Blood pressure for optimal health-related quality of life in hypertensive patients

2013 ◽  
Vol 31 (4) ◽  
pp. 830-839 ◽  
Author(s):  
Monika Zygmuntowicz ◽  
Aleksander Owczarek ◽  
Adam Elibol ◽  
Magdalena Olszanecka-Glinianowicz ◽  
Jerzy Chudek
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Health Related Quality ◽  
Hypertensive Patients ◽  
Optimal Health ◽  
Related Quality ◽  
Health Related

scholarly journals Isometric handgrip training does not improve quality of life in hypertensives

2019 ◽  
Vol 27 (4) ◽  
pp. 117
Author(s):  
Breno Quintella Farah ◽  
Raffael Farias Menezes ◽  
Ricardo Alexandre Jacinto Sobral ◽  
Sérgio Luiz Cahú Rodrigues ◽  
Gustavo Oliveira Silva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Improve Quality ◽  
Health Related Quality ◽  
Isometric Handgrip ◽  
Hypertensive Patients ◽  
Related Quality ◽  
Health Related ◽  
Isometric Handgrip Training

Hypertensive patients have high blood pressure and poor cardiovascular health and it is known that hypertension negatively affects people's health-related quality of life. Meta-analyses have shown that isometric handgrip training (IHT) reduces blood pressure in hypertensives, but the effects of IHT on health-related quality of life is unknown. Therefore, we tested the hypotheses that the IHT improves health-related quality of life in hypertensives. In this randomized controlled trial, 48 hypertensive individuals were randomly assigned to two groups: IHT and control. IHT was completed thrice weekly (4 × 2 min at 30% of maximal voluntary contraction). Before and after 12 weeks health-related quality of life was assessment through Medical Outcomes Study Questionnaire Short Form 36 (SF36). No signi?cant effect was observed for physical function (IHT: 85.6±4.6 vs. 81.1±7.2; Control: 78.6±76.7±4.9), physical problems (IHT: 71.4±10.1vs. 83.9±8.1; Control: 73.8±8.2 vs. 64.3±8.0), general health (IHT: 56.1±3.7 vs. 57.1±1.9; Control: 54.3±1.6 vs. 57.6±2.1), pain (IHT: 23.6±4.6 vs. 30.7±5.8; Control: 32.9±4.5 vs. 31.9±4.3), social aspects (IHT: 46.4±3.6 vs. 50.0±2.3; Control: 48.8±2.7 vs. 48.8±1.7), emotional problems (IHT: 85.7±8.4 vs. 92.9±5.2; Control: 79.4±7.8 vs. 71.4±6.6), mental health (IHT: 61.7±2.8 vs. 58.0±2.5; Control: 54.5±2.4 ± 55.6±1.9), and vitality (IHT: 60.0±4.3 vs. 58.6±4.0; Control: 50.7±2.9 vs. 53.6±3.0) after 12-weeks of supervised IHT (p>0.05 for all). In conclusion, 12-weeks of IHT does not improve health-related quality of life in hypertensives. Therefore, in order to improve quality of life, other exercises should be an indicator for hypertensive patients.

The impact of overweight and obesity on health-related quality of life and blood pressure control in hypertensive patients

2014 ◽  
Vol 32 (2) ◽  
pp. 397-407 ◽  
Author(s):  
Magdalena Olszanecka-Glinianowicz ◽  
Monika Zygmuntowicz ◽  
Aleksander Owczarek ◽  
Adam Elibol ◽  
Jerzy Chudek
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Pressure Control ◽  
Overweight And Obesity ◽  
Health Related Quality ◽  
Hypertensive Patients ◽  
Related Quality ◽  
Health Related ◽  
The Impact

scholarly journals EFFECT OF CLINICAL PHARMACIST MEDIATED COUNSELLING IN HYPERTENSIVE PATIENTS ON HEALTH RELATED QUALITY OF LIFE

2020 ◽  
pp. 246-250
Author(s):  
P V S N D Alekya P V S N D Alekya ◽  
M. Swarupa M. Swarupa ◽  
K. Mrudula K. Mrudula ◽  
SK. Mehaboob SK. Mehaboob ◽  
Narayana swamy Palyam ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Test Group ◽  
Pressure Control ◽  
Health Related Quality ◽  
Hypertensive Patients ◽  
Related Quality ◽  
Health Related

Background: Hypertension has become a significant problem in developing countries. The management of hypertension involves long term treatment & life style modification which will have greater impact on HRQoL. This study aims to give patient counseling regarding risk factors, life style modifications, pharmacological therapy & medication adherence in hypertension which in turn improves HRQoL. Aim and objectives: To assess the effect of clinical pharmacist mediated counselling in hypertensive patients on health related quality of life.  Specific objectives: To assess the disease related knowledge of hypertensive patients, To assess the medication adherence of hypertensive patients,To design suitable patient information leaflet (PIL) on hypertension and its management use the same to educate the patients,To assess the effect of education on outcome of treatment (blood pressure level) and quality of life of these patients. Methodology: Prospective observational study. The study was conducted in Jayabharath hospital, Nellore. which was conducted for a period of 6 months from June 2019- November-2019.Hypertensive patients, of either sex, above 18 years of age, with or without co-morbidities and Patient willing to give there informed consent to participate in the study are included in our study and the Pregnant hypertensive patients are excluded from the study. Results and Discussion: At baseline there was no significant difference between the blood pressures, QoL score, adherence score, and KAP of the test and control groups. As patient in both group continued to see there physician regularly, both showed in improvement in blood pressure control at final follow up. However improvement in the test group blood pressure was more significant reduction (p<0.05). At final follow up, a significantly (p<0.05) some large number of patients in the test group had achieved better blood pressure control compared to the base line.

scholarly journals A Smartphone App (mDASHNa-CC) to Support Healthy Diet and Hypertension Control for Chinese Canadian Seniors: Protocol for Design, Usability and Feasibility Testing

10.2196/15545 ◽  
2020 ◽  
Vol 9 (4) ◽  
pp. e15545
Author(s):  
Ping Zou ◽  
Jennifer Stinson ◽  
Monica Parry ◽  
Cindy-Lee Dennis ◽  
Yeqin Yang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Smartphone App ◽  
Health Related Quality ◽  
Hypertension Control ◽  
Chinese Canadians ◽  
Related Quality ◽  
Health Related ◽  
Chinese Canadian

Background This proposed study aims to translate the Dietary Approach to Stop Hypertension with Sodium (Na) Reduction for Chinese Canadians (DASHNa-CC), a classroom-based, antihypertensive, dietary educational intervention, to an innovative smartphone app (mDASHNa-CC). This study will enable Chinese Canadian seniors to access antihypertensive dietary interventions anytime, regardless of where they are. It is hypothesized that senior Chinese Canadians will be satisfied with their experiences using the mDASHNa-CC app and that the use of this app could lead to a decrease in their blood pressure and improvement in their health-related quality of life. Objective The goal of this study is to design and test the usability and feasibility of a smartphone-based dietary educational app to support a healthy diet and hypertension control for Chinese Canadian seniors. Methods A mixed-method two-phase design will be used. The study will be conducted in a Chinese immigrant community in Toronto, Ontario, Canada. Chinese Canadian seniors, who are at least 65 years old, self-identified as Chinese, living in Canada, and with elevated blood pressure, will be recruited. In Phase I, we will design and test the usability of the app using a user-centered approach. In Phase II, we will test the feasibility of the app, including implementation (primary outcomes of accrual and attrition rates, technical issues, acceptability of the app, and adherence to the intervention) and preliminary effectiveness (secondary outcomes of systolic and diastolic blood pressure, weight, waist circumference, health-related quality of life, and health service utilization), using a pilot, two-group, randomized controlled trial with a sample size of 60 participants in a Chinese Canadian community. Results The study is supported by the Startup Research Grant from Nipissing University, Canada. The research ethics application is under review by a university research ethics review board. Conclusions The study results will make several contributions to the existing literature, including illustrating the rigorous design and testing of smartphone app technology for hypertension self-management in the community, exploring an approach to incorporating traditional medicine into chronic illness management in minority communities and promoting equal access to current technology among minority immigrant senior groups. Trial Registration Clinicaltrials.gov NCT03988894; https://clinicaltrials.gov/ct2/show/NCT03988894 International Registered Report Identifier (IRRID) PRR1-10.2196/15545

scholarly journals The effect of self-management on the health-related quality of life in hypertensive patients in Xiamen, China

2020 ◽  
Author(s):  
Yanbing Zeng ◽  
Chenxi Lin ◽  
Fan Chen ◽  
Ya Fang
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Self Management ◽  
Average Score ◽  
Health Related Quality ◽  
Hypertensive Patients ◽  
Treatment Groups ◽  
Related Quality ◽  
Health Related

Abstract Background: A low HRQOL can be a risk factor for future cardiovascular events in patients with hypertension. Therefore, HRQOL should receive attention and be improved in the treatment of hypertension. The purpose of this study was to investigate if the association between treatment groups and Health-Related Quality of Life (HRQOL) of hypertension mediated by self-management, and to determine which factors of hypertension self-management influenced HRQOL. Methods: Hypertensive patients were selected by multi-stage stratified samping from “1+1+N” Physicians intervention (PI) group and the conventional management (CM) group in 5 communities of Xiamen, China. Patients were cross-sectionally assessed by validated self-reports using self-management Behavior Rating Scale and Quality of Life Instruments for Hypertension. A structural equation modeling (SEM) and a path analytic model were used to assess if the association between treatment groups and HRQOL was mediated by self-management. Results: A total of 1207 patients were included, of whom 48.55% were in the PI group. The average score of the HRQOL scale was 86.68, and the average score of the PI group was higher than the CM group (87.35 vs 86.04, respectively). Similar findings were observed for the self-management scale, in which the average score of the PI group was higher than the CM group (76.32 vs 72.00, respectively). Patients in the PI group had higher levels of self-management compared to the CM group except for management of emotion. SEM showed that the association between treatment groups and HRQOL was significantly mediated by self-management (a*b, 95% confidence intervals CI: 0.02,0.07) and that the single mediator (self-management) model explained 76.67% of the intervention effect. In the multivariable mediation model, the association between treatment groups and HRQOL was significantly mediated by management of medication adherence, sport and diet.Conclusions: The findings presented good evidence supporting that treatment groups are linked to HRQOL of hypertension via self-management. Specifically, management of medication adherence, sport, diet, and emotion are important for improving HRQOL.

scholarly journals MediYoga as a part of a self-management programme among patients with paroxysmal atrial fibrillation – a randomised study

2019 ◽  
Vol 19 (1) ◽  
pp. 74-82 ◽  
Author(s):  
Maria Wahlström ◽  
Mårten Rosenqvist ◽  
Jörgen Medin ◽  
Ulla Walfridsson ◽  
Monica Rydell-Karlsson
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Blood Pressure ◽  
Heart Rate ◽  
Paroxysmal Atrial Fibrillation ◽  
Control Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Background: Paroxysmal atrial fibrillation is associated with impaired health-related quality of life. Yoga has been suggested to improve health-related quality of life among patients with heart failure and hypertension. Aim: The aim of the study was to evaluate the effects of MediYoga, in respect of health-related quality of life, blood pressure, heart rate, as well as N-terminal pro b-type natriuretic peptide, among patients with symptomatic paroxysmal atrial fibrillation, compared with standard therapy or relaxation. Methods: Patients with symptomatic paroxysmal atrial fibrillation, n=132, were stratified for gender and randomised to MediYoga, a relaxation group or a control group, 44 patients per group with a 12-week follow-up. Health-related quality of life, blood pressure, heart rate and N-terminal pro b-type natriuretic peptide were assessed. Results: After 12 weeks, there were no differences in health-related quality of life between the groups. There were improvements in Short-Form Health Survey bodily pain, general health, social function, mental health and mental component summary scores within the MediYoga group ( p=0.014, p=0.037, p=0.029, p=0.030, p=0.019, respectively). No change was seen in the relaxation and control groups. Systolic blood pressure decreased in the MediYoga group (134±18 to 127±13) compared with the control group (126±17 to 127±15, p=0.041); no difference compared with the relaxation group (131±17 to 125±12). Diastolic blood pressure decreased in the MediYoga group (79±9 to 74 ±9) compared with the control group (76±9 to 79±8, p=0.005); no difference compared with the relaxation group (76±9 to 77±8). There were no differences in heart rate and N-terminal pro b-type natriuretic peptide between the groups after 12 weeks. Conclusions: MediYoga improves health-related quality of life and decreases blood pressure in patients with paroxysmal atrial fibrillation. MediYoga may be used as a part of a self-management programme among patients with paroxysmal atrial fibrillation.

scholarly journals Health-Related Quality of Life, Blood Pressure, and Biochemical and Anthropometric Profile in Vegetarians and Nonvegetarians

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jacksaint Saintila ◽  
Tabita E. Lozano López ◽  
Percy G. Ruiz Mamani ◽  
Michael White ◽  
Salomón Huancahuire-Vega
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Lipid Profile ◽  
Diastolic Pressure ◽  
Systolic Pressure ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Anthropometric Profile

Several studies have been carried out which mainly focus on the analysis of the lipid profile in vegetarians and nonvegetarians. However, few studies have been undertaken in this population oriented to quality of life and health. This study aimed to compare health-related quality of life, blood pressure, and biochemical and anthropometric profile in vegetarians and nonvegetarians. The study included 149 participants out of an initial sample of 162: 62 vegetarians and 87 nonvegetarians. Health-related quality of life was assessed with the SF-12 Health Questionnaire version 2 and was related with the lipid profile, glucose, blood pressure, anthropometric measures, and sociodemographic characteristics. Vegetarians presented better Body Mass Index (BMI) and waist circumference (WC), as well as higher LDL levels. No significant differences in HDL and TG concentrations were found. Serum glucose concentrations were significantly lower among vegetarians. Nonvegetarian males had higher diastolic pressure levels. Vegetarian women had significantly higher levels of systolic pressure. As for the physical health and mental health components of quality of life, no significant differences were found in vegetarian and nonvegetarian women and men. In conclusion, vegetarians presented a better anthropometric profile, lower glycaemia, and higher LDL levels but no significant differences in health-related quality of life compared with nonvegetarians.

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