EVALUATION OF PITUITARY-ADRENAL FUNCTION IN CHILDREN

1965 ◽  
Vol 48 (1) ◽  
pp. 81-90 ◽  
Author(s):  
B. van der Wal ◽  
T. Wiegman ◽  
J. F. Janssen ◽  
A. Delver ◽  
D. de Wied

ABSTRACT The reactivity of the hypothalamico-pituitary-adrenal axis was determined in 48 children, not suffering from any endocrine disorder. The free cortisol (F)- and corticosterone (B) content of plasma was determined in response to ACTH (clinical corticotrophin; A1 peptide), a corticotrophin releaser (lysine vasopressin) and a non specific stimulus (bacterial polysaccharide) as compared to saline. The two ACTH-preparations infused over one hour in a dose of 5 IU per child elicited a marked increase in both F and B. Lysine vasopressin in a dose of 0.5 IU per year of age similarly infused, exhibited a distinct linear increase in the two circulating cortical steroids, although the effect of this octapeptide was smaller than that of the two ACTH-preparations. Blood pressure was also measured during the infusion with vasopressin or saline. The systolic blood pressure was not significantly affected by vasopressin, but a significant rise in diastolic blood pressure was found. No correlation between the increase in diastolic blood pressure and in blood corticoids in response to vasopressin, was found. The intravenous administration of a relatively small amount of pyrifer caused a moderate increase in circulating F which was significant only at 4 and 6 hours after the injection of the pyrogen. The B content did not increase significantly above that of saline treated control children, presumably because of the relatively weak corticotrophic activity of the pyrogen under these conditions. A positive linear relation between body temperature and time was found. No correlation between increase in body temperature and increase in circulating F could be demonstrated.

1994 ◽  
Vol 266 (3) ◽  
pp. E459-E466 ◽  
Author(s):  
J. M. Barragan ◽  
R. E. Rodriguez ◽  
E. Blazquez

This study was designed to determine the effects of glucagon-like peptides (GLP) on arterial blood pressure and heart rate. Although glucagon caused a minimal effect and GLP-1-(1-37) produced a moderate increase of both systolic and diastolic blood pressure, GLP-1-(7-36) amide induced the greatest increases in both parameters. Systolic and diastolic blood pressure and heart rate values increased when doses of the peptides were increased. By contrast, GLP-2 did not modify either arterial blood pressure or heart rate values. To determine whether the effects of GLP-1-(7-36) amide were mediated through catecholamines, the rats were pretreated with reserpine, propranolol, or phentolamine before administration of the peptide. In these three experimental groups, GLP-1-(7-36) amide increases mean arterial blood pressure and heart rate to the same level or even greater than that observed in nonpretreated rats. These findings indicate that GLP-1-(7-36) amide significantly increases arterial blood pressure and heart rate and that these effects are not mediated through catecholamines.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Stacey Polii ◽  
Jimmy F. Rumampuk ◽  
Fransiska Lintong

Abstract: Physics apply heat energy use in the fields of medicine. At present, many people enjoy a steam bath as a means of muscle relaxation, but the steam bath therapy is often not recommended for patients with hypertension. The steam bath is said to be dangerous for people with hypertension, but what exactly happened to the blood pressure during the steam bath. The purpose of this study is to determine whether the steam shower effect on blood pressure normal adult women. The draft of this study was cross sectional analytical survey (cross-sectional) or only done once a certain time. The research location is housed in Tikala Shiatu Spa, Tikala Ares, Wenang. Samples were taken from women aged 20-25 years were 40 people with normal healthy state. Results showed highly significant differences in systolic blood pressure 15 minutes into the value (p = 0.001) and systolic blood pressure to 20 minutes (p = 0.000). Diastolic blood pressure results show a very significant difference that in the 15th minute (p = 0.002) and 20th minute (p = 0.001). Conclusion: There is a significant rise in systolic and diastolic blood pressure while doing 20 minutes steam bathKeywords: blood pressure, steam.Abstrak: Ilmu fisika menerapkan penggunaan energi panas dalam bidang kedokteran. Pada saat sekarang, banyak orang menikmati mandi uap sebagai sarana relaksasi otot, namun terapi mandi uap sering tidak dianjurkan untuk penderita hipertensi. Mandi uap dikatakan dapat berbahaya untuk penderita hipertensi, namun apa sebenarnya yang terjadi terhadap tekanan darah selama mandi uap ?. Tujuan dari penelitian ini yaitu untuk mengetahui apakah mandi uap berpengaruh terhadap tekanan darah wanita dewasa normal. Rancangan dari penelitian ini adalah survey analitik secara potong lintang (cross sectional) atau hanya dilakukan sekali dalam waktu tertentu. Lokasi penelitian bertempat di Tikala Shiatu Spa, Tikala Ares, Wenang. Sampel penelitian diambil dari wanita usia 20-25 tahun berjumlah 40 orang dengan keadaan sehat dan normal. Hasil Penelitian menunjukkan perbedaan yang sangat bermakna pada tekanan darah sistolik menit ke 15 dengan nilai (p = 0,001) dan tekanan darah sistolik menit ke 20 (p= 0,000). Hasil tekanan darah diastolic menunjukkan perbedaan yang sangat bermakna yakni pada menit ke 15 (p= 0,002) dan menit ke 20 (p= 0,001). Simpulan: Terdapat peningkatan tekanan darah sistolik dan diastolik yang signifikan saat mandi uap selama 20 menit.Kata kunci: tekanan darah, mandi uap


2021 ◽  
Vol 77 (1) ◽  
pp. 61-70
Author(s):  
Catarina Abrantes ◽  
Susana Martins ◽  
Ana Pereira ◽  
Fernando Policarpo ◽  
Isabel Machado ◽  
...  

Abstract The purpose of this study was to compare the effects of using inverse sequences of combined bench-step aerobics and resistance exercise on cardiorespiratory, hemodynamic and perceptual variables during exercise and one-hour post-exercise. The tested sequences were bench-step aerobics immediately before and immediately after resistance exercise. Thirteen apparently healthy and physically active women (age = 21.9 ± 6.1 years, body height = 160 ± 0.1 cm, body mass = 58.8 ± 7.5 kg, estimated fat mass = 17.2 ± 2.0% and estimated maximal oxygen uptake = 37.5 ± 2.6 mL∙kg-1∙min-1) performed a 20-minute bench-step aerobics routine, immediately before (STEP_RES) and after (RES_STEP) resistance exercise. Oxygen uptake and heart rate were continuously measured, systolic and diastolic blood pressure, body temperature and perceived exertion were measured at rest, immediately after each type of exercise and at 15, 30, 45 and 60 min after exercise. When resistance exercise was performed first (RES_STEP), oxygen uptake was higher (23.2 ± 3.9 vs. 20.5 ± 4.8 mL∙kg-1∙min-1), but the heart rate (164.5 ± 9.1 vs. 173.9 ± 11.7 bpm) and body temperature (36.5 ± 0.4 vs. 37.6 ± 0.6 ºC) were lower. In both sequences, the type of exercise performed first was pointed out with a lower perceived exertion or lower perceived intensity. Exercise and 60-min post-exercise blood pressure had a similar response in both sequences, and systolic blood pressure along with diastolic blood pressure were lower than pre-exercise from 30 min until 60 min post-exercise. The results suggest that the sequence affected oxygen uptake and perceived exertion during exercise and that this total workload, despite the sequence, promoted a post-exercise blood pressure decrease in normotensive participants.


2019 ◽  
Vol 89 (1-2) ◽  
pp. 5-12
Author(s):  
Alon Harris ◽  
Brent Siesky ◽  
Amelia Huang ◽  
Thai Do ◽  
Sunu Mathew ◽  
...  

Abstract. Introduction: To investigate the effects of a lutein complex supplementation on ocular blood flow in healthy subjects. Materials and Methods: Sixteen healthy female patients (mean age 36.8 ± 12.1 years) were enrolled in this randomized, placebo-controlled, double-blinded, two-period crossover study. Subjects received daily an oral dose of the lutein with synergistic phytochemicals complex (lutein (10 mg), ascorbic acid (500 mg), tocopherols (364 mg), carnosic acid (2.5 mg), zeaxanthin (2 mg), copper (2 mg), with synergistic effects in reducing pro-inflammatory mediators and cytokines when administered together in combination) and placebo during administration periods. Measurements were taken before and after three-week supplementation periods, with crossover visits separated by a three-week washout period. Data analysis included blood pressure, heart rate, intraocular pressure, visual acuity, contrast sensitivity detection, ocular perfusion pressure, confocal scanning laser Doppler imaging of retinal capillary blood flow, and Doppler imaging of the retrobulbar blood vessels. Results: Lutein complex supplementation produced a statistically significant increase in mean superior retinal capillary blood flow, measured in arbitrary units (60, p = 0.0466) and a decrease in the percentage of avascular area in the superior (−0.029, p = 0.0491) and inferior (−0.023, p = 0.0477) retina, as well as reduced systolic (−4.06, p = 0.0295) and diastolic (−3.69, p = 0.0441) blood pressure measured in mmHg from baseline. Data comparison between the two supplement groups revealed a significant decrease in systemic diastolic blood pressure (change from pre- to post-treatment with lutein supplement (mean (SE)): −3.69 (1.68); change from pre- to post-treatment with placebo: 0.31 (2.57); p = 0.0357) and a significant increase in the peak systolic velocity (measured in cm/sec) in the central retinal artery (change from pre- to post-treatment with lutein supplement: 0.36 (0.19); change from pre- to post-treatment with placebo: −0.33 (0.21); p = 0.0384) with lutein complex supplement; data analyses from the placebo group were all non-significant. Discussion: In healthy participants, oral administration of a lutein phytochemicals complex for three weeks produced increased ocular blood flow biomarkers within retinal vascular beds and reduced diastolic blood pressure compared to placebo.


2000 ◽  
Vol 14 (1) ◽  
pp. 24-28 ◽  
Author(s):  
F. Hucklebridge ◽  
A. Clow ◽  
H. Rahman ◽  
P. Evans

Abstract Free cortisol as measured in saliva increases markedly following awakening. It is not clear, however, whether this is truly a stress-neuroendocrine response to awakening or a manifestation of the hypothalamic-pituitary-adrenal (HPA) circadian cycle. We investigated whether the awakening cortisol response can be generated in the middle of nocturnal sleep, when secretory activity in the HPA axis is low. In a within subject design, salivary cortisol response was measured under three different awakening conditions: (1) awakening at the normal morning awakening time; (2) awakening four hours prior to normal awakening time, and (3) awakening the following morning after interrupted sleep. The overall main effect was a linear increase in free cortisol following awakening with no significant interaction with awakening condition. Cortisol levels, as determined by area under the cortisol curve calculated with reference to zero, did differ by awakening condition. The two morning awakening conditions were comparable but values were lower for night awakening. Area under the curve change (calculated with reference to the first awakening cortisol base value), however, did not distinguish the three awakening conditions. We conclude from these data that there is a clear free cortisol response to awakening for both nocturnal and morning awakening although the absolute levels produced are lower for nocturnal awakening when basal cortisol is low. Nocturnal interruption of sleep did not affect the subsequent morning response.


2019 ◽  
Vol 10 (01) ◽  
pp. 33-44
Author(s):  
N.L.G. Sudaryati ◽  
I P. Sudiartawan ◽  
Dwi Mertha Adnyana

The aim of the study was to determine the effectiveness of giving hydrotherapi foot soak in hypertensive patients. The study was conducted with one group pretestposttest design without a control group by measuring blood pressure (pretest) before being given an intervention in the form of foot soak hydrotherm against 15 people with hypertension in Banjar Sri Mandala, Dauhwaru Village, Jembrana Subregency. Then do the blood pressure measurement again (posttest) after finishing the intervention. After the study was completed, the results showed that before the hydrotherapi foot bath intervention, there were 0% of patients classified as normal, 13.32% in prehypertension category, 60.08% in hypertension category I and 26.60% in hypertension category II. After the intervention was given, there were 13.32% of the patients classified as normal, 66.68% in the prehypertension category, 20.00% in the first category of hypertension and no patients belonging to the second grade hypertension category. There is a decrease of 20-30 mmHg for systolic blood pressure and 0-10 mmHg for diastolic blood pressure after intervention. Based on the results of the study it can be concluded that the hydrotherapi foot bath is effectively used to reduce blood pressure in hypertensive patients in the Banjar Sri Mandala, Dauhwaru Village, Jembrana District.


1970 ◽  
Vol 65 (4) ◽  
pp. 608-616 ◽  
Author(s):  
M. J. Levell ◽  
S. R. Stitch ◽  
M. J. Noronha

ABSTRACT Pituitary-adrenal function was tested in a group of 33 patients with multiple sclerosis who had been treated with corticotrophin for at least 1 year. Assessment was made by measuring the change in the plasma 11-hydroxycorticosteroid concentration following lysine vasopressin (LVP) administration. Ten patients showed abnormally small increases after LVP. Two of the 5 patients with the smallest increases still showed impairment 8 months later. The patients with no withdrawal symptoms had normal or nearly normal increases following LVP. There was an association between the concentration of 11-hydroxycorticosteroids immediately after withdrawal of ACTH and the subsequent response to LVP.


2003 ◽  
Vol 42 (149) ◽  
pp. 315-6
Author(s):  
Arijit Ghosh ◽  
T Pramanik

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.


Sign in / Sign up

Export Citation Format

Share Document