scholarly journals Body fat patterning and blood pressure levels: a comparative study between the Rai and the Lepcha in Sikkim

2021 ◽  
Vol 84 (2) ◽  
pp. 133-149
Author(s):  
Swagato Pramanik ◽  
Nivedita Som ◽  
Subho Roy

Abstract We compared the perception of two ethnic groups in relation to health, obesity and blood pressure problems and its management, and to compare the body fat patterning and blood pressure levels between Rai and Lepcha ethnic groups. We chose Rai and Lepcha ethnic groups living in Ranka, a place which is 16 kilometres away from the city of Gangtok, Sikkim. The study involved 160 males (Rai = 80 and Lepcha = 80) of age 25–35 years. The participants were initially interviewed about their perception towards health, obesity and blood pressure problems and its management along with other socio-demographic and lifestyle variables. Later, body fat patterning and blood pressure levels of the participants were measured and compared between these two groups. Multiple linear regression analysis was performed to understand the association of body fat patterning and blood pressure levels with socio-demographic and lifestyle variables. Multivariate analysis of covariance (MANCOVA) was used to examine the relationship of ethnicity with both body fat patterning and blood pressure levels. We found a noticeable difference between Lepcha and Rai ethnic groups in perception towards health and obesity, blood pressure problems and its management. Similarly, a significant difference was observed in body fat patterning and blood pressure levels between Rai and Lepcha participants. MANCOVA revealed that the measures of body fat pattering and blood pressure levels differed significantly between these two ethnic groups, after controlling for lifestyle variables and age of the participants at time of interview. We concluded that there remains ethnic diversity, embedded in cultural behaviours and practices concerning health and obesity, hypertension and associated lifestyle patterns. Such practices, rooted in the belief system of an ethnic group is likely to inform the health condition of group members.

2017 ◽  
Vol 9 (1-5) ◽  
Author(s):  
Lailan Fachrah ◽  
Nor Azlina Hasbullah ◽  
Ashah Ab Rahman

This study aims to identify factors that influence the effectiveness of practical woodworking and determine the effectiveness of practical woodworking from the perspective of students of secondary vocational schools in the province of Aceh. Factors studied were the workshop equipment, safety workshops, teaching skills, the workshop environment and student interest. This study was designed to investigate the significant differences concerning factors woodworking practical effectiveness based on demographic factors. A total of 130 respondents were randomly selected from six vocational schools in the province of Aceh. The instrument consists of a set of questionnaire consisting of 49 items and distributed to second level students. Data analysis using the two types of statistics, namely descriptive statistics and statistical inference. The results showed no significant difference between factors woodworking practical effectiveness based on demographic factors except the income level of parents and the parents of the respondents work. The results of multiple linear regression analysis stepwise method found that only four factors (environmental factors workshops, the students interest, the skills of teachers and workshop equipment factors) that affect the practical effectiveness of woodworking with the correlation coefficient R = 0.779. This shows there is a significant effect of the four factors, the effectiveness of practical woodworking, accounting for 60.6% (R2 = 0.606) changes in the variance in effectiveness of hands-on woodworking, and between the four factors, the workshop environment is the factor that most influences the effectiveness practical woodworking by contributing 43.3% (R2 = 0.433) of the variance in effectiveness of practical woodworking. The main implication of this study is the need for attention from the authorities to be more serious in efforts to improve the facilities and infrastructure in the workshop as well as security issues in practical workshops so that the effectiveness of the woodwork to be more robust.


2019 ◽  
Vol 6 (1) ◽  
pp. 26
Author(s):  
Arina Putri ◽  
Nuril Huda

<p><em>This study aims to identify and analyze the influence of lifestyle variables (X1), money attitude (X2), personal values (X3), marketing stimulation (X4) on purchase decisions (Y).</em></p><p><em>Methods This study uses qualitative research by distributing questionnaires to students stikes muhammadiyah Banjarmasin ever using smartphones as much as 157 respondents. Using variable measurement technique kiteria interval scale from strongly agree to strongly disagree, with weights from 1 - 10. To determine the effect of variable X to variable Y using multiple linear regression analysis technique.</em></p><p><em>Results of this study conclude that (1) There is a significant difference between lifestyle variables to variable purchase decision. (2) There is a significant relationship between the variables attitude toward money purchase decision variables. (3) There is a significant relationship between the variables of personal values to the variable purchase decision. (4) There is no significant relationship between the variables of marketing stimulation to variable purchase decision.</em></p>


2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Fitri Anissa Syaimima Syaiful Azim ◽  
Arlette Suzy Puspa Pertiwi ◽  
Rosiliwati Wihardja

Every child will go through several stages in his or her life. They are different from each other as they are in the process of development of cognition, physics, emotion, and personality. For many children, a visit to the dentist can raise their anxiety. This anxiousness will lead to stress that influences the cardiovascular function in the body. The purpose of this research was to determine the difference in pediatric blood pressure between middle childhood and late childhood prior to dental treatment. This research was a clinical trial, pure experimental study. The sample consisted of 30 children within the range of 4-12 years old where they were divided into two groups of age; middle childhood (4-7 years old) and late childhood (8-12 years old). The blood pressures were measured before any dental treatment began and the values were recorded. The data were then analyzed using the One-Sample T-Test analysis. The results of blood pressure in middle childhood and late childhood were compared to the average mean values for each age group. It showed that there was a significant difference in the systolic pressure, which was found higher in the middle childhood group compared to the late childhood. From the result can be concluded that there was a difference in the pediatric blood pressure between middle childhood and late childhood prior to dental treatment.


2013 ◽  
pp. 1-6
Author(s):  
K. SHITARA ◽  
H. KANEHISA ◽  
T. FUKUNAGA ◽  
T. YANAI ◽  
Y. KAWAKAMI

Background:Three-dimensional photonic scanning (3DPS) was recently developed to measuredimensions of a human body surface. Objective:The purpose of this study was to explore the validity of bodyvolume measured by 3DPS for estimating the percent body fat (%fat). Design, setting, participants, andmeasurement:The body volumes were determined by 3DPS in 52 women. The body volume was corrected forresidual lung volume. The %fat was estimated from body density and compared with the corresponding referencevalue determined by the dual-energy x-ray absorptiometry (DXA). Results:No significant difference was foundfor the mean values of %fat obtained by 3DPS (22.2 ± 7.6%) and DXA (23.5 ± 4.9%). The root mean squareerror of %fat between 3DPS and reference technique was 6.0%. For each body segment, there was a significantpositive correlation between 3DPS- and DXA-values, although the corresponding value for the head was slightlylarger in 3DPS than in DXA. Residual lung volume was negatively correlated with the estimated error in %fat.Conclusions:The body volume determined with 3DPS is potentially useful for estimating %fat. A possiblestrategy for enhancing the measurement accuracy of %fat might be to refine the protocol for preparing thesubject’s hair prior to scanning and to improve the accuracy in the measurement of residual lung volume.


2019 ◽  
Vol 44 (4) ◽  
pp. 765-776 ◽  
Author(s):  
Thomas Bernd Dschietzig ◽  
Karl-Heinz Kellner ◽  
Katrin Sasse ◽  
Felix Boschann ◽  
Robert Klüsener ◽  
...  

Background: Kynurenine, a metabolite of the L-tryptophan pathway, plays a pivotal role in neuro-inflammation, cancer immunology, and cardiovascular inflammation, and has been shown to predict cardiovascular events. Objectives: It was our objective to increase the body of data regarding the value of kynurenine as a biomarker in chronic heart failure (CHF). Methods: We investigated the predictive value of plasma kynurenine in a CHF cohort (CHF, n = 114); in a second cohort of defibrillator carriers with CHF (AICD, n = 156), we determined clinical and biochemical determinants of the marker which was measured by enzyme immunoassay. Results: In the CHF cohort, both kynurenine and NT-proBNP increased with NYHA class. Univariate binary logistic regression showed kynurenine to predict death within a 6-month follow-up (OR 1.43, 95% CI 1.03–2.00, p = 0.033) whereas NT-proBNP did not contribute significantly. Kynurenine, like NT-proBNP, was able to discriminate at a 30% threshold of left ventricular ejection fraction (LVEF; AUC-ROC, both 0.74). Kynurenine correlated inversely with LVEF (ϱ = –0.394), glomerular filtration fraction (GFR; ϱ = –0.615), and peak VO2 (ϱ = –0.626). Moreover, there was a strong correlation of kynurenine with NT-proBNP (ϱ = 0.615). In the AICD cohort, multiple linear regression analysis demonstrated highly significant associations of kynurenine with GFR, hsCRP, and tryptophan, as well as a significant impact of age. Conclusions: This work speaks in favor of kynurenine being a new and valuable biomarker of CHF, with particular attention placed on its ability to predict mortality and reflect exercise capacity.


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S218-S218
Author(s):  
David Kim ◽  
Ric Procyshyn ◽  
Lik Hang Lee ◽  
William Panenka ◽  
Olga Leonova ◽  
...  

Abstract Background There is considerable evidence supporting the association between extrapyramidal symptoms (EPS) and psychotic symptoms in patients with schizophrenia (SCZ). However, it is not well understood whether such an association exists in individuals without SCZ and how the association differs from those with SCZ. Our aim was to examine the associations of EPS with psychotic symptoms and compare them between SCZ and non-SCZ individuals. Methods We used data from a 10-year community-based study of homeless or precariously housed persons from Vancouver, Canada. Diagnosis of SCZ was made according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Severity of psychotic symptoms was rated using the Positive and Negative Syndrome Scale (PANSS). Severity of parkinsonism, dyskinesia, and dystonia was rated using the Extrapyramidal Symptom Rating Scale (ESRS), and akathisia using the Barnes Akathisia Rating Scale (BARS). Presence of EPS was defined as having at least moderate severity on the ESRS (i.e., ≥4 out of 8) or BARS (i.e., ≥3 out of 5) Clinical Global Impression-Severity (CGI-S) scale. Absence of EPS was defined as scoring ≤2 on the ESRS or ≤1 on the BARS CGI-S scale. Two-way analysis of covariance was performed using SCZ and EPS as independent variables and PANSS five factors (i.e., positive symptoms, negative symptoms, disorganization, excitement, and depression) as dependent variables, controlling for age, antipsychotic users, and cocaine- or methamphetamine-dependent individuals. Multiple linear regression analysis was performed for both SCZ and non-SCZ groups, controlling for the same confounding variables, to examine 1) associations of the severity of EPS subtypes with PANSS factors and 2) whether the presence of multiple EPS subtypes would be associated with increased SCZ symptoms relative to the presence of a single subtype. Results A total of 223 participants were included in this study (mean age: 44.1 ± 12.0 years; 76.1% male). Eighty-four participants met the diagnosis of SCZ, of whom 39 met our criteria for having EPS and 32 for not having EPS. The remaining 139 participants were not diagnosed with SCZ, of whom 50 had EPS and 72 did not. None of the participants had clinically significant dystonia. Overall, significant main effects of EPS were found for total symptoms (F1,182 = 24.4, p &lt; 0.001), negative symptoms (F1,182 = 16.3, p &lt; 0.001), disorganization (F1,181 = 16.6, p &lt; 0.001), and excitement (F1,182 = 15.8, p &lt; 0.001), but not positive symptoms or depression. The presence of EPS was associated with greater total symptoms and disorganization in both SCZ and non-SCZ groups. Significant interaction effects between SCZ and EPS were found for negative symptoms (F1,182 = 6.0, p = 0.015) and excitement (F1,182 = 3.9, p = 0.050), where the presence of EPS was associated with greater negative symptoms and excitement in SCZ participants, but not in non-SCZ participants. Consistent in both SCZ and non-SCZ groups, there were significant positive associations of the severity of 1) parkinsonism with negative symptoms, 2) dyskinesia with disorganization and total symptoms, and 3) akathisia with excitement. The presence of multiple EPS subtypes, relative to a single subtype, was not associated with significant increases in any SCZ symptoms, except a significant increase in excitement in non-SCZ participants. Discussion The presence of EPS is clearly associated with greater symptoms of SCZ, even in individuals without SCZ. People with SCZ may experience greater negative symptoms and excitement as a result of EPS than those without SCZ. Subtypes of EPS are distinctively associated with factors of SCZ symptoms. Future studies should elucidate the mechanisms underlying these associations.


2019 ◽  
Vol 43 (8) ◽  
pp. 630-636 ◽  
Author(s):  
Jackeline Moral ◽  
Callan Hundl ◽  
Dayong Lee ◽  
Maddisen Neuman ◽  
Aimee Grimaldi ◽  
...  

Abstract Declared proficiency tests are limited in their use for testing the performance of the entire system, because analysts are aware that they are being tested. A blind quality control (BQC) is intended to appear as a real case to the analyst to remove any intentional or subconscious bias. A BQC program allows a real-time assessment of the laboratory’s policies and procedures and monitors reliability of casework. In September 2015, the Houston Forensic Science Center (HFSC) began a BQC program in blood alcohol analysis. Between September 2015 and July 2018, HFSC submitted 317 blind cases: 89 negative samples and 228 positive samples at five target concentrations (0.08, 0.15, 0.16, 0.20 and 0.25 g/100 mL; theoretical targets). These blood samples were analyzed by a headspace gas chromatograph interfaced with dual-flame ionization detectors (HS-GC-FID). All negative samples produced `no ethanol detected’ results. The mean (range) of reported blood alcohol concentrations (BACs) for the aforementioned target concentrations was 0.075 (0.073–0.078), 0.144 (0.140–0.148), 0.157 (0.155–0.160), 0.195 (0.192–0.200) and 0.249 (0.242–0.258) g/100 mL, respectively. The average BAC percent differences from the target for the positive blind cases ranged from −0.4 to −6.3%, within our uncertainty of measurement (8.95–9.18%). The rate of alcohol evaporation/degradation was determined negligible. A multiple linear regression analysis was performed to compare the % difference in BAC among five target concentrations, eight analysts, three HS-GC-FID instruments and two pipettes. The variables other than target concentrations showed no significant difference (P > 0.2). While the 0.08 g/100 mL target showed a significantly larger % difference than higher target concentrations (0.15–0.25 g/100 mL), the % differences among the higher targets were not concentration-dependent. Despite difficulties like gaining buy-in from stakeholders and mimicking evidence samples, the implementation of a BQC program has improved processes, shown methods are reliable and added confidence to staff’s testimony in court.


2020 ◽  
Vol 33 (9) ◽  
pp. 860-868
Author(s):  
Daisuke Suzuki ◽  
Satoshi Hoshide ◽  
Kazuomi Kario

Abstract BACKGROUND The phenotype of diabetic kidney disease represents a lower estimated glomerular filtration rate (eGFR) and albuminuria. We investigated the association between day-by-day home blood pressure (BP) variability and the eGFR in subjects with diabetes and compared this association with that in subjects without diabetes. We then attempted to determine whether the association is present in albuminuria. METHODS We analyzed 4,231 patients with risk factors of cardiovascular disease (24.4% with diabetes) from the J-HOP (Japan Morning Surge-Home Blood Pressure) study. Home BP was measured in the morning and evening for 14 days. We calculated the SD, coefficient of variation, average real variability (ARV), and variation independent of the mean of the subjects’ morning and evening home systolic BP (SBP) as the indexes of day-by-day home BP variability. RESULTS A multiple linear regression analysis adjusted for covariates showed both average morning and evening SBP were associated with the log-transformed urine albumin-to-creatinine ratio (UACR) with and without diabetes (all P &lt; 0.05), but not with the eGFR except for an association of average evening SBP in the no-diabetes group. None of the indexes of day-by-day morning and evening home SBP variability were associated with the log-transformed UACR except for the association between the ARV of home morning SBP in the diabetes group. All of the indexes of day-by-day morning and evening home SBP variability were associated with the eGFR only in the diabetes group (all P &lt; 0.05). CONCLUSIONS The association between increased day-by-day home BP variability and impaired renal function was unique in diabetes.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Brissia Lazalde ◽  
Héctor M. Huerta-Guerrero ◽  
Luis E. Simental-Mendía ◽  
Martha Rodríguez-Morán ◽  
Fernando Guerrero-Romero

Objective. To evaluate the association between Haptoglobin (HP) gene polymorphisms with inflammatory status in obese subjects.Materials and Methods. A cross-sectional study was carried out. A total of 276 apparently healthy men and nonpregnant obese women were enrolled and allocated according to theHPgenotype into theHP1/HP1,HP2/HP1, andHP2/HP2groups. Distribution ofHPgenotypes was 49, 87, and 140 for theHP1/HP1,HP2/HP1, andHP2/HP2, respectively. TheHPgenotype was determined using the polymerase chain reaction method. A multiple linear regression analysis adjusted by age, sex, waist circumference, and total body fat was used to determine the association betweenHPgenotypes with TNF-α, IL-6, and high-sensitivity C-reactive protein (hsCRP) levels.Results. A multiple linear regression analysis adjusted by sex, waist circumference, and total body fat was performed showing a significant association between theHP2/HP2genotype and TNF-α(β= 0.180; 95% CI 14.41–159.64,P= 0.01) and IL-6 (β= 0.188; 95% CI 1.53–12.72,P= 0.01) levels, but not with hsCRP (β= −0.008; 95% CI −1.64–1.47,P= 0.914) levels, whereas theHP2/HP1genotype showed no association compared with theHP1/HP1genotype (control group).Conclusion. Results of our study show that theHP2/HP2genotype is associated with elevated TNF-αand IL-6, but not with hsCRP, levels in obese subjects.


2013 ◽  
Vol 71 (8) ◽  
pp. 533-536 ◽  
Author(s):  
Gisele S. M. Leite Neves ◽  
Marleide da Mota Gomes

OBJECTIVE: It was to evaluate the relationships between fatigue and excessive daytime sleepiness, sleep quality, depression and anxiety. METHODS: This was a cross-sectional study on 98 unselected adult patients with epilepsy (PWE) at a tertiary center. It used clinical-sociodemographic characteristics, fatigue measured by the SF-36 vitality subscale (VsSF-36) and the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index and Beck Depression and Anxiety Inventories. RESULTS: We observed that our patients presented vitality or fatigue similar to drivers with chronic headaches evaluated in the same city. Fatigue was related to depression, anxiety and sleep quality, but not to daytime sleepiness. A multiple linear regression analysis was conducted and we observed that fatigue was independently correlated with depression and quality of sleep. However, no significant difference was observed regarding seizure frequency or number of antiepileptic drugs. CONCLUSION: Fatigue needs to be studied more in PWE, and its risk factors need to be controlled, along with sleep quality and psychiatric disorders.


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