scholarly journals Systolic and Diastolic Inter-Arm Blood Pressure Difference: A Cross-Sectional Study Of 3030 Young Healthy Adults

2021 ◽  
Author(s):  
Rawand Essa ◽  
Sirwan Ahmed
Keyword(s):  
Blood Pressure ◽  
Confidence Interval ◽  
Stable Condition ◽  
Cross Sectional Study ◽  
Healthy Population ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Left Hand ◽  
The Difference ◽  
The Right

Abstract More than 100 years ago, the difference in blood pressure (BP) between arms was first reported. Recent studies have shown that different blood pressure between the right and left arm leads to cardiovascular events. Three thousand and thirty volunteers participated in our study. The sIABP was equal in 163 of 3030 persons (5.37%), dIABP was equal in 222 out of 3030 persons (7.32%), from a total of 792/3030 persons (26.1%) sIAD > 10 mmHg, and dIAD > or =10 mmHg was found in 927 out of 3030 persons (33.5%) in the right arm, and 32.4% in the left arm. In 2692 of 3030 volunteers BP, initially recorded in the dominant hand (right arm), showing sIAD> or = 10 mmHg was found in 943 (37.1%) volunteers, and when the first measurement was done in 338 left-handed volunteers it showed sIAD> or = 10 mmHg in 112 of 338 (34.1%), P < 0.001; 95% confidence interval for systolic right hand were (115.73: 116.73), and for systolic left hand 95% confidence interval were (113.17:114.15). Furthermore, height, residential area, and heart rate above 90 bpm had a significant effect on IAD (P =. 041, .002, <001, respectively). In conclusions significant inter-arm systolic and diastolic BP differences above (10 mm Hg) is common in the young, healthy population. Hand dominance is a significant consideration while measuring blood pressure. It is mandatory to measure blood pressure in both arms in a sitting position with a stable condition.

The Future Alert of Inter-Arm Blood Pressure Difference in Young Healthy Population. (Preprint)

2020 ◽  
Author(s):  
Rawand Essa ◽  
Sirwan Khalid Ahmad Sr ◽  
Sanaa Abdul-Sahib Hassan ◽  
Rozhgar Qadir Mohammed ◽  
Zhalla Khdir Mire
Keyword(s):  
Blood Pressure ◽  
Pressure Difference ◽  
Stable Condition ◽  
P Value ◽  
Healthy Population ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Blood Pressure Difference ◽  
The Future ◽  
The Right

BACKGROUND More than 100 years ago, the difference in blood pressure (BP) between arms was first reported. Recent studies have shown that different blood pressure between the right and left arm leads to cardiovascular events in the future. OBJECTIVE To establish the prevalence of an inter-arm blood pressure difference (IAD) and the dominant hands effect on the elevation blood pressure in young healthy population. METHODS This was a mixed research design, using a cross-sectional design; 3030 young, healthy participants, aged 15-40 years. BP was measured twice by both mercury sphygmomanometer and electronic simultaneously on both arms. has been carried out at Sulaimaniyah governorate/Kurdistan Region, Iraq, during the period 13th May 2019 to 22nd February 2020 RESULTS Three thousand and thirty volunteers participated in our study {1377 (45.4%) male, 1653 (54.6%) female, mean age 19.56 ± 5.14 years old, mean BMI 22.37 ± 3.83} all were young and healthy. The sIABP was equal in 163 persons (5.37%), dIABP was equal in 222 (7.32%),The sIAD > 10 mmHg (26.13 %),and dIAD > or =10 mmHg was found in 927 (33.53%) in the right arm, and 32.4% in the left arm. 288 (9.50%) were current smokers, 290 (9.6%) were smoking hookah Most had IAD above 30% of their IAD was above 10 mmHg (P-value = 0.000). In 2692 volunteers, BP, initially recorded in the dominant hand (right arm), showed sIAD> or = 10 mmHg in 943 (37.12%) volunteers, and when first measurement was done in 338 left-handed volunteers it showed sIAD> or = 10 mmHg in 112 (34.14%), P < 0.001. CONCLUSIONS We conclude that significant inter-arm systolic and diastolic BP differences above (10 mm Hg) is common in the young, healthy population. Hand dominance is a significant consideration while measuring blood pressure. It is mandatory to measure blood pressure in both arms in a sitting position with a stable condition.

scholarly journals Relationship between Dietary n-6 Fatty Acid Intake and Hypertension: Effect of Glycated Hemoglobin Levels

Nutrients ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1825 ◽  
Author(s):  
Haruki Nakamura ◽  
Akinori Hara ◽  
Hiromasa Tsujiguchi ◽  
Thao Thi Thu Nguyen ◽  
Yasuhiro Kambayashi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Fatty Acids ◽  
Fatty Acid ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Glycated Hemoglobin ◽  
Cross Sectional Study ◽  
Fatty Acid Intake ◽  
Cross Sectional ◽  
Acid Intake

The relationship between dietary n-6 fatty acids and hypertension is not clear. The metabolic products of n-6 fatty acids include those that control blood pressure, such as prostaglandin and thromboxane, and that differ depending on the extent of glucose tolerance. This cross-sectional study investigated the association of dietary n-6 fatty acid intake on hypertension, and the effects of glycated hemoglobin (HbA1c) value in 633 Japanese subjects aged 40 years and older. Dietary intake was measured using a validated brief self-administered diet history questionnaire. We defined hypertension as the use of antihypertensive medication or a blood pressure of 140/90 mmHg. The prevalence of hypertension was 55.3%. A high n-6 fatty acids intake inversely correlated with hypertension in subjects with HbA1c values less than 6.5% (odds ratio, 0.857; 95% confidence interval, 0.744 to 0.987). On the contrary, in subjects with an HbA1c value of 6.5% or higher, the n-6 fatty acids intake was significantly associated with hypertension (odds ratio, 3.618; 95% confidence interval, 1.019 to 12.84). Regular dietary n-6 fatty acid intake may contribute to the prevention and treatment of hypertension in a healthy general population. By contrast, in subjects with diabetes, regular n-6 fatty acids intake may increase the risk of hypertension.

scholarly journals Is stress an important co morbid factor for hypertension among legal professionals

2018 ◽  
Vol 5 (5) ◽  
pp. 1899
Author(s):  
L. Kannan ◽  
Praveena P.
Keyword(s):  
High Stress ◽  
Simple Random Sampling ◽  
Well Being ◽  
Cross Sectional Study ◽  
District Court ◽  
Cross Sectional ◽  
Legal Professionals ◽  
The Difference ◽  
The Right ◽  
Study Participants

Background: Stress is a mental, physical and emotional response to life demands. Long hours of work, client demands, changing laws- creates stress and eventually hypertension among advocates. Well-being of the advocates are being questioned. Hence the main objective of the study is to evaluate the relationship between stress and hypertension among practising advocates.Methods: A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method.Results: Around 133 (44.33%) and 167 (55.66%) of study participants were in level of high stress and low stress respectively. Among high stressed participants, a majority of 113 (84.96%) were found to be hypertensives and among the low stressed participants only 10 (5.98%) were hypertensives. The difference of observation was found to be statistically significant (p=0.0000).Conclusions: In conclusion the study explains that practising advocates with high perceived stress 113 (84.96%) were found to be hypertensives. Stress has a significant association with hypertension. The right way to manage stress is to implement coping strategies.

scholarly journals Assessment of Finger Proprioception and Lateral Pinch Strength in Amateur and Professional Guitarists

2020 ◽  
Vol 06 (04) ◽  
pp. 6-11
Author(s):  
Hannah D’souza ◽  
Keyword(s):  
Demographic Data ◽  
Movement Patterns ◽  
Cross Sectional Study ◽  
Pinch Strength ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Left Hand ◽  
Good Strength ◽  
The Right

Background: Guitarists use complex and different movement patterns in both hands simultaneously. Applying pressure on the strings and strumming both require good strength whereas playing the melody on the fret-board demands good proprioception. There is a need to find out if guitarists perform functionally well with respect to pinch strength and proprioception which are prerequisites for playing the guitar. Therefore, the aim of the study is to assess and compare finger proprioception and pinch strength in amateur and professional guitarists. Methodology: A cross sectional study was conducted on 50 amateur and 50 professional guitarists from Mumbai. A self-made questionnaire including their demographic data was asked to be filled. Proprioception was measured using the pinch aperture proprioception device and lateral pinch strength was measured using the Jamar® Hydraulic Pinch Gauge. The average of 3 trials was taken for finger proprioception and lateral pinch strength. The data obtained was then taken for further analysis. Result: Professional guitarists had better finger proprioception (p value = 0.0001 for both right & left hands) and lateral pinch strength (p value =0.0159, 0.0001 for the right & left hand respectively) than amateur guitarists. Also, the left hand had better finger proprioception (p value <0.0001, 0.0059 for amateur & professional guitarists respectively) and right hand had better lateral pinch strength (p value=0.0001 for both professional and amateur guitarists) in both professional and amateur guitarists. Conclusion: Professional guitarists had significantly better finger Proprioception and lateral pinch strength as compared to the amateur guitarists.

scholarly journals Determination of hand grip strength and its correlates during pregnancy: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Auwal Abdullahi ◽  
Amina Shuaib Bala ◽  
Sani Musa Danazumi ◽  
Saadatu Maiwada Abubakar ◽  
Rislanu Isyaku Adamu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Pregnant Women ◽  
Grip Strength ◽  
Cross Sectional Study ◽  
Hand Grip Strength ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Final Model ◽  
Hand Grip

Abstract Background Pregnancy results in many changes, including reduced hand grip strength (HGS). However, good HGS is required for physical functions such as carrying and breastfeeding the baby after birth. The aim of this study was to determine the factors that may predict HGS during pregnancy. Methods The study was a cross-sectional study approved by the Research Ethics Committees of Kano State Ministry of Health and Aminu Kano Teaching Hospital in Kano, north-west, Nigeria. Pregnant women at the designated hospitals were included in the study if they had no serious comorbidities or any known neurological condition that affects the hands and the neck. Demographic characteristics and independent (predictor) variables (age, weight, height, BMI, maternity leave status, number of full-term deliveries, number of preterm deliveries, number of live births, number of abortuses, gravidity, trimester, systolic blood pressure, diastolic blood pressure, inter arm systolic BP difference [IASBP], inter arm diastolic BP difference [IADBP], and heart rate) of each of the participants were recorded by experienced therapists. The data were analysed using descriptive statistics, t-test, Pearson correlation coefficient and standard multiple regression. Result One hundred and sixty-one pregnant women with mean age, 25.04 ± 4.83 years participated in the study. In the dominant hand, 120 participants (74.5%) had weak grip strength. In the non-dominant hand, 135 participants (83.9%) had weak grip strength. For the dominant hand, the total variance explained by the whole model was significant, 28.5%, F(11, 161) = 1.187, R2 = 0.081, p = 0.300 . In the final model, none of the variables significantly predicted HGS. However, systolic blood pressure contributed to the model more than any other variable (Beta = -0.155). For the non-dominant hand, the total variance explained by the whole model was not significant, 33.1%, F(11, 161) = 1.675, R2 = 0.111, p = 0.089 . In the final model, only systolic blood pressure (Beta = -0.254, p = 0.023) significantly predicted hand grip strength. Conclusion Cardiovascular events or changes during pregnancy (such as change in systolic blood pressure) may be related to HGS in pregnant women. It is therefore, important for clinicians to pay attention to this, in planning rehabilitation strategies for pregnant women.

Analysis of Fingerprint Patterns among Central Indian Population- A Cross Sectional Study

2021 ◽  
pp. 5871-5873
Author(s):  
Ninad Nagrale ◽  
Ranjit Ambad ◽  
Swapnil Patond ◽  
Rohan Gawali
Keyword(s):  
Indian Population ◽  
Cross Sectional Study ◽  
General Distribution ◽  
Universal Method ◽  
Cross Sectional ◽  
Left Hand ◽  
Indian Origin ◽  
Scientific Principles ◽  
Finger Printing ◽  
The Right

Background: A person's identity means understanding positively who a given individual is. Human identification is a universal method focused predominantly on finger printing and based on scientific principles. Aims and objectives: To study of fingerprint patterns among Central Indian population. Material and Methods: This prospective study was carried out to determine the prevalence of the type of fingerprints in each finger and their gender distribution among 250 individuals of Central Indian origin comprising 125 males and 125 females. Results: The general distribution of fingerprint patterns in the present study is noted in the same order as defined in the literature. Largest loops (55.3%), moderate whorl (34.7%) and least arch (10.0%) respectively. It was found that loop (57.4 %) and arch (14.6 %) fingerprints were more prevalent in women than in men. In males (41.5 per cent), the Whorl fingerprint is more prevalent compared to females (28.0 per cent). Conclusion: The right hand shows typical fingerprints of the loop and whorl, and the arch fingerprint was more in the left hand.

Abstract P122: The Identification Of New Serum Uric Acid Levels Cut-off Point To Prevent Prehypertension And Hypertension Based On Jnc 7 And Acc/aha 2017 Classification: A Cross-sectional Study

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Mochammad Sja'bani ◽  
Lucky Aziza Bawazier ◽  
Fredie Irijanto ◽  
Zulaela Zulaela ◽  
Agus Widiatmoko ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Uric Acid ◽  
Confidence Interval ◽  
Serum Uric Acid ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Stage 1

Background: Serum uric acid levels have been reported to be associated with elevated blood pressure and hypertension events. It is needed to determine the prognostic serum uric acid (SUA) cut-off point to prevent the incidents of prehypertension and hypertension. Methods: This was a cross-sectional study involving a total of 733 participants who a had history of prehypertension in 2007. These participants were selected from “Mlati Study Database” in 2007 by simple random sampling using statistical software. Participants underwent both physical and laboratorical examination. Data were analyzed based on JNC 7 and ACC/AHA 2017 guideline. Results: Based on JNC 7 classification, the analysis using ROC curve showed that the prognostic SUA cut-off point of 4.85 mg/dL was able to indicate the incidents of prehypertension or hypertension in the database (95% confidence interval, CI, 0.532-0.629, p=0.001). Additional analysis using ACC/AHA 2017 guideline as the blood pressure classification was also performed for comparison. Based on ACC/AHA 2017 classification, the ROC curved showed a slightly higher SUA cut-off points than the previous analysis using JNC 7. The prognostic SUA cut-off point of 4.95 mg/dL was able to indicate the events of hypertension stage 1 and stage 2 in the database (95% confidence interval, CI, 0.532-0.615, p=0.001). These results were parallel with the previous study which reported that SUA cut-off points of 5-7 mg/dL (high-normal SUA) and ≥7 mg/dL (high SUA) were associated with the incidents of prehypertension and hypertension. Conclusion: The new SUA cut-off points may be used as an early warning for the development of prehypertension and hypertension in the future.

Occurrence of paralytic scoliosis in patients with poliomyelitis reporting at Fauji Foundation Hospital, Rawalpindi

2020 ◽  
pp. 1-10
Author(s):  
Muhammad Osama ◽  
Naureen Tassadaq ◽  
Admin
Keyword(s):  
Confidence Interval ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional ◽  
The World ◽  
Important Health ◽  
Cobb’S Angle ◽  
The Difference

Abstract Pakistan is one of the only three countries in the world with an enduring poliovirus transmission, making poliomyelitis an important health concern for Pakistan. Paralytic scoliosis is a common musculoskeletal dysfunction associated with poliomyelitis. To determine the occurrence of paralytic scoliosis a cross-sectional study was conducted at Fauji Foundation Hospital, Rawalpindi from 2015 to 2018. All patients with poliomyelitis reporting to the hospital were included, whereas patients with scoliosis but no poliomyelitis were excluded. Cobb’s angle was used to determine the severity of scoliotic curves. Pearson correlation was used to determine the correlation of Cobb’s angle with age and Independent T-test was used to determine the difference in terms of gender. Confidence interval was kept at 95%. A total of 51 patients with poliomyelitis were included in the study with a mean age of 28.58±15.07 years.

scholarly journals An Investigation on the Patients Undergoing Kidney Stone Open Surgery: A Single-Center Report From Sistan and Baluchistan Province, Iran

2021 ◽  
Vol 6 (2) ◽  
pp. 64-68
Author(s):  
Amin Afshari Moghadam ◽  
Salehe Badini
Keyword(s):  
Blood Pressure ◽  
Kidney Stone ◽  
Cross Sectional Study ◽  
Urinary Stones ◽  
Cross Sectional ◽  
Postoperative Fever ◽  
Kidney Surgery ◽  
Duration Of Surgery ◽  
The Difference ◽  
Staghorn Stones

Introduction: Urinary stones are among major urological diseases. Open kidney surgery has always been of historical importance in the management of most urinary stones, especially in complicated cases. The aim of this study was to investigate the cases of open kidney stone surgery in Amir Al-Momenin hospital of Zabol in 2016-2017. Method: In the present descriptive cross-sectional study, the patients who underwent open kidney stone surgery in Amir Al-Momenin hospital were evaluated. The investigated variables included gender, age, changes in blood pressure, postoperative complications, and duration of surgery. The information was collected from hospital records and entered into SPSS software for analysis.Results: In this study, 25 patients were studied, of whom 14 (56%) were females. The mean age of the patients was 37.84 ±17.15 years. The youngest and oldest patients were 1 and 66 years old, respectively. Twelve patients (48%) had staghorn stones, and the rest (13 patients) had other types of stones. Blood pressure remained unchanged in 80% of the patients while 12% developed hypertension. Postoperative fever and infection were observed in only 4% of the patients. The prevalence of staghorn stones in men and women were 45.5% and 50%, respectively. The difference was not statistically significant (P = 0.821).Conclusion: The present study showed that the most common stones leading to open kidney surgery were of the staghorn type. Males were more likely to undergo open kidney surgery than females.

scholarly journals Quality of life and handgrip strength of HIV patients diagnosed with neurotoxoplasmosis

2019 ◽  
Vol 21 ◽  
Author(s):  
Luiz Fernando Gouvêa-e-Silva ◽  
Cíntia Naira Souza de Lima ◽  
Kerolen Tayla Lima Fernandes ◽  
Silvania Yukiko Lins Takanashi ◽  
Marília Brasil Xavier
Keyword(s):  
Quality Of Life ◽  
Handgrip Strength ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Left Hand ◽  
Aids Epidemic ◽  
The Right

Abstract HIV / AIDS epidemic continues to be a major public health problem, and when there is poor adherence to treatment, patients become susceptible to other infections such as toxoplasmosis. The aim of this study was to evaluate the handgrip strength and quality of life of HIV infected patients diagnosed with neurotoxoplasmosis. A cross-sectional study was conducted with 40 HIV-infected patients, with and without diagnosis of neuroxoplasmosis.Sociodemographic and clinical profile information was collected, and handgrip strength and quality of life were evaluated. Almost all patients of both groups used antiretroviral therapy. In the handgrip strength evaluation, no statistical difference was observed for the right and left hand between groups with and without neurotoxoplasmosis (p> 0.05). However, the classifica-1 Federal University of Pará. Gradution of inadequate handgrip strength in the neurotoxoplasmosis group was significantly higher.ate Program in Tropical Diseases. In the quality of life domain, it was observed that financial concern had lower scores in the Belém, PA. Brazil. group with neurotoxoplasmosis (p = 0.0379). It was observed that neurotoxoplasmosis showedno association with epidemiological, clinical, handgrip strength and quality of life variables.2 State University of Pará. Center However, patients with neurotoxoplasmosis showed a trend towards lower muscle strength.

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