Psychoemotional deadaptation and health problems as risk factors of decreasing learning at female students with idiopathic arterial hypotension

2021 ◽  
pp. 51-54
Author(s):  
V. M. Baev ◽  
O. A. Igumnova ◽  
T. Yu. Agafonova

The aim of the work is to study the clinical and psychological manifestations of maladjustment of young female students with idiopathic arterial hypotension (IAH). Two groups, aged 18–35 years, were examined: 200 women with IAH with SBP level of 61–98 mm Hg, DBP – 59 mm Hg and less, and 130 women with normal blood pressure. The groups were compared by the frequency of complaints about health problems and the results of assessing mental performance, fatigue using the E. Kraepelin test. The studies were carried out as part of a preventive medical examination. A comparative analysis of complaints showed that women with IAH limit their physical activity due to a deterioration in subjective well-being – the appearance of shortness of breath, pain and discomfort in the chest and legs, dizziness, poor cold tolerance – chilliness of the hands and feet, episodes of involuntary urinary incontinence. With IAH, complaints of apathy, weakness and fatigue, and difficulty concentrating were more often recorded. Women with IAH under psychoemotional stress made more mistakes, and the proportion of women who made mistakes when performing a test was twice as high as in women with normal blood pressure. Thus, we can conclude that IAH in young women is characterized by more frequent complaints of health problems than in women with normal blood pressure, which is combined with a decrease in daily physical activity and cognitive impairment. IAH in female students can be regarded as a risk factor for psycho-emotional and social maladjustment, which negatively affects the effectiveness of learning in the higher education system.

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Jonathan McGavock ◽  
Valerie Carson ◽  
Randi Lynn Rinaldi ◽  
Brian Torrance ◽  
Katerina Maximova ◽  
...  

Introduction: Few data exist describing the temporal association between the time spent within various intensities of physical activity (PA) and cardiometabolic health outcomes in youth. Study Hypotheses: In contrast to light- or moderate-intensity physical activity (PA) Vigorous- intensity PA would be associated with a reduced risk incident overweight and high normal blood pressure and (2) time spent in vigorous-intensity but not moderate- or light-intensity PA would be associated with cardiometabolic risk factors two years following baseline measurements. Design and Methods: This was a 3-year prospective cohort study of objectively-measured PA (Actical) in 315 youth aged 9 to-17 yrs of age studied in 14 schools. The primary exposure variable was PA intensity. The main outcomes measures were incident overweght status and high normal blood pressure. Secondary outcomes included disproportionate weight gain (annual change in body mass index Z score), waist circumference, systolic blood pressure (SBP), and cardiorespiratory fitness (VO 2 max) at the three year time point. Results: After three year follow-up, increasing time spent in any of the three PA intensities was not associated with incident overweight or incident high normal blood pressure. Compared to the lowest quartile, waist circumference [β = -0.04 95% CI = -0.07 to -0.01; p trend <0.01) and SBP [β = -3.08 95% CI = -6.79 to 0.64; p trend = 0.05] were lower in boys while VO 2 max was significantly higher [43.3 (39.6-46.4) vs 50.2 (43.8-52.9) mL/kg/min; p trend <0.01] in both boys and girls in the highest quartile of vigorous PA. These trends were not observed or reversed across quartiles of moderate- and light-intensity PA. Conclusions: Increasing time spent in vigorous-intensity PA at 12 years of age was associated with a more favorable cardiometabolic profile two years later. Similar trends were not evident for lower intensity PA. Experimental trials are needed to determine if these associations are causal in nature.


2020 ◽  
Vol 5 (5) ◽  
pp. 371-375
Author(s):  
Y. O. Ataman ◽  
◽  
I. A. Brizhataia ◽  
V. A. Korzh ◽  
L. V. Pryimenko ◽  
...  

Prehypertension is considered a significant risk factor for the development of arterial hypertension. A syndrome of overtraining and associated dysfunctional disorders of the autonomic nervous system may be the cause of an increase of blood pressure. However, clear criteria for the diagnosis of this syndrome have not yet been established, and the study of the meaning of symptoms, including anamnestic ones, continues. The purpose of the study was to establish a connection between the anamnesis data of professional athletes with sustained prehypertension during the preparatory period of the training macrocycle. Material and methods. We examined 30 professional athletes, who were distributed into two groups which were representative by age and sex, depending on their blood pressure values. All subjects underwent blood pressure monitoring, anthropometric and physical examinations, inquiries regarding complaints, training activity and sports history. Results and discussion. The study showed that athletes with high normal blood pressure indicated higher exercise intensity, a predominance of anaerobic activity during their training, an increase in the intensity of exercise in the last three months; sleep disturbances and a decrease in exercise tolerance was significantly more frequent in this group. The last two factors have the most significant impact on the relative risk of blood pressure increase. A sustained high normal blood pressure in professional athletes during the preparatory period of the training macrocycle is associated with the development of signs of fatigue and overtraining, which we noted in our study. The latter determines both the need for more in-depth examination, monitoring of such patients and the importance of the further scientific study of the problem. We also noted significant differences in the characteristics of training activity: athletes with prehypertension had a higher level of physical activity in training, which was 8.33 ± 0.71 points on the scale of training intensity RPE (against 7.0 ± 1.26 points in the group persons with optimal blood pressure, p = 0.006), they also had the highest percentage of anaerobic work (p = 0.004). Conclusion. Timely detection of maladaptation syndrome in professional athletes in the preparatory period can be useful as support for feedback from the athlete, and monitoring blood pressure during the week in a comfortable environment for the athlete. There is a need for further research to determine the prognostic value of symptoms of overtraining in terms of increased blood pressure, as well as the likely dependence of these changes on the quantitative and qualitative characteristics of physical activity


Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Jing Fang ◽  
Zefeng Zhang ◽  
Carma Ayala ◽  
Angela Thompson-Paul ◽  
Fleetwood Loustalot

Background: Non-Hispanic Asian Americans (AA) are one of the fastest growing populations in the U.S., yet little information is known about the cardiovascular health (CVH) of this group. The objective of this study was to assess the CVH of AA using a nationally representative survey. Methods: Merging data from the National Health and Nutrition Examination Surveys (NHANES) in 2011-2012 and 2013-2014, we examined 7 metrics of CVH using national guidelines and recommendations: not smoking, normal weight (body mass index, BMI <25 kg/m 2 ) , adequate physical activity, healthy diet, normal blood cholesterol , normal blood glucose and normal blood pressure. Each CVH metric was weighted evenly, with scores for each metric being a 0 (not meeting standards) or 1 (meeting current standards), and the metrics were summed for a total score. Ideal CVH (ICVH) was defined as the percentage of those meeting recommendations for 6-7 metrics, and poor CVH (PCVH) defined as those meeting only 0-2. We compared the prevalence of ICVH and PCVH between non-Hispanic whites (NHW) and AA, as well as among AA by birthplace and years living in the U.S. We also assessed the adjusted prevalence ratios (APR, 95% Confidence Intervals [CI]) of ICVH for AA, using NHW as referent, controlling for age, sex, education, and health insurance status. Additional sensitivity analyses were performed using a previously established Asian-specific normal weight cut-point (BMI<23 kg/m 2 ) for AA. Results: In adjusted models, AA were more likely to not smoke, have a normal weight, report a healthy diet and have normal blood pressure, compared with NHWs. However, NHWs were more likely to have normal blood glucose compared with AA, and no difference was identified with reported physical activity and blood cholesterol. The adjusted prevalence of ICVH was 9.2% for AA and 5.7% for NHWs (p<0.01). The adjusted percentage for PCVH was 26.6% for AA and 33.5% for NHWs (p<0.01). AA were significantly more likely to have ICVH (APR 1.41, 95% CI: 1.25-1.60) compared to NHW, but there was no difference in ICVH comparing US-born and foreign-born, nor by years living in the US. Additional sensitivity analyses using lower BMI thresholds for AA, consistently found a higher percentage of normal weight AA compared with NHW (36.4% vs 30.4, p<0.01); with no differences in the adjusted prevalence of ICVH (6.7% vs 5.7%, p=0.4) and PCVH (30.8% vs 33.5%, p=0.2) between AA and NHW (APR 1.18, 95% CI: 0.84-1.66). Conclusion: AA currently account for 5.3% of adult population in the US, and have been identified as one of the fasting growing minority populations. In this study, AA had a higher prevalence of overall ICVH compared with NHWs; however, when using a lower BMI threshold for AA as recommended by some, there was no difference of ICVH between AA and NHW. Using unique risk scores for AA may better identify AA with less than ideal cardiovascular health.


2020 ◽  
pp. 30-40
Author(s):  
M. G. Melnik

Purpose. To study the dynamics of blood pressure (BP) indicators under the influence of exogenously administered melatonin (Melatonin-SZ, Severnaya Zvezda, Russia) with various manifestations of desynchronosis of circadian BP rhythms (arterial hypertension – AH, high normal blood pressure) to determine the scheme of their effective compensation. Material and methods. The study included 101 patients with desynchronosis of circadian rhythms of blood pressure – 52 patients with hypertension, constituting the first and second groups, and 49 individuals with high normal blood pressure, representing the third and fourth groups. Patients of the second and fourth groups received conservative therapy, patients of the first and third groups combined it with melatonin. All patients underwent measurements of office blood pressure, home monitoring of blood pressure (ABPM), electrocardiography, 24-hour blood pressure monitoring (ABPM). Results and discussion. In patients of the first and third groups, compared with the traditional treatment groups, by the end of the observation period, a significantly (p < 0.05) decrease in office systolic blood pressure (SBP) / diastolic blood pressure (DBP) was established: in the first group compared with the second – 1.11 / 1.13 times, in the third group compared to the fourth – 1.43 / 1.58 times; significantly more (p < 0.05) pronounced decrease in SBP / DBP during DMAD – by 1.08 / 1.17 and 1.58 / 1.62 times, respectively, Significantly (p < 0.05) more pronounced decrease in average daily, average daily and average nighttime SBP / DBP during ABPM – by 1.13 / 1.20, 1.11 / 1.20, 1.23 / 1.25 and 1.47 / 1.31, 1.42 / 1.19, 1.54 / 1.41 times, respectively; reliably (p < 0.05) more frequent registration of the dipper rhythm type SBP / DBP – 1.6 / 1.4 and 1.6 / 1.4 times, respectively. In addition, the dynamics of patients in the first and third groups showed a significant (p < 0.05) decrease in the mean daily and mean nighttime SBP / DBP variability (SBP in the first group by 27.3 and 41.3 %, respectively; DBP in the first group by 20.1 and 26.3 %, respectively; SBP in the third group by 13.5 and 25.2 %, respectively; DBP in the third group by 12.2 and 28.2 %, respectively). Conclusions. With various manifestations of desynchronosis of circadian rhythms of blood pressure (AH, high normal blood pressure), the prescription of melatonin (Melatonin-SZ, Severnaya Zvezda, Russia) at a dose of 3 mg per day 30–40 minutes before bedtime for a month against the background of non-drug therapy and antihypertensive drugs led to a significantly more effective decrease in blood pressure at its office measurement, DMAD, ABPM with an improvement in the circadian rhythm of blood pressure and normalization of blood pressure variability.


2019 ◽  
Vol 129 (4) ◽  
pp. 127-131
Author(s):  
Agnieszka Parfin ◽  
Krystian Wdowiak ◽  
Marzena Furtak-Niczyporuk ◽  
Jolanta Herda

AbstractIntroduction. The COVID-19 is the name of an infectious disease caused by a new strain of coronavirus SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2). It was first diagnosed in December 2019 in patients in Wuhan City, Hubei Province, China. The symptoms are dominated by features of respiratory tract infections, in some patients with a very severe course leading to respiratory failure and, in extreme cases to death. Due to the spread of the infection worldwide, the WHO declared a pandemic in March 2020.Aim. An investigation of the impact of social isolation introduced due to the coronavirus pandemic on selected aspects of life. The researchers focused on observing changes in habits related to physical activity and their connections with people’s subjective well-being and emotional state.Material and methods. The study was carried out within the international project of the group „IRG on COVID and exercise”. The research tool was a standardized questionnaire.Results. Based on the data collected and the analysis of the percentage results, it can be observed that the overwhelming majority of people taking up physical activity reported a better mood during the pandemic. However, statistical tests do not confirm these relationships due to the small sample size.Conclusions. Isolation favours physical activity. Future, in-depth studies, by enlarging the population group, are necessary to confirm the above observations.


2003 ◽  
Vol 42 (149) ◽  
pp. 315-6
Author(s):  
Arijit Ghosh ◽  
T Pramanik

Higher exercise blood pressure represents low cardiorespiratory status of an individual and vice versa. Thechanges in systolic and diastolic blood pressure in response to rhythmic isotonic muscular exercise in sedentaryyoung normotensive Nepalese students were assessed. Normal blood pressure in standing posture in maleand female subjects are about 115 / 75 mm of Hg. and 106 / 71 mm of Hg. respectively. Just after the exercisesystolic blood pressure increases moderately in both the sexes, whereas diastolic blood pressure remainsunchanged in most of the females. Diastolic blood pressure is found to be decreased slightly in the males,just after exercise. The present study indicates the cardiorespiratory status of the Napalese medical studentsis within normal range.


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