Abstract 045: Incremental Medical Expenditures Attributable to Hypertension in China’s Middle-aged and Elderly Population

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Donglan Zhang ◽  
Shukai Li
Keyword(s):  
Blood Pressure ◽  
Elderly Population ◽  
Complete Information ◽  
Health Condition ◽  
Medical Expenditures ◽  
Population Characteristics ◽  
Control Group ◽  
Middle Aged ◽  
Average Systolic Blood Pressure ◽  
National Medical

Background: Hypertension is a prevalent and costly health condition in China. We sought to estimate the inpatient and outpatient expenditures attributable to hypertension among China’s middle-aged and elderly population. Methods: Data for this study was from the China Health and Retirement Longitudinal Survey (CHARLS) 2011 and 2013, a comprehensive and nationally representative survey of Chinese residents aged 45 and older. We selected our study sample among respondents who had complete information on biomarker blood pressure measures and had not developed hypertension in 2011. Hypertension in 2013 was identified in the following steps: (a) He/she had an average systolic blood pressure of ≥ 140 mmHg, and/or an average diastolic blood pressure of ≥ 90 mmHg and/or (b) He/she was currently taking anti-hypertensive medications. The outcome measures were total inpatient expenditures in the past year and outpatient expenditures in the last month. We used a difference-in-difference approach, by classifying those with hypertension as treatment group, and those without hypertension as control group. A propensity score weighting approach was applied to balance out the population characteristics between the treatment and control groups. Linear regression was used to examine the incremental medical expenditures attributable to hypertension. Results: The final sample contained 7827 observations. For those who developed hypertension between 2011 and 2013, their inpatient expenditure increased faster and on average, the hypertension-attributable inpatient expenditures were¥129.5 ($20.9) per person in a year. When we restricted the sample to those with only positive inpatient expenditures, the incremental expenditure reached ¥1526.2 ($246.2) a year. On average, the hypertension-attributable outpatient expenditures were ¥31.0 ($5) per person each month. When we only considered the sample with positive outpatient expenditures, the incremental outpatient expenditures reached ¥276.1 ($44.5) in a month. Conclusions: Having hypertension was associated with substantially higher medical expenditures for both inpatient and outpatient care services. Given that the prevalence of hypertension among adults aged 45 and older was 33% (180 million) in China), the estimated national medical expenditures attributable to hypertension would be as high as ¥90.3 billion ($14.6 billion) per year.

scholarly journals Effects of Aroma Massage on Home Blood Pressure, Ambulatory Blood Pressure, and Sleep Quality in Middle-Aged Women with Hypertension

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Myeong-Sook Ju ◽  
Sahng Lee ◽  
Ikyul Bae ◽  
Myung-Haeng Hur ◽  
Kayeon Seong ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Placebo Group ◽  
Sleep Quality ◽  
Nursing Intervention ◽  
Home Blood Pressure ◽  
Control Group ◽  
Middle Aged ◽  
Significant Difference ◽  
Before And After ◽  
Massage Group

The purpose of this study was to evaluate the effects of aroma massage applied to middle-aged women with hypertension. The research study had a nonequivalent control group, nonsynchronized design to investigate the effect on home blood pressure (BP), ambulatory BP, and sleep. The hypertensive patients were allocated into the aroma massage group (n=28), the placebo group (n=28), and the no-treatment control group (n=27). To evaluate the effects of aroma massage, the experimental group received a massage with essential oils prescribed by an aromatherapist once a week and body cream once a day. The placebo group received a massage using artificial fragrance oil once a week and body cream once a day. BP, pulse rate, sleep conditions, and 24-hour ambulatory BP were monitored before and after the experiment. There was a significant difference in home systolic blood pressure (SBP) (F=6.71,P=0.002) between groups after intervention. There was also a significant difference in SBP (F=13.34,P=0.001) and diastolic blood pressure (DBP) (F=8.46,P=0.005) in the laboratory between aroma massage and placebo groups. In sleep quality, there was a significant difference between groups (F=6.75,P=0.002). In conclusion, aroma massage may help improve patient quality of life and maintain health as a nursing intervention in daily life.

scholarly journals Air Rebusan Seledri Menurunkan Tekanan Darah

2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Wiwik Afridah ◽  
Budi Setiawan
Keyword(s):  
Blood Pressure ◽  
Elderly People ◽  
Elderly Population ◽  
Fruits And Vegetables ◽  
Healthy Lifestyle ◽  
Control Group ◽  
Fisher Exact Test ◽  
Random Allocation ◽  
Test Results ◽  
Exact Test

The increasing elderly population will lead to problems such as health problems, one of which is hypertension. The purpose of this study was to determine the effect of celery stew on blood pressure in elderly people with hypertension Hulaan Village District Menganti Gresik regency. This study uses a design Case control design with the aging population in the first level of hypertension by 12 people, with a large sample of elderly with hypertension entire first level is 12 people, and how to use the total sampling sampling and divided into 6 groups of 6 cases and the control group with random allocation techniques. Celery stew independent variables and the dependent variable blood pressure. The data was collected by means of measuring the blood pressure recorded recapitulation and analyzed using the Fisher exact test with α = 0.05. The research results obtained from 6 groups of cases that were given celery stew all experienced a decrease in blood pressure, whereas in the control group of 6 people who were not given celery stew is only 1 person that declined. Fisher Exact test results obtained ρ (0.015) <α (0.05), means that the research hypothesis is accepted ie no celery stew effect on blood pressure in elderly people with hypertension Hulaan Village District Menganti Gresik Regency. The conclusions of this study are no celery stew effect on blood pressure of elderly with hypertension. Hypertensive patients are expected to maintain your diet, multiply to consume fruits and vegetables that contain potassium, as well as a healthy lifestyle change. 

scholarly journals Effects of recreational sports and combined training on blood pressure and glycosylated hemoglobin in middle-aged and older adults: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Vinicius Mallmann Schneider ◽  
Paula de Azevedo Frank ◽  
Sandra C. Fuchs ◽  
Rodrigo Ferrari
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Weighted Mean Difference ◽  
Meta Analysis ◽  
Glycosylated Hemoglobin ◽  
Control Group ◽  
Synthesis Methods ◽  
Recreational Sports ◽  
Middle Aged ◽  
Exercise Interventions

Background Combined resistance and aerobic training (CT) is the most suitable form of exercise training to simultaneously improve cardiometabolic profile and functional capacity in middle-aged and older adults. Recreational sports (RS) emerge as an alternative to traditional exercises to improve these outcomes that could be used as a retention and continuity strategy, promoting health benefits associated with pleasure and satisfaction during the physical activity. Objectives The aim was to conduct a meta-analysis on the effects of RS and CT on systolic blood pressure (SBP), diastolic blood pressure (DBP) and glycosylated hemoglobin (HbA1c) in middle-aged and older adults and to compare these exercise interventions to a non-exercising control group (CON). Data Sources A literature search was conducted using the databases at PubMed, COCHRANE and SciELO between July and August 2020. Study Eligibility Criteria Studies that included men and women aged 45 years, healthy or with values of baseline for SBP 130mmHg or DBP 80 mmHg or with type II diabetes, in which the participants performed RS or CT versus CON, and evaluated SBP, DBP and HbA1c. Study Appraisal and Synthesis Methods Two independent reviewers screened search results, performed data extraction, and assessed of methodological quality of studies. Random effects modeling was used to compare pre to postintervention changes in BP and HbA1c from RS and CT versus CON, and the effect size were calculated through the weighted mean difference (MD) with a 95% confidence interval (CI). Conclusions RS and CT are effective exercise interventions to improve blood pressure in middle-aged and older adults. Additionally, CT seems to be an excellent strategy to reduce HbA1c, and future studies are necessary to confirm the effectiveness of recreational sports to improve HbA1c.

Effects of Qigong on Blood Pressure, Blood Pressure Determinants and Ventilatory Function in Middle-Aged Patients with Essential Hypertension

2003 ◽  
Vol 31 (03) ◽  
pp. 489-497 ◽  
Author(s):  
Myung Suk Lee ◽  
Myeong Soo Lee ◽  
Euy-Soon Choi ◽  
Hun-Taeg Chung
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Vital Capacity ◽  
Forced Expiratory Volume ◽  
Control Group ◽  
Middle Aged ◽  
Aged Patients ◽  
Urinary Catecholamines ◽  
Baseline Values ◽  
Sympathetic Nervous

This study was designed to measure changes in blood pressure (BP), urinary catecholamines and ventilatory functions of patients with mild essential hypertension after 10 weeks of Qigong (Shuxinpingxuegong). Fifty-eight patients volunteered to participate in this study and were randomly divided into either a Qigong group (n = 29), or a control group (n = 29). Systolic blood pressure and diastolic blood pressure decreased significantly in the Qigong group such that both became significantly lower after 10 weeks in the Qigong than in the control group. Also, there was a significant reduction of norepinephrine, metanephrine and epinephrine compared to baseline values in the Qigong group. The ventilatory functions, forced vital capacity and forced expiratory volume per sec, were increased in the Qigong group but not the control. These results suggest that Qigong may stabilize the sympathetic nervous system is effective in modulating levels of urinary catecholamines and BP positively, and in improving ventilatory functions in mildly hypertensive middle-aged patients.

Physiological and Psychological Effects of Active-Alert Hypnosis

1999 ◽  
Vol 84 (3_suppl) ◽  
pp. 1123-1126
Author(s):  
Hendrik M. DeVos ◽  
Justus R. Potgieter ◽  
Johannes H. Blaauw
Keyword(s):  
Blood Pressure ◽  
Work Capacity ◽  
Control Group ◽  
Anxiety State ◽  
Education Students ◽  
Average Systolic Blood Pressure ◽  
Physical Education Students ◽  
Significant Difference ◽  
Experimental Subjects ◽  
Experimental Group

10 female physical education students were given posthypnotic suggestions alluding to economy of effort in exercise. These suggestions were affirmed under self-hypnosis over two weeks. Experimental subjects pedalled on an exercise bicycle for 20 min. at 60% of their maximal work capacity while listening to suggestions from a hypnotist. The Control group ( n = 9) showed no differences between mean pretest and posttest scores on physical self-efficacy, trait anxiety, state anxiety, heart rate, blood pressure, and perceived rate of exertion. The average systolic blood pressure of the experimental group was the only positive significant difference between the pretest and posttest scores.

scholarly journals 12 -week brisk-walking intervention on middle-aged mild-Hypertensive population in Asaba, Delta state, Nigeria.

2021 ◽  
Vol 6 (2) ◽  
pp. 1-9
Author(s):  
Offodile Humphrey ◽  
Charles Ogu
Keyword(s):  
Blood Pressure ◽  
Exercise Intervention ◽  
Mild Hypertension ◽  
Control Group ◽  
Brisk Walking ◽  
Middle Aged ◽  
Walking Intervention ◽  
Hypertensive Population ◽  
Walking Exercise ◽  
Mild Hypertensive

Purpose: 12 week- brisk walking exercise intervention at 50%-70% intensity was carried out in the study to examine the mean reduction on systolic and diastolic blood pressures of middle-aged mild-hypertensive population in Asaba, Nigeria. Methodology: The study comprised of 42 male and female middle-aged (36-45years) individuals who recorded mild-hypertension. A control group-pre-test and post-test experimental design was used to randomly assign the individuals into treatment and control groups. Whereas, arithmetic mean and standard deviation were used to analyze the data according to the difference in mean scores. Conclusion: In conclusion, 12-week brisk walking intervention showed a mean reduction on systolic blood pressure (SBP) and diastolic blood pressure (DBP) of middle-aged mild-hypertensive population. Precisely, the experiment indicated that those who did not partake in the exercise intervention (control group) showed an increase on SBP and a decrease on DBP and thereby indicating a relatively higher mean reduction of 12-week brisk-walking exercise on SBP of middle-aged mild-hypertensive population. Recommendations: The study recommended that 50% -70% intensity of 12-week brisk-walking exercise may likely present a therapeutic intervention for people with mild-hypertension.

scholarly journals PENGARUH THERAPY BEKAM BASAH TERHADAP TEKANAN DARAH PASIEN HIPERTENSI

2018 ◽  
Vol 6 (2) ◽  
pp. 102-105
Author(s):  
Leli Mulyati
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Cupping Therapy ◽  
Control Group ◽  
Pressure Measurements ◽  
Hypertensive Patients ◽  
Average Systolic Blood Pressure ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

This study aims to determined the effected of wet cupping therapy on blood pressure in hypertensive patients. The study used a quasi-experimental method with one group pre-test and post-test without a control group. The study subjects total 30 respondents consisting of patients with hypertension. All subjects are given wet cupping treatment twice with an interval of 2 weeks. Blood pressure measurements made ​​before and after wet cupping. The results of analysis used a t-dependent, decrease in average systolic blood pressure was 13 333 ± 12 042 wet cupping mmHg and diastolic 4667 ± 3294 mmHg. At week 2 a decrease in average systolic blood pressure mmHg while the 8667 ± 8308 6667 ± 5525 mmHg diastolic. Decrease in average systolic and diastolic blood pressure there were significant differences (p <0.05) in the first wet cupping and second wet cupping. This shows that wet cupping therapy affects blood pressure in hypertension patients.

The Effects of Home-Based Self-Care Education on Blood Pressure and Self-Care Behaviors among Middle-Aged Patients with Primary Hypertension in Iran: A Randomized Clinical Controlled Trial

2021 ◽  
pp. 108482232110127
Author(s):  
Sara Hazrati Gonbad ◽  
Masoumeh Zakerimoghadam ◽  
Shahzad Pashaeypoor ◽  
Shima Haghani
Keyword(s):  
Blood Pressure ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Primary Hypertension ◽  
Control Group ◽  
Middle Aged ◽  
Aged Patients ◽  
Care Education ◽  
Home Based

Self-care education (SCE) through home visit is one of the methods with potential effects on self-care. This study aimed to evaluate the effects of home-based SCE on blood pressure and self-care behaviors among middle-aged patients with primary hypertension in Iran. This randomized controlled trial was conducted on 110 middle-aged patients with hypertension recruited from public healthcare centers in the south of Tehran, Iran in September 2019. After convenience sampling, Participants were simple randomly allocated to control and intervention groups. Intervention group received a 2-month home-based SCE while control group received routine care services. Before and 2 months after the intervention, self-care behaviors were assessed using the Hypertension Self-Care Activity Level Effects (H-SCALE). Data were analyzed using the SPSS software (v. 16.0) at a significance level of less than .05. After 2 months, the posttest mean scores of self-care behaviors in medication adherence (17.42 ± 1.03 vs 14.49 ± 1.01, p = .04), physical activity (8.16 ± 0.39 vs 6.47 ± 0.52, p = .01), low-salt diet (52.51 ± 3.8 vs 35.36 ± 3.47, p = .001), and blood pressure control (3.47 ± 0.22 vs 2.42 ± 1.89, p = .001), in the intervention group were significantly greater than the control group. However, there were no significant between-group differences respecting the posttest mean scores of the weight management ( p = .06) and smoking cessation ( p = .2). Also, the mean blood pressure between the 2 groups changed after the intervention, but this difference was not statistically significant. This study suggests the effectiveness of home-based SCE in significantly improving self-care behaviors among patients with hypertension. But more studies are needed to measure the effectiveness of intervention on blood pressure. IRCT code: IRCT20190623043985N1. Registered 06/30/2019, https://fa.irct.ir/trial/40351 .

scholarly journals Influence of Murottal Al-Qur’an Ar-Rahman Letter to Decrease of Blood Pressure of Pregnant Women with Preeclampsia

2019 ◽  
Author(s):  
Mulastin Mulastin ◽  
Sugiharto .
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Pregnant Women ◽  
Intervention Group ◽  
Statistical Test ◽  
Control Group ◽  
P Value ◽  
Average Systolic Blood Pressure ◽  
Average Value ◽  
Central Java

Preeclampsia is one of the causes of the Maternal Mortality Rate (MMR). In Central Java Province in 2016 reached 109.65 from 100,000 live births. Data obtained from pregnant women with preeclampsia at the Kaliwungu holy health center were 64 pregnant women. One of the symptoms of preeclampsia is high blood, there are several ways to improve body condition with music therapy, and listen to murottal. The goal is to know the influence of murottal Al-Qur’an letter Ar-Rahman to blood presure of pregnant women who have preeclampsia. This type of research is an experimental study using the Quasy design experiment pretest-posttest control group design.Thepopulationofthisstudywereallpregnantwomenwhohadpreeclampsiaat Puskesmas Kaliwungu Kudus which were 64 pregnant women in September-October 2017, and the sample was pregnant women who had preeclampsia, 32 as intervention group and 32 as control group. Sampling techniques with quota sampling (non probability). Data analysis of the research with using the Independent T Test. The results of the research showed that the blood pressure were significantly higher in intervension than the case of control groups. average systolic blood pressure in the intervention group was 122.78 mmHg and the control group was 126.75 mmHg with the results of the statistical test 0.001<P value so that there was an effect. There was a decrease in systolic blood pressure of 3.97 mmHg. While the average value of diastole blood pressure in the intervention group was 82.22 mmHg and the control group was 81.92 and the results of the statistical test were 0.015<P value. There is a decrease in diastolic blood pressure of 0.3 mmHg. Which means there is an Ar-Rahman letter’s morattal influence on blood pressure decrease in pregnant women who have preeclampsia. Expected at the time of ANC or at the time of pregnant mother class to be given listening murottal technique of Ar-Rahman letter by improvingservicesforpregnantmotherforpregnantmotherwhospendspreeclampsia.

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