Association of demographic, lifestyle factors and serum biomarkers with hypertension in elderly Chinese people

ABSTRACTHypertension is a major cause of premature death in China. Understanding risk factors including behavioural and predisposing factors may help to prevent development of hypertension and control the extent of premature mortality. In this case-control design conducted in Hunan province, 416 hypertensive subjects were matched with an equal number of normotensive persons from nearly 9,000 volunteers. A self-report questionnaire was employed to collect demographic and lifestyle information, and fasting serum biomarkers related to lipid profile, renal function, glucose level and uric acid were assessed. When age and sex were stratified, serum biomarkers such as blood urea nitrogen and triglycerides showed a significant difference for hypertension, while lifestyle behaviours including university degree, alcohol use, Body Mass Index and psychological stress (job and married life) were also associated with hypertension. After adjusting for covariate confounding factors, only elevated triglyceride levels were strongly linked to high blood pressure, odds ratio = 1.55, 95 per cent confidence level = 1.16–2.06. To control high blood pressure, hypertriglyceridemia should be included in hypertension treatment and followed up to assess the substantial risk of cardiovascular diseases.

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Prevalence, awareness , treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey

Colombia Medica ◽

10.25100/cm.v50i2.4124 ◽

2019 ◽

pp. 115-127 ◽

Cited By ~ 1

Author(s):

Lena Barrera ◽

Fernando Gómez ◽

Delia Ortega ◽

Jairo Corhuelo ◽

Fabián Méndez

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

High Blood Pressure ◽

Skin Color ◽

Adult Population ◽

The Elderly ◽

Self Report ◽

Dark Skin ◽

And Control ◽

Light Medium

Introduction: High blood pressure (HBP) is the main cardiovascular risk factor, it is more prevalent in the older adult population, and the prevalence can vary between ethnic groups. Objective: To estimate the prevalence of HBP, knowledge, treatment and control in population aged ≥60 years, resident in Colombia, according to their ethnic condition. Methods: Population sample selected by multistage sampling. Ethnicity was defined based on skin color. HBP was defined as systolic blood pressure ≥140, and/or diastolic blood pressure ≥90 mm Hg, and/or the participants’ self-report. Controlled HBP at a blood pressure value <140/90, knowledge and treatment were identified by self-report. Results: 23,694 adults aged ≥ 60 years were included, of which 54.5%, 34.5% and 10.9% were respectively identified as having light, medium or dark skin color; 54.5% were women, and 78.1% resided in urban areas. The standardized prevalence of HBP, by age, was 57.7% (95% CI: 55.2 - 60.2); 51.4% (95% CI: 47.3-55. 5), in men; and 62.9% (60.9- 64.9), in women. The standardized prevalence for light, medium and dark skin in men was 53.2% (95% CI: 48.7-57.7), 49.6% (44.5-54.7), and 49.4% (95% CI: 41.0-57.8) respectively; and in women was 62.5% (95% CI: 60.5-64 , 5), 61.7% (95% CI: 57.8- 65.6), and 69.9% (95% CI: 63.6-76.2) respectively. 98% of the population received treatment, and 93.9% were aware of HBP diagnosis. 42.5% of men and 55.5% of women with HBP were under control. Only 21.8% performed regular physical activity. Conclusion: Half of the adult population aged over 60 years suffers from HBP; the prevalence is higher in women particularly in dark-skinned women. It is necessary to develop policies to increase physical activity in the elderly.

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Components Analysis of Metabolic Syndrome in Acute Myocardial Infarction Patients

TAJ Journal of Teachers Association ◽

10.3329/taj.v29i2.39100 ◽

2018 ◽

Vol 29 (2) ◽

pp. 6-10

Author(s):

Khan MMR ◽

Sana NK ◽

PM Basak ◽

BC Sarker ◽

M Akhtarul Islam ◽

...

Keyword(s):

Myocardial Infarction ◽

Blood Pressure ◽

Metabolic Syndrome ◽

Acute Myocardial Infarction ◽

High Blood Pressure ◽

Abdominal Obesity ◽

Premature Death ◽

Medical College ◽

The Metabolic Syndrome ◽

Low Hdl

Background: Metabolic syndrome confers the risk of developing acute myocardial infarction which is the most common form of coronary heart disease and the single most important cause of premature death worldwide. The frequency and association of different components of metabolic syndrome on AMI are not well understood and has not been well evaluated.Objective: The aim of this study was to assess the components of the metabolic syndrome and its association with AMI patients. This study will help in awareness building in reducing AMI by early detection of components of metabolic syndrome.Patients and methods: This was a prospective observational study consisted of 325 AMI patients who were aged >20 years. Patients with first time AMI arriving in CCU of Rajshahi medical college during the period of 2012-2014, were included. Data were collected through interview, clinical examination, and laboratory tests within 24 hrs of AMI. Five components of metabolic syndrome were defined according to criteria set by modified NCEP ATP III (according to ethnic variation).Results: In AMI patients (n=325), no metabolic components were in 24 (7.4%) patients, one in 53 (16.3%), 2 components in 91(28.0%), 3 components were in 61(18.8%), 4 in 67(20.6%) and all 5 components were in 29 (8.9%) patients. In this study, there was no component in 7.4% of AMI patients, at least 1 component was 92.6%, at least 2 components were 76.3%, at least 3 components were 48.3%, at least 4 components were 29.5% and at least 5 components were 8.9%. The Metabolic syndrome was 48.3% (n=157). Among metabolic syndrome (≥3 components) in AMI (n=157, 48.3%) 4 components (20.6%) were more, next was 3 components (18.8%) and than 5 components (8.9%). Overall frequencies of components in acute myocardial infarction (n=325) were in order of abdominal obesity (54.8%) > high blood pressure (54.5%) > high FPG (54.2%) > Triglyceride (46.2%) and low HDL-C (46.2%) in acute myocardial infarction. Highest percentage was observed in abdominal obesity (54.8%) followed by high blood pressure (54.5%) and FPG (54.2%).TAJ 2016; 29(2): 6-10

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Abstract 13170: Endothelial Function is Impaired in Relation to Alcohol Consumption in Men in a Large General Population

Circulation ◽

10.1161/circ.132.suppl_3.13170 ◽

2015 ◽

Vol 132 (suppl_3) ◽

Author(s):

Nozomu Oda ◽

Yukihito Higashi ◽

Masato Kajikawa ◽

Tatsuya Maruhashi ◽

Akimichi Iwamoto ◽

...

Keyword(s):

Blood Pressure ◽

Alcohol Consumption ◽

General Population ◽

Endothelial Function ◽

Vascular Function ◽

Density Lipoprotein ◽

Self Report ◽

Lipoprotein Cholesterol ◽

Adjusted Risk ◽

Significant Difference

Introduction: Endothelial function is impaired in heavy or binge drinking. Heavy drinking should be a predictor of endothelial dysfunction. However, there is little information on the effects of dose-dependent alcohol consumption on endothelial function. Therefore, we evaluated the relationship between alcohol consumption and endothelial function in a large general population. Methods and Results: We measured flow-mediated vasodilation (FMD) in 2734 men who provided self-report about habitual alcohol intake. The subjects were divided into five groups by alcohol consumption: none (0 g/week), light (0 g/week< to ≤140 g/week), moderate (140 g/week< to ≤280 g/week), heavy (280 g/week< to ≤420 g/week), and excessive (420 g/week<). Age, systolic blood pressure, diastolic blood pressure, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, gamma glutamyl transpeptidase, uric acid, plasma glucose, hemoglobin A1c, and current smoking were significantly correlated with alcohol consumption. FMD showed a gradual decrease according to increased alcohol consumption (none, 6.6±3.4%; light, 6.2±3.0%; moderate, 6.0±3.0%; heavy, 5.5±2.9%; excessive, 5.3±3.0%; P<0.01). There was a significant difference in FMD between the non-drinker group and the light drinker group (P=0.018). After adjusted risk factors, we showed the significantly smaller FMD in the 4 drinker groups than in the non-drinker group: light drinker group (OR, 1.38; 95% CI, 1.10 to 1.75), moderate drinker group (OR, 1.36; 95% CI, 1.01 to 1.82), heavy drinker group (OR, 2.05; 95% CI, 1.46 to 2.87), excessive drinker group (OR, 2.04; 95% CI, 1.43 to 2.89). Conclusions: These findings suggest that even light alcohol consumption impair the endothelial function. Alcohol drinking may be harmful for vascular function.

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High Blood Pressure prevention and control: from evidence to action

10.25100/cm.v49i2.3940 ◽

2018 ◽

Vol 49 (2) ◽

pp. 137-138

Author(s):

Lena Barrera

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Latin American ◽

Prevention And Control ◽

National Health Survey ◽

Middle Income ◽

Disability Adjusted Life ◽

Life Years ◽

Health Organization ◽

And Control

The Pan American Health Organization (PAHO) with the World Hypertension League has established the 17th May to promote the prevention and control of High Blood Pressure (HBP). Currently nearly 1.13 billion of adults suffer from HBP (blood pressure ≥140/90 mm Hg) worldwide. While HBP prevalence decreased in high income countries (HIC) between 1975 and 2015, the opposite trend was observed in low- and middle- income countries (LMIC). Particularly, in Latin American and Caribbean countries the prevalence decreased from 40.6% to 26.8% and from 26.8% to 19.4% for men and women between 45 to 49 years old respectively. However, in 2015, HBP accounted for 8.9 of the total of disability adjusted life years (DALYS) and was associated with 4.9 million, 2.0 million and 1.5 million deaths due to ischemic heart disease, hemorrhagic stroke and ischemic stroke respectively. Therefore, HBP is the leading cardiovascular risk factor worldwide. In Colombia, the last National Health Survey reported a global prevalence of 22.8% and nearly 60% for those between 60 and 69 years in 2007

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Updated hypertension prevalence, awareness, and control rates based on the 2017ACC/AHA high blood pressure guideline

Journal of Clinical Hypertension ◽

10.1111/jch.13564 ◽

2019 ◽

Vol 21 (6) ◽

pp. 758-765 ◽

Cited By ~ 8

Author(s):

Yaqing Zhou ◽

Limei Jia ◽

Baojin Lu ◽

Guoqiang Gu ◽

Haijuan Hu ◽

...

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Hypertension Prevalence ◽

And Control

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The detection, treatment and control of high blood pressure in older British adults: cross-sectional findings from the British Women's Heart and Health Study and the British Regional Heart Study

Journal of Human Hypertension ◽

10.1038/sj.jhh.1002064 ◽

2006 ◽

Vol 20 (10) ◽

pp. 733-741 ◽

Cited By ~ 16

Author(s):

R Patel ◽

D A Lawlor ◽

P Whincup ◽

D Montaner ◽

O Papacosta ◽

...

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Health Study ◽

Cross Sectional ◽

Heart Study ◽

And Control

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Prevalence, Treatment, and Control of Hypertension in the French Population *1Data From a Survey on High Blood Pressure in General Practice, 1994

American Journal of Hypertension ◽

10.1016/s0895-7061(98)00071-5 ◽

1998 ◽

Vol 11 (6) ◽

pp. 759-762 ◽

Cited By ~ 74

Author(s):

B CHAMONTIN ◽

L POGGI ◽

T LANG ◽

J MENARD ◽

H CHEVALIER ◽

...

Keyword(s):

Blood Pressure ◽

General Practice ◽

High Blood Pressure ◽

French Population ◽

And Control

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Prevalence and Control of Dyslipidemia in Patients Referred for High Blood Pressure: The Disregarded “Double-Trouble” Lipid Profile in Overweight/Obese

Advances in Therapy ◽

10.1007/s12325-019-00941-6 ◽

2019 ◽

Vol 36 (6) ◽

pp. 1426-1437 ◽

Cited By ~ 10

Author(s):

Francesco Spannella ◽

Federico Giulietti ◽

Chiara Di Pentima ◽

Riccardo Sarzani

Keyword(s):

Blood Pressure ◽

Lipid Profile ◽

High Blood Pressure ◽

And Control

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Investigation of the effect of the virtual reality application on experimental pain severity in healthy

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.65.3.446 ◽

2019 ◽

Vol 65 (3) ◽

pp. 446-451

Author(s):

Dilek Karaman ◽

Funda Erol ◽

Dilek Yılmaz ◽

Yurdanur Dikmen

Keyword(s):

Blood Pressure ◽

Virtual Reality ◽

Control Group ◽

Control Groups ◽

Adult Type ◽

Significant Difference ◽

The Mean ◽

And Control ◽

Experimental Group ◽

Virtual Reality Application

SUMMARY OBJECTIVE: This study aimed to investigate the effect of virtual reality application on experimental ischemic pain created with a blood pressure instrument in healthy volunteers. METHODS: The research sample consisted of 172 volunteer adult students who conformed to the inclusion criteria. These individuals were assigned into an experimental (n=86) and a control group (n=86) by a simple randomization method. All individuals in the experimental and control groups wereexperimentally subjected to pain for two minutes by applying 260 mmHg of pressure 3-4 cm above the antecubital region of the left arm with an aneroid adult-type blood pressure instrument. During the procedure, the volunteers in the experimental group watched virtual reality images, while those in the control group received no intervention. Immediately after the procedure, the pain levels of the individuals in both groups were assessed with a Visual Analog Scale (VAS). RESULTS: We found that the mean pain score of the individuals in the experimental group was 2.62±1.82, and that of individuals in the control group was 5.75±1.65. Results of the statistical analysis showed a statistically significant difference between the mean pain scores of the individuals in the experimental and control groups (p<0.001). CONCLUSION: This study found that the use of virtual reality was effective in reducing the level of pain in healthy individuals. This method used a smartphone with widespread availability and ease of transportation, which can be used by health professionals as a non-pharmacological method in the management of pain.

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