scholarly journals Cross-sectional centiles of blood pressure by age and sex: a four-hospital database retrospective observational analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e033618
Author(s):  
David Wong ◽  
Stephen Gerry ◽  
Farah Shamout ◽  
David A Clifton ◽  
Marco A F Pimentel ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Women ◽  
Vital Signs ◽  
National Guidelines ◽  
Database Analysis ◽  
Cross Sectional ◽  
Younger Women ◽  
Hospital Database ◽  
Hospitalised Patients ◽  
Age And Sex

ObjectivesNational guidelines for identifying physiological deterioration and sepsis in hospitals depend on thresholds for blood pressure that do not account for age or sex. In populations outside hospital, differences in blood pressure are known to occur with both variables. Whether these differences remain in the hospitalised population is unknown. This database analysis study aims to generate representative centiles to quantify variations in blood pressure by age and sex in hospitalised patients.DesignRetrospective cross-sectional observational database analysis.SettingFour near-sea-level hospitals between April 2015 and April 2017Participants75 342 adult patients who were admitted to the hospitals and had at least one set of documented vital sign observations within 24 hours before discharge were eligible for inclusion. Patients were excluded if they died in hospital, had no vital signs 24 hours prior to discharge, were readmitted within 7 days of discharge, had missing age or sex or had no blood pressure recorded.ResultsSystolic blood pressure (SBP) for hospitalised patients increases with age for both sexes. Median SBP increases from 122 (CI: 121.1 to 122.1) mm Hg to 132 (CI: 130.9 to 132.2) mm Hg in men, and 114 (CI: 113.1 to 114.4) mm Hg to 135 (CI: 134.5 to 136.2) mm Hg in women, between the ages of 20 and 90 years. Diastolic blood pressure peaked around 50 years for men 76 (CI: 75.5 to 75.9) mm Hg and women 69 (CI: 69.0 to 69.4) mm Hg. The blood pressure criterion for sepsis, systolic <100 mm Hg, was met by 2.3% of younger (20–30 years) men and 3.5% of older men (81–90 years). In comparison, the criterion was met by 9.7% of younger women and 2.6% of older women.ConclusionWe have quantified variations in blood pressure by age and sex in hospitalised patients that have implications for recognition of deterioration. Nearly 10% of younger women met the blood pressure criterion for sepsis at hospital discharge.

scholarly journals Can traditional games be an option in increasing the physical activity of women following mastectomy?

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Małgorzata Bronikowska ◽  
Michał Bronikowski ◽  
Agata Glapa ◽  
Bartosz Prabucki
Keyword(s):  
Physical Activity ◽  
Older Women ◽  
Age Groups ◽  
Recovery Process ◽  
Age Group ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Younger Women ◽  
Younger Age ◽  
Ring Net

SummaryStudy aim: the purpose of the present study was to investigate the potential of traditional games as a method of increasing the physical activity (PA) of women following mastectomy. A cross-sectional survey during the 20th ONCO Games was conducted and the sample included data from women divided into two groups: up to 50 years old (n = 26) and over 50 years old (n = 86).Material and methods: PA was assessed using a questionnaire, and the number of steps taking during 30-minute periods was measured using pedometers during each of the games. Exertion was evaluated using Borg’s Scale.Results: there was no difference in levels of coherence between the age groups. The group of younger women were statistically more active (M = 3.34 days/week) than the older group (M = 2.77 days/week). All the games were evaluated to be of light intensity, with ringo perceived as being statistically more fatiguing in the over 50 age group. The highest number of steps was performed during the game of ring-net-ball (M = 1903 steps/30 min) in both age groups, with older women performing statistically more steps. Similar situations were observed in the cases of pétanque and speedminton. In ringo, the situation was reversed. The lowest number of steps was recorded in pétanque in the younger age group (M = 296 steps/30 min).Conclusion: this study indicates that in the rehabilitation and recovery process after mastectomy, traditional games could be a bridging link between exercising and sports as they provide not just activity but also a unique and valuable social context.

scholarly journals Age and Sex Specific Reference Intervals for Modifiable Risk Factors of Cardiovascular Diseases for Gujarati Asian Indians

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Sibasis Sahoo ◽  
Komal H. Shah ◽  
Ashwati R. Konat ◽  
Kamal H. Sharma ◽  
Payal Tripathi
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Reference Intervals ◽  
Specific Reference ◽  
Cross Sectional ◽  
Female Population ◽  
Mean Values ◽  
Disease Free ◽  
Age And Sex ◽  
Apparently Healthy

Objective. We aimed to establish age and sex specific percentile reference data for cardiovascular risk factors such as lipids, sugar, blood pressure, and BMI in apparently healthy and disease-free Gujarati population.Methods.In this cross-sectional study, we enrolled 3265 apparently healthy and disease-free individuals of both genders residing in Gujarat state. Fasting samples of blood were used for biochemical estimations of lipids and sugar. The measurement of BMI and blood pressure was also done according to the standard guidelines. Age and gender specific 5th, 25th, 50th, 75th, 90th, and 95th percentiles were obtained.Results. The mean values of lipids, sugar, blood pressure, and BMI were significantly (p<0.001) higher in males as compared to female population. Age-wise distribution trends showed increase in the risk factors from the 2nd decade until the 5th to 6th decade in most of the cases, where loss of premenopausal protection in females was also observed. Specific trends according to gender and age were observed in percentile values of various parameters.Conclusion.The outcome of current study will contribute significantly to proposing clinically important reference values of various lipids, sugar, blood pressure, and BMI that could be used to screen the asymptomatic Gujarati Indian population with a propensity of developing dyslipidemia, diabetes, blood pressure, and obesity.

scholarly journals ANALISIS FAKTOR YANG MEMPENGARUHI TEKANAN DARAH DAN SATURASI OKSIGEN PERIFER (SPO2)

2020 ◽  
pp. 21-30
Author(s):  
Siti Fadlilah ◽  
Nazwar Hamdani Rahil ◽  
Fransiska Lanni
Keyword(s):  
Blood Pressure ◽  
Nursing Students ◽  
Oxygen Saturation ◽  
Significant Relationship ◽  
The Body ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
P Values ◽  
Age And Sex

Tekanan darah merupakan faktor yang sangat penting pada sistem sirkulasi. Tidak semua tekanan darah berada dalam batas normal sehingga menyebabkan munculnya gangguan pada tekanan darah yakni hipertensi dan hipotensi. Prevalensi hipertensi di Daerah Istimewa Yogyakarta masuk di urutan ke-14 yaitu sebesar 25,7%. Selain itu ada cara untuk mendeteksi adanya gangguan tekanan darah atau masalah sirkulasi pada tubuh dengan cara memeriksa tekanan darah dan mengetahui nilai saturasi oksigen. Gangguan tekanan darah yang bisa mempengaruhi nilai pada saturasi oksigen di tubuh. Penelitian bertujuan untuk menganalisis hubungan umur dan jenis kelamin dengan tekanan darah dan saturasi oksigen (SpO2) pada mahasiswa keperawatan salah satu universitas di Yogyakarta. Penelitian ini merupakan jenis penelitian korelasi dengan rancangan penelitian cross sectional. Populasi adalah seluruh mahasiswa salah satu kampus keperawatan salah satu universitas di Yogyakarta berjumlah 137 orang. Teknik sampling yang digunakan adalah total sampling dengan 120 responden yang sesuai kriteria inklusi dan eksklusi. Instrumen penelitian yang digunakan adalah sphygmomanometer digital, pulse oximetry, dan lembar observasi. Analisis data penelitian menggunakan uji Kruskal wallis. Mayoritas berjenis kelamin perempuan yaitu 108 responden (90%). Mayoritas kategori remaja akhir yaitu 117 responden (97,5%). Mayoritas tekanan darah pada mahasiswa kategori normal sebanyak 81 responden (67,5%). Nilai median saturasi oksigen (SpO2) yaitu 98 mmHg. Hasil analisis bivariat antara umur dan jenis kelamin dengan tekanan darah didapatkan p-value 0,641 dan 0,176. Hasil analisis bivariat antara usia dan jenis kelamin dengan saturasi oksigen (SpO2) didapatkan p-value 0,385 dan 0,964. Hasil analisis bivariat antara tekanan darah dan saturasi oksigen (SpO2)  didapatkani p value adalah 0,010. Tidak ada hubungan signifikan antara umur dan jenis kelamin dengan tekanan darah. Tidak ada hubungan signifikan antara umur dan jenis kelamin dengan saturasi oksigen (SpO2). Ada hubungan antara tekanan darah dengan saturasi oksigen (SpO2) pada Mahasiswa Keperawatan   Blood pressure is a very important factor in the circulatory system. Not all blood pressure is within normal limits, causing interference with blood pressure, namely hypertension and hypotension. The prevalence of hypertension in the Special Region of Yogyakarta is ranked 14th at 25.7%. In addition there are ways to detect blood pressure disorders or circulation problems in the body by checking blood pressure and knowing the value of oxygen saturation. Blood pressure disorders that can affect the value of oxygen saturation in the body. The study aims to analyze the relationship between age and sex with blood pressure and oxygen saturation (SpO2) in nursing students at a university in Yogyakarta. This research is a type of correlation study with a cross sectional study design. The population is all students of one nursing campus of a university in Yogyakarta totaling 137 people. The sampling technique used is total sampling with 120 respondents who fit the inclusion and exclusion criteria. The research instruments used were digital sphygmomanometer, pulse oximetry, and observation sheets. Analysis of research data using the Kruskal Wallis test. The majority of women are 108 respondents (90%). The majority of late adolescent categories are 117 respondents (97.5%). The majority of blood pressure in normal category students was 81 respondents (67.5%). The median value of oxygen saturation (SpO2) is 98 mmHg. The results of bivariate analysis between age and sex with blood pressure obtained p-values ​​of 0.641 and 0.176. The results of bivariate analysis between age and sex with oxygen saturation (SpO2) obtained p-values ​​of 0.385 and 0.964. The results of the bivariate analysis between blood pressure and oxygen saturation (SpO2) found that the p value was 0.010. There is no significant relationship between age and sex with blood pressure. There is no significant relationship between age and sex with oxygen saturation (SpO2). There is a relationship between blood pressure and oxygen saturation (SpO2) in nursing students.

Implications on older women of age- and sex-related differences in activation patterns of shoulder muscles: A cross-sectional study

2018 ◽  
Vol 31 (6) ◽  
pp. 492-512
Author(s):  
Cristina Lirio-Romero ◽  
Christoph Anders ◽  
Pedro De La Villa-Polo ◽  
María Torres-Lacomba
Keyword(s):  
Older Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Activation Patterns ◽  
Shoulder Muscles ◽  
Age And Sex

scholarly journals Pelvic inflammatory disease and causative pathogens in older women in a medical center in eastern Taiwan: A retrospective cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257627
Author(s):  
Pei-Chen Chen ◽  
Pei-Chen Li ◽  
Dah-Ching Ding
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Older Women ◽  
Inflammatory Disease ◽  
Medical Center ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Younger Women

Objectives Most research into the management of pelvic inflammatory disease (PID) is in younger women and focuses on sexually transmitted pathogens such as N. gonorrhoeae or C. trachomatis. Non-sexually transmitted bacterial pathogens and PID in older women are rarely examined. The objective of this study is to explore cervical culture pathogens in women of different age groups in a medical center in eastern Taiwan. Methods We enrolled patients whose medical records were diagnosed with PID (ICD-9-CM 614.0 [N70.01–03], 614.1[N70.11–13], 614.9 [N73.5, N73.9]) at our hospital from October 2014 to March 2020. Patients were divided into three groups according to age: the age <25 years, age 25–44 years, and the ≥ 45 years group. Chi-square test, ANOVA and logistic regression were used for statistical analysis. In subgroup analysis, endocervical pathogens were further stratified into vaginal, respiratory, enteric, skin, oral, and other. Results A total of 96 patients were included in the study. There were 31 patients in the age ≥ 45 years group, 52 patients in the age 25–44 years group, and 13 patients in the age <25 years group. Vagina and enteric pathogens were the most common pathogens among all groups. The isolated respiratory and other pathogens were more in the age ≥ 45 years group than in the other two groups. Prevotella bivia was more common in the age <25 years and 25–44 years groups. Conclusions This may be due to different pathogeneses of PID in the age ≥ 45 years patients. Our study can be used as a reference for antibiotic choice of non-sexually transmitted PID and to prevent long-term sequelae of PID.

scholarly journals Physiological Responses of Workers’ Vital Signs in High Temperature Environments at The Tofu Home Industry Kedung Tarukan Surabaya

2019 ◽  
Vol 11 (3) ◽  
pp. 242
Author(s):  
Trias Budi Wisnu Hartono
Keyword(s):  
Blood Pressure ◽  
High Temperature ◽  
Work Environment ◽  
Physiological Responses ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Heat Radiation ◽  
Design Data ◽  
Cross Sectional ◽  
Significant Difference

The workplace environment has an influence on the workers wellbeing condition, in relation to work activities. Heat pressure arises and causes a burden on the workers who work in high temperature environments. The tofu production process causes heat radiation in the workplace in the Kedung Tarukan Surabaya Tofu Home Industry, whereas almost all activities are carried out in the same location, so that it is likely that workers are exposed to heat continuously during work. The purpose of this study was to analyze the differences of physiological responses of vital signs on the workers in high temperature environments at the tofu home industry Kedung tarukan Surabaya. this study was an observational study with a cross-sectional study design. Data was analyzed statistically using Paired t-test, this study use total population of 14 workers. The results of high temperature measurement of the working area of the Tofu home Industry Kedung Tarukan Surabaya showed that the average value of Wet and Ball Temperature Index (ISBB) was 30.52oC. The workload was categorized as medium, with the workload range of 50% – 75% working hour with workloads in the medium category and 50-75% working time from 1 hour. The results of physiological conditions measurement of vital signs was significantly different (<α 0.05) between before and after work on systolic blood pressure (p = 0.045), pulse (p = 0.039), body temperature (p = 0.006) and respiratory rate (p = 0.014). Whereas there was no significant difference in diastolic blood pressure (p = 0.069). this study concludes that the temperature of the work environment in the tofu home industry Kedung Tarukan Surabaya exceeding the NAB (limit value), caused an extra burden on the workers. It should be clearly informed to the workforce community regarding the potential dangers of working in a high temperature environment. It is also crucial to provide health education about the minimum required liquid consumption needs, providing drinking water for workers, monitoring and managing health safety (K3) in the work environment, and regulating breaks period for workers.

scholarly journals Trends in socioeconomic inequalities in smoking in Turkey from 2008 to 2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hur Hassoy ◽  
Isil Ergin ◽  
Gorkem Yararbas
Keyword(s):  
Older Women ◽  
Epidemic Model ◽  
Early Stage ◽  
Age Groups ◽  
Socioeconomic Inequalities ◽  
Cross Sectional ◽  
Relative Index ◽  
Younger Women ◽  
Index Of Inequality ◽  
Wealth Inequalities

Abstract Background Smoking inequalities in Turkey were previously demonstrated in an early stage of the smoking epidemic model. This paper aimed to assess the trends for socioeconomic inequalities in smoking in Turkey over the years in the context of the smoking epidemic model using data from the Global Adult Tobacco Survey (GATS) Turkey 2008–2012-2016. Methods Cross-sectional data were analyzed to calculate the association of smoking with, wealth, education, occupation and place of residence using age-standardized prevalence rates, odds ratios, relative index of inequality (RII) and slope index of inequality (SII). The analysis was performed separately for age groups (younger: 20–39 years/older: 40 and above years) and sex. Results Younger women with higher wealth and older women with higher wealth and education smoked more. For both age groups, smoking was increased for working class and urban women. Relative wealth inequalities in smoking narrowed and then showed a reversal for younger women (RII2008 = 3.37; 95% CI:1.64–3.40; RII2012 = 2.19; 95% CI:1.48–3.24; RII2016 = 0.80; 95% CI:0.58–1.10, p-for trend < 0.0001). Relative educational inequalities in smoking for older women also showed a narrowing (RII2008 = 21.45; 95% CI:11.74–39.19; RII2012 = 15.25; 95% CI:9.10–25.55; and RII2016 = 5.48; 95% CI:3.86–7.78, p-for trend < 0.0001). For older women, a similar narrowing was observed for wealth (RII2008 = 3.94; 95% CI:2.38–6.53; RII2012 = 2.79; 95% CI:1.80–4.32; and RII2016 = 1.34; 95% CI:0.94–1.91, p-for trend = 0.0001). The only significant trend for absolute inequalities was for younger women by wealth. This trend showed a narrowing and then a reversal (SII2008 = 0.14; 95% CI:0.09–1.20; SII2012 = 0.12; 95% CI:0.06–0.18; and SII2016 = -0.05; 95% CI:-0.12–0.02, p-for trend = 0.0001). Unlike women, smoking in men showed inverse associations for wealth and education, although not statistically confirmed for all years. Smoking was increased in working classes and unemployed men in 2012 and 2016. Inequalities did not show a trend in relative and absolute terms for men. Conclusions For smoking inequalities in Turkey, a transition to the next stage was observed, although the previously defined Southern European pattern also existed. Low socioeconomic women deserve special attention as well as stressors at work and drivers of smoking at urban settings.

scholarly journals Awareness and use of the Heart Symbol by Finnish consumers

2011 ◽  
Vol 15 (3) ◽  
pp. 476-482 ◽  
Author(s):  
Marjaana Lahti-Koski ◽  
Satu Helakorpi ◽  
Mari Olli ◽  
Erkki Vartiainen ◽  
Pekka Puska
Keyword(s):  
Older Women ◽  
Adult Population ◽  
Finnish Population ◽  
Cross Sectional ◽  
Effective Measure ◽  
Men And Women ◽  
Younger Women ◽  
Educational Differences ◽  
National Population Register ◽  
Educational Groups

AbstractObjectiveTo study the awareness of the Heart Symbol in different age and educational groups, and changes in the awareness over a 9-year period. In addition, the reported use of products with the symbol was examined.DesignA series of annual cross-sectional postal surveys on Health Behaviour and Health among the Finnish Adult Population.SettingA random sample (n 5000 per annum) from the Finnish population aged 15–64 years, drawn from the National Population Register, received a questionnaire.SubjectsMen and women (n 29 378) participating in the surveys in 2000–2009.ResultsAt the early 2000s, 48 % of men and 73 % of women reported to be familiar with the symbol. The corresponding rates were 66 % for men and 91 % for women in 2009. The reported use of products with the symbol increased from 29 % to 52 % in men and from 40 % to 72 % in women. In men, the awareness did not vary by age, whereas older women (45–64 years) were less likely to be aware of the symbol compared with younger women (25–34 years). Men and women with the highest education were best aware of the symbol and more likely to use the products in the early 2000s. The educational differences diminished or disappeared during the study period.ConclusionsThe majority of Finnish adults are familiar with the Heart Symbol, and the reported use of such products increased in all age and educational groups, especially among the less educated. The symbol may work as an effective measure to diminish nutrition-related health inequalities.

Relationship of blood pressure, behavioral mood state, and physical activity following caffeine ingestion in younger and older women

2009 ◽  
Vol 34 (4) ◽  
pp. 754-762 ◽  
Author(s):  
Paul J. Arciero ◽  
Michael J. Ormsbee
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Older Women ◽  
Mood State ◽  
Cardiovascular Fitness ◽  
Fat Free Mass ◽  
Caffeine Ingestion ◽  
Younger Women ◽  
Age Related

The purpose of this study was to examine the age-related differences in blood pressure, heart rate, and behavioral mood state after caffeine ingestion in younger and older women. Using a placebo-controlled, double-blind design, 10 younger (Y; 18–22 years) and 10 older (O; 50–67 years) healthy women who were moderate consumers of caffeine (self-reported mean intake: Y, 139 ± 152 mg·day–1; O, 204 ± 101 mg·day–1) were investigated. All volunteers were characterized for fasting plasma glucose, insulin, free-fatty acids and caffeine levels, body composition, cardiovascular fitness, physical activity, and energy intake. Before and after placebo and caffeine ingestion (5 mg·kg–1 fat-free mass; ~208–270 mg) test days, the following variables were measured in all subjects: plasma caffeine levels, heart rate, blood pressure, and behavioral mood state. Results showed that, following caffeine ingestion: (i) both systolic and diastolic blood pressure (SBP and DBP, respectively) increased significantly (p < 0.05) in the older women (SBP, 128.4 ± 14.2 vs. 132.1 ± 13.0 mm Hg (3%); DBP, 80.2 ± 6.9 vs. 83.4 ± 7.5 mm Hg (4%), whereas only DBP increased in the youger women (67.1 ± 4.7 vs. 69.9 ± 5.4 mm Hg (4.2%); p < 0.05); (ii) heart rate decreased significantly (Y, 59.2 ± 8.7 to 53.9 ± 10.6 beats·min–1 (p < 0.05); O, 61.9 ± 9.2 to 59.2 ± 8.4 beats·min–1 (p < 0.05)) in both groups; and (iii) self-reported feelings of tension and vigor increased and feelings of fatigue decreased (p < 0.05) in younger women, whereas depression decreased (p ≤ 0.05) in older women. Self-reported level of physical activity was inversely related to change in DBP following caffeine ingestion in younger women. In conclusion, blood pressure response is augmented and subjective feelings of behavioral mood state are attenuated to a greater degree in older than in younger women following acute caffeine ingestion. Less physically active younger women are more vulnerable to the pressor response to caffeine than more active younger women. It should be noted that these findings are limited to moderate consumers of caffeine who abstained for 48 h prior to testing, and who ingested caffeine in pill form (~240 mg).

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