scholarly journals Intergenerational Social Mobility and Allostatic Load in Great Britain

2018 ◽  
Author(s):  
Patrick Präg ◽  
Lindsay Richards
Keyword(s):  
Blood Pressure ◽  
Social Class ◽  
Social Mobility ◽  
Socioeconomic Position ◽  
Allostatic Load ◽  
Hdl Cholesterol ◽  
Equal Weight ◽  
Occupational Class ◽  
Cross Sectional ◽  
The Relationship

Background: Intergenerational social mobility is hypothesized to be a stressful process that has a negative effect on health. By examining the relationship between own socioeconomic position, parental socioeconomic position, and allostatic load in a representative sample of the British population, we test this hypothesis.Methods: Our study uses cross-sectional data from 9,851 adult participants of waves 2 and 3 of Understanding Society. The relationship between parental occupational class at age 14, respondents’ social class at the time of the interview, and allostatic load (AL) is explored by means of diagonal reference models (DRM), which allow us to disentangle the effects of parental social class, own social class, and the mobility process. The AL score comprises the biomarkers 1) total cholesterol, 2) HDL cholesterol, 3) triglycerides, 4) glycated haemoglobin, 5) C-reactive protein, 6) fibrinogen, 7) systolic blood pressure, 8) diastolic blood pressure, 9) resting heart rate, 10) BMI, and 11) waist circumference.Results: AL is particularly high among the stable working class and low among the stable upper class. On average, current class and origin class exert about equal weight on current AL. However, social mobility—regardless of whether upwards or downwards—is not detrimental for AL. Further, we find evidence that class of origin may be less important among those outside the labor market for reasons other than retirement.Conclusion: Both own social class and parental social class influence AL to a similar extent. However, we find no evidence that mobility trajectories exert any effects, good or bad, on allostatic load.

scholarly journals Intergenerational social mobility and allostatic load in Great Britain

2018 ◽  
Vol 73 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Patrick Präg ◽  
Lindsay Richards
Keyword(s):  
Blood Pressure ◽  
Social Class ◽  
Social Mobility ◽  
Socioeconomic Position ◽  
Allostatic Load ◽  
Density Lipoprotein ◽  
Equal Weight ◽  
Occupational Class ◽  
Cross Sectional ◽  
The Relationship

BackgroundIntergenerational social mobility is hypothesised to be a stressful process that has a negative effect on health. By examining the relationship between own socioeconomic position, parental socioeconomic position and allostatic load (AL) in a representative sample of the British population, we test this hypothesis.MethodsOur study uses cross-sectional data from 9851 adult participants of waves 2 and 3 of Understanding Society. The relationship between parental occupational class at age 14 years, respondents’ social class at the time of the interview and AL is explored by means of diagonal reference models, which allow us to disentangle the effects of parental social class, own social class and the mobility process. The AL score comprises the following biomarkers: (1) total cholesterol, (2) high-density lipoprotein cholesterol, (3) triglycerides, (4) glycated haemoglobin, (5) C-reactive protein, (6) fibrinogen, (7) systolic blood pressure, (8) diastolic blood pressure, (9) resting heart rate, (10) body mass index and (11) waist circumference.ResultsAL is particularly high among the stable working class and low among the stable upper class. On average, current class and origin class exert about equal weight on current AL. However, social mobility—regardless of whether upwards or downwards—is not detrimental for AL. Furthermore, we find evidence that class of origin may be less important among those outside the labour market for reasons other than retirement.ConclusionBoth own social class and parental social class influence AL to a similar extent. However, we find no evidence that mobility trajectories exert any effects, good or bad, on AL.

scholarly journals Home-Measured Blood Pressure Is Associated with Handgrip Strength in Patients with Type 2 Diabetes: The KAMOGAWA-HBP Study

2021 ◽  
Vol 10 (9) ◽  
pp. 1913
Author(s):  
Tomonori Kimura ◽  
Emi Ushigome ◽  
Yoshitaka Hashimoto ◽  
Naoko Nakanishi ◽  
Masahide Hamaguchi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Pulse Pressure ◽  
Handgrip Strength ◽  
Cross Sectional Study ◽  
Home Blood Pressure ◽  
Cross Sectional ◽  
The Relationship ◽  
At Home

The association between blood pressure measured at home and handgrip strength in patients with diabetes has not been investigated. Therefore, in this study, we aimed to assess this association among patients with type 2 diabetes. In this cross-sectional study, 157 patients with type 2 diabetes underwent muscle tests and morning and evening blood-pressure measurements at home in triplicate for 14 consecutive days throughout the study period. Univariate and multivariate regression analyses were conducted to analyze the relationship between home blood-pressure parameters and handgrip strength. The average age and hemoglobin A1c of the patients were 70.5 years and 7.1%, respectively. Morning diastolic blood pressure of [β (95% confidence interval; CI): 0.20 (0.03, 0.37)] was associated with handgrip strength in men, while morning systolic blood pressure of [−0.09 (−0.15, −0.04)], morning pulse pressure of [−0.14 (−0.21, −0.08)], and evening pulse pressure of [−0.12 (−0.19, −0.04)] were associated with handgrip strength in women. Home-measured blood pressure was associated with handgrip strength. Sex differences were found in the relationship between home blood-pressure parameters and handgrip strength.

scholarly journals Normal Non-HDL Cholesterol, Low Total Cholesterol, and HDL Cholesterol Levels in Sickle Cell Disease Patients in the Steady State: A Case-Control Study of Tema Metropolis

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Richard K. D. Ephraim ◽  
Patrick Adu ◽  
Edem Ake ◽  
Hope Agbodzakey ◽  
Prince Adoba ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Steady State ◽  
Sickle Cell Disease ◽  
Total Cholesterol ◽  
Sickle Cell ◽  
Density Lipoprotein ◽  
Hdl Cholesterol ◽  
Lipoprotein Cholesterol ◽  
Cell Disease ◽  
Cross Sectional

Background.Abnormal lipid homeostasis in sickle cell disease (SCD) is characterized by defects in plasma and erythrocyte lipids and may increase the risk of cardiovascular disease. This study assessed the lipid profile and non-HDL cholesterol level of SCD patients.Methods.A hospital-based cross-sectional study was conducted in 50 SCD patients, in the steady state, aged 8–28 years, attending the SCD clinic, and 50 healthy volunteers between the ages of 8–38 years. Serum lipids were determined by enzymatic methods and non-HDL cholesterol calculated by this formula: non-HDL-C = TC-HDL-C.Results.Total cholesterol (TC) (p=0.001) and high-density lipoprotein cholesterol (HDL-C) (p<0.0001) were significantly decreased in cases compared to controls. The levels of non-HDL-C, low-density lipoprotein cholesterol (LDL-C), and triglyceride (TG) were similar among the participants. The levels of decrease in TC and HDL were associated with whether a patient was SCD-SS or SCD-SC. Systolic blood pressure and diastolic blood pressure were each significantly associated with increased VLDL [SBP,p=0.01, OR: 0.74 (CI: 0.6–0.93); DBP,p=0.023, OR: 1.45 (CI: 1.05–2.0)].Conclusion.Dyslipidemia is common among participants in this study. It was more pronounced in the SCD-SS than in SCD-SC. This dyslipidemia was associated with high VLDL as well as increased SBP and DBP.

scholarly journals The relationship between ambulatory blood pressure variability and enlarged perivascular spaces: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015719 ◽  
Author(s):  
Shuna Yang ◽  
Wei Qin ◽  
Lei Yang ◽  
Huimin Fan ◽  
Yue Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
White Matter ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Variability ◽  
Cross Sectional Study ◽  
Perivascular Spaces ◽  
Spearman Correlation ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

ObjectivesRecent studies reported that 24-hour ambulatory blood pressure variability (ABPV) was associated with lacunar infarction and white matter hyperintensities (WMH). However, the relationship between ABPV and enlarged perivascular spaces (EPVS) has not been investigated. Thus, our study aimed to investigate whether ABPV is associated with EPVS by 24-hour ambulatory blood pressure monitoring (ABPM).DesignWe conducted this study as a cross-sectional study.SettingsThe study was based on patients who presented for physical examinations in our hospital from May 2013 to June 2016.ParticipantsPatients with both brain MRI scans and 24-hour ABPM were included and patients with acute stroke, a history of severe stroke and some other severe diseases were excluded. A total of 573 Chinese patients were prospectively enrolled in this study.Primary and secondary outcome measuresEPVS in basal ganglia (BG) and white matter (WM) were identified on MRI and classified into three categories by the severity. WMH were scored by the Fazekas scale. Coefficient of variation (CV) and SD were considered as metrics of ABPV. Spearman correlation analysis and ordinal logistic regression analysis were used to assess the relationship between ABPV and EPVS.ResultsThere were statistical differences among the subgroups stratified by the severity of EPVS in BG in the following ABPV metrics: SD and CV of systolic blood pressure (SBP), CV of diastolic blood pressure (DBP) in 24 hours, daytime and nighttime and SD of DBP in nighttime. The above ABPV metrics were positively associated with the degree of EPVS. The association was unchanged after adjusting for confounders. Spearman correlation analysis showed ABPV was not related to the degree of EPVS in the WM.ConclusionABPV was independently associated with EPVS in BG after controlling for blood pressure, but not in the WM. Pathogenesis of EPVS in BG and WM might be different.

scholarly journals The Relationship of Lifestyle with Hypertension Incidence in Antang Public Health Center of Makassar City

2020 ◽  
Vol 2020 ◽  
Author(s):  
Agussalim
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Health Center ◽  
Health Workers ◽  
Circulatory System ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
The Relationship

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.

scholarly journals Subjective social mobility and health: Mind over matter?

2020 ◽  
Author(s):  
Patrick Präg ◽  
Alexi Gugushvili
Keyword(s):  
Health Outcomes ◽  
Social Mobility ◽  
Socioeconomic Position ◽  
Occupational Status ◽  
Cross Sectional ◽  
Health And Wellbeing ◽  
Subjective Perceptions ◽  
Status Mobility ◽  
The Life Course ◽  
Subjective Appraisals

One’s current socioeconomic position is intimately tied to one’s health status. Further, childhood living conditions also exert lasting effects on the health of adults. However, studies on changes in one’s socioeconomic position over the life course rarely find important effects of social mobility for individual health and wellbeing. Such studies always draw on objective measures of social mobility and do not consider subjective appraisals of social mobility by individuals themselves. Using cross-sectional, representative German survey data, we explore the question as to how subjective perceptions as opposed to objective accounts of occupational status mobility affect five self-reported health and wellbeing outcomes differently. We show that objective and subjective accounts of social mobility overlap, yet this association is far from perfect. Further, there are relatively small associations between objective and subjective mobility accounts and health outcomes. Associations between subjective mobility perceptions and health outcomes are intriguingly independent of objective social mobility trajectories. Mismatches between objective and subjective mobility are also correlated with some health outcomes. We discuss implications of our finding that social mobility is associated with those aspects of health which are more closely related to psychological wellbeing rather than physical health.

scholarly journals HUBUNGAN INDEKSMASSA TUBUH DAN LINGKAR PINGGANG DENGAN TEKANAN DARAH LAKI-LAKI DEWASA

2018 ◽  
Vol 9 (2) ◽  
pp. 193-199
Author(s):  
Tamariani Manullang
Keyword(s):  
Blood Pressure ◽  
Waist Circumference ◽  
Systolic Blood Pressure ◽  
Study Design ◽  
Computer Software ◽  
Adult Males ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

Prevalence of hypertension in adult males was highest in PuskesmasBasuki Rahmat (16.2%) as many as 648 cases of hypertension patients which hasincreased compared to 2012 by 12% in cases of hypertension totaled 482 patients((Dinkes Kota, 2013). This study aims to determine the relationship of body massindex (BMI) and waist circumference (WC) with systolic blood pressure (BP) in adultmales in Puskesmas Basuki Rahmat Bengkulu City in 2015. The study design wasdescriptive analytic with cross sectional approach. Study location was in PuskesmasBasuki Rahmat City of Bengkulu. Samples were selected using purposive samplingtotalling 68 people. Criterias sample were being adult males who occupied inPuskesmas Basuki Rahmat City of Bengkulu, aged ≥ 18 years, agreed to beinterviewed,and able to communicate actively. Data were obtained include BMI, WCand systolic BP adult males and processed using computer software with pearsoncorrelation analysis.The results showed that there was relationship between BMI andsystolic BP (p = 0.0005; r = 0.395); between WC and systolic BP (p = 0.004 and r =0.347) in adult males. This study concluded that there was relationship between BMIand WC with systolic BP in adult males in Puskesmas Basuki Rahmat Bengkulu Cityin 2015.

scholarly journals Leptin G-2548A Gene Polymorphism is Positively Associated with Increased Plasma Leptin and Glucose Levels in Obese Saudi Patients Irrespective Status of Blood Pressure    

2021 ◽  
Author(s):  
Lotfi S. Bin Dahman ◽  
Nasser M. Al-Daghri
Keyword(s):  
Blood Pressure ◽  
Gene Polymorphism ◽  
Plasma Glucose ◽  
Hdl Cholesterol ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Lep Gene ◽  
Plasma Leptin ◽  
Saudi Patients

Abstract The association between LEP G-2548A gene polymorphism with increased plasma leptin and glucose levels and blood pressure in a sample of obese Saudi patients has been evaluated. This is a cross-sectional study involved 206 Saudi adult subjects (94 males and 112 females), randomly selected from the primary health care centers, Riyadh, Saudi Arabia. The study sample was categorized into three groups: 50 normotensive ND controls (age: 47.9±5.4 yr.; BMI 22.9±2.1 Kg/m2), 80 obese normotensive ND (age: 47.7±6.0 yr.; BMI 34.1±4.2 Kg/m2) and 76 obese hypertensive with T2D patients (age: 49.4±5.9 yr.; BMI: 35.1±4.7 Kg/m2). Analyses of LEP G-2548A gene polymorphism were determined using polymerase chain reaction (PCR), followed by restriction fragment length polymorphism (RFLP) with 2U of HhaI restriction enzyme. Plasma leptin and insulin levels were measured using the Luminex instrument. Fasting plasma glucose, total cholesterol, HDL-cholesterol, and triglycerides were measured using a chemical autoanalyzer Konelab machine. Also, blood pressure and anthropometric data were measured. The association analysis with metabolic parameters showed that homozygous AA of the LEP gene had significantly higher plasma glucose levels and HOMA-IR compared with homozygous GG (6.8±0.55 vs. 5.8±0.30; p< 0.04; 4.1±0.84 vs. 2.6±0.67; p=0.03) respectively. Besides, heterozygous GA had significantly higher plasma leptin levels compared with homozygous GG (40.0±2.6 vs. 29.6±2.6; P= 0.04). GA, AA, GA+AA genotypes of the LEP G-2548A gene polymorphism are more prevalent among individuals with hyperglycemia (OR= 3.7, 95% CI= 1.6 to 8.4, P= 0.001; OR= 3.2, 95% CI= 1.2 to 8.6, P= 0.03; OR= 3.5, 95%CI= 1.6 to 7.7, P= 0.001) respectively. A allele of the LEP gene is more prevalent among subjects with hyperglycemia (OR= 1.9, 95%CI= 1.2 to 3.0, P=0.006). G-2548A variant of the LEP gene may not be considered as a genetic risk factor for hypertension in Saudi obese patients. However, the genotypes (GA and AA) and -2548AA allele of this gene may represent important risk factors predisposing healthy subjects to develop T2DM irrespective of the status of blood pressure.

HUBUNGAN KEBIASAAN MENGKONSUMSI KOPI DENGAN KEJADIAN HIPERTENSI

2021 ◽  
Vol 9 (2) ◽  
pp. 73-84
Author(s):  
Budi Kristanto
Keyword(s):  
Blood Pressure ◽  
Pearson Correlation ◽  
Coffee Consumption ◽  
Sampling Technique ◽  
World Population ◽  
Cross Sectional ◽  
Pearson Correlation Test ◽  
Relationship Of ◽  
The Relationship ◽  
Consumption Habits

Latar belakang : saat ini prevalensi hipertensi secara global sebesar 22% dari total penduduk dunia. Dari sejumlah penderita tersebut, hanya kurang dari seperlima yang melakukan upaya pengendalian terhadap tekanan darah yang dimiliki. Adapun faktor yang terkait dengan tekanan darah sangat kompleks, baik yang dapat dikontrol maupun tidak dapat dikontrol. Salah satu kebiasaan yang diduga terkait dengan hipertensi adalah kebiasaan konsumsi kopi. Tujuan : mengetahui hubungan antara kebiasaan konsumsi kopi dengan kejadian hipertensi. Subjek dan Metode : responden penelitian ini adalah  warga Desa Ngringo RW 22 dan 29 Kecamatan Jaten Karanganyar sejumlah 45 responden. Jenis penelitian adalah analitik observasional, desain korelasi dengan pendekatan cross sectional untuk mengetahui hubungan antara kebiasaan konsumsi kopi dengan kejadian hipertensi. Teknik sampling menggunakan total sampling, Data dianalisis menggunakan uji Pearson Corelation. Hasil : mayoritas responden memiliki kebiasaan konsumsi kopi dalam kategori ringan (1-3 cangkir perhari) sebesar 97,8%, sedangkan yang kategori sedang (4-6 cangkir perhari) sebesar  2,2%. Mayoritas responden dengan tekanan darah yang normal yaitu 82,2%, dan hipertensi 17,8%. Kesimpulan : tidak ada hubungan antara kebiasaan konsumsi kopi dengan kejadian hipertensi (p : 0,058).   Kata kunci : konsumsi kopi, hipertensi   THE RELATIONSHIP OF COFFEE CONSUMING HABITS WITH HYPERTENSION   Budi Kristanto, Diyono   Astract   Background : currently the global prevalence of hypertension is 22% of the total world population. Of the number of sufferers, only less than a fifth who make efforts to control their blood pressure. The factors associated with blood pressure are very complex, both controllable and uncontrollable. One of the habits thought to be associated with hypertension is the habit of consuming coffee. The aims of the study: knowing the relationship between coffee consumption habits and the incidence of hypertension. Subject and Methods : the respondents of this research were 45 respondents in Ngringo Village RW 22 and 29, Jaten, Karanganyar District. This research used observational analytic method, correlation design with cross sectional approach to determine the relationship between coffee consumption habits and the incidence of hypertension. The sampling technique used total sampling. Data were analyzed using the Pearson Correlation test. Result : the majority of respondents have a habit of consuming coffee in the light category (1-3 cups per day) of 97.8%, while the moderate category (4-6 cups per day) is 2.2%. The majority of respondents with normal blood pressure were 82.2%, and hypertension 17.8%. Conclusion : There is no relationship between coffee consumption habits and the incidence of hypertension (p: 0.058).   Keywords: coffee consumption, hypertension  

Abstract P334: The Relationship Between Urinary Sodium-to-Potassium Ratio And High Blood Pressure: TMM CommCohort Study

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Mana Kogure ◽  
Tomohiro Nakamura ◽  
Naho Tsuchiya ◽  
Takumi Hirata ◽  
Akira Narita ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Alcohol Intake ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Analysis Of Covariance ◽  
Cross Sectional ◽  
High K ◽  
Prevention Of Hypertension ◽  
The Relationship ◽  
Low K

Introduction: Recently, the balance between sodium and potassium intake, i.e. sodium-to-potassium (Na/K) ratio, has received significant attention for prevention of hypertension. Previous studies reported the positive association between urinary Na/K (uNa/K) ratio and hypertension. However, even the same uNa/K ratio value, there might be high Na/ high K ratio or low Na/ low K ratio. Hypothesis: We assessed the hypothesis that blood pressure (BP) is higher in high Na/ high K group than that in low Na/ low K group even at the same uNa/K ratio in general population in cross-sectional study. Methods: The subjects were 20 to 74 years old who participated in The Tohoku Medical Megabank Project Community-based Cohort Study. Of these participants, we targeted 54,011 subjects (men: 20,505 women: 33,506 mean age: 59.9 years) who had information of BP, urinary Na and K. We estimated 24-h urinary excretion of Na and K using Tanaka formula. Urinary Na and K were each classified into quartiles (Na; Q1~Q4, K; Q1~Q4), and set all 16 groups of uNa/K ratio by combining Na and K respectively. To assess the relationship between casual uNa/K ratio and BP, we performed an analysis of covariance to calculate the adjusted mean systolic BP (SBP). We included covariate factors as age, sex, BMI and alcohol intake. We also assessed the relationship between uNa/K ratio and SBP using multiple regression analyses adjusted for covariate factors. We stratified the participants into two groups: ‘under treatment for hypertension’ (n=17,091) and ‘without treatment for hypertension (n=36,920)’. Results: The mean of uNa/K ratio for each group of Na (Q1)/K(Q1), Na (Q2)/K(Q2), Na (Q3)/K(Q3) and Na (Q4)/K(Q4) was all 4.0. As previous report showed, higher uNa/K ratio group showed higher SBP and lower uNa/K group showed lower BP. When we compared adjusted mean SBP of Na (Q1)/K(Q1) and Na (Q4)/K(Q4) the value were comparable, but the value were significantly higher in Na (Q4)/K(Q4) group (The adjusted mean SBP of Na (Q1)/K(Q1), Na (Q2)/K(Q2), Na (Q3)/K(Q3) and Na (Q4)/K(Q4) was 123.6, 124.9, 124.7 and 125.5 mmHg, respectively). The uNa/K was significantly positively associated with SBP independently of age, sex, BMI, and alcohol intake. The finding was unchanged the results in under treatment group. Conclusions: BP was significantly higher in high Na/ high K group than in low Na/ low K group even at the same uNa/K ratio. We suggested that not only increasing K intake but also reducing salt is important for preventing hypertension.

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