scholarly journals THE INFLUENCE OF MICROSOCIAL FACTORS ON THE FORMATION OF ARTERIAL HYPERTENSION IN SCHOOLCHILDREN

2021 ◽  
Vol 11 (1(39)) ◽  
pp. 28-32
Author(s):  
Dmitrо Nechytailo ◽  
T.M. Miheeva ◽  
N.I. Kovtyuk

Introduction. In recent years, there has been anincrease in the prevalence of hypertension in both adults andchildren. The discrepancy in the prevalence of the diseasein children is associated with the absence of a standardizedmethod of measuring blood pressure, uniform criteria forassessing its level, as well as the "hypodiagnostics" ofarterial hypertension in children. Attention should alsobe paid to the relatively low compliance of some childrenand adolescents in the treatment and awareness of the needto maintain a sufficient level of physical activity, healthyeating and prevention of bad habits.The aim of the study was to determine the influence ofmicrosocial factors on the formation of arterial hypertensionin schoolchildren.Material and research methods. 848 school - agechildren were examined and divided into the followinggroups: the first group consisted of 182 children withhypertension, the second group - 78 children with arterialprehypertension and the control group - 588 children withnormal blood pressure.Sociometric survey was conducted by collectinginformation about the peculiarities of diet and quality ofnutrition, physical activity and psychological factors inchildren using questionnaires. Blood pressure level wasmeasured with automatic tonometers with variable cuffs inthe morning on both hands, three times, with an intervalof 2 minutes. The results were evaluated according topercentile tables in terms of age, sex and height. Statisticalprocessing of the obtained data was performed usingMicrosoftOfficeExcel and Statistica 10.0.Results. Analyzing the psychological atmospherewithin the family, it was found that 585 (69.0%) childrencalled the situation within the family good and warm, 100(12.1%) thought that family conditions were bad and 138(16.3%) children did not decide on account of bad or goodrelations within the family.Assessing the peculiarities of nutrition among thesurveyed schoolchildren, it was found that children fromthe 1st group ate the most irrationally. They ate bread andbaked goods more often every day, meat and dairy productsa little less often, and vegetables and fruits even less often.Equally important factors influencing a child’s healthand development are the presence of physical activity, dailyroutine, walks in the fresh air, and so on. Another importantfactor that affects both the general health of the child andhis physical development is regular exercise in sections orclubs.Children from the 1st group have the lowest level ofregular sports, unbalanced diet, and more often havepsychological problems in relationships with peers andparents. Given the data of statistical analysis, thesemicrosocial factors can be regarded as risk factors for thedevelopment of hypertension in schoolchildren.Conclusions. According to the conducted correlativeand cluster analysis, three key groups of microsocial factorsthat affect the level of blood pressure in children can beidentified: the factor of balanced nutrition, psychosocialfactor and the factor of physical activity. The abovefactors are complex, they can be classified to the categoryof risk factors for the development of hypertension inschoolchildren and early prediction of increased bloodpressure in them.

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Xiaohua Liang ◽  
Min Chen ◽  
Ping Qu ◽  
Guang Hao ◽  
Yisong Huang ◽  
...  

Background. The prevalence of hypertension in children increases rapidly. This paper is to investigate the association of vitamin A and serum 25(OH)D level with hypertension and to explore the risk factors of hypertension in children. Methods. 164 children (age: 6-12 years, females: 49.39%) were included in this case-control study. The serum vitamin A and serum 25(OH)D level, the transcription level of RARs and RXRs, 25(OH)D receptor, and the retinol acyltransferase (LRAT), an indicator of vitamin A storage function, were measured. Results. The serum vitamin A level in hypertensive subjects was not significantly different compared to control, but the serum 25(OH)D level was significantly lower in hypertensive subjects compared to control (38.22±12.00umol/L vs. 43.28±12.33 umol/L, P=0.02). The transcription levels of RARα, RARβ, and RARγ were not significantly different between the two groups; but the LRAT was lower in the hypertensive group than that in the control (P<0.001). Compared with control group, the level of 25(OH)D receptor was lower in hypertension children (P=0.003). Logistic regression model showed that LRAT, HDL, and breastfed duration were negatively associated with blood pressure, and waist circumference was positively associated with blood pressure. Conclusions. The LRAT, serum 25(OH)D, and 25(OH)D receptor were significantly associated with blood pressure level, and both breastfed and HDL-C were independent protective factors of blood pressure level in children.


2016 ◽  
Vol 6 (1) ◽  
pp. 15
Author(s):  
Juliana de Almeida Leandro Bezerra ◽  
Gisele Santana Pereira Carreiro ◽  
Anne Milane Formiga Bezerra ◽  
Kaaio Rodrigo Santos Bezerra ◽  
Kévia Katiúcia Santos Bezerra

<p>A Hipertensão Arterial Sistêmica representa um grave problema de saúde pública no país, sendo um dos fatores de risco para doenças cardiovasculares. É caracterizado pela elevação da pressão arterial a nível igual ou superior a 140 mmHg da pressão sistólica 90 mmHg da diastólica. Este estudo tem por objetivo verificar o estilo de vida dos portadores de Hipertensão Arterial atendidos em uma unidade de saúde da família de um município paraibano. Caracteriza-se por um estudo do tipo exploratório, descritivo, com abordagem quantitativa e qualitativa. A amostra do estudo foi constituída por 30 hipertensos. Os dados apresentados em tabelas e gráficos revelaram que a maioria dos hipertensos está em idade superior a 60 anos, cumpre algumas das orientações transmitidas pelo profissional de saúde, como a não ingestão de sal, não ingestão de gordura, prática de atividade física e não uso do álcool e do tabaco. Verificou-se também que todos os entrevistados fazem uso de medicamentos no tratamento da Hipertensão Arterial. Foi observado um estilo de vida um pouco acomodado por parte dos entrevistados quanto ao uso de sal, de gordura e da prática de atividade física onde relataram não essas orientações. Isso nos leva a entender que estilo de vida da população está contribuindo para a elevação dos níveis tensionais e não haja um controle da hipertensão arterial. </p><p align="center"><strong><em>Lifestyle assessment in hypertensive Municipality of Malta-PB</em></strong></p><p><strong>Abstract: </strong>The Hypertension is a major public health problem in the country, one of the risk factors for cardiovascular disease. It is characterized by elevated blood pressure level equal to or greater than 140 mmHg systolic blood pressure 90 mm Hg diastolic. This study aims to determine the lifestyle of patients with arterial hypertension treated at a health facility of the family of Paraiba municipality. It is characterized by a study of exploratory, descriptive, with quantitative and qualitative approach. The study sample consisted of 30 hypertensive. The data presented in tables and graphs showed that most hypertensive patients is older than 60, meets some of the guidelines passed by the health professional, such as no salt intake, not fat intake, physical activity and not using alcohol and tobacco. It was also found that all respondents make use of medications in the treatment of Hypertension. a lifestyle somewhat accommodated by the respondents regarding the use of salt, fat and physical activity which reported no such guidelines were observed. This leads us to understand that the lifestyle of the population is contributing to the elevation of blood pressure and there is no control of hypertension.</p>


1983 ◽  
Vol 17 (3) ◽  
pp. 169-176 ◽  
Author(s):  
David Haber

A ten-week yoga program was implemented with sixty-one white and forty-five low-income black elders at two community sites, along with a pretest-posttest control group research design with random assignment at each site. White elders attended class regularly, practiced yoga on their own on a daily basis, improved psychological well-being, and lowered their systolic blood pressure level, in comparison to a control group. Black elders, on the other hand, attended the once-a-week class regularly but did not practice on their own on a daily basis. Thus, they did not improve psychological well-being nor reduce blood pressure level in comparison to a control group. Social analysts suggest that low-income minority elders need more frequent contact with structured leadership in order to adhere to a daily routine that may lead to psychological and physical change. Other directions for controlled follow-up studies are suggested.


2021 ◽  
Author(s):  
Elena DE DIOS-RODRIGUEZ ◽  
María C PATINO-ALONSO ◽  
Susana GONZÁLEZ-SÁNCHEZ ◽  
Joana RIPOLL ◽  
Olaya TAMAYO-MORALES ◽  
...  

Abstract Aim: To evaluate the effectiveness of an intervention in primary health care designed to increase physical activity in people with dementia and their family caregivers.Methods: A cluster-randomized multicentre clinical trial was carried out.Participants: 140 people with dementia (median age 82 years;63.6% women) and 176 caregivers (median age 62 years ;72.7% women). Seventy patients and 80 caregivers were assigned to the Control Group (CG) and 70 patients and 96 caregivers to the Intervention Group (IG). The physical activity was measured with the pedometer and with the IPAQ-SF questionnaire. The intervention consisted of applying in primary care the program promoting physical activity (PEPAF) for 3 months. The changes observed at 6 months were analyzed. Results:In people with dementia, in the pedometer assessment a decrease was observed in both groups, but it was larger in the CG both in the total number step/day lower in the IG than in the CG and in the aerobic steps / day (52.89 vs -615.93). The activity reported with the IPAQ-SF decreased more in IG, both in the MET/min/week (-258.470 vs -148.23) and in the MVPA min/week. In caregivers the pedometer assessment showed that total steps/day increased more in the IG, as did aerobic steps/day (356.91 vs -12.95). The IPAQ-SF a smaller increase in global activity was declared in the IG than in the CG (545.25 MET/min/week vs 609.55), but the increase in vigorous activity was greater. No differences were found in changes in the functional status and the cognitive performances of people with dementia nor in the mental health in the caregivers, but systolic blood pressure, the Family APGAR and overload in the IG did improve.Conclusions: The results suggest that the intervention carried out may be effective on physical activity in both patients and caregivers. It can also improve systolic blood pressure, the Family APGAR and overload in caregivers. This is the first study to implement a primary care intervention aimed at simultaneously increasing physical activity in people with dementia and their relatives. These results reinforce the importance of using objective measures in clinical trials in people with dementia.Trial registration number: NCT 02044887.


Author(s):  
N.E. Afanasev ◽  
A.K. Shishmanidi ◽  
I.V. Koshel

The article presents the results analysis of preventive medical examination for adults in the Shpakovsky region of Stavropol region for 2015–2017. In the disease structure cardiovascular diseases ranks first, endocrine disorders has the second highest rate of incidence, genitourinary system diseases ranked third. The main risk factor for the chronic non-communicable diseases is unbalanced diet (35,74 %). Low physical activity ranks second accroding to the results of questionnaire (31,23 %) and high blood pressure ranked third (24,45 %). Frequency rate of chronic non-comminicable risk factors detection had been decreased during the years.


1998 ◽  
Vol 16 (Supplement) ◽  
pp. 1885-1889 ◽  
Author(s):  
Maria E.C. Magalhães ◽  
Roberto Pozzan ◽  
Andréa A. Brandão ◽  
Rita C.O. Cerqueira ◽  
Ana L.S. Rousoulieres ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document