scholarly journals Establishment of blood pressure nomograms representative for Egyptian children and adolescents: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020609 ◽  
Author(s):  
Ali M El-shafie ◽  
Fady M El-Gendy ◽  
Dalia M Allhony ◽  
Wafaa Moustafa M Abo El Fotoh ◽  
Zein A Omar ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Diastolic Blood Pressure ◽  
Antihypertensive Drugs ◽  
Normal Blood ◽  
Healthy Children ◽  
Normal Blood Pressure ◽  
Cross Sectional ◽  
Turkish Children ◽  
Egyptian Children

ObjectiveTo define nomograms for blood pressure in Egyptian children and adolescents.Methods and study designA total of 60 025 Egyptian children from birth to 19 years were enrolled in this cross-sectional randomised study from December 2015 to March 2017. They were selected from diverse geographical districts in Egypt. Healthy children who fulfilled the inclusion criteria, which included good nutritional history, absence of fever or documented underlying disease at the time of examination, no evidence of haemodynamically significant illness, and no antihypertensive drugs or other chronic drug administration, were included in the study. Body weight, recumbent length (for less than 24 months) and height (from 2 years to 19 years), and blood pressure were measured using standard mercury sphygmomanometers.ResultsBlood pressure increases with age in both boys and girls. The 90th percentile of systolic and diastolic blood pressure among Egyptian children was different from other ethnic populations (American and Turkish children) in both sexes. Systolic and diastolic blood pressure showed a positive correlation with weight and height in both sexes (p<0.001).ConclusionWe assumed that normal blood pressure curves should be used cautiously during childhood, and it is recommended that every population have its own normal standard curve to define measured blood pressure levels in children. These centiles increased our knowledge and awareness of normal blood pressure among Egyptian children and adolescents. The percentiles will distinguish children and young adolescents with increased blood pressure and will be of value to both medical practice and scientific research.

Influence of melatonin on blood pressure indicators with different severity of desynchronosis

2020 ◽  
pp. 30-40
Author(s):  
M. G. Melnik
Keyword(s):  
Blood Pressure ◽  
Circadian Rhythms ◽  
Antihypertensive Drugs ◽  
Blood Pressure Monitoring ◽  
Home Monitoring ◽  
Normal Blood ◽  
Normal Blood Pressure ◽  
Pronounced Decrease ◽  
The Third ◽  
Pressure Indicators

Purpose. To study the dynamics of blood pressure (BP) indicators under the influence of exogenously administered melatonin (Melatonin-SZ, Severnaya Zvezda, Russia) with various manifestations of desynchronosis of circadian BP rhythms (arterial hypertension – AH, high normal blood pressure) to determine the scheme of their effective compensation. Material and methods. The study included 101 patients with desynchronosis of circadian rhythms of blood pressure – 52 patients with hypertension, constituting the first and second groups, and 49 individuals with high normal blood pressure, representing the third and fourth groups. Patients of the second and fourth groups received conservative therapy, patients of the first and third groups combined it with melatonin. All patients underwent measurements of office blood pressure, home monitoring of blood pressure (ABPM), electrocardiography, 24-hour blood pressure monitoring (ABPM). Results and discussion. In patients of the first and third groups, compared with the traditional treatment groups, by the end of the observation period, a significantly (p < 0.05) decrease in office systolic blood pressure (SBP) / diastolic blood pressure (DBP) was established: in the first group compared with the second – 1.11 / 1.13 times, in the third group compared to the fourth – 1.43 / 1.58 times; significantly more (p < 0.05) pronounced decrease in SBP / DBP during DMAD – by 1.08 / 1.17 and 1.58 / 1.62 times, respectively, Significantly (p < 0.05) more pronounced decrease in average daily, average daily and average nighttime SBP / DBP during ABPM – by 1.13 / 1.20, 1.11 / 1.20, 1.23 / 1.25 and 1.47 / 1.31, 1.42 / 1.19, 1.54 / 1.41 times, respectively; reliably (p < 0.05) more frequent registration of the dipper rhythm type SBP / DBP – 1.6 / 1.4 and 1.6 / 1.4 times, respectively. In addition, the dynamics of patients in the first and third groups showed a significant (p < 0.05) decrease in the mean daily and mean nighttime SBP / DBP variability (SBP in the first group by 27.3 and 41.3 %, respectively; DBP in the first group by 20.1 and 26.3 %, respectively; SBP in the third group by 13.5 and 25.2 %, respectively; DBP in the third group by 12.2 and 28.2 %, respectively). Conclusions. With various manifestations of desynchronosis of circadian rhythms of blood pressure (AH, high normal blood pressure), the prescription of melatonin (Melatonin-SZ, Severnaya Zvezda, Russia) at a dose of 3 mg per day 30–40 minutes before bedtime for a month against the background of non-drug therapy and antihypertensive drugs led to a significantly more effective decrease in blood pressure at its office measurement, DMAD, ABPM with an improvement in the circadian rhythm of blood pressure and normalization of blood pressure variability.

EFFECT OF SUBMAXIMAL EXERCISE ON SYSTOLIC AND DIASTOLIC BLOOD PRESSURE IN YOUNG SEDENTARY NORMOTENSIVE NEPALESE MEDICAL STUDENTS

2003 ◽  
Vol 42 (149) ◽  
pp. 315-6
Author(s):  
Arijit Ghosh ◽  
T Pramanik
Keyword(s):  
Blood Pressure ◽  
Medical Students ◽  
Diastolic Blood Pressure ◽  
Submaximal Exercise ◽  
Muscular Exercise ◽  
Normal Blood ◽  
Normal Blood Pressure ◽  
Standing Posture ◽  
Normal Range ◽  
Exercise Blood Pressure

Higher exercise blood pressure represents low cardiorespiratory status of an individual and vice versa. Thechanges in systolic and diastolic blood pressure in response to rhythmic isotonic muscular exercise in sedentaryyoung normotensive Nepalese students were assessed. Normal blood pressure in standing posture in maleand female subjects are about 115 / 75 mm of Hg. and 106 / 71 mm of Hg. respectively. Just after the exercisesystolic blood pressure increases moderately in both the sexes, whereas diastolic blood pressure remainsunchanged in most of the females. Diastolic blood pressure is found to be decreased slightly in the males,just after exercise. The present study indicates the cardiorespiratory status of the Napalese medical studentsis within normal range.

HUBUNGAN INTENSITAS KEBISINGAN DENGAN TEKANAN DARAH PADA PEKERJA AREA WORKSHOP

2020 ◽  
Vol 9 (1) ◽  
pp. 18-26
Author(s):  
Mariman Tjendera ◽  
Isramilda Isramilda
Keyword(s):  
Blood Pressure ◽  
Noise Intensity ◽  
Circulatory System ◽  
Sampling Technique ◽  
Strong Relationship ◽  
Normal Blood ◽  
Normal Blood Pressure ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Stage 1

Noise in the workplace is often a separate problem for the workforce so that it can cause mental-emotional disturbance as well as the heart and circulatory system. According to the 2013 Basic Health Research, the prevalence of high blood pressure in Indonesia at the age of ≥18 years is 25.8%. So the researchers wanted to find a relationship between noise intensity and blood pressure. This research method was observational analytic with a cross-sectional approach conducted at PT. Bintang Intipersada Shipyard, Batam City. The sampling technique was a total sampling with a population of 100 workers in 2018 and obtained results of 61 workers determined by inclusion and exclusion criteria. The results of the study were analyzed with a frequency distribution tabulated and tested with the Pearson Product Moment Test. The results of this study worker who were exposed to noise intensity ≤85 dBA had a normal blood pressure of 8 (36.5%) people, in workers who were exposed to noise intensity ≤85 dBA had blood pressure with Pre-hypertension as many as 12 (54.5% ) people, for workers exposed to noise intensity ≤85 dBA have 1 (4.5%) blood pressure with Stage 1 Hypertension, workers who are exposed to noise intensity ≤85 dBA have blood pressure with Stage 2 Hypertension as much as 1 (4.5 %) person. While workers who are exposed to noise intensity> 85 dBA have normal blood pressure of 0 (0%) people, workers who are exposed to noise intensity> 85 dBA have blood pressure with Pre-hypertension as much as 2 (5.1%) people, workers are exposed to noise intensity> 85 dBA had blood pressure with Stage 1 Hypertension as many as 14 (35.9%) people, then workers exposed to noise intensity> 85 dBA had blood pressure with Stage 2 Hypertension as many as 23 (59%) workers. The results of the Pearson Product Moment analysis value of p = 0,000 <α 0.05, there is a relationship between noise intensity and blood pressure with the magnitude of the correlation coefficient (r) which is 0.795 meaning, there is a strong relationship. Based on this study it can be concluded that there is a significant relationship between noise intensity and blood pressure.

scholarly journals Antihypertensive effect of casein hydrolysate in a placebo-controlled study in subjects with high-normal blood pressure and mild hypertension

2005 ◽  
Vol 94 (1) ◽  
pp. 84-91 ◽  
Author(s):  
Seiichi Mizuno ◽  
Keiichi Matsuura ◽  
Takanobu Gotou ◽  
Shingo Nishimura ◽  
Osami Kajimoto ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Placebo Group ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Antihypertensive Effect ◽  
Mild Hypertension ◽  
Casein Hydrolysate ◽  
Normal Blood ◽  
Controlled Study ◽  
Normal Blood Pressure

We describe a clinical trial to study the efficacy of a casein hydrolysate, prepared using an Aspergillus oryzae protease, containing the major angiotensin-I-converting enzyme inhibitory peptides Val-Pro-Pro (VPP) and Ile-Pro-Pro (IPP) in a single-blind, placebo-controlled study. A total of 131 volunteers with high-normal blood pressure and mild hypertension were randomly divided into four groups (n 32 or 33 in each group). Each volunteer was given two tablets containing four different dosages of VPP and IPP (VPP+IPP: 0, 1·8, 2·5 and 3·6 mg), daily for 6 weeks. A significant decrease in systolic blood pressure was observed at 6 weeks in the active group receiving 1·8 mg (P<0·01) VPP and IPP; in the active groups receiving either 2·5 mg or 3·6 mg, systolic blood pressure was decreased at both 3 weeks (P<0·05 and P<0·05) and 6 weeks (P<0·001 and P<0·0001) compared with systolic blood pressure measured before treatment. Changes in the systolic blood pressure after 6 weeks of treatment in the four groups were −1·7, −6·3, −6·7 and −10·1 mmHg, and these effects were dose dependent. In addition, a significant difference in systolic blood pressure between the placebo group and the VPP and IPP group receiving 3·6 mg was observed (P<0·001) by two-way ANOVA. The antihypertensive effect was greater in mildly hypertensive subjects (n 20 or 21 in each group) than in any of the other subjects. No significant change of diastolic blood pressure was observed for all the test groups, and no differences in diastolic blood pressure in the test sample groups compared with the placebo group were observed during the test period.

scholarly journals TERAPI TERTAWA DAN PERUBAHAN TEKANAN DARAH PADA MAHASISWA DI UNIVERSITAS ADVENT INDONESIA

2016 ◽  
Vol 2 (2) ◽  
pp. 187
Author(s):  
Tawarina Surbakti ◽  
Gilny Aileen Joan ◽  
Denny Ricky
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Normal Blood ◽  
Test Design ◽  
Normal Blood Pressure ◽  
Purposive Sampling ◽  
Average Value ◽  
Before And After ◽  
Post Test

ABSTRAK Penelitian ini dilatarbelakangi hasil penelitian Ramdhani (2013) yang menunjukan adanya perubahan penurunan tekanan darah yaitu setelah dilakukan terapi tertawa selama dua minggu sebanyak enam kali pemberian. Maka peneliti merasa perlu dilakukan uji ulang pemberian terapi tertawa pada tekanan darah normal dengan satu kali pemberian. Tujuan penelitian untuk menganalisis perbedaan tekanan darah sebelum dan sesudah pemberian terapi tertawa pada mahasiswa di Universitas Advent Indonesia. Desain penelitian yang digunakan dalam penelitian ini adalah penelitian eksperimen yang menggunakan One Group Pre-Test and Post-Test Design dengan melibatkan satu kelompok subjek. Intervensi dalam penelitian yang dilakukan ini adalah pemberian terapi tertawa selama 20 menit. Subjek penelitian ini berjumlah 30 orang mahasiswi di Universitas Advent Indonesia. Pengambilan sampel dilakukan dengan teknik purposive sampling. Hasil penelitian ini menunjukan bahwa nilai rata-rata tekanan darah pada mahasiswi di Universitas Advent Indonesia sebelum pemberian terapi tertawa yaitu dengan nilai tekanan darah sistolik adalah  115.6 mmHg dan nilai tekanan darah diastolik 75.0 mmHg. Nilai rata-rata tekanan darah sistolik sesudah pemberian terapi tertawa adalah  110.8 mmHg dan tekanan darah diastolik 73.8  mmHg. Nilai tekanan darah sebelum dan sesudah pemberian terapi tertawa mempunyai nilai yang signifikan pada nilai uji-t pada tekanan sistolik. Tekanan diastolik tidak terjadi perubahan yang signifikan.   Kata kunci: Tekanan darah normal, Terapi tertawa   ABSTRACT This research is based on the writing of Ramdhani (2013) showing that there is a change in blood pressure after given six times laughter therapy for two weeks. Researchers find it necessary to repeat the laugh therapy on person with normal blood pressure with one provision. The purpose of this research is to identify changes in blood pressure before and after given laugh therapy. The research design used in this study is One Group Pre-Test and Post-Test Design experimental research that uses. Intervention conducted in this research is laughing therapy for 20 minutes. Subjects of this research were 30 students of Adventist University of Indonesia. That were by purposive sampling technique. The results of this research showed that the average value of blood pressure in students of Universitas Advent Indonesia before given laugh therapy with a systolic blood pressure value of 115.6 mm Hg and diastolic blood pressure value of 75.0 mmHg. The average value of systolic blood pressure after the administration of laughter therapy was 110.8 mmHg and a diastolic blood pressure value of 73.8 mmHg. Systolic blood pressure values before and after administration of laughter therapy has a significant change but not with the diastolic. Keywords: Normal blood pressure value, Laugh therapy

scholarly journals Establishment of Z score reference of growth parameters for Egyptian school children and adolescents aged from 5 to 19 years: a cross sectional study

2020 ◽  
Author(s):  
Ali M El-Shafie ◽  
Fady M. El-Gendy ◽  
Dalia M. Allahony ◽  
Zein A Omar ◽  
Mohamed A. Samir ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Children And Adolescents ◽  
School Children ◽  
Nutritional Assessment ◽  
Growth Parameters ◽  
Healthy Children ◽  
Z Score ◽  
Cross Sectional ◽  
Egyptian Children ◽  
Significant Difference

Abstract Background:Growth charts are an important method for evaluating a child's health, growth and nutritional status.Objective:To establish Lambda – Mu- Sigma (LMS) and Z score references for assessment of growth and nutritional status in Egyptian school children and adolescents.Methods:A total of 34,822 Egyptian school children and adolescents from 5 to 19 years were enrolled in a cross sectional randomized study from December 2017 to November 2019 to create LMS and Z score references for weight, height and body mass index (BMI) corresponding to ages. They were selected from different districts in Egypt. Apparent Healthy children with good nutritional history and not suffering from any chronic diseases were included in the study.Results:Egyptian children of both sexes (54.3% boys and 45.7 % girls) from 5 to 19 years old were studied. Then LMS and Z scores for weight for age, height for age, BMI for age of both sexes were represented in detailed tables and graphs. There was no statistically significant difference between the Egyptian Z score charts and the reference values of WHO for weight, height and BMI corresponding to age (P>0.05).Conclusion: This is the first national reference for growth and nutritional assessment using LMS and Z score charts in Egyptian school children and adolescents, this tool is essential for healthcare and research.Key words: Adolescent - Egyptian Z score -Growth parameters- Nutritional status-School children

scholarly journals Establishment of Z score reference of growth parameters for Egyptian school children and adolescents aged from 5 to 19 years: a cross sectional study

2020 ◽  
Author(s):  
Ali M El-Shafie ◽  
Zein A Omar ◽  
ahmed N elbazzar ◽  
Zeinab A Kasemy ◽  
wael A Bahbah
Keyword(s):  
Children And Adolescents ◽  
School Children ◽  
Nutritional Assessment ◽  
Growth Parameters ◽  
Healthy Children ◽  
Z Score ◽  
Cross Sectional ◽  
Study Results ◽  
Egyptian Children ◽  
Significant Difference

Abstract Background: Growth charts are an important method for evaluating a child's health, nutrition and development. Objective: To establish Lambda – Mu- Sigma (LMS) and Z score references for assessment of growth and nutrition in Egyptian school children and adolescents. Methods: A total of 31,416 Egyptian school children and adolescents from 5years to 19 years were enrolled in a cross sectional randomized study from December 2017 to November 2019 to create LMS and Z score references for weight, height and body mass index (BMI) corresponding to ages. They were selected from different districts in Egypt. Apparent Healthy children with good nutritional history and not suffering from any chronic diseases were included in the study. Results: Egyptian children of both sexes (56.7% boys and 43.3% girls) from 5 years to 19 years old were studied. Then LMS and Z scores for weight for age, height for age, BMI for age of both sexes were represented in detailed tables and graphs. There was no statistically significant difference between the Egyptian Z score charts and the reference values of WHO for weight, height and BMI corresponding to age (P>0.05). Conclusion: This is the first reference for growth and nutritional assessment in Egyptian school children and adolescents, this tool is essential for healthcare and research. In case of absence of these local charts, we recommend to use the WHO references values rather than other local charts. Key words: Adolescent - Egyptian Z score -Growth parameters- School children

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