common meal eaten away from home by most (59.0%) of the respondents. Most of the respondents were observed to substitute snacks for their lunch (84.3%). Their food consumption pattern revealed that 23.2% consumed cereals daily while only 5.6% of the respondents consumed fruits and only 10.9% affirmed to consuming vegetables daily. Consumption pattern of other foods revealed that 15.6% consumed dairy products daily, meat/fish was daily consumed by only 16.2% and only 10.0% consumed fats and oils daily in the meals. Gender was also observed to influence feeding patterns of the sampled population studied. Most of the men consumed more meals per day than females. Only 46.4% of all the respondents had BMI values within normal acceptable range. Most of the respondents that were underweight were men (91.4%). Blood pressure measurements revealed that most of them had normal systolic (78.3%) and diastolic blood pressure (81.8%). Though 3.9% had severely high systolic blood pressure and 0.7% had severely high diastolic blood pressure. Only 20.5% of the study population had acceptable blood cholesterol levels of which only 61.1% had BMI values within the normal acceptable range. Only 0.8% of the study population had very high blood cholesterol levels with majority of the population 72.7% on the borderline. It is recommended that health and nutrition education be mounted and that periodic anthropometric measurements be used to evaluate the risk of some non-communicable diseases.


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