Psychophysiological Responses to Mental Stress in Type A and Type B Subjects With and Without a Family History of Hypertension

Author(s):  
C. Perini ◽  
F. B. Müller ◽  
F. R. Bühler
Author(s):  
Anju Antony ◽  
Pramod Kumar

<p class="abstract"><strong>Background:</strong> Pigmentary demarcation lines (PDL) correspond to a border of abrupt transition between the more deeply pigmented skin of the outer surfaces and the lighter inner surfaces. On the basis of their location they have been classified into eight types, type A to type H. The present study is an attempt to obtain a better understanding of the clinical types of pigmentary demarcation lines in Indians, and to report any previously undescribed patterns of pigmentation.</p><p class="abstract"><strong>Methods:</strong> Patients attending the Outpatient Department for various complaints were examined for the presence of pigmentary demarcation lines, and those with pigmentary demarcation lines were analysed further.<strong></strong></p><p class="abstract"><strong>Results:</strong> 50 subjects of Fitzpatrick skin types 4 and 5, with pigmentary demarcation lines were examined in detail. The various types of pigmentary demarcation lines seen were Type A (38%), Type B (14%), Type C (24%), Type F (22%), Type G (4%), Type H (4%). All types were more common in females with the exception of Type C, which was observed only in males. Type D and Type E PDL were not observed in any of the subjects screened.</p><p class="abstract"><strong>Conclusions:</strong> The most common type of PDL observed in our study was Type A PDL, followed by Type C PDL. The youngest subject was 2 years old, the oldest was aged 75.The majority were seen in adults; Type A and Type C PDL were the common types seen in children. A family history of PDL was present in 5 (10%) and all were females. A hitherto undescribed pigmentary demarcation line is also described along with this study.</p>


1986 ◽  
Vol 5 (4) ◽  
pp. 393-406 ◽  
Author(s):  
Norman B. Anderson ◽  
Redford B. Williams ◽  
James D. Lane ◽  
Thomas Haney ◽  
S. Simpson ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li Xiao ◽  
Cai Le ◽  
Gui-Yi Wang ◽  
Lu-Ming Fan ◽  
Wen-Long Cui ◽  
...  

Abstract Background This study examines the association between socioeconomic and lifestyle factors and the prevalence of hypertension among elderly individuals in rural Southwest China. Methods A cross-sectional survey of 4833 consenting adults aged ≥ 60 years in rural regions of Yunnan Province, China, was conducted in 2017. Data on individual socioeconomic status, sleep quality, physical activity level, and family history of hypertension were collected with a standardized questionnaire. Blood pressure, fasting blood glucose, height, weight, and waist circumference were also measured. An individual socioeconomic position (SEP) index was constructed using principal component analysis. Structural equation modelling (SEM) was applied to analyse the association between socioeconomic and lifestyle factors and the prevalence of hypertension. Results The overall prevalence of hypertension was 50.6% in the study population. Body fat distribution, including measures of obesity and central obesity, had the greatest total effect on hypertension (0.21), followed by family history of hypertension (0.14), biological sex (0.08), sleep quality (− 0.07), SEP (− 0.06), physical inactivity (0.06), and diabetes (0.06). Body fat distribution, SEP, and family history of hypertension had both direct and indirect effects on hypertension, whereas physical inactivity, diabetes, and sleep quality were directly associated with the prevalence of hypertension. Biological sex was indirectly associated with the prevalence of hypertension. Conclusions SEP, body fat distribution, physical inactivity, diabetes, and sleep quality critically influence the prevalence of hypertension. Future interventions to prevent and control hypertension should give increased attention to individuals with low SEP and should focus on controlling diabetes and obesity, increasing physical activity levels, and improving quality of sleep among older adults aged ≥ 60 years in rural Southwest China.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Andra Kurnianto ◽  
Deni Kurniadi Sunjaya ◽  
Fedri Ruluwedrata Rinawan ◽  
Dany Hilmanto

Background. Given that hypertension in adulthood has its onset in childhood, it is not surprising that the prevalence of hypertension among adolescents has also increased in recent years. However, there are limited data on the prevalence of hypertension and also the new AAP guideline has not yet been applied to the Indonesian adolescent population. Thus, this study aimed to evaluate the prevalence of hypertension using the new AAP guideline and to assess the occurrence of its associated factors among Indonesian adolescents. Methods. This was a cross-sectional study conducted at twelve senior high schools in Palembang, South Sumatera, Indonesia, from June to December 2019. The study included adolescents aged 13 to 18 years old. Anthropometric measurements were obtained. Multiple logistic regression was used to assess the risk factors most associated with hypertension among adolescents, and then an equation model was created. The prevalence of hypertension was evaluated, together with several factors such as age group, sex, ethnicity, family history of hypertension, nutritional status, physical activity, perceived stress, sleep duration, nutritional intake, and smoking. Results. In total, 1200 adolescents aged 15.9 ± 0.99 years were evaluated. The prevalence of hypertension and elevated blood pressure among adolescents was 8% and 12.2%, respectively. There were significant associations between sex, family history of hypertension, hypertensive father, nutritional status, physical activity, perceived stress, and hypertension among Indonesian adolescents (p<0.05). Stress was the most powerful risk factor of hypertension with an odds ratio of 5.83 (95% confidence interval 2.91–11.6). Conclusions. Nowadays, the prevalence of hypertension among Indonesian adolescents is quite high. This may be caused by lifestyle or behavior changes among adolescents. Sex, family history of hypertension, nutritional status, physical activity, and perceived stress influenced the 27% hypertension prevalence rate among Indonesian adolescents, particularly in Palembang, South Sumatera. In order to decrease the prevalence of hypertension in adults, concern about lifestyle or behavior changes and hypertension among adolescents should be given.


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