scholarly journals Frailty and Trajectories of Blood Pressure Among Older Mexican Americans Over Time

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 269-269
Author(s):  
Soham Al Snih ◽  
Martin Rodriguez ◽  
Lin-Na Chou ◽  
Kyriakos S Markides ◽  
Kenneth Ottenbacher
Keyword(s):  
Blood Pressure ◽  
Mexican Americans ◽  
Mexican American ◽  
High Body Mass Index ◽  
Female Gender ◽  
The Elderly ◽  
P Value ◽  
Frailty Status ◽  
Time Dependent Covariates ◽  
Over Time

Abstract The objective of this study was to examine whether blood pressure (BP) trajectories differ by frailty status among older Mexican Americans. Data are from an 18-year prospective cohort study of 1,781 non-institutionalized Mexican American aged ≥ 67 years from the Hispanic Established Population for the Epidemiological Study of the Elderly (1995/96-2012/13). Frailty was defined as meeting three or more of the following: unintentional weight loss of >10 pounds, weakness, self-reported exhaustion, low physical activity, and slow walking speed. General linear mixed models were used to estimate trajectories of systolic and diastolic BP over an 18-year period as a function of frailty status. All variables were analyzed as time-dependent covariates except for gender and education. At baseline, 46.3% participants were non-frail, 44.8% were pre-frail, and 9.0% were frail; and the mean of systolic and diastolic BP was 136.9 mmHg (SD=18.6) and 77.3 mmHg (SD=12.2), respectively. Frail participants had greater systolic and diastolic BP decline over time than non-frail (estimate=-3.94, SE=0.88, p-value=<0.0001 and estimate=-1.32, SE=0.54, p-value=0.0138, respectively); and pre-frail participants had greater systolic BP decline than non-frail (estimate=-1.51, SE=0.54, p-value=0.0049), after controlling for all covariates. Those with high body mass index and hypertension with and without treatment had increased levels of systolic and diastolic BP over time. Older age, female gender, arthritis, diabetes, and stroke had decreased levels of diastolic BP over time. This study showed progressive decline in systolic and diastolic BP in frail compared to non-frail older Mexican Americans, which might have implications when treating frail older adults with hypertension.

scholarly journals The Role of Physical Activity and Physical Function on the Risk of Falls in Older Mexican Americans

2016 ◽  
Vol 24 (3) ◽  
pp. 342-349 ◽  
Author(s):  
Zakkoyya H. Lewis ◽  
Kyriakos S. Markides ◽  
Kenneth J. Ottenbacher ◽  
Soham Al Snih
Keyword(s):  
Physical Activity ◽  
Physical Function ◽  
Mexican Americans ◽  
Mexican American ◽  
Epidemiologic Study ◽  
The Elderly ◽  
High Physical Activity ◽  
Risk Of Falls ◽  
Over Time

We investigated the relationship between physical activity and physical function on the risk of falls over time in a cohort of Mexican-American adults aged 75 and older from the Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE). Participants were divided into four groups according to their level of physical activity and physical function: low physical activity and low physical function (n = 453); low physical activity and high physical function (n = 54); high physical activity and low physical function (n = 307); and high physical activity and high physical function (n = 197). Using generalized linear equation estimation, we showed that participants with high physical activity and low physical function had a greater fall risk over time, followed by the high physical activity and high physical function group. Participants seldom took part in activities that improve physical function. To prevent falls, modifications to physical activity should be made for older Mexican Americans.

Abstract P181: Cardiac Structure is Associated with Obesity and Blood Pressure But Not Inflammation

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Robert A Palermo ◽  
Samuel S Gidding ◽  
Stehpanie S DeLoach ◽  
Scott W Keith ◽  
Bonita Falkner
Keyword(s):  
Blood Pressure ◽  
African American ◽  
Left Ventricular Mass Index ◽  
African American Adolescents ◽  
Female Gender ◽  
Left Ventricular ◽  
P Value ◽  
Cardiac Structure ◽  
Z Score ◽  
Pai 1

Purpose: The aim of this study was to identify risk factors associated with cardiac structure in a cohort of African American adolescents oversampled for obesity and high blood pressure (BP). Additional associations of cardiac structure with a pro-inflammatory adipokine profile (low adiponectin, elevated IL6, PAI-1 and CRP) were sought. Methods: A cross-sectional study was conducted using a two-by-two factorial design with four groups of African American adolescents based on BP (prehypertension or stage 1 hypertension=high BP) and body mass index (BMI > 95% =obese) designation. Measurements included: echocardiogram, anthropomorphics, BP (on 3 separate occasions), high sensitivity CRP and plasma adipokines (adiponectin, IL6, PAI-1). Standardized echocardiogram measurements were used to obtain left ventricular mass index (LVMI, g/m 2.7 ) and left atrial diameter index (LADI, mm/m 2 ). Ordinary least-squares regression with model selection by Mallow's Cp was used to determine if pro-inflammatory adipokine profile predicted LV mass and LA diameter in models including age, gender, BMI z-score, and systolic BP. Results: Data on 251 African American adolescents, ages 13-19, were analyzed. BMI-z score was strongly associated with a pro-inflammatory adipokine profile whereas high BP was not. Variation in LADI was significantly associated with BMI (β=0.12, p<0.01) and female gender (β=0.08, p=0.04). LVMI variation was significantly associated with BMI (β=3.53, p<0.01), age (β=0.71, p<0.01), female gender (β=-4.32, p<0.01), and systolic BP (β=0.10, p=0.03). Though significant in univariate models, inflammatory markers were not significantly associated with LADI or LVMI after BMI adjustment. Conclusions: In African American adolescents, BMI is an important determinant of LADI and LVMI. Obesity is associated with a pro-inflammatory adipokine profile but LADI and LVMI are not. Table. Regression modeling results after variable selection by Mallow C p : Left Atrium Diameter Index and Left Ventricular Mass Index (N = 251) LADI LVMI Estimate (95% CL) p-value Estimate (95% CL) p-value Age (yr) 0.00063 (-0.021, 0.023) 0.955 0.71 ( 0.18, 1.24) 0.009 Gender (F) 0.08 ( 0.01, 0.16) 0.036 −4.32 (-6.13,-2.51) <.001 BMI z-score 0.12 ( 0.08, 0.16) <.001 3.53 ( 2.66, 4.40) <.001 Systolic BP 0.0019 (-0.0017, 0.0055) 0.306 0.0952 ( 0.0085, 0.1819) 0.032

scholarly journals INFLUENCE OF YOGA ON THE BLOOD PRESSURE OF ELDERLY WITH HYPERTENSION

2018 ◽  
Vol 2 (3) ◽  
pp. 30-35
Author(s):  
Mariza Elvira
Keyword(s):  
Blood Pressure ◽  
Quantitative Methods ◽  
Statistical Tests ◽  
The Elderly ◽  
World Health ◽  
P Value ◽  
Main Program ◽  
The Earth ◽  
Health Organization ◽  
Relationship Of

According to WHO (World Health Organization) about 972 million people in the earth suffering from hypertension that occurs in the elderly over the age of 60 years. The purpose of this study is to determine the effect of yoga exercises on blood pressure in the elderly who experienced hypertension in Social House Trisna Werdha Kasih Sayang Ibu Batusangkar. This research was conducted in April to May 2017 with quantitative methods. The instrument used was the observation sheet with elderly respondents who suffered from hypertension as many as 12 people that meet the criteria with Total Sampling. The statistical test used is Dependent t-test. The results of statistical tests showed a significant influence between elderly blood pressure before yoga gymnastics and after yoga exercises with p value = 0.000 (<0.05). So it can be concluded that there is a relationship of yoga exercises with blood pressure.It is expected to Trisna Werdha Kasih Sayang Ibu at Batusangkar Social House to be able to make this yoga gymnastics as one of the main program for elderly.

Association between blood pressure levels over time and brain atrophy in the elderly

2003 ◽  
Vol 24 (2) ◽  
pp. 307-313 ◽  
Author(s):  
Tom den Heijer ◽  
Ingmar Skoog ◽  
Matthijs Oudkerk ◽  
Frank-Erik de Leeuw ◽  
Jan Cees de Groot ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Brain Atrophy ◽  
The Elderly ◽  
Over Time

scholarly journals Biological Risk and Infection Profiles of Young Adult Male Mexican American Gang Members

2018 ◽  
Vol 133 (5) ◽  
pp. 551-558 ◽  
Author(s):  
Alice Cepeda ◽  
Kathryn M. Nowotny ◽  
Jessica Frankeberger ◽  
Jarron M. Saint Onge ◽  
Avelardo Valdez
Keyword(s):  
Blood Pressure ◽  
Mexican Americans ◽  
Mexican American ◽  
Density Lipoprotein ◽  
National Sample ◽  
Risk Indicators ◽  
Risk Scores ◽  
Biological Risk ◽  
Adjusted Risk

Objectives: Little research has examined the long-term health consequences of gang affiliation among Mexican Americans. The objectives of this study were to (1) measure biological indicators of cardiovascular and metabolic risk, as well as prevalence of sexually transmitted infections (STIs), in a sample of Mexican American men aged 25-40 who were affiliated with gangs as adolescents and (2) compare those indicators with a comparable national sample of Latino men. Methods: Using bivariate analyses, we compared blood pressure, body mass index, 4 metabolic and cardiovascular indicators, and 4 infections for 179 Mexican American formerly gang-affiliated men in San Antonio, Texas, and 155 Mexican American men from the National Health and Nutrition Examination Survey. We used multivariate models to estimate adjusted risk scores for each sample controlling for age, marital status, and education. Results: Compared with men in the national sample, the unadjusted results showed that men in the gang-affiliated sample had significantly higher mean systolic blood pressure (125.6 vs 120.0  mm Hg, P = .001), diastolic blood pressure (81.4 vs 71.1 mm Hg, P < .001), and C-reactive protein (5.9 vs 3.6 mg/L, P = .04), and a significantly lower mean total cholesterol (164.2 vs 205.5 mg/dL, P < .001) and low-density lipoprotein cholesterol (91.1 vs 120.1 mg/dL, P < .001). Compared with men in the national sample, more men in the gang-affiliated sample had herpes simplex virus type 2 (64/174 [36.8%] vs 18/147 [12.2%], P < .001), chlamydia (10/176 [5.7%] vs 1/135 [0.7%], P = .02), and hepatitis C virus (85/173 [49.1%] vs 0, P < .001). The gang-affiliated sample had a significantly higher adjusted risk score than the national sample (1.5 vs 1.1, P = .003). Conclusions: Gang-affiliated Mexican American men had significant disparities in biological risk indicators and STIs, which can lead to long-term health implications and highlight the need for tailored prevention strategies. Long-term exposure to psychosocial stressors and subsequent systemic inflammation may also increase the risk for physiological and psychological dysregulation and detrimental chronic health conditions in this population.

scholarly journals Efektifitas Spiritual Emotional Freedom Technique (SEFT) dan menyanyi terhadap tekanan darah lansia di rumpelsos pucang gading semarang

2019 ◽  
Vol 3 (1) ◽  
pp. 14
Author(s):  
Sonhaji Sonhaji ◽  
Roland Lekatompessy
Keyword(s):  
Blood Pressure ◽  
Social Service ◽  
The Elderly ◽  
The Body ◽  
P Value ◽  
Test Results ◽  
Body System ◽  
Left Group ◽  
Average Blood Pressure ◽  
Before And After

The result of statistical analysis obtained data on the average blood pressure inthe left group before being given the intervention of 173,76/96,41 while after being given the intervention of 170,29/93,82. On the singing group before being given intervention, the average of blood pressure of 153,06/87,41 and after being given intervention tobe 168/87. Camparative test results in both groups between before and after ihe invention were obtained p – value = 0,00 (p- value p < 0,05). Conclusion was spiritual emotional freedom techneque (SEFT) is more effective than singing to reduce the blood pressurenof the elderly with hypertension in social service home, Pucang Gading, Semarang. One of the body system disorders that is often experienced by the elderly. Namely the cardiovascular system such as hypertension. Hypertension of elderly can caused bad condition such as heartdiscase, stroke and kidney failure, there fore, intervention is needed to maintain blood pressure within normal himits.

scholarly journals DUKUNGAN KELUARGA DAN KEPATUHAN DIET LANSIA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS TUMPAAN

2020 ◽  
Vol 8 (01) ◽  
pp. 127-143
Author(s):  
Alfany Natalia Torar ◽  
Semuel Tambuwun ◽  
Herlina P Memah ◽  
Yourisna Pasambo
Keyword(s):  
Blood Pressure ◽  
Family Support ◽  
Elderly People ◽  
The Elderly ◽  
Statistical Test ◽  
Coastal Areas ◽  
P Value ◽  
Chi Square ◽  
Mountain Areas ◽  
Diet Adherence

Introduction Data obtained from the working area of Puskesmas Tumpaan found that hypertension in the elderly was the first prominent disease in the range of January-December 2017, as many as 465 patients and in 2018 the number of patients was 510. Based on preliminary studies of elderly people with high blood pressure, said their blood pressure often increases because they do not adhere to a diet. Lack of support from family members can influence the compliance behavior of implementing a hypertension diet. The purpose of this study is to find out the relationship between family support and adherence to the diet of elderly people with hypertension in the work area of the Puskesmas Tumpaan in the coastal areas and and mountain areas. This type of research is Correlation Analytic with cross sectional design. The population in this study is the elderly with hypertension. The sampling technique uses proportional random sampling with a total of 84 people divided into 42 people in coastal areas and 42 people in mountain areas and data analysis techniques using the Chi Square test. The results showed that in the coastal areas 31% of respondents with good family support, 40% of respondents had adequate family support and 29% of respondents had less family support while 52% showed adherent diet adherence and 48% adherence to non-adherent diet. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.008, meaning that the P-value <0.05. The results of the study in the mountain areas of 40% of respondents with good family support, 31% of respondents with adequate family support and 29% of respondents with less family support, 57% showed adherent diet adherence and 43% of adherent diet adherence. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.021, meaning that the P-value <0.05. The conclusion of this study is that there is a relationship of family support with adherence to the diet of elderly patients with hypertension in both coastal and mountain areas.

scholarly journals The Effect of Starfruit Juice to Reduce The Blood Pressure In Elderly Patients

2020 ◽  
Vol 2 (3) ◽  
pp. 111
Author(s):  
Endhar Arifathul Farida ◽  
Ilham Setyo Budi ◽  
Jamaludin Jamaludin
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Elderly People ◽  
Community Health Center ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Service Centre ◽  
Star Fruit ◽  
Integrated Service

Hypertension is classified as a disease that is often called the Silent Killer. Hypertension can attack various ages, including the elderly. Hypertension in the long term will cause various complications. In the Treatment of hypertension, many natural plants can be consumed, one of which is star fruit. Sweet starfruit juice is very useful for lowering blood pressure because of its fibre, potassium, phosphorus and vitamin C content.  This study was to determine the effect of starfruit juice on lowering blood pressure in elderly people with hypertension at the integrated service centre in the working area of Rejosari Dawe Kudus Public Health Center. This study used a Quasy experiment method with a pre-test-post-test research design with a control group. A sample of 20 people, divided into two groups, namely 10 people in the experimental group and 10 people in the control group.  The results of the independent t-test, the results of the posttest systolic blood pressure p-value = 0.004, while the diastolic blood pressure posttest p-value = 0.014, so it can be seen that the p-value <0.05, then H0 is rejected and Ha is accepted.  In this study, it can be concluded that there is an effect of giving star fruit juice on reducing blood pressure in elderly people with hypertension at the integrated service centre in the working area of the Rejosari Dawe Kudus Community Health Center. 

scholarly journals JUS MENTIMUN DAPAT MENURUNKAN TEKANAN DARAH PADA WANITA MENOPAUSE

2021 ◽  
Vol 7 (4) ◽  
pp. 697-703
Author(s):  
Fika Kusmawati ◽  
Sri Dinengsih ◽  
Risza Choirunisa Choirunisa
Keyword(s):  
Blood Pressure ◽  
Postmenopausal Women ◽  
Intervention Group ◽  
Sampling Technique ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Purposive Sampling ◽  
Work Area ◽  
Quasi Experimental

Background: The prevalence of hypertension in Indonesia is 45.9% for 55-64 years old, 57.6% for 65-74 years old and 63.8% for >75 years old. It is estimated that people with hypertension in Indonesia reach 15 million people but only 4% are controlled hypertension. The prevalence is 6-15% in the elderly, 50% are not aware of being hypertensive patients, so they tend to become severe hypertension because they do not avoid and do not know the risk factors and 90% are essential hypertension.The Purpose  Knowing the effect of giving cucumber juice on blood pressure in postmenopausal women in the work area of the Puskesmas baktijaya, south tangerang city in 2021 in the intervention group and control group.Methodology: The researcher used a quasi-experimental research design with a pre-test and with control design. The sample in this study amounted to 36 people consisting of 18 intervention groups and 18 control groups. The sampling technique used was purposive sampling. The research instrument consisted of an observation sheet on the state of blood pressure in patients with hypertension before being given cucumber juice and changes in blood pressure in postmenopausal women with hypertension after being given cucumber juice.Research result: There was an effect of giving cucumber juice on decreasing blood pressure in the intervention group with a mean rank of 13.72 and in the control group with a mean rank of 23.28. With a p value of 0.005 < 0.05. There is an effect of giving cucumber juice to decrease diastolic blood pressure in the intervention group with a mean rank of 23.94 and in the control group with a mean rank of 13.06. With a p value of 0.001 <0.05.Conclusions and suggestions: Giving cucumber juice can affect the reduction of blood pressure in postmenopausal women. Suggestion giving cucumber juice to menopausal women or the public can be applied and consumed regularly. Keywords:Menopausal Women, Hypertension, Cucumber ABSTRAK Latar Belakang: Prevalensi  hipertensi di  Indonesia  sebesar  45,9%  untuk  umur  55-64 tahun, 57,6% umur 65-74 tahun dan 63,8%  umur >75 tahun. Diperkirakan penderita hipertensi di Indonesia mencapai 15 juta jiwa tetapi  hanya  4%  yang  merupakan  hipertensi terkontrol. Prevalensi 6-15% pada orang lanjut usia, 50% tidak menyadari sebagai penderita hipertensi sehingga mereka cenderung menjadi hipertensi berat karena tidak menghindari dan tidak  mengetahui  faktor  risikonya  dan  90%  merupakan hipertensi esensial.Tujuan: Mengetahui pengaruh pemberian jus mentimun terhadap tekanan darah pada wanita menopause di wilayah kerja puskesmas baktijaya kota tangerang selatan tahun 2021 pada kelompok intervensi dan kelompok kontrol.Metodologi: Peneliti menggunakan desain penelitian quasi-eksperimen dengan rancangan pre-test and with control. Sampel dalam penelitian berjumlah 36 orang yang terdiri dari 18 kelompok intervensi dan 18 kelompok kontrol. Teknik pengambilan sampel menggunakan purposive sampling. Instrumen penelitian terdiri dari pada  lembar  observasi  keadaan  tekanan  darah pada  penderita  hipertensi sebelum diberikan jus mentimun dan  perubahan  tekanan  darah  pada  wanita menopause yang mengalami hipertensi setelah diberikan jus mentimun.Hasil Penelitian: Ada pengaruh pemberian jus mentimun terhadap penurunan tekanan darah pada kelompok intervensi dengan mean rank 13,72 dan pada kelompok kontrol dengan mean rank 23,28. Dengan nilai p value sebesar 0,005 < 0,05. Ada pengaruh  pemberian jus mentimun terhadap penurunan tekanan darah diastolik pada kelompok intervensi dengan mean rank 23,94 dan pada kelompok kontrol dengan mean rank 13,06. nilai p value sebesar 0,001 < 0,05.Simpulan Pemberian jus mentimun dapat berpengaruh terhadap penurunan tekanan darah pada wanita menopause.Saran pemberian jus mentimun pada wanita menopause atau masyarakat dapat diterapkan dan dikonsumsi secara rutin. Kata Kunci : Wanita Menopause, Hipertensi, Mentimun 

scholarly journals Body Mass Index and Frailty Among Older Mexican Americans: Findings From an 18-year of Follow-up

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 820-820
Author(s):  
Megan Rutherford ◽  
Brian Downer ◽  
Chih-Ying Li ◽  
Soham Al Snih
Keyword(s):  
Body Mass Index ◽  
Depressive Symptoms ◽  
Body Mass ◽  
Mexican Americans ◽  
Mexican American ◽  
Normal Weight ◽  
Healthy Weight ◽  
Weight Category ◽  
Over Time

Abstract The objective of this study was to examine body mass index (BMI) as predictor of frailty among non-frail Mexican American older adults at baseline. Data are from an 18-year prospective cohort of 1,647 non-institutionalized Mexican American aged ≥ 67 years from the Hispanic Established Population for the Epidemiologic Study of the Elderly (1995/1996-2012/13). BMI (Kg/m2) was grouped according to the National Institutes of Health obesity standards (&lt;18.5=underweight, 18.5–24.9=normal weight, 25.0–29.9=overweight, 30.0–34.9=obesity category I and ≥ 35=obesity category II and extreme obesity). Frailty was defined as meeting three or more of the following: unintentional weight loss of &gt;10 pounds, weakness, self-reported exhaustion, low physical activity, and slow walking speed. Covariates included socio-demographics, comorbidities, cognitive function, depressive symptoms, and limitations in activities of daily living (ADL). General Estimating Equations were performed to estimate the odds ratio (OR) and 95% confidence interval (CI) of frailty as a function of BMI categories. All variables were analyzed as time varying except for gender and education. Participants in the underweight or obesity type II / morbidity obesity category had increased OR of frailty over time than those in the normal weight category (2.68, 95% CI=1.46-4.9 vs.1.55, 95% CI=1.02-2.35, respectively) after controlling for all covariates. Those who reported arthritis, hip fracture, depressive symptoms, or ADL disability had increased odds of frailty over time. This study showed a U-shaped relationship between BMI and frailty over an 18-year period of follow-up which has implications for maintaining a healthy weight to prevent frailty in this population.

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