Observation on hormonal and hemodynamic variables during 45-degrees passive head-up tilt in the elderly males with systolic hypertension (SHTN) before and after long term hydrochlorothiazide (HCTZ) therapy (Rx).

1996 ◽  
Vol 9 (4) ◽  
pp. 164A
Author(s):  
S VARDAN
Keyword(s):  
Systolic Hypertension ◽  
The Elderly ◽  
Hemodynamic Variables ◽  
Elderly Males ◽  
Before And After ◽  
Head Up Tilt

Aerobic Exercise Training and Cardiorespiratory Fitness in Older Adults: A Randomized Control Trial

1999 ◽  
Vol 7 (4) ◽  
pp. 374-383 ◽  
Author(s):  
Richard A. Boileau ◽  
Edward McAuley ◽  
Demetra Demetriou ◽  
Naveen K. Devabhaktuni ◽  
Gregory L. Dykstra ◽  
...  
Keyword(s):  
Heart Rate ◽  
Exercise Training ◽  
Aerobic Exercise ◽  
Exercise Program ◽  
The Elderly ◽  
Aerobic Exercise Training ◽  
Moderate Intensity ◽  
Control Group ◽  
Before And After

A trial was conducted to examine the effect of moderate aerobic exercise training (AET) on cardiorespiratory (CR) fitness. Previously sedentary participants, age 60-75 years, were randomly assigned to either AET treatment or a control group for 6 months. The AET consisted of walking for 40 min three times/week at an intensity that elevated heart rate to 65% of maximum heart rate reserve. The control group performed a supervised stretching program for 40 min three times/week. CR fitness was assessed before and after the treatments during a grade-incremented treadmill walking test. Both absolute and relative peak V̇O2 significantly increased (p < .01) in the AET group, whereas they decreased modestly in the control group. Maximum treadmill time increased significantly (p < .01) in the AET group relative to the control group. These results indicate that CR fitness as measured by peak V̇O2 modestly improves in the elderly with a moderate-intensity, relatively long-term aerobic exercise program.

Health Insurance Systems as Models for Managing the Increasing Elderly Populations of Japan and Korea

2011 ◽  
pp. 282-294
Author(s):  
Seungwon Jeong ◽  
Yusuke Inoue
Keyword(s):  
Health Care ◽  
Social Services ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Medical Facilities ◽  
Before And After ◽  
Long Term Care Insurance ◽  
The Republic

This chapter looks into the systems and institutions for the elderly population covered by long-term care insurance in Japan and the Republic of Korea (hereafter Korea). It shall discuss the historical changes in policies in these two nations. The Health Care and Welfare Complex elements that make up a single business model for the Health Care and Social Services of the aged in Japan and Korea will also be discussed in this paper. The management environment for medical facilities greatly changed with adjustments in the population structure and the social environment, and this resulted in serious competition between medical facilities for patients. Medical facilities in Japan and Korea showed a rapid increase in comprehensive medical and welfare management. Consequently, there were provisions in both health care and social services through affiliation, chain affiliation and multiplication, before and after the enforcement of long-term care insurance.

Hemodynamic response to orthostatic stress in the elderly with systolic systemic hypertension before and after long-term thiazide therapy

1993 ◽  
Vol 71 (7) ◽  
pp. 582-586 ◽  
Author(s):  
Suman Vardan ◽  
Norma E. Hill ◽  
Kishan G. Mehrotra ◽  
Saktipada Mookherjee ◽  
Harold Smulyan
Keyword(s):  
The Elderly ◽  
Hemodynamic Response ◽  
Systemic Hypertension ◽  
Orthostatic Stress ◽  
Before And After

scholarly journals Does long-term experimental antiorthostasis lead to cardiovascular deconditioning in the rat?

2009 ◽  
pp. 57-67
Author(s):  
G Raffai ◽  
C Csekő ◽  
L Kocsis ◽  
L Dézsi ◽  
E Monos
Keyword(s):  
Heart Rate ◽  
Pressor Response ◽  
Cardiovascular Responses ◽  
Physiological Adaptation ◽  
Arterial Blood ◽  
Cardiovascular Deconditioning ◽  
Before And After ◽  
Head Up Tilt ◽  
Spontaneous Baroreflex

Microgravity or simulated microgravity induces acute and chronic cardiovascular responses, whose mechanism is pivotal for understanding of physiological adaptation and pathophysiological consequences. We investigated hemodynamic responses of conscious Wistar rats to 45º head-down tilt (HDT) for 7 days. Arterial blood pressure (BP) was recorded by telemetry. Heart rate (HR), spectral properties and the spontaneous baroreflex sensitivity (sBRS) were calculated. Head-up tilt (HUT) was applied for 2 h before and after HDT to assess the degree of any possible cardiovascular deconditioning. Horizontal control BP and HR were 112.5±2.8 mmHg and 344.7±10 bpm, respectively. HDT elicited an elevation in BP and HR by 8.3 % and 8.8 %, respectively, in less than 1 h. These elevations in BP and HR were maintained for 2 and 3 days, respectively, and then normalized. Heart rate variability was unchanged, while sBRS was permanently reduced from the beginning of HDT (1.01±0.08 vs. 0.74±0.05 ms/mmHg). HUT tests before and after HDT resulted in BP elevations (6.9 vs. 11.6 %) and sBRS reduction (0.44 vs. 0.37 ms/mmHg), respectively. The pressor response during the post-HDT HUT test was accompanied by tachycardia (13.7 %). In conclusion, chronic HDT does not lead to symptoms of cardiovascular deconditioning. However the depressed sBRS and tachycardic response seen during the post-HDT HUT test may indicate disturbances in cardiovascular control.

scholarly journals Variações hemodinâmicas em idosas pré e pós-exercícios em hidroginástica

2017 ◽  
Vol 86 (1) ◽  
Author(s):  
Vicente Pinheiro Lima ◽  
Rodolfo de Alkmim Moreira Nunes ◽  
Juliana Brandão Pinto de Castro ◽  
Cainã da Costa Souza ◽  
Fernando Augusto Barros Rodrigues ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Elderly Women ◽  
The Elderly ◽  
Pressure Control ◽  
Acute Effect ◽  
The Body ◽  
Double Product ◽  
Hemodynamic Variables ◽  
Before And After

Introdução:O envelhecimento está relacionado a uma série de alterações no organismo, como redução das capacidades fisiológicas respiratória e circulatória, e aumento da hipertensão arterial sistêmica. Entretanto, a prática de atividade física pode melhorar a saúde do idoso e o controle da pressão arterial. Dentre as atividades físicas procuradas por idosos, está a hidroginástica.Objetivo: Avaliar as variáveis hemodinâmicas em idosas pré e pós-aula de hidroginástica.Métodos: Estudo observacional transversal. Participaram do estudo 10 idosas praticantes de hidroginástica. O critério de inclusão foi estar na prática de hidroginástica há mais de seis meses com, no mínimo, duas sessões de treinamento por semana. Foram coletados dados de frequência cardíaca e pressão arterial sistólica e diastólica, antes e após a aula de hidroginástica, com duração de 60 minutos, composta de aquecimento, parte principal e volta à calma, realizando movimentos articulares dos ombros, cotovelos, coluna, quadris e joelhos, alongamentos para os músculos dos membros superiores e inferiores e coluna de forma estática, seguido de exercícios estacionários e em movimento.Resultados: A amostra apresentou média de idade de 67,5±4,28 anos e média de Índice de Massa Corporal (IMC) de 27,37±2,89 kg/m2. Foram encontradas diferenças significativas na pressão arterial sistólica (PAS) (148±21,97 mmHg; p=0,029), na frequência cardíaca (FC) (94,5±12,08 bpm; p<0,001) e no duplo produto (DP) (13793±2781,38 mmHg. bpm; p<0,001) entre pré e pós-aula de hidroginástica.Conclusão: A atividade de hidroginástica praticada por idosos pode elevar a pressão arterial em mulheres idosas, principalmente a PAS, além de elevar a FC e o DP, indicando uma maior sobrecarga cardíaca como efeito agudo.Hemodynamic Variations in Elderly before and after Exercises in HydrogymnasticsIntroduction: Aging leads to a number of changes in the body, such as reduced physiological capacities (respiratory and circulatory) and increased systemic arterial hypertension. However, the practice of physical activity can improve the health and the blood pressure control of the elderly. Hydrogimnasctics is among the physical activities sought by the elderly.Objective: To evaluate the hemodynamic variables in the elderly before and after the hydrogymnastics class.Methods: This was an observational and seccional study. The sample consisted of 10 elderly women practicing hydrogymnastics. The participants practiced hydrogymnastics for more than 6 months with at least two training sessions per week. Heart rate and blood pressure data were collected before and after the 60-minute hydrogymnastics session, composed of warming up, main part and cool-down, performing joint movements of the shoulders, elbows, spine, hips and knees, stretches to upper and lower limb muscles and column, statically, followed by stationary and moving exercises.Objective: To evaluate the hemodynamic variables in the elderly before and after the hydrogymnastics class.Results: The sample presented mean of age of 67.5±4.28 years and mean of Body Mass Index (BMI) of 27.37±2.89 kg/m2. Significant differences were found in the measurement of systolic blood pressure (SBP) (148 ± 21.97 mmHg; p=0.029), heart rate (HR) (94.5 ± 12.08 bpm; p<0.001) and double product (DP) (13793 ± 2781.38 mmHg.bpm; p<0.001) after the hydrogymnastics class.Conclusion: The hydrogymnastic activity practiced by the elderly can increase the blood pressure, especially the SBP, HR and increase the DP, indicating a greater cardiac load as an acute effect.

scholarly journals Does COVID-2019 have an Impact on the Purchase Intention of Commercial Long-Term Care Insurance among the Elderly in China?

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 126 ◽  
Author(s):  
Xiaocang Xu ◽  
Lu Zhang ◽  
Linhong Chen ◽  
Feng Wei
Keyword(s):  
Purchase Intention ◽  
Long Term Care ◽  
Public Awareness ◽  
The Elderly ◽  
Insurance Company ◽  
Life Insurance Company ◽  
Term Care ◽  
Before And After ◽  
Long Term Care Insurance

Purpose: As an important measure to alleviate long-term care (LTC) costs for the disabled due to the aging of the population, long-term care insurance (LTCI) system has been paid more attention in China. In addition to the government-led public LTCI system that has been piloted in cities such as Qingdao, Chongqing and Shanghai, health insurers such as the China Life Insurance Company are also experimenting with various types of commercial LTCI in the private market. However, the commercial LTCI market is developing very slowly due to public awareness and other reasons. On the other hand, COVID-2019 has had an impact on the cognition of the importance of long-term care for the elderly due to the fact that the death cases of COVID-2019 have been mainly concentrated in the elderly population with chronic diseases such as hypertension. Therefore, the purpose of this study is to explore the differences in the purchase intention of commercial LTCI among the elderly in two different periods: before and after the outbreak of COVID-2019. Methods: By using the Andersen behavioral model and two investigations in two different periods before and after the outbreak of COVID-2019, this study explores the impacts of COVID-2019 on the purchase intention of commercial LTCI. Results: Some significant discoveries were found. For example, 25.8% of interviewees showed purchase intention in LTCI in the time before the COVID-2019 outbreak, while this proportion increased to 37.6% after the COVID-2019 outbreak. People who were younger (OR = 2.128, before COVID-2019; OR = 1.875, after COVID-2019) or who had more education (OR = 1.502, before COVID-2019; OR = 2.218, after COVID-2019) were more interested in commercial LTCI. Conclusion: This study shows that COVID-2019 has had an obvious impact on the purchase intention of commercial LTCI, which provides some enlightenment for China to improve the LTCI system in the future, especially to accelerate the development of commercial LTCI. For example, it is essential to promote the importance of long-term care among the elderly in a focused and targeted way. In terms of the key target audience, it can be developed gradually from the groups with higher education levels and the middle elderly aged 45–64 years old.

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