scholarly journals Identification of Adolescents with Adiposities and Elevated Blood Pressure and Implementation of Preventive Measures Warrants the Use of Multiple Clinical Assessment Tools

2021 ◽  
Vol 11 (9) ◽  
pp. 873
Author(s):  
Hiba Bawadi ◽  
Manal Kassab ◽  
Abdel Hadi Zanabili ◽  
Reema Tayyem

The burden of abdominal adiposity has increased globally, which is recognized as a key condition for the development of obesity-related disorders among youth, including type 2 diabetes, cardiovascular disease, and hypertension. High blood pressure (BP) and cardiovascular diseases increase the rates of premature mortality and morbidity substantially. Aims: to investigate the relation between abdominal adiposity and elevated BP among adolescent males in Jordan. Methods: Nationally representative sample of male adolescents was selected using multi-cluster sampling technique. Study sample included 1035 adolescent males aged 12 to 17 years. Multiple indicators were used to assess adiposity including waist circumference (WC) and total body fat (TF), truncal fat (TrF), and visceral fat (VF). Systolic blood pressure was measured to assess hypertension. Results: After adjusting for age, smoking status, and physical activity, the odds of having stage two hypertension increased 6, 7, and 8 times for adolescents who were on 90th percentile or above for Trf, VF, and WC, respectively. Conclusion: Elevated BP was significantly associated with total and abdominal adiposity among adolescent males in Jordan. Use of multiple clinical assessment tools is essential to assess abdominal obesity among adolescents.

Author(s):  
Ni Putu Emy Darma Yanti

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


2021 ◽  
Vol 1 (1) ◽  
pp. 109-121
Author(s):  
Larasyati Sholekha ◽  
Entin Jubaedah ◽  
Lia Nurcahyani

One of the causes of maternal mortality and morbidity is pregnancy induced hypertension (PIH). One of many hypertension management in pregnancy with non-pharmacological is hydrotherapy, which is soaking the feet using warm water for 20 minutes. This study aims to determine the differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40o - 43 o compared to temperatures of 37 o - 39 o. The study using Quasi-Experimental non-randomized pre-test and post-test with control design on 22 hypertensive pregnant women using purposive sampling technique. Research instruments included observation sheets, sphygmomanometer, stethoscope, and digital water thermometer. Univariate and bivariate data analysis using the Wilcoxon and Mann-Whitney tests. This study showed difference of systolic blood pressure p value 0,000 and difference of diastolic p value 0,013 (p <0,05), therefore there were differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40 o - 43 o compared to 37 o - 39 o. Hydrotherapy using temperature of 40 o - 43 o is better to use than temperature of 37 o - 39 o. Midwives can use hydrotherapy as an early treatment alternative for hypertensive pregnant women


2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Widya Hary Cahyati

COVID-19 cases in Indonesia on 22 November 2020 were 493,308 cases. Social determinants of health and behavior influence mortality and morbidity in a community. Physical-distancing is an effort to maintain a distance between one person and another to avoid transmission of the COVID-19 disease. The purpose of this study was to research about social health determinants with physical-distancing behavior during the Covid-19 Pandemic for Students. This research applied analytic observasional method with design of crosssectional, case study on students of Universitas Negeri Semarang. The sampling technique was used a probability sampling technique with a cluster sampling type with a total sample size of 235. The instrument used was a questionnaire. The results showed that gender (P=0.044, PR=1.155), knowledge level of Covid-19 (P=0.000, PR=2.508), family support (P=0.003, PR=1.710), support from community leaders (P=0.013, PR=1.311), government support (P=0.002, PR=1.854), and respondents' perceptions (P=0.000, PR=4.465) are related to physical distancing behavior. The social determinant most related to physical distancing behavior is the level of knowledge (P=0.000). The conclusion of this study is the level of knowledge is the most influential factor in physical distancing behavior in College Students of Universitas Negeri Semarang.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Emily B Levitan ◽  
Monika M Safford ◽  
Meredith L Kilgore ◽  
Elsayed Z Soliman ◽  
Stephen P Glasser ◽  
...  

Introduction: People with unrecognized myocardial infarction (UMI) have elevated risk for cardiovascular events and death. Population-wide electrocardiogram screening for detection of UMI would be resource intensive. We therefore sought to develop assessment tools for targeted UMI screening. Methods: Using logistic regression and a backward selection procedure, we developed two models among 16,653 participants without coronary revascularization or known myocardial infarction in the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. UMI was defined as electrocardiogram evidence (using the Minnesota Code system) of myocardial infarction without a self-reported history (n = 740). The basic model used demographics, self-reported medical history, blood pressure, and body mass index; the expanded model used information on 51 potential variables including health behaviors, clinical measurements, and participant-reported health scales and symptoms. Results: The basic model had a c-statistic of 0.638 (95% CI 0.617 − 0.659) and included age, race, smoking status, body mass index, systolic blood pressure, transient ischemic attack, deep vein thrombosis, falls, diabetes, and hypertension. The expanded model had a c-statistic of 0.654 (95% CI 0.634−0.674) and included age, race, income, smoking status, self-reported hypertension, unrecognized dyslipidemia, perceived stress score, waking at night due to breathlessness, body mass index and body mass index squared, HDL cholesterol squared, systolic blood pressure, albumin:creatinine ratio, heart rate, and heart rate squared. The Framingham coronary heart disease risk score had a c-statistic of 0.587 (95% CI 0.566−0.609). Conclusions : Even with a large number of potential risk factors, the models did not provide sufficient discrimination to warrant use as an assessment tool. Identifying individuals at high risk of UMI for further screening using an assessment tool may be challenging.


2019 ◽  
Vol 7 (12) ◽  
pp. 1962-1967
Author(s):  
Dyah Kanya Wati ◽  
Putu Cintya Denny Yuliyatni ◽  
I Made Krisna Dinata ◽  
Gusti Ayu Putu Nilawati ◽  
I Gede Raka Widiana ◽  
...  

BACKGROUND: Mortality and morbidity in an adult will be reduced by controlling hypertension from an early age. Uncontrolled blood pressure since children can contribute to diseases such as heart disease, organ damage, and decreased quality of life. As changes in lifestyle, it is estimated that hypertension in children will continue to increase. Until now, data regarding the profile of blood pressure in children in Indonesia is still lacking.AIM: The purpose of this study was to determine the prevalence of increased blood pressure and hypertension in children in Bali.METHODS: This study was a cross-sectional study. The sampling technique in this study was multistage random sampling, that is, from 9 regencies in Bali, the selection of 3 regencies to be sampled according to socio-economic stratification based on regional economic growth and regional per capita income in Bali Province.RESULTS: From 1257, samples examined the prevalence of increased blood pressure, and hypertension was 689 children (54.8%). From the age group, the prevalence of an increase in blood pressure and hypertension in the age group ≤ , 12 years was 47.3%, and in the age group > 12 years was 62.2%. Increased blood pressure in nutritional status including Obesity 51.4%, Nutrition More 52.9%, Good Nutrition 42.2%, Nutrition Less 43.9%, Malnutrition 50.0%. In families with a history of hypertension, the prevalence of increased blood pressure and hypertension in subjects was 60.3% and in families without a history of hypertension was 43.4%.CONCLUSION: It can be concluded that there is still a prevalence of hypertension in children in Bali. Health efforts are needed so that they can minimise the further health impact that might occur. It should also be noted that various factors can influence the prevalence of increased blood pressure and hypertension in children.


Author(s):  
Vijaykumar P. Mane ◽  
M. V. Sagar ◽  
Revathy R.

Background: Undernutrition is a major health and nutrition problem in India especially among preschool children. It is an important cause of childhood mortality and morbidity and also leads to permanent impairment of physical and mental growth of those who survive. The objective of the study was to estimate the prevalence of undernutrition among preschool children in the study setting and to determine various factors associated with undernutrition of the child.Methods: A cross sectional study was conducted among 400 preschool children in the field practice area of PHC Aaynoor, Shivamogga, Karnataka. Cluster sampling technique was used for sample selection. Data was collected by interviewing the parent /guardian using a pretested and semistructured questionnaire and anthropometric measurements were done as per standard techniques. Statistical analysis was done using WHO Epi-info software version 3.5.4.Results: The prevalence of underweight, stunting and wasting was observed in 38%, 43% and 15.8% of children respectively. The study found significant association between the prevalence of undernutrition and gender, birth weight, birth order, number of siblings, caste, paternal literacy and availability of toilet in the house of the child.Conclusions: The present study revealed that the problem of undernutrition is critical in the study area and identifies multiple risk factors for its causation, thereby signifying a well - coordinated multi sectorial approach to curb the same. 


2018 ◽  
Vol 3 (2) ◽  
pp. 35-51
Author(s):  
Muriyati ◽  
Safruddin Yahya

Hypertension is an increase in systolic blood pressure of at least 140 mmHg while the diastolic pressure is at least 90 mmHg. The incidence of hypertension in the mountainous and coastal areas of Bulukumba Regency increased from year to year, because it was influenced by unhealthy lifestyles, there were several things that led to hypertension, namely smoking, consumption of alcoholic beverages and habits of fast food, coconut milk and fatty foods. consume high sodium levels. The purpose of this study is to know the relationship between smoking lifestyle, diet, and consumption of alcoholic beverages with the incidence of hypertension. This research method uses analytic design with cross sectional design. The sample in this study were 82 people taken by the Probability Random Sampling method with Cluster Sampling technique. Data analysis in this study uses two tests, namely chi square test and fhiser alternative with a significant level of a (<0.05). The results of this study indicate that smoking is obtained (p = 0.046) so H0 is rejected and Ha is accepted. The pattern of eating is obtained (p = 0.012) then H0 is rejected and Ha is accepted. Consumption of alcoholic beverages obtained value (p = 0.027) then H0 is rejected and Ha is accepted. The conclusion in this study is that the lifestyle is closely related to the incidence of hypertension in the mountainous and coastal regions of Kab. Bulukumba. It is recommended for patients with hypertension to always control blood pressure and maintain or avoid risk factors that can increase blood pressure and maintain a healthy lifestyle.


2019 ◽  
Vol 11 (02) ◽  
pp. 84-96
Author(s):  
Suci Khasanah ◽  
Maria Paulina Irma Susanti

Instability of blood pressure is a condition in which the blood pressure is within the range of changes that tends to be constant. The blood pressure on the hypertensive people may change anytime, and it is difficult to be predicted. Even in some cases, the change of blood pressure cannot be felt by the sufferers, although it is much higher than the normal range. This may endanger the sufferers’ condition. This research aimed to know the blood pressure stability and the related factors of hypertensive people in Tambaksogra Village, Community Health Center 1 Sumbang. This research used observational analysis study design with cross sectional approach. The number of samples was 42 respondents; it was taken by using cluster sampling technique. The observation of blood pressure were done in 6 (six) days with daily measurement of the influencing factors. The data was analyzed by using lamda and coefficient of contingency. The result of the research showed that 90,5% of the respondents had unstable blood pressure (90,5%). The respondents with bad sleep quality were the most respondents who had unstable blood pressure (80,9%), p value 0,032; dominantly the respondents having unstable blood pressure were those who had normal level of stress (40,5%), p value 0,143; the obese respondents or non-obese respondents were the most respondents who had unstable blood pressure with p value 0,898. It can be concluded that almost all respondents have unstable blood pressure in six days observation and there is a correlation between sleep quality and the instability of blood pressure. Keywords: Blood Pressure Stability, Sleep Quality, Stress, and Obesity


2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B77-B81
Author(s):  
Camilla Torlasco ◽  
Andrea Faini ◽  
Martino F Pengo ◽  
Claudio Borghi ◽  
Guido Grassi ◽  
...  

Abstract Cardiovascular (CV) diseases are burdened by high mortality and morbidity, being responsible for half of the deaths in Europe. Although hypertension is recognized as the most important CV risk factor, hypertension awareness, and blood pressure (BP) control are still unsatisfactory. In 2017 and 2018, respectively &gt;10 000 and &gt;5000 individuals took part in the May Measurement Month (MMM) campaign in Italy, of whom 30.6% and 26.3% were found to have high BP, respectively. To raise public awareness on the importance of hypertension and to collect BP data on a nation-wide scale in Italy. In the frame of the MMM campaign, an opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2019. BP measurement, the definition of hypertension, and statistical analysis followed the standard MMM protocol. Screening was conducted in multiple sites by health personnel. Among the 10 182 people screened (females: 52.3%, mean age 58 ± 16years) mean BP was 127/78 mmHg, and 3171 (31.1%) participants had arterial hypertension, of whom 62.1% were aware of being hypertensive. Diabetes, body mass index &gt;25 kg/m2 were associated with higher BP and previous myocardial infarction with lower BP. For the third consecutive year we collected a nation-wide snapshot of BP control in a large sample of individuals. The high participation, with some yearly fluctuations likely due to the limitations of the sampling technique, confirms the power of this kind of health campaign in reaching a significant number of people to raise awareness on health topics.


2019 ◽  
Vol 1 (1) ◽  
pp. 7-11
Author(s):  
Diki Retno Yuliani ◽  
Puji Hastuti

Relationship Of Inter-pregnancy Interval With Blood Pressure Of Preeclampsia Pregnant Woman : inter-pregnancy interval is a risk factor for preeclampsia, and an increase in blood pressure is a sign of preeclampsia. The purpose of this study was to determine the relationship between inter-pregnancy interval and blood pressure. The study design was a cross sectional analytic survey research. The population was preeclampsia pregnant women in Banyumas District with cluster sampling technique. The results of the study were a relationship between inter-pregnancy interval with systolic blood pressure (p 0.017) and no relationship between inter-pregnancy interval with diastolic blood pressure (p 0.629). The conclusion of this study, there was a relationship between inter-pregnancy interval with systolic blood pressure in preeclampsia pregnant women.


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