Burnout of the Mind – Burnout of the Body?

2018 ◽  
Vol 32 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Claudia Traunmüller ◽  
Kerstin Gaisbachgrabner ◽  
Helmut Karl Lackner ◽  
Andreas R. Schwerdtfeger

Abstract. In the present paper we investigate whether patients with a clinical diagnosis of burnout show physiological signs of burden across multiple physiological systems referred to as allostatic load (AL). Measures of the sympathetic-adrenergic-medullary (SAM) axis and the hypothalamic-pituitary-adrenal (HPA) axis were assessed. We examined patients who had been diagnosed with burnout by their physicians (n = 32) and were also identified as burnout patients based on their score in the Maslach Burnout Inventory-General Survey (MBI-GS) and compared them with a nonclinical control group (n = 19) with regard to indicators of allostatic load (i.e., ambulatory ECG, nocturnal urinary catecholamines, salivary morning cortisol secretion, blood pressure, and waist-to-hip ratio [WHR]). Contrary to expectations, a higher AL index suggesting elevated load in several of the parameters of the HPA and SAM axes was found in the control group but not in the burnout group. The control group showed higher norepinephrine values, higher blood pressure, higher WHR, higher sympathovagal balance, and lower percentage of cortisol increase within the first hour after awakening as compared to the patient group. Burnout was not associated with AL. Results seem to indicate a discrepancy between self-reported burnout symptoms and psychobiological load.

2020 ◽  
Vol 5 (2) ◽  
pp. 100-107
Author(s):  
Reny Sulistyowati ◽  
Syam�ani Syam�ani

Stress is an individual's adaptive response to various external pressures or demands and produces a variety of disorders including physical, emotional and behavioral disorders. Final year students often experience feelings of stress so that it can interfere with concentration to attend lectures and can even hamper completing education in a timely manner. There are several ways of managing stress, one of which is using aromatherapy. Aromatherapy is a non-pharmacological therapy, which is a type of therapy that applies direct body contact and has a therapeutic effect that combines physiological effects, caused by massage on the body, with psychological effects, which are derived from essential oils. The general purpose of the study is to analyze the effect of aromatherapy on blood pressure and stress levels by using the Kessler Psychological Distress Scale in final semester students. The research method used a quasi-experimental design with a pretest-posttest control group design approach, in 28 intervention groups, namely respondents who were given lavender aromatherapy massage and 28 respondents in the control group. The univariate analysis was conducted to show frequency distribution and bivariate analysis was conducted by independent sample T-test and dependent sample T-test. The results showed that there were significant differences in systolic blood pressure before and after the intervention in the intervention and the control group with a p-value of 0.01 < 0.05. Whereas the stress level variable found that there is no difference in stress levels in the intervention and the control group before and after the intervention with p-value 0.169> 0.05.


Author(s):  
Marjan Mahdavi Roshan ◽  
Arsalan Salari ◽  
Sogol Emaminejad ◽  
Shirin Parvinroo ◽  
Asieh Ashouri ◽  
...  

High blood pressure, diabetes, hyperlipidemia and obesity are risk factors for cardiovascular diseases. With regard to the significant role of a healthy diet in the prevention and even treatment of diseases together with the high cost and side effects of drugs, finding foods effective in the treatment of metabolic disorders has been widely considered. This study aimed to evaluate the effect of oxymel – an Iranian traditional syrup with vinegar base – on cardiovascular risk indicators in obese and overweight people. Candidates were selected based on a set of inclusion criteria and were divided into two groups of control and test. The control group received 250 cc of water, while the test group received 250 cc water containing 30 cc of the oxymel for 30 days. Anthropometric and biochemical indicators were measured at the beginning and end of the study. The results showed that there were no significant changes in the body mass index, waist circumference, hip circumference, waist to hip ratio, HDL, LDL, Triglycerides, systolic and diastolic blood pressure, and blood glucose level. However, weight (P = 0.053) and cholesterol (P = 0.083) decreased relatively significantly in the test group compared to the control group. This study shows that consumption of oxymel has positive cardiovascular effects such as lowering the blood cholesterol level and can contribute to weight loss; however, studies with a larger sample size are recommended.


1989 ◽  
Vol 67 (6) ◽  
pp. 656-662 ◽  
Author(s):  
Melvin J. Fregly ◽  
Colin Sumners ◽  
J. Robert Cade

Chronic dietary administration of L-tryptophan at 2.5 and 5.0% by weight reduced the elevated systolic blood pressure of spontaneously hypertensive (SH) rats. Blood pressure was reduced significantly by 3 weeks after initiation of treatment and continued to fall during the course of the 15 weeks of treatment. Body weights of the treated rats were not affected significantly by treatment, nor were daily food and fluid intakes and urine outputs. SH rats, treated with the higher dose of tryptophan, also significantly reduced their urinary outputs of epinephrine and norepinephrine compared with SH controls, while both doses of tryptophan increased urinary outputs of dopamine significantly above that of SH controls. Treatment with tryptophan increased significantly the specific binding of [125I]angiotensin II (Ang II) to membranes from the diencephalon in a dose-dependent manner. Measurement of catecholamine concentration of the supernatant from homogenates used for the Ang II binding assay revealed a significant correlation between the specific binding of Ang II to brain membranes of the two tryptophan-treated groups and the concentration of norepinephrine in the supernatant. There was also a significant correlation between the specific binding of Ang II and the concentratiion of dopamine in the supernatant of the control group and the group treated with the higher dose of tryptophan. These results show that chronic dietary administration of tryptophan can reduce the elevated blood pressure of SH rats and support the possibility that this neutral amino acid may act via its effect on the concentration of the neurohormones, norepinephrine and dopamine, in the diencephalon to regulate the binding of Ang II to its receptors.Key words: tryptophan, spontaneous hypertension, brain angiotensin binding, urinary catecholamines.


2003 ◽  
Vol 31 (03) ◽  
pp. 489-497 ◽  
Author(s):  
Myung Suk Lee ◽  
Myeong Soo Lee ◽  
Euy-Soon Choi ◽  
Hun-Taeg Chung

This study was designed to measure changes in blood pressure (BP), urinary catecholamines and ventilatory functions of patients with mild essential hypertension after 10 weeks of Qigong (Shuxinpingxuegong). Fifty-eight patients volunteered to participate in this study and were randomly divided into either a Qigong group (n = 29), or a control group (n = 29). Systolic blood pressure and diastolic blood pressure decreased significantly in the Qigong group such that both became significantly lower after 10 weeks in the Qigong than in the control group. Also, there was a significant reduction of norepinephrine, metanephrine and epinephrine compared to baseline values in the Qigong group. The ventilatory functions, forced vital capacity and forced expiratory volume per sec, were increased in the Qigong group but not the control. These results suggest that Qigong may stabilize the sympathetic nervous system is effective in modulating levels of urinary catecholamines and BP positively, and in improving ventilatory functions in mildly hypertensive middle-aged patients.


2020 ◽  
Vol 100 (6) ◽  
pp. 108-113
Author(s):  
A.B. Miroshnikov ◽  
A.D. Formenov ◽  
A.B. Smolensky

Athletes of power sports, often appear to us as a model of a beautiful and healthy body, but the health of the cardiovascular system ofthese athletes has long falls under the gaze of cardiologists and sport physicians. Purpose of the study. A comparative analysis of the influence of a uniform and high-intensity aerobic exercise on blood pressure lowering power sports athletes with hypertension. Research Methods. The study involved 83 representatives of power sports (bodybuilding) with arterial hypertension. The average age of male athletes was 31.2 ± 4.5 years, and the body mass index was 32.4 ± 2.8 kg/m 2. To achieve this goal, the following methods were used: examination, interrogation, triple measurement of blood pressure, ergospirometry and methods of mathematical statistics. Athletes were randomized into three groups: interval training group (n = 33), uniform training (n = 30) and control group (n = 20). For 120 days (3 times a week), the athletes of the main groups performed various aerobic work programs, and the control group athletes trained according to their traditional strength protocol. Results. After 120 days of physical rehabilitation, a similar, significant decrease in systolic and diastolic blood pressure occurred in themain intervention groups. A decrease in blood pressure in the control group was not statistically significant. Conclusions. Despite the similar benefits in cardio-rehabilitation interval work required 38% less time, which can significantly affect adherence to a non-specific for this sport activity and screening of participant’s lengthy rehabilitation.


2020 ◽  
Vol 5 (1) ◽  
pp. 71
Author(s):  
Sri Muharni ◽  
Utari Christya Wardhani

<div class="Section1"><p><em><em>Hypertension is one of the most common cardiovascular problem in elderly.  Prolonged high blood pressure canlead to destructionof the blood vessels throughout the body. However it can be controlled with pharmacology and non-pharmacology technique, one of the non-pharmacological therapy is ergonomic exercise. Ergonomic exercise is the gymnastic motion which is combined with breathing techniques. This study aimed was to know about the effect of ergonomic exercise to decreasing blood pressure in elderly with hypertensions in Community Health Center Sei Pancur region. The design was One Group Time Series, intervention given to one group only, without control group. Ergonomic exercise efectivity rated by comparing blood pressure pre and post exercise, during first, second, and third week. Sampling technique was used purposive sampling with 50 respondents. The respondents were given interventions four times. The data analysis used Paired T-Test and Annova Test. The results were shown that the blood pressure significantly decreased during fourth week, with p value: 0.00 for both systolic and diastolic blood pressure. As conclusions, ergonomic exercise had effect to decreasing blood pressure in elderly with hypertensions</em></em></p><p><em><br /></em></p><p><em>Hipertensi adalah salah satu masalah kardiovaskular yang sering terjadi pada lansia. Tekanan darah yang tinggi akan mengakibatkan kerusakan pembuluh darah di seluruh tubuh, kerusakan  tersebut dapat kita  kendalikan dengan terapi farmakologi maupun non farmakologi, salah satunya adalah senam ergonomik. Senam ergonomik adalah  suatu gerakan senam yang dikombinasikan dengan teknik pernapasan. Penelitian ini bertujuan untuk mengetahui pengaruh senam ergonomik terhadap penurunan tekanan darah  pada lansia  hipertensi di wilayah kerja Puskemas Sei Pancur. Desain dalam penelitian ini adalah One Group Time Series Design dengan mengintervensi satu kelompok saja tanpa kelompok pembanding. Efektifitas perlakukan senam ergonomik dinilai dengan cara membandingkan tekanan darah sebelum diberikan senam ergonomik dengan hasil tekanan darah setelah senam ergonomik minggu pertama,kedua dan ketiga. Dimana Teknik sampling yang digunakan adalah Purposive Sampling dengan jumlah sampel 50 responden. Pemberian sebanyak 4  kali intervensi. Analisa data menggunakan uji Paired T-Test dan Annova Test. Hasil penelitian menunjukkan bahwa tekanan darah mulai turun signifikan pada minggu ke-4, dengan nilai p = 0,00 untuk tekanan darah sistole dan 0,00 untuk tekanan darah diastol. Kesimpulan dalam penelitian ini adalah senam ergonomik berpengaruh terhadap penurunan tekanan darah pada lansia dengan hipertensi</em></p></div>


2018 ◽  
Vol 1 (5) ◽  
Author(s):  
Jin Li ◽  
Wenting Shi ◽  
Pengyi Zhang

Objective Gut microbiome has a significant impact on human health through the interaction with host and environment, which is closely related to a series of chronic diseases. The diversity of gut microbiome and its metabolic disorder are the risk factor of hypertension. The changes of gut microbiome structure and abundance are closely related to the pathogenesis of hypertension, in which Bifidobacterium and lactic acid bacteria can bind with the hypotensive substances to show the hypotensive therapy. However, the diet and exercise have great impact on the structure and function of gut microbiome, and of which aerobic exercise could increase the ratio of gut beneficial bacteria to harmful bacteria effectively. The effect of treadmill exercise on gut microbiome of hypertensive mice was studied in this paper, which provided a theoretical basis for the prevention and treatment of hypertension by gut microbiome. Methods SPF Kunming mice were fed with 8% high salt diet for 6 weeks to make the hypertension model. Compared with the blood pressure of mice before the formal experiment, The standard was that the blood pressure of the experimental mice was increased by SBP >15% or DBP > 5%, which was indicated the model of hypertension was established successfully. The motion slope and velocity of the maximum oxygen uptake of 30%, 50%, and 70% were measured respectively. The mice were divided into 4 groups randomly according to their body weight, 10 mice/group. The 30% VO2 max, 50% VO2 max, and 70% VO2 max were exercised for 6 weeks as well as the control group. The mice were divided into cages and fed in accordance with the national standard rodent diet. The blood pressure of mice was measured weekly by tail pressure method (Tail-cuff).The abundance of Bifidobacterium, Bacteroides, Lactobacillus and Enterobacter in the gut microbiome of mice feces were tested by 16S sequencing every two weeks. The ratio of Firmicute / Bacteroides (F/B ratio) was also measured by sequencing as a parameter to reflect the disorder of gut microbiome. The ratio of Firmicutes / Bacteroides is almost equal 1, and the present study found that the F/B increased significantly in the hypertensive group. Real-time PCR was used to detect the changes of plasma inflammatory factors IL-1β, IL-6 and TNF-ɑ. The previous study had shown that the intestinal disorders can lead to an increase in pathogenic bacteria, further leading to the inflammation. Finally, the experimental data were analyzed by independent sample t-test. Results (1) After six weeks of exercise intervention, the blood pressure (132.87mm Hg±5.23mm Hg) of the exercise group was significantly lower than the control group (99.57mm Hg±7.47mm Hg), especially in the 50%VO2 max mice. (2) Compared with the rest group, the abundance of gut microbiome in the exercise group was increased, among which the number of Bifidobacteria, Lactobacillus, and Bacteroides were increased significantly, of which 50% of VO2 max group increased most significantly, and the number of Enterobacter was less than the control group (p<0.05). (3) Compared with the control group, the ratio of F/B in the exercise groups were lower than the control group, but the 50% VO2 max group was decreased most obviously (p < 0.05). (4) Compared with the control group, the plasma levels of IL-1β, IL-6 and TNF-ɑ in exercise groups were significantly lower than the control group (p < 0.05). Conclusions  (1) The aerobic exercise could change the abundance and structure of gut microbiome in hypertensive mice, increase the beneficial bacteria Bifidobacteria and lactobacillus in the intestinal tract of mice, and reduce the ratio of Firmicutes/Bacteroides, improving the gut microbiome disorder. (2) The aerobic exercise could alleviate the inflammatory reaction of the body by regulating the structure of gut microbiome of hypertensive mice, improving the blood pressure of mice; (3) 50%VO2 max was the most significant exercise intensity to improve the abundance and structure of gut microbiome in hypertensive mice.  


2020 ◽  
pp. 089801012092158
Author(s):  
Kelly Hilcove ◽  
Catherine Marceau ◽  
Prachi Thekdi ◽  
Linda Larkey ◽  
Melanie A. Brewer ◽  
...  

Purpose Effects of a mindfulness-based (MB) yoga practice on stress, burnout, and indicators of well-being among nurses and health care professionals (HCPs). Design A randomized controlled trial, 80 HCPs assigned to either MB yoga intervention or control group. Method The MB yoga intervention group ( n = 41) attended weekly yoga classes and practiced yoga independently. The control group ( n = 39) did not receive the yoga intervention. Study participants completed pre- and postintervention questionnaires, instruments included (a) Perceived Stress Scale; (b) Maslach Burnout Inventory; (c) Vitality subscale of the Medical Outcomes Study Short Form–36; (d) Global Sleep Quality item, (e) Mindfulness Awareness Survey, and (f) subscale of the Brief Serenity Scale. Diurnal salivary cortisol and blood pressure were assessed pre and postintervention. Results Significant improvements ( p < .01) noted in MB yoga compared with control for self-reported factors, including stress (Perceived Stress Scale), burnout (Maslach Burnout Inventory), vitality (Medical Outcomes Study Short Form–36), sleep (GSQ), serenity/inner haven (IH), and mindfulness (Mindfulness Awareness Survey). Diurnal cortisol slopes and blood pressure were not significantly improved. Conclusion The MB yoga intervention had a statistically significant effect on the health and well-being of nurses and HCPs, most specifically for measures of stress; perceived stress, burnout, vitality, sleep quality, serenity, and mindfulness.


2020 ◽  
Author(s):  
lin ying ◽  
liu liangming ◽  
qu jifu

Abstract Objective: To observe the effects of seawater immersion on the pathophysiological changes in rats combined burns with open abdominal injury.Method: Eighty-eight male Sprague-Dawley(SD) rats combined burns with open abdominal injuries were randomly divided into the seawater immersion group (SI) and the control group (Ctl).Rats in SI group were immersed in seawater at 15℃ for 1 hour. The changes of respiration, blood pressure, rectal temperature, blood gases, blood electrolyte, liver and kidney function, coagulation function, heart damage and animal survival at different time points in the early stage (within 9 hours after injury) were observed.Result: After immersed in seawater, the body temperature of rats in SI group were significantly decreased, the respiration were remarkably inhibited and the blood pressure were obviously declined as compared to those in Ctl group. The blood pH of rats in SI group were significantly lower than those in Ctl group, showing severe acidosis(P<0.05). The changes of HCO3-, PCO2 and BE also presented the similiar trends(P<0.05). PO2 and PCO2 in SI group were significantly higher than those in Ctl group (P<0.05). However, the SaO2 in SI group were lower than those in Ctl group (P<0.05). Blood sodium and chlorine in SI group were higher than those in Ctl group, showing severe hypernatremia and hyperchloremia(P<0.05). The concentration of potassium and calcium were not obviously changed. The liver and kidney function parameters(AST,ALT,Urea,Crea) in SI group were lower than those in Ctl group 4 hours after injury(P<0.05), while myocardial damage markers (TNT) in SI group were higher than those in Ctl group. There were no significant differences in coagulation function between the two groups. The survival time of the SI group rats were shorter than those in Ctl group and the mortality was higher than those in Ctl group (66.7% vs 41.7%).Conclusion: Low-temperature seawater immersion might aggravate injury, accelerate animal death, induce hypothermia, respiratory depression, acidosis, hypernatremia and hyperchloremia. Immersing in low temperature seawater for 1 hour can cause myocardial damage, but it has protective effects on the liver and kidney. Therefore, more attentions should be paid to the secondary injury caused by seawater immersion in the emergency treatment of the wounded, such as rapidly rewarming, rectifying the acidosis and maintaining the stability of homeostasis of the wounded, so as to lay the foundation for the further definitive treatments.


2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Ninik Ambar Sari ◽  
Dya Sustrami

Hypertension is an increase in blood pressure where the systolic pressure is more than 140 mmHg and diastolic pressure is more than 90 mmHg. The cause of the onset of hypertension can be of age factor. Elderly who suffer from hypertension usually cause interruption of daily activities, so routine treatment is needed in order not to cause complications. Young coconut water contains potassium, magnesium and vitamin C which has benefits to help the body regulate blood pressure, so it can reduce hypertension. The purpose of this study was to determine the effect of young coconut water on the decrease of high blood pressure in the elderly. Experimental Quasy research design with Non-Equivalent Control Group Desaign approach. The population of this study is elderly who are not dependence of hypertension drugs as much as 32 people with the number of samples of 30 respondents selected by Probability Sampling with Simple Random Sampling approach. The independent variable is young coconut water therapy, the dependent variable is the decrease of high blood pressure. Data were collected using questionnaires and observations. Data were analyzed by using Paired t-test and Independent t-test. The results showed that the consumption of young coconut water as much as 250 ml morning and afternoon for 2 weeks in the treatment group can lower systolic blood pressure. The independent t test in the treatment group and the control group obtained the result p = 0.013 (p <a = 0.05). The implication of this study is that young coconut water can lower blood pressure in elderly people with hypertension, so that young coconut water treatment can be used as one of the non-pharmacological alternative to reduce blood pressure.  


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