scholarly journals A geodatabase of blood pressure level and the associated factors including lifestyle, nutritional, air pollution, and urban greenspace

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Alireza Mohammadi ◽  
Elahe Pishgar ◽  
Neda Firouraghi ◽  
Nasser Bagheri ◽  
Ali Shamsoddini ◽  
...  

Abstract Objectives Hypertension is a prevalent chronic disease globally. A multifaceted combination of risk factors is associated with hypertension. Scientific literature has shown the association among individual and environmental factors with hypertension, however, a comprehensive database including demographic, environmental, individual attributes and nutritional status has been rarely studied. Moreover, an integrated spatial-epidemiological approach has been scarcely researched. Therefore, this study aims to provide and describe a geodatabase including individual-based and socio-environmental data related to people living in the city of Mashhad, Iran in 2018. Data description The database has been extracted from the PERSIAN Organizational Cohort study in Mashhad University of Medical Sciences. The data note includes three shapefiles and a help file. The shapefile format is a digital vector storage format for storing geometric location and associated attribute information. The first shapefile includes the data of population, air pollutants and amount of available green space for each census block of the city. The second shapefile consists of aggregated blood pressure data to the census blocks of the city. The third shapefile comprises the individual characteristics data (i.e., demographic, clinical, and lifestyle). Finally, the fourth file is a guide to the previous data files for users.

2016 ◽  
Vol 44 (7) ◽  
pp. 2961-2986 ◽  
Author(s):  
Cristian Balducci ◽  
Lorenzo Avanzi ◽  
Franco Fraccaroli

We conducted two studies on workaholism to address three identified gaps in the literature, namely, the job-related affective experiences of workaholics, the relationship between workaholism and job demands, and the long-term mental health effects of workaholism. We also examined gender as a moderator of the relationship between workaholism and its outcomes. In Study 1 (N = 311), focused on a heterogeneous sample of workers, we found that workaholism was positively related to the experience of observer-reported, as well as self-reported, job-related negative affect and that this relationship was stronger among female workers. Furthermore, in a subsample of participants (n = 189) for whom we had available blood pressure data, we found that workaholism was positively related to systolic blood pressure. In Study 2 (N = 235), based on a sample of health-sector employees in which we adopted a full, two-wave panel design including workaholism, job demands, and mental distress, we found that the baseline levels of job demands impacted the follow-up levels of workaholism, while the reverse was not the case. We also found that the baseline levels of workaholism positively affected the levels of mental distress reported after 1 year. These results add to the existing literature on the job-related affective correlates and psychophysical costs of workaholism and shed further light on work environmental factors that may contribute to its genesis.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Ramírez ◽  
A Gálvez ◽  
Y Arguello ◽  
L Castro

Abstract Background In Colombia between 1998-2011 the 23.5% of deaths that were reported were from CardioVascular Disease (CVD), 12.4% were caused by hypertensive disease; well now physical activity has been reported as a protective factor for CVD and Hypertension (HT), those people who perform high levels of physical activity have a relative decrease in developing HT by 19%, however what happens when this physical activity takes place with a duration greater than 4 hours a day, with moderate and high intensities, becoming a sports practice, the same benefits or opposite effects would be had, so the objective of the study was to determine the relationship between aerobic capacity and blood pressure in soccer players in the city of Bogotá. Methods Quantitative cross-sectional research; blood pressure of 64 players and the aerobic capacity was assessed using the Legger test (VO2 Max). Results It was evidenced that 4.6% of the players have hypotension, 50.8% normotension, 30.8% prehypertension and 12.3% stage I hypertension; As regards for VO2 max, 7.7% had an excellent capacity, 73.8% good and 12.3% favorable, there was no relationship between the variables. Conclusions Soccer players, although they have good levels of VO2 max, they do not present a decrease in blood pressure data, being mostly within a normal range. Key messages Although physical activity is a protective factor for HT. Soccer training does not show a decrease in blood pressure, possibly could be a risk factor for HT and CVD.


Author(s):  
Susiana Hastuti ◽  
Agusdin Agusdin ◽  
Lalu Suparman

This study aimed to examine the effect of individual characteristics, compensation for services and work ethic on the performance of the nurses at the General Hospital of the City of Mataram. This study uses a quantitative approach and included in the associative causal research. The study population was all nurses on duty at the Hospital as many as 318 people. Based on the calculation formula Slovin, then the size of the sample used in this study as many as 178 people. Therefore, in this study population is homogeneous, then the sample is determined by a simple random sampling technique. Data were collected using a questionnaire distributed to 178 respondents. Furthermore, the data were analyzed using multiple linear regression. The results showed that the characteristics of the individual, compensation services and work ethic partial and simultaneous significant positive effect on the performance of nurses. Compensation services are the dominant variable affecting the performance of the nurses at the Hospital. It is advisable for the management of the Hospital to give priority to members who excel by providing continuing education, training, and career development.


1997 ◽  
Vol 273 (1) ◽  
pp. R58-R69 ◽  
Author(s):  
P. Ponchon ◽  
J. L. Elghozi

The aim of this study was to generate hemorrhage-triggered fluctuations in blood pressure (BP) at low frequency (LF, < 0.2 Hz) in conscious rats and investigate with spectral analysis the relative roles of hemorrhage-activated catecholamines, the renin-angiotensin system (RAS), and arginine vasopressin (AVP) on the generation of these fluctuations. The individual contribution of these factors was assessed using a combination of the selective antagonists, prazosin, losartan, and Manning compound (AVPX). At rest, systolic BP (SBP) LF fluctuations were slightly increased by losartan. The mid-frequency (MF; 0.2-0.6 Hz) oscillations of SBP and diastolic BP (DBP) were decreased by prazosin alone or associated with AVPX or losartan. The high-frequency (HF; respiratory) oscillations of SBP were increased by prazosin, prazosin plus losartan, and prazosin plus AVPX. After severe hemorrhage (20 ml/kg), the spontaneous BP recovery was characterized by the occurrence of slow fluctuations of SBP and DBP, centered approximately 0.065 Hz, and by increases of MF (89%) oscillations of SBP. The HF component of SBP variability tended to be increased by blood loss. The occurrence of the SBP LF fluctuations was prevented when alpha 1-adrenergic activity was blocked by prazosin. These oscillations were always present, despite inhibition of angiotensin II, and were increased after inhibition of the AVP activity. Pretreatment with the specific inhibitors used in these studies favored the amplifying effect of hemorrhage on HF fluctuations while they prevented the postbleeding increase in MF oscillations. In conclusion, the present results show an association between the dependence of the postbleeding blood pressure level on catecholamines and the occurrence of slow fluctuations of BP. The buffering role of AVP suggests the establishment of a hierarchy between humoral systems in the genesis of the LF oscillations of BP, with the slow oscillations being generated by the main pressor system and being dampened by the other systems. The postbleeding rise in the MF component of SBP variability could be considered a reflection of the activations of both the sympathetic vasomotor drive and the RAS. The postbleeding increase in the HF component of BP variability was dampened by the activation of the humoral systems. These effects may reflect the low preload state due to hypovolemia.


2021 ◽  
Vol 11 (3) ◽  
pp. 974
Author(s):  
Jolanta Grochowska ◽  
Renata Tandyrak

A study was carried out in the Kartuzy lake complex, which has been a receiver of raw domestic sewage since the 1950s. In 2018, the city’s sewage system of Kartuzy was modernized. An analysis of the water quality prior to the modernization of the sewage system revealed that the total phosphorus (TP) load that was introduced to the individual lakes from external sources substantially exceeded the dangerous load concentration (defined by Vollenweider) that causes accelerated eutrophication. The annual TP load introduced to the analyzed lakes in 2017 exceeded the critical load by 200% (Mielenko) to 1000% (Klasztorne Duże). Protective measures reduced the external loading of nutrients. In the case of Mielenko Lake, a 37% decrease in the external TP load was noted, and also a 32% decrease in the external TP load in Karczemne Lake, a 66% decrease in Klasztorne Małe Lake and a 54% decrease in Klasztorne Duże Lake was noted. The protective measures resulted in a slight decrease in the concentrations of phosphorus and nitrogen in the water. However, these changes did not improve the environmental conditions in the lakes. In a situation where the internal fertilization process in the lakes has started, the improvement of water quality will only be possible through restoration efforts with methods adjusted to the individual characteristics of each lake.


Hypertension ◽  
2020 ◽  
Vol 76 (2) ◽  
pp. 333-341 ◽  
Author(s):  
Thomas Beaney ◽  
Aletta E. Schutte ◽  
George S. Stergiou ◽  
Claudio Borghi ◽  
Dylan Burger ◽  
...  

Elevated blood pressure remains the single biggest risk factor contributing to the global burden of disease and mortality. May Measurement Month is an annual global screening campaign aiming to improve awareness of blood pressure at the individual and population level. Adults (≥18 years) recruited through opportunistic sampling were screened at sites in 92 countries during May 2019. Ideally, 3 blood pressure readings were measured for each participant, and data on lifestyle factors and comorbidities were collected. Hypertension was defined as a systolic blood pressure ≥140 mm Hg, or a diastolic blood pressure ≥90 mm Hg (mean of the second and third readings) or taking antihypertensive medication. When necessary, multiple imputation was used to estimate participants’ mean blood pressure. Mixed-effects models were used to evaluate associations between blood pressure and participant characteristics. Of 1 508 130 screenees 482 273 (32.0%) had never had a blood pressure measurement before and 513 337 (34.0%) had hypertension, of whom 58.7% were aware, and 54.7% were on antihypertensive medication. Of those on medication, 57.8% were controlled to <140/90 mm Hg, and 28.9% to <130/80 mm Hg. Of all those with hypertension, 31.7% were controlled to <140/90 mm Hg, and 350 825 (23.3%) participants had untreated or inadequately treated hypertension. Of those taking antihypertensive medication, half were taking only a single drug, and 25% reported using aspirin inappropriately. This survey is the largest ever synchronized and standardized contemporary compilation of global blood pressure data. This campaign is needed as a temporary substitute for systematic blood pressure screening in many countries worldwide.


Author(s):  
G.N. Anufriev ◽  
M.I. Zinchenko ◽  
V.V. Gul'tyaeva ◽  
D.Yu. Uryumtsev ◽  
S.G. Krivoshchekov

The effects of biofeedback trainings (BFT) are sufficiently detailed in scientific literature. However, the mechanism of their formation and individual characteristics of the reactions are not fully disclosed. The purpose of the paper is to study the indirect effect of biofeedback trainings aimed at managing arterial pulse on hypoxic stability and ANS state in healthy people, taking into account the individual characteristics of the response. Materials and Methods. The study involved 28 young women and 26 young men (19–23 years old), who underwent a 15-day biofeedback training. The authors measured the trial subjects’ heart rate (HR), duration of RR-intervals, blood pressure before and after the training. A hypoxic stress test was also carried out. Results. According to the results of the biofeedback trainings, all the volunteers were retrospectively divided into two groups: “reducing heart rate” (R) and “non-reducing heart-rate” (N). All females and N males demonstrated an almost twofold decrease in the number of low-resistant-to-hypoxia persons with their transition into a group of medium- and high- resistant ones. N-girls, if compared with R-girls, showed a greater increase in the number of highly resistant persons (p=0.06). Resistance comparison between male groups also showed a significant increase in highly resistant persons in N-males, if compared to R-males (p=0.01). Biofeedback-training in all groups led to a steady blood pressure decrease (both systolic (p<0.001) and diastolic (p<0.03)). Conclusion. The results obtained indicate an adaptive decrease in sympathetic activation at rest and in response to physiological (hypoxic) stress. Moreover, training effect intensity depends on the individual characteristics of the ANS initial state. Keywords: biofeedback, heart rate, hypoxic stress test, blood pressure, autonomic nervous system. Эффекты влияния тренингов с биологической обратной связью (БОС) достаточно подробно освещены в научной литературе, однако механизм их формирования и индивидуальные особенности возникающих реакций не до конца раскрыты. Цель. Изучение косвенного влияния цикла БОС-тренингов по управлению артериальным пульсом на гипоксическую устойчивость и состояние ВНС у здоровых людей с учетом индивидуальных особенностей реагирования. Материалы и методы. В исследовании приняли участие 28 девушек и 26 юношей от 19 до 23 лет, которые прошли 15-дневный БОС-тренинг. До и после тренинга проводилось измерение частоты сердечных сокращений (ЧСС), длительности RR-интервалов, артериального давления, а также гипоксический стресс-тест. Результаты. По показателям успешности БОС-тренингов добровольцы ретроспективно были подразделены на группы «снижающих ЧСС» (С) и «неснижающих» (Н). У всех девушек и Н-юношей было выявлено практически двукратное снижение количества низкорезистентных к гипоксии лиц с переходом их в группу средне- и высокорезистентных. У Н-девушек по сравнению с С-девушками количество высокорезистентных выросло сильнее (р=0,06). Сравнение резистентности между группами юношей показало также существенный прирост высокорезистентных в группе Н-юношей по сравнению с С-группой (р=0,01). БОС-тренинг у всей группы привел к устойчивому снижению АД, как систолического (p<0,001), так и диастолического (p<0,03). Выводы. Приведённые результаты свидетельствуют об адаптивном снижении симпатической активации в покое и в ответ на физиологический (гипоксический) стресс. При этом выраженность тренировочного эффекта зависит от индивидуальных особенностей исходного состояния вегетативной нервной системы. Ключевые слова: биологическая обратная связь, частота сердечных сокращений, гипоксический стресс-тест, артериальное давление, вегетативная нервная система.


2018 ◽  
Vol 11 (4) ◽  
pp. 107-115 ◽  
Author(s):  
V.N. Shlyapnikov

The results of comparative study of the characteristics of volitional regulation among representatives of Kabardians, Komi, Russians and Tuvans are presented. A total of 100 representatives of peoples were surveyed: Kabandis living in the city of Nalchik; Komi living in Syktyvkar; Russians living in Moscow; Tuvans living in Kyzyl. To diagnose the individual characteristics of volitional regulation of the respondents, the following methods were used: “Action-control scale” by Yu. Kuhl, “Questionnaire for revealing the expression of self-control in the emotional sphere, activity and behavior”, self-appraisals of volitional qualities.It is revealed that the compared groups differ significantly in all measured indicators: the highest values are observed in the group of Tuvans, followed by Kabardians, Komi, the lowest values are observed in the group of Russians. The obtained results confirm the hypothesis about the presence of differences in the indices of volitional regulation among representatives of the compared ethnic groups.


Author(s):  
Андрей Петрович Бабкин

Достижение целевого уровня артериального давления у больных сахарным диабетом является такой же важной задачей, как и коррекция метаболических нарушений. Проведен анализ эффективности комбинированной антигипертензивной терапии у больных сахарным диабетом с диабетической нефропатией на основе динамики гемодинамических и метаболических параметров у больных с различной реакцией артериального давления на нагрузку поваренной солью. Выяснено, что больные с данной патологией не одинаково реагируют на нагрузку поваренной солью - у 23 (53,3 %) пациентов выявлено повышение систолического АД на 10 и более мм рт. ст. (солечувствительные пациенты), а у 21 (46,7%) повышение АД было менее 10 мм рт. ст. или отсутствовало (солерезистентные пациенты). Солечувствительные пациенты имели более высокие исходные значения показателей суточного мониторирования АД - САД ср. у солечувствительных пациентов равнялось 157,4 ± 1,0 мм рт. ст. против 150,7 ± 0,8 мм рт. ст. у солерезистентных пациентов, р<0,01. Обе комбинации лекарственных препаратов показали сопоставимый антигипертензивный эффект. Установлено, что у больных, принимавших комбинацию периндоприла и индапамида и вальсартана и индапамида, более выраженный антигипертензивный эффект был отмечен у больных с солечувствительным характером артериальной гипертонии в каждой группе лечения. Определение солечувствительности АД позволяет прогнозировать индивидуальную эффективность антигипертензивной терапии на основе использования теста с нагрузкой поваренной солью Reaching the target blood pressure level in diabetic patients is as important as correcting metabolic disorders. The analysis of the effectiveness of combined antihypertensive therapy in patients with diabetes mellitus with diabetic nephropathy based on the dynamics of hemodynamic and metabolic parameters in patients with different reactions of blood pressure to the load of table salt. It was found that patients with this pathology do not equally respond to the load of table salt - 23 (53.3%) patients showed an increase in systolic blood pressure by 10 mm Hg or more. Art. (salt-sensitive patients), and in 21 (46.7%) the increase in blood pressure was less than 10 mm Hg. Art. or absent (salt-resistant patients. Salt-sensitive patients had higher baseline values of 24-hour BP monitoring - SBP mean in salt-sensitive patients was 157.4 ± 1.0 mm Hg versus 150.7 ± 0.8 mm Hg in salt-resistant patients, p <0.01. Both drug combinations showed a comparable antihypertensive effect. Determination of blood pressure salt sensitivity makes it possible to predict the individual effectiveness of antihypertensive therapy based on the use of a salt load test


2019 ◽  
Vol 16 (4) ◽  
pp. 22-26
Author(s):  
Novella M Chikhladze

The review examines the nature of the course of arterial hypertension (AH) in case of tumor and hyperplastic changes in the adrenal cortex, leading to the development of low-renin hyperaldosteronism. The severity and nature of the course of AH were analyzed, it was shown that in most cases high stable hypertension develops, and resistance to multidrug antihypertensive therapy is observed. Attention is drawn to the features of the course of AH: options for hypertensive crisis, as well as cases of a moderately elevated and even normal level of blood pressure. Possible pathogenetic mechanisms that determine the characteristics of the course of AH are considered. Based on the results of the studies, including our own data, the importance of analyzing the individual characteristics of the course of the disease in order to select preferable methods of treatment and reduce the risk of undiagnosed aldosteromas is substantiated.


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