scholarly journals Controle da Pressão Arterial em Pacientes Idosos de um Ambulatório de Atenção Primária à Saúde

Author(s):  
Paulo Renato Carvalho Alonso Rays ◽  
Honório Sampaio Menezes

Resumo: Hipertensão Arterial é definida como elevação da pressão arterial sistólica e diastólica acima de 140/90mmHg, respectivamente. Estima-se que mais de 50% dos pacientes acima de 60 anos tenham hipertensão, o que deixa essa população sob risco aumentado de doenças em órgãos alvo como coração, rins e cérebro, aumentando também a morbimortalidade desta população. Diversos estudos comprovam que a terapia anti-hipertensiva reduz o risco e a morbimortalidade cardiovascular, cerebral e renal. No presente trabalho foi realizado um estudo transversal, observacional, prospectivo, onde foram avaliadas as medidas da pressão arterial de 24 pacientes idosos do grupo de 70 pacientes hipertensos do ambulatório do Programa Saúde da Família da cidade de Mata, interior do RS. Foi utilizada estatística descritiva e distribuição por freqüência, além do teste “t” de Student para comparação de médias, com nível de significância de 5% para análise dos dados. A pressão sistólica variou entre 120 e 180mmHg, a diastólica entre 60 e 100mmHg. Em 17 (70,83%) dos pacientes não houve associação da hipertensão com outra doença crônica, em quatro (16,22%) havia associado diabete melito tipo II e três (12,50%) tinham dislipidemia. Predominou o sexo feminino em 75% (18) dos pacientes estudados. A pressão sistólica estava acima de 140mmHg em 10 (41,67%) dos pacientes entre os quais havia quatro (16,67%) com a diastólica acima de 90mmHg. Dois quintos dos idosos, mesmo sob tratamento ambulatorial, não apresentava controle da hipertensão arterial adequado. Palavras-chave: Hipertensão. Idoso. Controle. Abstract: Hypertension is defined as an elevation of systolic and diastolic blood pressure above 140/90mmHg. More than 50% of patients over 60 years have hypertension, which increases the risk of cerebrovascular, kidney and heart diseases in this population. The anti-hypertensive therapy reduces risks according several studies. This cross sectional hypertension study of the elderly patients over 60 years old analyzed blood pressure in two opportunities separated by two days. Twenty-four patients had the blood pressure measured among 70 patients. Results: the systolic blood pressure were between 120-190mmHg, the diastolic blood pressure between 60-100mmHg. Eighteen (75%) were women, 17 (70.83%) does not have other chronic diseases, four (16.22%) had diabetes type II, three (12.50%) were dislipidemic. In ten (41.67%) patients the systolic blood pressure was over 140mmHg and four (16.67%) had the diastolic blood pressure over 90mmHg. The hypertension was uncontrolled in two fifty of elderly patients. Keywords: Hypertension. Elderly. Control.

2021 ◽  
Vol 9 (2) ◽  
pp. 123-127
Author(s):  
Etisa Adi Murbawani ◽  
Etika Ratna Noer ◽  
Enny Probosari

Background: Hypertension is a highly prevalent health problem which incidence is greatest among the elderly. Hypertension may increase creatinine level and leads to other health problems like diabetes mellitus, kidney damage, and cardiovascular disease. Wrist circumference is a simple anthropometric measurement that can be used to identify hypertension and increasing level of serum creatinine.Objectives: To analyze the correlation of wrist circumference with blood pressure and creatinine level among the elderly.Materials and Methods: This was a cross-sectional study with a purposive sampling method. Subjects of this study were 84 women aged 60 years old or above at Unit Rehabilitasi Sosial Pucang Gading Semarang. The independent variable of this study was wrist circumference, and the dependent variables were systolic blood pressure, diastolic blood pressure, and creatinine level. The result was analyzed using the Spearman-rho test.Results: The participants of this research were 49% women aged 60-65 years old, with an average age was 65.5 years old. The prevalence of hypertension was 61.9%. Most hypertension incidence in this research was caused by high systolic blood pressure (50%), and the rest was caused by high diastolic blood pressure (3.9%) and both (46.1%). The level of creatinine was normal with an average level was 0.75 mg/dL. There was no correlation of wrist circumference with systolic blood pressure systolic (r=0.15; p=0.19), diastolic blood pressure (r=0.1; p=0.38), and creatinine serum (r=0.18; p=0.09) among elderly.Conclusions: There was no correlation of wrist circumference with blood pressure and creatinine level among the elderly.


2017 ◽  
Vol 124 (6) ◽  
pp. 1107-1120 ◽  
Author(s):  
Heloyse E. G. Nunes ◽  
Carlos A. S. Alves ◽  
Eliane C. A. Gonçalves ◽  
Diego A. S. Silva

This study aimed to determine which of four selected physical fitness variables, would be most associated with blood pressure changes (systolic and diastolic) in a large sample of adolescents. This was a descriptive and cross-sectional, epidemiological study of 1,117 adolescents aged 14–19 years from southern Brazil. Systolic and diastolic blood pressure were measured by a digital pressure device, and the selected physical fitness variables were body composition (body mass index), flexibility (sit-and-reach test), muscle strength/resistance (manual dynamometer), and aerobic fitness (Modified Canadian Aerobic Fitness Test). Simple and multiple linear regression analyses revealed that aerobic fitness and muscle strength/resistance best explained variations in systolic blood pressure for boys (17.3% and 7.4% of variance) and girls (7.4% of variance). Aerobic fitness, body composition, and muscle strength/resistance are all important indicators of blood pressure control, but aerobic fitness was a stronger predictor of systolic blood pressure in boys and of diastolic blood pressure in both sexes.


2017 ◽  
Vol 6 (4) ◽  
pp. 313
Author(s):  
Mega Lucyta Sari ◽  
Enny Probosari ◽  
Hartanti Sandi Wijayanti

Background: Hypertension is one of the major risk factors for cardiovascular disease. Decreased intake of omega-3 and increased intake of omega-6 can increase the risk of hypertension. Hypertension cases in Indonesia are highest in women especially aged 30 - 50 years. This study aimed to determine correlation of omega-3 and omega-6 intake with blood pressure in women aged 30-50 years.Method : This was an observational research with cross-sectional study design. Fifty four subjects were selecting using consecutive sampling. Intakes were assessed by food recall 2x24 hours. Blood pressure levels were measured by Sphygmomanometer. Data were analyzed by Chi Square and Fisher Exact.Result : Systolic and diastolic blood pressure mean were 115.92 ± 14.5 mmHg and 75 ± 7.45 mmHg, while omega-3 and omega-6 mean were of 3. 1.03 ± 0.52 g and 14.17 ± 5 , 8 g. More than one third of the subjects (37.9%) with pre-hypertension/hypertension had omega-3 intake less than 1.1 g and 52.7% of them had omega-6 intake less than 12 g.There was correlation of omega-6 intake with systolic blood pressure (p <0.05) but there were no correlation between omega-3 intake with systolic blood pressure, omega-3 and omega-6 intake with diastolic blood pressure (p >0,05). Conclusion: There was correlation of omega-6 intake with systolic blood pressure, there were no correlation between omega-3 intake with systolic blood pressure, omega-3 and omega-6 intake with diastolic blood pressure


2017 ◽  
Vol 6 (4) ◽  
pp. 385
Author(s):  
Aria Menad M ◽  
Aryu Candra Kusumastuti

Background : Hypertension is one of the degenerative diseases that has high prevalence an increase. One of the factors that influence blood pressure in hypertensive patients is protein, fat, potassium, and magnesium intake. The purpose of this study was to determine the relationship of protein, fat, potassium, and magnesium intake with blood pressure in elderly.Design : This cross-sectional study was conducted among 42 subjects (aged 60-80 years) of PWRI (Persatuan Wredatama Republik Indonesia) members rating South Semarang, Semarang. Food recall method was used to measure the intake of protein, fat, potassium and magnesium intake. Blood pressure was measured with a mercury sphygmomanometer. Rank- Spearman test was used on bivariate analysis. Results : On the results of this study as many as 83.3% of subjects hypertention. Protein intake (52.4% of subjects), fat intake (100% of subject) potassium intake (54.8%) and magnesium (95.2% of subjects) are lower than needs. Bivariate analysis shows that there were no correlation between protein, fat, potassium, and magnesium intake and systolic blood pressure and diastolic blood pressure. Conclusion : In there were correlation between protein, fat, potassium, and magnesium intake and systolic blood pressure and diastolic blood pressure. 


Author(s):  
MI Diah P ◽  
Banundari Rachmawati ◽  
Purwanto AP

The incidence of metabolic syndrome (MetS) is significantly increasing. The elevated serum uric acid (SUA) level is correlated with the metabolic risk of cardiovascular. The relationship between SUA levels and components of MetS has been inconsistent. The aim of this study was to know the correlation between SUA level and component of MetS by analyzng. This study was a cross-sectional design conducted on healthy people at the Medical Check Up (MCU) Clinic, Dr. Moewardi Hospital, Surakarta from June 2012 until February 2013. MetS was defined according to the 2005 International Diabetes Federation (IDF) criteria. The statistical analysis was done by Student’s T test, Pearson or Spearman correlation coefficients. The researchers considered p<0.05 as statistically significant with a 95% confidence interval. A total of 80 healthy subjects, (range 19–57 years) were enrolled into this study. MetS was diagnosed in 40 persons where men (62.5%) were more than women and the non-MetS in women (62.5%) were more than men. In this study, a positive correlation was found between SUA and systolic blood pressure, diastolic blood pressure and waist circumference (Pearson r=0.354, 0.495, 0.399, respectively, p<0.05) in women, but not in men. The SUA was positively correlated with systolic blood pressure, diastolic blood pressure and waist circumference, particularly in women. A long term study is needed to investigate the consequence of increasing the SUA level in metabolic disorders and hormonal influences as well.


2020 ◽  
Vol 19 (1) ◽  
pp. 38-42
Author(s):  
Latifa Rachmawati ◽  
Suhartono Suhartono ◽  
Budiyono Budiyono

Latar belakang: Pestisida merupakanxsalahxsatuxbahan kimia yang berbahaya. Adanya kandungan bahan – bahan – bahan aktif pada pestisida yang masuk kedalam tubuh manusia dengan berbagai jalur dapat menganggu proses asetilkolin, yang dapat mengakibatkan gangguan pada tekanan darah. Desa Trayu memiliki pekerjaan dengan mayoritas sebagai petani penyemprot hortikultura denganxjumlah sebanyak 416 orang (41,06%), dimana seluruh petani masih aktif menggunakan pestisida. Tujuan penelitianxinixadalahxuntukxmengetahui beberapaxfaktorxyangxberhubunganxdenganxtekananxdarah petani penyemprot hortikultura dixDesa TrayuxKecamatanxSumowonoxKabupaten Semarang.Metode: Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross-sectional. Sampel penelitian berjumlah 66 orang diambil dengan menggunakan metode simple random sampling. Pengukuran tekanan darah dilakukan menggunakan tensimeter. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Analisis statistik menggunakan uji korelasi Rank Spearman pada α 95%.  Hasil: Responden rata – rata berumur 50 tahun, dengan tingkat pendidikan didominasi Sekolah Dasar, dimana untuk penggunaan pestisida di Desa Trayu mencapai 100%. Sebanyak 34 responden (51,51%)  memiliki tekanan darah sistolik tinggi dan 46 responden (69,69%) memiliki tekanan darah diastolik tinggi. Hasil menujukkanxbahwa tidakxadaxhubunganxantaraxmasaxkerjaxdenganxtekananxdarahxsistolik (p value = 0,408). Terdapat hubungan pada variabelxmasaxkerjaxdenganxtekananxdarah diastolik (pxvalue = 0,022).xTerdapat hubungan antara jumlah campuran pestisida dengan tekanan darah sistolik (p value = 0,001). Tidak ditemukan adanyaxhubunganxjumlah campuran pestisidaxdenganxtekananxdarahxdiastolik (p value = 0,238). Ada hubungan antara variabel frekuensi penyemprotan dengan tekanan darah sistolik (p value = 0,041) dan tekanan darah diastolik (p value = 0,006).Simpulan: Frekuensi penyemprotan berhubungan dengan tekanan darah petani penyemprot tanaman hortikulturaKata kunci: tekanan darah, pestisida, petani penyemprot, tanaman hortikultura.ABSTRACT Title: The Analysis Factors Related to Blood Pressure on Horticulture Spraying Farmers in Trayu Village, Subdistrict Sumowono, District SemarangBackground: Pesticides are a dangerous chemical. The composition of active ingredients in pesticides that enter the human body with various pathways can interfere with the process of acetylcholine, which can disturbing blood pressure. The highest occupation in Trayu Village is horticulture sprayer, the total is 416 people (41,06%), where all farmers are actively using pesticides. Thexpurposexofxthis research was to determine severalxfactorsxrelated to blood pressure.Method: This research was an observational analytic study with a cross-sectional design. The sample of this study was 66 people taken by simple random sampling method. Blood pressure was measured using tensimeter. Data collection were gathered by interview using a questionnaire. Statistical analysis using Rank Spearman test with α 95%.Result: The average respondent is 50 years, with an education level dominated by elementary school, meanwhile the use of pesticides in Trayu Village reaches 100%. There were 34 respondents (51,51%) had high systolic blood pressure and 46 respondents (69,69%) had high diastolic blood pressure. xThexresultsxshowxthere is no correlation between a work period and systolic pressure (pxvaluex= 0,408). Therexisxaxcorrelation work period with diastolicxbloodxpressurex(pxvaluex=x0,022). Therexisxan associationxbetweenxthexamount of pesticide mixture with systolic blood pressure (p value = 0,001). There was no correlation between the amount of pesticide mixture with diastolic blood pressure (p value = 0,238). There was no association btween the variable frequency of srpaying with systolic blood pressure (p value = 0,041) and diastolic blood pressure (p value = 0,006).Conclusion: The frequency of spraying associated with the blood pressure of horticulture spraying farmers.Keywords: blood pressure, pesticides, spraying farmers, horticulture plants


2013 ◽  
Vol 25 (1) ◽  
pp. 28-31
Author(s):  
N Habib ◽  
M Rashid ◽  
USN Begum ◽  
N Ahter ◽  
D Akhter

This cross-sectional study was carried out to assess blood pressure parameters among adult male smokers and smokeless tobacco users. For this purpose, 105 male respondents were selected. They were divided into two groups; Group A-consisting of 30 were smokeless tobacco users and group B consisting of 75 smoker patients The participants were selected from medicine outdoor of Dhaka Medical College Hospital. In this study, the mean (±SD) of systolic blood pressure were 154.50±26.793 mm of Hg in Group A and 151.67±19.248 mm of Hg in group B respectively. Statistical analysis was done by unpaired‘t’ test, there were no statistical significant differences (P>0.05) of systolic blood pressure between Group A and Group B. The mean (±SD) of diastolic blood pressure were 96.67±10.933 mm of Hg in Group A and 86.47±14.745 mm of Hg in group B respectively. The mean (± SD) of diastolic blood pressure were significantly higher (P<0.05) in Group A than Group B. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16066 Medicine Today 2013 Vol.25(1): 28-31


2021 ◽  
Vol 3 (1) ◽  
pp. 188-192
Author(s):  
Nida Amalia ◽  
A'immatul Fauziyah

The population of the elderly people is increasing from time to time and there is a change in the diseases pattern from infectious diseases to degenerative diseases. One of degenerative diseases that frequently occur in the elderly people is an increased blood pressure or hypertension. This study aims to determine the relationship between saturated fat intake and blood pressure in elderly women. This type of research was quantitative using a cross sectional approach. Samples were taken with a total sampling technique of 40 subjects. Processing data was using The Pearson correlation test. Based on the results of the analysis test, there was no relations between saturated fat intake with systolic blood pressure and diastolic blood pressure (p-value=0,183 and 0,333). This was because many factors affect blood pressure. The conclusion of this study was that there was no relationship between saturated fat intake with systolic blood pressure and diastolic blood pressure.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Akdri Andi ◽  
Afriwardi Afriwardi ◽  
Detty Iryani

AbstrakPada olahraga tertentu seperti futsal,  tekanan darah dapat naik menjadi 150-200 mmHg. Sebuah penelitian menyatakan  60 kematian mendadak pasca olahraga, 58 diantaranya disebabkan oleh kelainan kardiovaskuler. Tujuan penelitian ini adalah untuk mengetahui gambaran perubahan tekanan darah pasca olahraga futsal pada mahasiswa Fakultas Kedokteran Universitas Andalas. Rancangan penelitian yang digunakan adalah deskriptif observasional dengan menggunakan desain cross-sectional study. Subjek yang digunakan adalah 30 orang mahasiswa Fakultas Kedokteran Universitas Andalas yang memenuhi kriteria inklusi dan eklusi pada April 2014. Olahraga futsal dilakukan 30 menit lalu dilakukan pengukuran tekanan darah sesaat, 15, 30 dan 60 menit dengan menggunakan sphygmomanometer air raksa dan stetoskop. Hasil penelitian didapatkan peningkatan tekanan darah sistolik sesaat setelah olahraga futsal pada semua sampel dengan peningkatan sebesar 20 mmHg pada 18 orang (60%) dan 25 orang (83,8%) tidak mengalami perubahan tekanan darah diastolik. Pada 15 menit setelah olahraga futsal, 18 orang (60%) terjadi penurunan tekanan darah sistolik sebesar 20 mmHg dan 26 orang (86,67%) tidak mengalami perubahan tekanan darah diastolik. Pada 30 menit setelah olahraga, 4 orang (13,3%) mengalami penurunan tekanan darah sistolik. Satu jam setelah olahraga, semua subjek telah mencapai tekanan darah awal.Kata kuncl: tekanan darah, olahraga futsal sesaat, 15 menit, 30 menit, satu jam AbstractIn certain exercise such as futsal, blood pressure can raise around 150-200 mmHg. A study has identified 60 sudden deaths after sports and 58 were caused by cardiovascular disorders. The objective of this study was to describe changes in blood pressure after futsal exercise in students of Medical Faculty of Andalas University. The design is descriptive observational using a cross-sectional study. The 30 subjects were taken base on inclusion and exclusion criteria. This study was conducted on April 2014. Subject played futsal for 30 minutes, then the blood pressure was measured right after doing futsal then 15, 30 and 60 minutes later with a sphygmomanometer and stethoscope. This study found an increase in systolic blood pressure shortly after  futsal in all subjects with an increase of 20 mmHg in 18 people (60%) and 25 people (83.8%) had no change in diastolic blood pressure. Fifteen minutes after doing futsal, 18 people (60%) had 20 mmHg decrease in systolic blood pressure and 26 (86.67%) had no change in diastolic blood pressure. Thirty minutes after doing futsal, 4 (13.3%) experienced a decrease in systolic blood pressure and 100%  returned to the initial blood pressure. One hour after exercise, all of subjects  reached the initial blood pressure again.Keywords: blood pressure, right after doing futsal, 15 minutes, 30 minutes, one hour


Author(s):  
Eduardo Expedito Valeriano Batista ◽  
Bruno Almeida Rezende

Estudar o perfil do idoso portador de Hipertensão Arterial Sistêmica (HAS) inserido em um Grupo de Apoio a Terceira Idade (GATI), sua adesão ao tratamento medicamentoso e o controle dos níveis pressóricos. Estudo transversal, descritivo e comparativo em 72 idosos portadores de HAS divididos em dois grupos: participantes e não participantes de um GATI na cidade de Jequeri (MG). Os dados foram coletados por entrevistas através do questionário de adesão a medicamentos auto referido, aferição da pressão arterial e coleta de dados do prontuário. A maioria dos indivíduos era do sexo feminino, casados e praticavam atividades físicas regulares. Os participantes do GATI apresentaram maior escolaridade, maior adesão ao tratamento medicamentoso da HAS, maior proporção de praticantes de atividades físicas, menor IMC e menor proporção de fumantes e melhores índices pressóricos. A implementação de GATI pode auxiliar no controle dos níveis pressóricos em pacientes portadores de HAS.Descritores: Hipertensão Arterial Sistêmica, Idoso, Envelhecimento. Effectiveness of a support program for the elderly in the control of Systemic Arterial HypertensionAbstract: To study the profile of elderly patients with Systemic Arterial Hypertension (SAH) included in a support program for elderly people (SPEP) at Jequeri city (MG), as well as their drug treatment adherence and control of blood pressure levels. Cross-sectional, descriptive and comparative study performed in 72 elderly patients with SAH divided into two groups: participants and non-participants of a SPEP. The data were collected by interviews through a self-reported adherence questionnaire, blood pressure measurement, as well as the collection of relevant information to the patient’s medical record. Most of the individuals were female, married, and engaged in regular physical activity. SPEP participants presented higher schooling, greater adherence to the medical treatment of hypertension, greater proportion of physical activity practitioners, lower BMI, a lower proportion of smokers and better blood pressure indexes. The implementation of SPEP can help control pressure levels in patients with SAH.Descriptors: Systemic Arterial Hypertension, Elderly, Senior group, Aging. Efectividad de programa de apoyo a la tercera edad en el control de la hipertensión arterialResumen: Estudar o perfil do idoso portador de Hipertensão Arterial Sistémica (HAS) inserido em um Grupo de Apoio a Terceira Idade (GATI), sua adesão ao tratamento medicamentoso e o controle dos níveis pressóricos. Estudo transversal, descritivo e comparativo em 72 idosos portadores de HAS divididos em dois grupos: participantes e não participantes de um GATI na cidade de Jequeri (MG). Os dados foram coletados por entrevistas através do questionário de adesão a medicamentos auto referido, aferição da pressão arterial e coleta de dados do prontuário. A maioria dos indivíduos era do sexo feminino, casados e praticavam atividades físicas regulares. Os participantes do GATI apresentaram maior escolaridade, maior adesão ao tratamento medicamentoso da HAS, maior proporção de praticantes de atividades físicas, menor IMC e menor proporção de fumantes e melhores índices pressóricos. A implementação de GATI podem auxiliar no controle dos níveis pressóricos em pacientes portadores de HAS.Descriptores: Hipertensão Arterial Sistêmica, Idoso, Envelhecimento.


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