Knowledge of Diet and Lifestyle Measures for Hypertensive Disorders of Pregnancy

2020 ◽  
Vol 57 (1) ◽  
pp. 52
Author(s):  
Aishwarya Kanneganti ◽  
Asma Sajid ◽  
Latha Sashi
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
High Blood Pressure ◽  
Bed Rest ◽  
Warning Signs ◽  
Control Measures ◽  
Hypertensive Disorders Of Pregnancy ◽  
Salt Reduction ◽  
Salt Restriction ◽  
Hypertensive Disorders

<p> Hypertensive Disorders of Pregnancy (HDP) pose significant risks to materno-fetal health. Appropriate knowledge of the condition ensures timely intervention. Dietary and lifestyle recommendations in HDP differ from those in the non-pregnant population. Salt restriction is not recommended and physical activity may be contraindicated. The aim of the study is to identify the knowledge of pregnant hypertensive Indian women about normal blood pressure in pregnancy, warning signs and complications of HDP and control measures. A cross sectional study was conducted in maternity centres using purposive convenience sampling and a structured questionnaire. Data was analysed using descriptive statistics. One hundred women completed the study. Sixty three per cent knew what constituted high blood pressure, 56% and 60% had a knowledge score of ≤ 50% for warning signs and complications of high blood pressure respectively. When questioned about control measures, women believed that dietary modifications (88%), physical activity (84%), bed rest (51%) and weight loss (44%) were important. With respect to knowledge of salt intake recommendations, 39% correctly identified the daily recommendation, 93% believed salt reduction is necessary and 21% believed salt elimination is required. Thirty nine per cent of women stated high calcium foods are beneficial for control. Post diagnosis, 80% and 38% reported salt reduction and use of low sodium salt, respectively. Traditional home remedies cited included bananas, spinach, curry leaf, garlic, barley water, flax seeds and beetroot. In adequate awareness of HDP may delay necessary medical interventions. Misconceptions regarding salt restriction need to be addressed to prevent iodine deficiency disorders. Counseling regarding a healthy diet for HDP and risks associated with excess physical activity and strict bed rest need to be communicated more effectively.</p>

scholarly journals Social representations of mothers about gestational hypertension and premature birth

2013 ◽  
Vol 21 (3) ◽  
pp. 726-733 ◽  
Author(s):  
Nilba Lima de Souza ◽  
Ana Cristina Pinheiro Fernandes de Araújo ◽  
Iris do Ceu Clara Costa
Keyword(s):  
Blood Pressure ◽  
High Risk ◽  
High Blood Pressure ◽  
Premature Birth ◽  
High Risk Pregnancy ◽  
Central Nucleus ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Risk Pregnancy ◽  
Pregnancy And Postpartum

OBJECTIVE: To identify the meanings attributed by mothers to hypertensive disorders of pregnancy (HDPs) and their consequences, such as premature birth and hospitalization of the infant in the neonatal intensive care unit (NICU). METHOD: A qualitative study, based on the Central Nucleus Theory, with 70 women who had hypertensive disorders of pregnancy and preterm delivery. We used the technique of free word association (FWAT) with three stimuli: high blood pressure during pregnancy, prematurity and NICU. RESULTS: We obtained 1007 evocations, distributed as follows: high blood pressure during pregnancy (335) prematurity (333) and NICU (339). These constituted three thematic units: representation of HDPs, prematurity and the NICU. The categories death and negative aspects were inherent to the three units analyzed, followed by coping strategies and needs for care present in HDPs and prematurity. CONCLUSION: The study had death as its central nucleus, and highlighted the subjective aspects present in the high risk pregnancy and postpartum cycle. It is hoped that this research will contribute to qualifying nursing care for women confronting the problem of HDPs, so that they can cope with less impacts from the adverse effects of high risk pregnancy and birth.

Does self-reported physical activity associate with high blood pressure in adolescents when adiposity is adjusted for?

2013 ◽  
Vol 31 (4) ◽  
pp. 387-395 ◽  
Author(s):  
Mauro V.G. Barros ◽  
Raphael Mendes Ritti-Dias ◽  
Simone Storino Honda Barros ◽  
Jorge Mota ◽  
Lars Bo Andersen
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
High Blood Pressure

scholarly journals Pregnancy-related acute kidney injury at high altitude: a retrospective observational study in a single center

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xin Li ◽  
Xiaojing Wu ◽  
Muyin Zhang ◽  
Lili Xu ◽  
Guohui Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Acute Kidney Injury ◽  
High Altitude ◽  
Kidney Injury ◽  
Hypertensive Disorders Of Pregnancy ◽  
Fetal Outcomes ◽  
Uncontrolled Blood Pressure ◽  
Logistic Regression Models ◽  
Hypertensive Disorders ◽  
Term Delivery

Abstract Background Pregnancy-related acute kidney injury (Pr-AKI) is associated with maternal and fetal morbidity and mortality. There are few studies focusing on Pr-AKI at high altitude in the literature. Objectives to investigate the incidence, etiology, clinical features and maternal-fetal outcomes of Pr-AKI in women living at high altitude. Methods 6,512 pregnant women attending the Department of Obstetrics & Gynecology at local hospital from January 2015 to December 2018 were screened for Pr-AKI. Patients with serum creatinine above normal range(> 70umol/L) then underwent assessment to confirm the diagnosis of Pr-AKI. AKI was diagnosed and staged based on Kidney Disease Improving Global Outcomes(KDIGO) guideline. Individuals meeting the Pr-AKI criteria were recruited. Their clinical data were recorded and retrospectively analyzed. Results Pr-AKI was identified in 136/6512(2.09 %) patients. Hypertensive disorders of pregnancy(HDP) was the leading cause of Pr-AKI(35.3 %). 4(2.9 %) women died and the majority(86.1 %) had recovered renal function before discharge. Fetal outcomes were confirmed in 109 deliveries with gestational age ≥ 20 weeks. Pre-term delivery occurred in 30(27.3 %) cases and perinatal deaths in 17(15.5 %). The rate of low birth weight infant(LBWI) and intrauterine growth restriction(IUGR) was 22.0 and 10.9 % respectively. 16(14.5 %) infants were admitted to NICU after birth. Patients with HDP had a higher cesarean rate(56.3 %). More IUGR(25.0 %) and LBWI(37.8 %) were observed in their infants with a higher risk of admission to NICU(22.0 %). High altitude might have an adverse impact on HDP-related Pr-AKI patients with earlier terminated pregnancy and more stillbirth/neonatal death. Logistic regression models indicated that uncontrolled blood pressure, high altitude and advanced AKI were associated with adverse fetal outcomes in HDP-related Pr-AKI patients. Conclusions Pr-AKI was not rare in high-altitude regions and caused severe fetal morbidities and mortalities. Uncontrolled blood pressure, high altitude and advanced AKI were all risk factors for adverse fetal outcomes in Pr-AKI patients, especially for those with hypertensive disorders of pregnancy.

Physical Activity and Hypertensive Disorders of Pregnancy among Hispanic Women

2011 ◽  
Vol 43 (4) ◽  
pp. 639-646 ◽  
Author(s):  
RENÉE TURZANSKI FORTNER ◽  
PENELOPE S. PEKOW ◽  
BRIAN W. WHITCOMB ◽  
LYNNETTE LEIDY SIEVERT ◽  
GLENN MARKENSON ◽  
...  
Keyword(s):  
Physical Activity ◽  
Hispanic Women ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders

scholarly journals Use of physical activity and cardiorespiratory fitness in identifying cardiovascular risk factors in male brazilian adolescents

2016 ◽  
Vol 18 (6) ◽  
pp. 678
Author(s):  
Lilian Messias Sampaio Brito ◽  
Luis Paulo Gomes Mascarenhas ◽  
Deise Cristiane Moser ◽  
Ana Cláudia Kapp Titski ◽  
Monica Nunes Lima Cat ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Body Mass ◽  
Cardiorespiratory Fitness ◽  
High Blood Pressure ◽  
Abdominal Obesity ◽  
Age Groups ◽  
Cross Sectional ◽  
The Impact

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n6p678 The aim of this study was to investigate the impact of physical activity (PA) and cardiorespiratory fitness (CRF) levels on the prevalence of overweight and high blood pressure levels in adolescents. In this observational, cross-sectional study, 614 boys aged 10-14 years were assessed for height, body mass, body mass index (BMI), waist circumference (WC) and blood pressure (BP). CRF was assessed using a run test (Léger Test) and subjects were then grouped according to their CRF level. PA level was assessed through a questionnaire (The Three Day Physical Activity Recall) and classified into two groups, namely > 300 minutes of PA/week and < 300 minutes of PA/week. Maturational stage was evaluated according to the development of pubic hair (self-assessment) as proposed by Tanner. We used statistical descriptive analysis, univariate and multivariate analyses in the total participants and subjects were divided by age. Fifty percent of the sample performed < 300 minutes of PA/week and 67.6% had unsatisfactory CRF levels. There was a higher prevalence of unsatisfactory CRF levels among subjects with altered BMI (overweight), WC (abdominal obesity) or BP (high blood pressure) for all age groups. PA history, however, did not show any significance. A total of 31% of participants were overweight, 24.8% had abdominal obesity and 15.4% had increased BP. Unsatisfactory CRF levels were found to be a better predictor for the diagnosis of cardiovascular diseases (CV) risk factors than PA history, regardless of age group. 

scholarly journals Prevalence and Determinants of High Blood Pressure among Adolescents: A School based Study in Rural Area of Hooghly District, West Bengal

2021 ◽  
Vol 8 (11) ◽  
pp. 205-210
Author(s):  
Malay Kumar Das ◽  
Rabindranath Sinha ◽  
Aparajita Dasgupta
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Body Mass Index ◽  
Food Intake ◽  
Alcohol Consumption ◽  
Body Mass ◽  
High Blood Pressure ◽  
Fast Food ◽  
Non Communicable Diseases

Introduction: The World Health Organization has already warned of increasing non-communicable diseases among adolescents as a major public health problem. The importance of this age group also lies in the fact that many serious diseases in adulthood have their roots in adolescence. Method: A pre-designed and pre-tested questionnaire was used in class-room setting to collect information from students regarding presence of risk factors of non-communicable diseases. The respondents were also subjected to anthropometric measurements and blood pressure examination using standard operating procedures. Results: A total of 761 students of class VI-XII participated in the study of which 61.4% were boys and rests were girls. High blood pressure among boys and girls were 19.9% and 22.1% were respectively. In Bivariate analysis age > 15 years (median) (OR= 2.11), fast food intake (>3 times/week) (OR= 1.66), Alcohol consumption (OR= 2.22), less physical activity (OR=1.54), increased body mass index (OR=2.53), significantly associated with high blood pressure. In Multivariate analysis age (AOR= 2.25), fast food intake (AOR= 1.50), Alcohol consumption (OR= 2.23), less physical activity (AOR=1.71), increased body mass index (AOR=2.42) remains significant predictor. Conclusion: Detecting the risk factors of high blood pressure prevalent in the population is of utmost importance to achieve a healthy population. Formulation and dissemination of need--based, culturally acceptable and age appropriate scientific messages for school students should be conducted more proactively. Keywords: Adolescents, Blood pressure, Risk factor, Rural school.

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