scholarly journals Comparison between Central and Brachial Blood Pressure in Hypertensive Elderly Women and Men

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Bruno Bordin Pelazza ◽  
Sebastião Rodrigues Ferreira Filho
Keyword(s):  
Blood Pressure ◽  
Elderly Women ◽  
Systemic Blood Pressure ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Brachial Blood Pressure ◽  
Elderly Hypertensive ◽  
Quantitative Descriptive ◽  
Brachial Systolic Blood Pressure ◽  
Study Participants

Aim. To compare the values of central and brachial systemic blood pressure (SBP) between women and men over 60 years of age with systemic arterial hypertension. Methods. This study was a quantitative, descriptive, cross-sectional study with elderly patients admitted to and selected from spontaneous and scheduled demand at basic health units in Uberlândia, Minas Gerais, Brazil, between March 2013 and March 2014. We included 69 study participants and compared central and brachial SBP using a Sphygmocor® XCEL device (AtCor Medical, Sydney, Australia). Results. Significant differences were found in the blood pressure values of the whole population in the central versus brachial systolic blood pressure (SP) [140(21) versus 153(23) mmHg] and in the central versus brachial pulse pressure (PP) [55(18) versus 70(18) mmHg]. Additionally, females exhibited higher blood pressure levels than males [central SP 144(23) versus 134(16) mmHg and brachial SP 161(26) versus 148(18) mmHg and central PP 62(17) versus 45(14) mmHg and brachial PP 80(21) versus 63(15) mmHg, resp.]. Conclusion. Elderly women exhibited higher blood pressure values than elderly hypertensive men.

scholarly journals An Assessment of Utilization of the Adolescent Friendly Health Services by the respective clients in Otjozondjupa Region of Namibia

2017 ◽  
Vol 10 (2) ◽  
pp. 82
Author(s):  
M. Muyenga ◽  
K. Amakali ◽  
W. Wilkinson
Keyword(s):  
Health Services ◽  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
Cross Sectional Study ◽  
National Standards ◽  
Cross Sectional ◽  
Teenage Girls ◽  
Adolescent Friendly Health Services ◽  
Quantitative Descriptive ◽  
Study Participants

Adolescents experience development related challenges more so related to the reproductive health. If they are not guided during this transitional stage, they may reap detrimental results including teenage pregnancy. Despite the existence of the national standards for Adolescent Friendly Health Services (AFHS) for the prevention of among others, teenage pregnancy, adolescent pregnancy continues to rise across the regions of Namibia.This article presents quantitative, descriptive findings of a cross-sectional study regarding the utilization of the Adolescent Active Participation component of the Adolescent Friendly Health Services standards by adolescent girls in Otjozondjupa region of Namibia.Quantitative data were collected (through structured questionnaire) from a sample of 540 (out of 4995 study population) school-going teenage girls as the potential users of the AFHS in Otjozondjupa Region.The findings indicated that, although the standards for the implementation of AFHS exist, adolescent girls do not utilize the services as demonstrated by high percentage (96%) of lack of awareness of the existence of the AFHS among the study participants, low (33%) use of condom among the sexually active study participants, non-participation (92%) of adolescent girls in health care committees as well as lack of participation (91%).  in development and distributions of the Information Education Communication materials (IEC) Therefore, the study recommended the strategies which may accelerate active participations of the adolescents in the implementation of the AFHS standards, particularly in Otjozondjupa region and Namibia at large.

scholarly journals Arterial hypertension in the elderly accompanied in primary care: profile and associated factors

2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Breno de Sousa Santana ◽  
Bárbara Soares Rodrigues ◽  
Marina Morato Stival ◽  
Cris Renata Grou Volpe
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Strong Association ◽  
Federal District ◽  
The Elderly ◽  
Pressure Control ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Elderly Hypertensive

Abstract Objective: to analyze blood pressure control in elderly hypertensives accompanied by a Basic Health Unit of the Federal District, determining the sociodemographic profile and the associated risk factors. Method: this is a cross-sectional study with 133 elderly hypertensive patients. Variables related to sociodemographic factors, life habits, clinical factors and adherence to drug therapy were evaluated through the application of semistructured instruments and validated scales. Results with p <0.05 were considered significant. Results: the elderly presented controlled blood pressure (56.4%) predominantly. The majority of the participants were female and women also had a higher rate of uncontrolled blood pressure (86.2%). Older age was associated with higher blood pressure values (p = 0.031). Alcoholism (p = 0.020) and mean body mass index of 33.0 (p <0.000) were factors associated with hypertension adherence to therapy had more controlled values of systolic and diastolic blood pressure. Conclusion and implications for the practice: it was verified that there is a strong association between the risk factors discussed and the lack of control of the blood pressure of elderly hypertensive, especially with regard to advanced age, alcoholism, obesity and overweight, and it is necessary to reorient the planning and strategies of promotion of health and prevention of diseases directed at the elderly hypertensive in the scope of primary health care.

scholarly journals Differential associations of ankle and brachial blood pressures with diabetes and cardiovascular diseases: cross-sectional study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hema Viswambharan ◽  
Chew Weng Cheng ◽  
Kirti Kain
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
South Asians ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Posterior Tibial ◽  
Doppler Probe ◽  
Brachial Systolic Blood Pressure ◽  
Primary Care Practices

AbstractIncreased brachial systolic blood-pressure (BP) predicts diabetes (T2DM) but is not fully effective. Value of absolute ankle systolic BP for T2DM compared to brachial systolic BP is not known. Our objectives were to assess independent relationships of ankle-systolic BP with T2DM and cardiovascular disease in Europeans and south Asians. Cross-sectional studies of anonymised data from registered adults (n = 1087) at inner city deprived primary care practices. Study includes 63.85% ethnic minority. Systolic BP of the left and right-brachial, posterior-tibial and dorsalis-pedis-arteries measured using a Doppler probe. Regression models’ factors were age, sex, ethnicity, body mass index (BMI) and waist height ratio (WHtR). Both brachial and ankle systolic-BP increase with diabetes in Europeans and south Asians. We demonstrated that there was a significant positive independent association of ankle BP with diabetes, regardless of age and sex compared to Brachial. There was stronger negative association of ankle blood pressure with cardiovascular disease, after adjustment for BMI, WHtR and ethnicity. Additionally, we found that ankle BP were significantly associated with cardiovascular disease in south Asians more than the Europeans; right posterior tibial. Ankle systolic BPs are superior to brachial BPs to identify risks of Type 2DM and cardiovascular diseases for enhanced patient care.

scholarly journals Risk factors for non communicable diseases among transport and security personnel of a health sciences university in coastal Karnataka

2020 ◽  
Vol 7 (3) ◽  
pp. 872
Author(s):  
Sumit Audichya ◽  
Pavithra H. ◽  
Harikrishnan V. ◽  
Kibballi Madhukeshwar Akshaya
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Cross Sectional Study ◽  
Health Sciences ◽  
Communicable Diseases ◽  
Cross Sectional ◽  
Physically Active ◽  
Non Communicable Diseases ◽  
Study Participants

Background: Non communicable diseases (NCDs) are on the rise among workers in various occupations resulting in morbidity and mortality. This study was conducted to assess the various risk factors and associated socio-demographic factors among the security and transport personnel working in a health sciences university in Mangaluru.Methods: It was a cross-sectional study conducted among all the security and transport personnel. Questionnaire based on WHO-STEPS approach was used. Blood pressure (BP) measurements were recorded.Results: Total 167 study participants were enrolled; 57.5% were security and rest were transport personnel. Physical activity was perceived as light by 63.5% participants. Current smokers constituted to 26% and 33.5% consumed alcohol in past 12 months. Eighteen percent of them top salted their food. Among participants who were apparently healthy, 12.5% and 23.4% had raised systolic and diastolic BP. Associations between the areas of residence (p=0.004) and type of occupation (p<0.001) were found to be significant.Conclusions: Prevalence of risk factors of NCDs was high among study participants. Only few study subjects were physically active and majority of them felt that their routine work provided them with light physical activity. Around one third of the participants consumed tobacco and alcohol. Around 1/4th of the study participants who were not known hypertensive, were found with increased levels of blood pressure.

scholarly journals Perfil sociodemográfico e de saúde de idosos institucionalizados

2019 ◽  
Vol 13 (3) ◽  
pp. 674
Author(s):  
Renata Kelly Lopes de Alcântara ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Bruna Karen Cavalcante Fernandes ◽  
Valderina Moura Lopes ◽  
Saul Filipe Pedrosa Leite ◽  
...  
Keyword(s):  
Elderly People ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Profile ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Institutionalized Elderly ◽  
Individualized Care ◽  
Quantitative Descriptive

RESUMO Objetivo: buscou-se descrever o perfil sociodemográfico e de saúde de idosos institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado a partir da avaliação de 219 prontuários de idosos, mediante a aplicação de um instrumento semiestruturado. Analisaram-se os dados com o auxílio do SPSS, versão 20.0, e os apresentaram em tabelas. Resultados: obteve-se predomínio de idosos do sexo feminino, média de idade de 77 anos, escolaridade de 4 a 15 anos de estudo, solteiros, católicos, provenientes de domicílio próprio com tempo de institucionalização menor que 5 anos, aposentados e que recebiam visitas. Viu-se acerca das características clínicas que 44,7% tinham de 3 a 4 comorbidades e 49,3% faziam uso de 0 a 4 medicações. Observou-se sobre o grau de dependência que 35,6% dos idosos apresentavam grau III. Conclusão: ressalta-se que os dados descritos estimulam a reflexão sobre questões que influenciam diretamente o processo de adaptação do idoso à institucionalização, bem como a necessidade de a equipe multiprofissional prestar uma assistência individualizada a partir do conhecimento do perfil dos idosos institucionalizados. Descritores: Idoso; Instituição de Longa Permanência para Idosos; Institucionalização; Saúde do Idoso Institucionalizado; Perfil de Saúde; Envelhecimento.ABSTRACT Objective: to describe the sociodemographic and health profile of institutionalized elderly people. Method: This is a quantitative, descriptive, cross-sectional study based on the evaluation of 219 medical records of the elderly, using a semi-structured instrument. Data were analyzed with the help of the SPSS, version 20.0, and presented in tables. Results: there was a predominance of elderly women, mean age of 77 years, schooling from 4 to 15 years, single marital status, Catholics, coming from their own domicile, with institutionalization time of less than 5 years, retired, and elderly people who received visits. Regarding clinical characteristics, 44.7% had 3 to 4 comorbidities and 49.3% used 0 to 4 medicines. As for the degree of dependence, it was observed that 35.6% of the elderly presented grade III. Conclusion: it is noteworthy that the data described stimulate a reflection on issues that directly influence the process of adaptation of the elderly to institutionalization, as well as the need for the multiprofessional team to provide individualized care based on knowledge of the profile of the institutionalized elderly. Keywords: Elderly; Long Stay Institutions for the Elderly; Institutionalization; Health of Institutionalized Elderly; Health Profile; Aging.RESUMOObjetivo: se buscó describir el perfil sociodemográfico y de salud de adultos mayores institucionalizados. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado a partir de la evaluación de 219 prontuarios de adultos mayores, mediante la aplicación de un instrumento semi-estructurado. Se analizaron los datos con el auxilio del SPSS, versión 20.0, y los presentaron en tablas. Resultados: se obtuvo un predominio de adultos mayores del sexo femenino, media de edad de 77 años, escolaridad de 4 a 15 años de estudio, solteros, católicos, provenientes de domicilio propio con tiempo de institucionalización menor que 5 años, jubilados y que recibían visitas. Se observó en las características clínicas que 44,7% tenían de 3 a 4 comorbilidades y 49,3% usaban de 0 a 4 medicamentos. Se observó el grado de dependencia en que 35,6% de los adultos mayores presentaban grado III. Conclusión: se resalta que los datos descriptos estimulan la reflexión sobre cuestiones que influyen directamente el proceso de adaptación del adulto mayor a la institucionalización, así como la necesidad del equipo multi-profesional prestar una asistencia individualizada a partir del conocimiento del perfil de los adultos mayores institucionalizados. Descriptores: Adulto mayor; Institución de Larga Permanencia para Adultos Mayores; Institucionalización; Salud del Adulto Mayor Institucionalizado; Perfil de Salud; Envejecimiento.

scholarly journals Conduta da equipe de enfermagem na parada cardiorrespiratória em crianças

2019 ◽  
Vol 13 ◽  
Author(s):  
Larissa Paranhos Silva Campos ◽  
Márcia Maria Carneiro Oliveira ◽  
Lucinéia Santos da Silva ◽  
Jessica Alves Sacramento de Moraes ◽  
Ridalva Dias Martins Felzemburgh ◽  
...  
Keyword(s):  
Cardiopulmonary Arrest ◽  
Cross Sectional Study ◽  
Nursing Assistants ◽  
University Hospital ◽  
Hospital Data ◽  
Cross Sectional ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
Quantitative Descriptive ◽  
Study Participants

Objetivo: descrever a conduta inicial de técnicos e auxiliares de enfermagem na assistência às crianças em parada cardiorrespiratória. Método: trata-se de um estudo quantitativo, descritivo, transversal, com técnicos e auxiliares de enfermagem do setor de Pediatria de um hospital universitário. Coletaram-se os dados com um formulário autoaplicável. Utilizou-se o SPSS 21.0 para a análise descritiva dos dados. Resultados: analisou-se que o conhecimento dos 38 participantes sobre a conduta inicial frente à parada cardiorrespiratória abrangeu a identificação da ausência de movimentos respiratórios (90%). Relatou-se, na sequência, “chamar por ajuda” (84%) e, quando avaliada a relação de acertos nas condutas a serem realizadas, 86% dos profissionais acertaram parcialmente as descrições das ações. Conclusão: percebe-se que os participantes do estudo apresentam conhecimento sobre as condutas iniciais na assistência à parada cardiorrespiratória, porém, a detecção dessa situação em crianças abrange outras ações que não foram mencionadas pela maioria dos participantes. Indica-se a necessidade de ações permanentes realizadas com a equipe de técnicos e auxiliares de enfermagem para a atualização de conhecimento que possibilitem as decisões e respostas rápidas em casos de parada cardiorrespiratória. Descritores: Auxiliares de Enfermagem; Técnicos de Enfermagem; Parada Cardiorrespiratória; Criança Hospitalizada; Enfermagem; Conhecimento.AbstractObjective: to describe the initial conduct of nursing technicians and assistants in assisting children in cardiopulmonary arrest. Method: this is a quantitative, descriptive, cross-sectional study with nursing technicians and assistants from the Pediatrics sector of a university hospital. Data was collected with a self-applying form. SPSS 21.0 was used for descriptive data analysis. Results: it was analyzed that the knowledge of the 38 participants about the initial conduct regarding cardiopulmonary arrest included the identification of the absence of respiratory movements (90%). Following, it was reported “call for help” (84%) and, when evaluated the ratio of correct answers in the conduct to be performed, 86% of professionals partially agreed the descriptions of actions. Conclusion: it is clear that the study participants have knowledge about the initial conducts in assisting cardiopulmonary arrest, however, the detection of this situation in children covers other actions that were not mentioned by most participants. It indicates the need for permanent actions carried out with the team of nursing technicians and assistants to update knowledge to enable quick decisions and responses in cases of cardiac arrest. Descriptors: Nursing Assistants; Licensed Practical Nurses; Heart Arrest; Child, Hospitalized; Nursing; Knowledge.ResumenObjetivo: describir la conducta inicial de técnicos y asistentes de enfermería en la asistencia a los niños en el paro cardiorrespiratorio. Método: se trata de un estudio cuantitativo, descriptivo, transversal con técnicos y asistentes de enfermería del sector de pediatría de un hospital universitario. Los datos se recopilaron con un formulario de aplicación automática. Se utilizó SPSS 21.0 para el análisis descriptiva de los datos. Resultados: se analizó que el conocimiento de los 38 participantes sobre la conducta inicial con respecto al paro cardiorrespiratorio incluía la identificación de la ausencia de movimientos respiratorios (90%). A continuación, se informó "llamada de ayuda" (84%) y, cuando evaluada la relación de respuestas correctas en la conducta a realizar, el 86% de los profesionales estuvieron de acuerdo parcialmente con las descripciones de las acciones. Conclusión: se percibe que los participantes del estudio presentan conocimiento sobre las conductas iniciales en la asistencia al paro cardiorrespiratorio, sin embargo, la detección de esta situación en niños cubre otras acciones que no fueron mencionadas por la mayoría de los participantes. Se indica la necesidad de acciones permanentes llevadas a cabo con el equipo de técnicos y asistentes de enfermería para actualizar el conocimiento para permitir decisiones rápidas y respuestas en casos de paro cardiorrespiratorio. Descriptores: Asistentes de Enfermagem; Enfermeros no Diplomados; Paro Cardíaco; Niño Hospitalizado; Enfermería; Conocimiento.

scholarly journals Knowledge and Practices Related to Salt Intake among Saudi Adults

2020 ◽  
Vol 17 (16) ◽  
pp. 5749
Author(s):  
Mahitab A. Hanbazaza ◽  
Walaa A. Mumena
Keyword(s):  
Blood Pressure ◽  
Saudi Arabia ◽  
Salt Intake ◽  
Sodium Intake ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Study Participants

In Saudi Arabia, data regarding salt-related knowledge and practices are still lacking. This cross-sectional study aimed to investigate salt-related knowledge and practices and associated factors in Saudi adults. Data on the following variables were collected from 467 participants living in Madinah or Jeddah via face-to-face interviews: demographics, anthropometrics (height and weight), blood pressure (assessed using a digital sphygmomanometer), salt-related knowledge, and practices related to salt intake. Salt-related knowledge and practices were limited among the study participants; however, they were not correlated (rs = 0.10). Multiple linear regression analysis revealed that salt-related practices were negatively associated with sodium intake and positively associated with body mass index (BMI) (p < 0.001 and p = 0.001, respectively), whereas salt-related knowledge was not associated with sodium intake, blood pressure, or BMI. Salt-related knowledge is limited and not linked to practices related to salt intake in Saudi adults. Interventions are needed to increase the accessibility of low-sodium food options and improve practices limiting sodium intake to prevent the occurrence of salt-related diseases among adults in Saudi Arabia.

scholarly journals Blood Pressure Measurements with Different Currently Available Methods in Elderly Hypertensive Hospitalized Patients: A Real World Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Rosaria Del Giorno ◽  
Pascal Simon Heiniger ◽  
Lorenzo Balestra ◽  
Luca Gabutti
Keyword(s):  
Blood Pressure ◽  
Kappa Statistic ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Mean Difference ◽  
Women Patients ◽  
Cross Sectional ◽  
Elderly Hypertensive ◽  
The Mean ◽  
Elderly Hospitalized Patients

Background. The reliability of blood pressure (BP) measurement in hospitalized patients is a topic of debate and the therapeutic implication of the routinely collected BP profiles is probably overestimated. When measurements are performed in elderly patients, further potential sources of misinterpretation occur. Methods. We conducted a subanalysis of a previous study including 79 over 80-year-old hypertensive patients, hospitalized in an internal medicine ward. Five modalities of BP evaluations (measurement by physicians and nurses, self-measurement by patients, Finometer® beat-to-beat finger monitoring, and 24h monitoring) were analyzed, considering agreement and accuracy. Results. The mean (SD) age of the patients was 86.9±4.9 years (50% women). Patients’ self-measurements of both systolic and diastolic BP (SBP and DBP) did not differ significantly from daytime 24-hour monitoring (D24hBPM) (mean difference -1.52, SE 1.71; p: ns and -0.58, SE 1.19 mmHg; p: ns). Conversely, SBP and DBP registered by nurses did significantly differ (mean difference -7.34, SE 1.42; p=0.007 and -4.7, SE 1.05 mmHg; p=0.003). SBP and DBP measured by patients also showed the better concordance, with lowest biases, and narrowest limits of agreements (LoA) and for SBP higher Kappa statistic values (bias 1.5, LoA -28.9 to 31.9; κ 0.563 and bias 0.6, LoA -20.4 to 21.5 mmHg; κ 0.412). The patients’ sensitivity and specificity in predicting hypertensive systolic D24hBPM were 84.8% and 69.7%, respectively. Conclusions. In elderly hospitalized patients an alternative to 24hBPM, self-measurements by patients offer the better agreement and reliability in detecting hypertensive values.

scholarly journals Prevalence of hypertension and co-morbidities among elderly women in rural area: a cross sectional study

2018 ◽  
Vol 5 (9) ◽  
pp. 4018
Author(s):  
Soumyashree M. N. ◽  
R. G. Viveki
Keyword(s):  
Rural Area ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Sustainable Development ◽  
Premature Deaths ◽  
History Of ◽  
Study Participants

Background: NCDs have been the leading causes of death among women globally for the past three decades and are now responsible for two in every three deaths among women each year. India endorsed the Sustainable Development Goal for health to set a target to decrease premature deaths from non-communicable diseases (NCDs) by one-third by 2030. Aims of the study were to estimate the prevalence of hypertension among the elderly women from rural area and to know the associated co-morbidities among the elderly women from rural area.Methods: A community based cross sectional study was conducted among elderly women >60 yrs. Data was collected by using pre tested structured questionnaire, which contained basic information like name, age, education & socioeconomic status, occupation, marital status, known case of hypertension, family history, any other co- morbidities.Results: 65.2% of the participants had normal blood pressure, 34.7% were hypertensive. 38% of study subjects living in joint family were hypertensive, majority (53.8% and 85.6%) of them who were obese and had a history of tobacco intake were hypertensive. The association between hypertension and these variables was found to be statistically significant.Conclusions: 15.4% of the study participants were newly detected hypertensives. This indicates a need for awareness to be created among the elderly women regarding hypertension risk factors, to sensitize them for regular medical check-ups to ensure prevention and early detection of hypertension.

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