scholarly journals Influence of Physical Therapy Means on Indicators of Cardiovascular System Activity, Metabolism and Psychoemotional Status of Elderly Individuals with Metabolic Syndrome and Frailty

2021 ◽  
Vol 6 (1) ◽  
pp. 271-279
Author(s):  
N. P. Koval ◽  
Keyword(s):  
Metabolic Syndrome ◽  
Heart Rate ◽  
Physical Therapy ◽  
Therapeutic Alliance ◽  
Cardiovascular System ◽  
Elderly People ◽  
Physical Performance ◽  
Biochemical Parameters ◽  
Adaptive Potential ◽  
Low Level

An increase in the prevalence of insulin resistance in the elderly, associated with physiological changes in carbohydrate metabolism during the aging process, is associated with a high risk of cardiovascular accidents and endocrine diseases. This problem requires a solution by healthcare professionals with medication and non-medication. The purpose of the study was to determine the effectiveness of the program of physical therapy by the dynamics of indicators of the cardiovascular system, carbohydrate and lipid metabolism, psychoemotional status of elderly people with frailty and metabolic syndrome. Material and methods. 96 elderly people were examined. The control group consisted of persons without metabolic syndrome and without frailty. The main group 1 consisted of patients with metabolic syndrome and frailty with a low level of therapeutic alliance who did not want to cooperate with a physical therapist and / or actively improve their health on their own. The main group 2 included patients who agreed to undergo a developed program of physical therapy (a high level of therapeutic alliance) using kinesitherapy, massage, nutritional correction, education of the patient and his family, elements of cognitive training and occupational therapy for 1 year. The effectiveness of the program was assessed by the dynamics of systolic and diastolic blood pressure, heart rate, Kvass endurance coefficient, Baevsky's adaptive potential, Robinson's index, physical performance (based on the results of a 6-minute test), carbohydrate parameters (fasting blood glucose and after glucose load) and lipid (concentration of cholesterol, triglycerides, high density lipoproteins) metabolism, the level of depression according to the GDS-15 questionnaire. Results and discussion. In elderly people with frailty and metabolic syndrome, a statistically significant (p <0.05) deterioration in the parameters of the functioning of the cardiovascular system (according to the levels of DBP, heart rate at rest, Kvass endurance coefficient, Baevsky's adaptive potential, Robinson's index), physical performance (according to the results of a 6-minute test - distance, severity of fatigue, shortness of breath, cardialgia), biochemical parameters (fasting hyperglycemia, impaired glucose tolerance, atherogenic dyslipidemia), psycho-emotional state (depression) from their peers. The use of physical therapy tools led to a statistically significant improvement (p <0.05) of all the studied parameters of the functioning of the cardiovascular system, biochemical parameters in elderly people with metabolic syndrome and frailty, an increase in their physical performance, and an improvement in psycho-emotional status. A low level of therapeutic / rehabilitative alliance led to unsatisfactory fulfillment or non-fulfillment of the recommendations provided by patients and is associated with a lack of improvement in the state of the cardiovascular system, physical performance, age-associated depression. Conclusion. It is advisable to include physical therapy means in the rehabilitation programs for elderly patients with comorbid pathology like frailty and metabolic syndrome for the prevention of cardiovascular accidents

scholarly journals Effect of Physical Therapy on Fall-Risk and Physical Status in Older Adults with Frailty and Metabolic Syndrome

2020 ◽  
Vol 5 (6) ◽  
pp. 282-291
Author(s):  
N. P. Koval ◽  
◽  
M. G. Aravitska
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Metabolic Syndrome ◽  
Physical Therapy ◽  
Therapeutic Alliance ◽  
Fall Risk ◽  
Physical Therapist ◽  
Main Group ◽  
Frailty Syndrome ◽  
Physical Status

The constant increase in the proportion of the disabled or partially disabled elderly population and, accordingly, patients of this age contingent, leads to the need for rehabilitation and physical therapy of persons with geriatric syndromes and various comorbid pathologies. The purpose of the study was to determine the effectiveness of a physical therapy program based on the dynamics of indicators of the fall-risk and physical status in older adults with frailty syndrome and metabolic syndrome. Material and methods. 96 older adults were examined. The control group consisted of persons without metabolic syndrome and without frailty syndrome. The main group 1 consisted of persons with metabolic syndrome and frailty syndrome who did not express a desire to cooperate with a physical therapist and / or actively improve their health on their own (low level of therapeutic alliance). They were provided with recommendations on the WHO CINDI program (diet modification, extension of household and training physical activity). Main group 2 included patients who showed consent to take active steps to improve their own health under the supervision of a physical therapist (high level of therapeutic alliance). We developed a physical therapy program for them using kinesitherapy, massage, nutritional correction, education of the patient and his family, elements of cognitive training and occupational therapy for one year. The dynamics of the state was assessed according to the results of the Short Physical Performance Battery, hand dynamometry, Senior Fitness Test, the Berg Balance Scale. Results and discussion. Older adults with metabolic syndrome and frailty syndrome demonstrated a high fall-risk (according to the results of a Short battery of physical activity tests and the Berg scale) and a statistically significant lag in physical status parameters (coordination, balance, strength, flexibility, endurance, agility) according to the parameters of the Senior Fitness Test, hand dynamometry, Short battery of physical activity tests) from their peers. These results increase the risk of adverse health effects, loss of autonomy and death. The use of physical therapy in main group 1 subjects led to a statistically significant (р<0.05) improvement in physical qualities, a decrease in the intensity of frailty signs; leveling the fall-risk in them. The low level of therapeutic alliance of persons in the main group 2 led to unsatisfactory fulfillment or non-fulfillment of the recommendations provided and is associated with a lack of improvement in their physical status and a high fall-risk. Conclusion. It is advisable to include physical therapy means in the rehabilitation programs for elderly patients with comorbid pathology of frailty and metabolic syndrome

scholarly journals DEPENDENCE OF CHANGES IN PHYSIOLOGICAL, PSYCHOPHYSIOLOGICAL PARAMETERS AND PHYSICAL PERFORMANCE ON THE LEVEL OF TRAIT ANXIETY IN THE CONDITIONS OF HYPOBARIC HYPOXIA

2019 ◽  
Vol 4 (4) ◽  
pp. 25-31
Author(s):  
V. E. Isaenkov ◽  
A. A. Chichikov ◽  
R. A. Dzankisov
Keyword(s):  
Heart Rate ◽  
Physical Performance ◽  
Trait Anxiety ◽  
Acute Hypoxia ◽  
Physiological Parameters ◽  
Altitude Training ◽  
Pronounced Increase ◽  
Low Level ◽  
Hypoxic Conditions ◽  
High Level

The features of tolerance to acute hypoxia by individuals with different levels of trait anxiety are presented. It was established that changes in such physiological parameters as heart rate in individuals with a high level of personal anxiety are more pronounced in hypoxic conditions. In particular, in this group, by the 25th minute of lifting in the altitude training chamber to a height of 5000 m, the heart rate increased by an average of 38.1% (p<0,01) of background values. In persons with a low level of trait anxiety, an increase in heart rate does not exceed an average 32% (p<0,01). However, in subjects with a high level of trait anxiety, compared with people with a low level of trait anxiety, a more pronounced increase in the Rufie index at an average of 18,2% (p<0,01). In addition, in individuals with a high level of trait anxiety, a more pronounced slowing-down time of a complex sensorimotor reaction by 33,0 ms (p<0,05) from the background value was observed, while in people with a low level of trait anxiety, on average, only by 20,2 ms (p<0,05). Thus, changes in individual physiological parameters in individuals with a high level of trait anxiety are more pronounced, their functional state is less tolerant to the hypoxia effect, and the level of physical performance is lower on average in this group.

Analysis of Central Hemodynamic Parameters in Medical Students during the Pre-Examination Study Period

2021 ◽  
pp. 67-73
Author(s):  
VA Belyayeva
Keyword(s):  
Body Mass Index ◽  
Heart Rate ◽  
Medical Students ◽  
Cardiovascular System ◽  
Body Mass ◽  
Circulatory System ◽  
The Body ◽  
Hemodynamic Parameters ◽  
Adaptive Potential ◽  
Central Hemodynamic

Background: One of the main negative factors of the educational environment is the increased stress impact on the cardiovascular system of students preparing for examinations. The cumulative effect of a long-term, systematic exposure to stressors may be accompanied by impaired mental and somatic health of students. The extent of response to stress is individual; it is usually determined by cardiovascular health and a complex of psychophysiological characteristics of the body. Objective: To study the main parameters of central hemodynamics in medical students depending on the body mass index and adaptive potential in the pre-examination study period Materials and methods: In spring–summer 2019, 170 medical students (young men and women aged 20.4 ± 0.3 years) with different adaptive potential of the circulatory system were surveyed during a pre-exam study period to establish their anthropometric indicators, blood pressure and heart rate and to further estimate the body mass index and the main central hemodynamics parameters. Results: The average heart rate of students during the pre-exam study period was 85.4 ± 12.21 beats per minute. The level of metabolic and energy processes in the myocardium was characterized as moderate with a tendency to insufficient functional capacity of the cardiovascular system (CI = 90.4 ± 1.22). Significant differences were revealed in a number of parameters un-der study depending on gender, body mass index (F = 3.99; p = 0.00890) and the adaptive potential of the circulatory system (F = 23.08; p = 0.00000). Conclusions: In the pre-examination study period, both the heart rate and the Kerdo index among the students were elevated, which indicates the predominance of sympathetic autonomic stress. The students with tense adaptation mechanisms demonstrated higher values of certain hemodynamic parameters. The pulse pressure and the Robinson index were higher in overweight students compared to their peers with a normal body mass index. None of the students with class 1 obesity had a satisfactory level of adaptation of the circulatory system. The analysis of central hemodynamic parameters enables the assessment of tolerance of the cardiovascular system of students to the burden of learning.

scholarly journals Low-Level Lead Exposure, Metabolic Syndrome, and Heart Rate Variability: The VA Normative Aging Study

2006 ◽  
Vol 114 (11) ◽  
pp. 1718-1724 ◽  
Author(s):  
Sung Kyun Park ◽  
Joel Schwartz ◽  
Marc Weisskopf ◽  
David Sparrow ◽  
Pantel S. Vokonas ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Lead Exposure ◽  
Low Level ◽  
Normative Aging Study ◽  
Aging Study ◽  
Normative Aging

scholarly journals ENERGY DRINKS ON CARDIOVASCULAR SYSTEM

2018 ◽  
Vol 25 (11) ◽  
pp. 1717-1722
Author(s):  
Muhammad Usman Bashir ◽  
Muhammad Imran ◽  
Amjad Ali
Keyword(s):  
Heart Rate ◽  
Medical Students ◽  
Cardiovascular System ◽  
Physical Performance ◽  
Healthy Adult ◽  
Energy Drinks ◽  
Energy Drink ◽  
P Value ◽  
Hand Grip ◽  
Run Test

Objectives: The objective of this study was to determine the short term effectsof energy drinks on the cardiovascular system and physical performance of healthy adult malemedical students. Study Design: Experimental study. Place and Duration of Study: This studywas conducted at the Physiology departments of CMH Multan Institute of Medical Sciences,Multan and Continental Medical College, Lahore from February 2017 to April 2017. Subjectsand Methods: Sixty eight healthy, adult, male medical students participated in this study. Eachday, heart rates and blood pressures of 3 to 4 students were measured and then the testsof physical performance (hand grip test and 300 meter run test) were performed (“pre-test”measurements). After that, each student drank 250 mL of a standard energy drink and thenrested for about 30 minutes, after which post-test measurements were recorded in the sameway. Changes in various parameters, before and after the consumption of energy drink werecompared using the student’s t-test. Results: The cardiac parameters (heart rate & bloodpressure) of the students increased significantly after using the energy drink (p-value < 0.05).Mean±SD hand grip of the students increased from 44.97±3.96 Kg to 45.14±3.99 Kg afterconsuming the energy drink, but this increase was not significant (p-value = 0.667). Similarly,the mean±SD time of “300 meter run test” decreased from 68.28±3.40 seconds to 67.93±4.47seconds after the consumption of the energy drink, but this was also non-significant (p-value= 0.448). Conclusion: We observed significant increase in heart rate and blood pressure ofthe study subjects, while no significant enhancement was seen in the physical performance ofhealthy adult male medical students, 30 minutes after consuming the energy drinks.

scholarly journals Influence of the Severity of Obesity on the Structure of the Daily Blood Pressure Profile and the Effectiveness of its Correction by Means of Physical Therapy Against the Background of Therapeutic Alliance at Various Levels

2021 ◽  
Vol 6 (2) ◽  
pp. 181-188
Author(s):  
M. G. Aravitska ◽  
Keyword(s):  
Blood Pressure ◽  
Body Weight ◽  
Physical Therapy ◽  
Therapeutic Alliance ◽  
Pressure Profile ◽  
Low Level ◽  
Risk Of Death ◽  
Blood Pressure Profile ◽  
Increased Risk ◽  
Therapeutic Exercises

In recent years, obesity has become one of the most common non-communicable diseases, affecting the population around the world, regardless of age, gender, social status. Weight gain is associated with an increased risk of death from any cause, primarily from cardiovascular disease. The main clinical complication of obesity is arterial hypertension. Purpose: to determine the effect of the severity of obesity on the structure of the daily blood pressure profile and the effectiveness of its correction by means of physical therapy against the background of different levels of therapeutic alliance. Materials and methods. The study involved 213 people with obesity of I-III degree, diagnosed by body mass index. According to the results of the definition of the therapeutic alliance, they were divided into two groups. The comparison group consisted of individuals with a low level of therapeutic alliance who refused to actively participate in the program of weight loss. The main group consisted of patients with a high level of therapeutic alliance, they underwent a correction program using dietary and lifestyle modifications, therapeutic exercises, massage, acupuncture, psychocorrection lasting one year. The control group consisted of 32 people with normal body weight. Daily monitoring of blood pressure was carried out to determine its profile by the types "diрper", "non-dipper", "over-dipper", "night-peaker". Results. In patients with grade I-III obesity, changes in the structure of the daily profile of systolic and diastolic blood pressure were revealed: a decrease in the number of individuals with an optimal "diрper" profile, an increase - with unfavorable profiles "non-dipper", "over-dipper", "night-peaker" ", the number of which increased in direct proportion to the degree of obesity. The use of kinesiоtherapy against the background of a decrease in body weight as part of a physical therapy program allows to normalize the daily blood pressure profile. A low level of therapeutic alliance leads to unsatisfactory fulfillment or non-fulfillment of the recommendations provided (aimed at reducing body weight and increasing physical activity) in obese patients, which is associated with a lack of improvement in the functioning of the cardiovascular system in the context of normalizing the daily blood pressure profile. Conclusions. It is advisable to prescribe physical therapy means to correct the indicators of the daily blood pressure profile in patients with obesity of I-III severity, which will prognostically reduce the risk of cardiovascular accidents in them

Bifurcation in a Simple Model of the Cardiovascular System

2000 ◽  
Vol 39 (02) ◽  
pp. 118-121 ◽  
Author(s):  
S. Akselrod ◽  
S. Eyal
Keyword(s):  
Nonlinear Dynamics ◽  
Blood Pressure ◽  
Heart Rate ◽  
Fixed Point ◽  
Cardiovascular System ◽  
Modified Model ◽  
Mayer Waves ◽  
Sustained Oscillations ◽  
Human Cardiovascular System ◽  
Physiological Values

Abstract:A simple nonlinear beat-to-beat model of the human cardiovascular system has been studied. The model, introduced by DeBoer et al. was a simplified linearized version. We present a modified model which allows to investigate the nonlinear dynamics of the cardiovascular system. We found that an increase in the -sympathetic gain, via a Hopf bifurcation, leads to sustained oscillations both in heart rate and blood pressure variables at about 0.1 Hz (Mayer waves). Similar oscillations were observed when increasing the -sympathetic gain or decreasing the vagal gain. Further changes of the gains, even beyond reasonable physiological values, did not reveal another bifurcation. The dynamics observed were thus either fixed point or limit cycle. Introducing respiration into the model showed entrainment between the respiration frequency and the Mayer waves.

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