scholarly journals Effects of Acupuncture on Lowering Blood Pressure in Postmenopausal Women with Prehypertension or Stage 1 Hypertension: A Propensity Score-Matched Analysis

2021 ◽  
Vol 10 (7) ◽  
pp. 1426
Author(s):  
Bok-Nam Seo ◽  
Ojin Kwon ◽  
Siwoo Lee ◽  
Ho-Seok Kim ◽  
Kyung-Won Kang ◽  
...  

Postmenopausal women have a higher prevalence of hypertension compared to premenopausal women. Hypertension is a risk factor for cardiovascular diseases, the prevalence of which is ever increasing. This study investigated the effects of long-term acupuncture on lowering the blood pressure of postmenopausal women with prehypertension and stage 1 hypertension. Participants were 122 postmenopausal women aged less than 65 years, diagnosed with prehypertension or stage 1 hypertension (systolic blood pressure 120–159 mmHg or diastolic blood pressure 80–99 mmHg). We used a propensity score-matched design. The experimental group (n = 61) received acupuncture for four weeks every six months over a period of two years. The control group (n = 61) received no intervention. An Analysis of covariance (ANCOVA) was performed for the primary efficacy analysis. Relative risk ratios were used to compare group differences in treatment effects. Acupuncture significantly reduced the participants’ diastolic blood pressure (−9.92 mmHg; p < 0.001) and systolic blood pressure (−10.34 mmHg; p < 0.001) from baseline to follow-up. The results indicate that acupuncture alleviates hypertension in postmenopausal women, reducing their risk of developing cardiovascular diseases and improving their health and quality of life.

2019 ◽  
Vol 10 (01) ◽  
pp. 33-44
Author(s):  
N.L.G. Sudaryati ◽  
I P. Sudiartawan ◽  
Dwi Mertha Adnyana

The aim of the study was to determine the effectiveness of giving hydrotherapi foot soak in hypertensive patients. The study was conducted with one group pretestposttest design without a control group by measuring blood pressure (pretest) before being given an intervention in the form of foot soak hydrotherm against 15 people with hypertension in Banjar Sri Mandala, Dauhwaru Village, Jembrana Subregency. Then do the blood pressure measurement again (posttest) after finishing the intervention. After the study was completed, the results showed that before the hydrotherapi foot bath intervention, there were 0% of patients classified as normal, 13.32% in prehypertension category, 60.08% in hypertension category I and 26.60% in hypertension category II. After the intervention was given, there were 13.32% of the patients classified as normal, 66.68% in the prehypertension category, 20.00% in the first category of hypertension and no patients belonging to the second grade hypertension category. There is a decrease of 20-30 mmHg for systolic blood pressure and 0-10 mmHg for diastolic blood pressure after intervention. Based on the results of the study it can be concluded that the hydrotherapi foot bath is effectively used to reduce blood pressure in hypertensive patients in the Banjar Sri Mandala, Dauhwaru Village, Jembrana District.


2017 ◽  
pp. 88-92
Author(s):  
Van Hien Pham ◽  
Huu Vu Quang Nguyen ◽  
Tam Vo

Background: Cardiovascular diseases are the leading cause of death in patients with chronic renal failure. When a patient undergoes dialysis, making AVF or AVG causes cardiovascular events. Understanding the relationship between complications: hypertension, heart failure, AVF or AVG (formation time, position, diameter) helps us monitor, detect, prevent and treatment of complications to limit the risk of death in patients with dialysis. Objective: Relationship between cardiovascular diseases and anatomosis of arteriovenous fistular in patients with regularly hemodialysis at Cho Ray Hospital. Methods: A cross-sectional study was conducted at Cho Ray Hospital from 2015 to 2016. The survey some cardiovascular diseases are done by clinical examination, tests for diagnostic imaging such as X-ray, electrocardiogram and echocardiogram: heart and diameter of anastomosis AVF, AVG. Results: The study population included 303 patients with chronic renal failure who were dialysis. Of which, patients aged 25-45 accounted for the highest proportion (43.9%). The proportion of male and female patients was similar (48.5% and 51.5% respectively). The mean value of systolic blood pressure on patients made AVF, AVG less than 12 months is higher than patients made AVF, AVG over 12 months, and there is negative correlation (r = -0.43) between AVF, AVG and systolic blood pressure (p <0.05). The mean value of diastolic blood pressure on patients made AVF, AVG less than 12 months is lower than patients made AVF, AVG over 12 months, and and there is positive correlation (r = -0.43) between AVF, AVG and diastolic blood pressure (p <0.05) (p <0.05). The prevalence of patients with heart failure made AVF, AVG over 12 months is higher than that of the under 12 months group, there is a negative correlation (r = - 0.43) between AVF, AVG diameter and EF index (p <0.05). Conclusion: It is important to note the diameter of anastomosis AVF, AVG in patients with chronic renal failure dialysis to limit cardiovascular complications, especially heart failure. Key words: Chronic kidney disease, hemodialysis.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Peng Li ◽  
Li He

With the accelerating pace of life, increasing stress and unhealthy diet make cardiovascular disease one of the important diseases that endanger human health, among which the incidence of acute angina is gradually increasing. At present, there are many clinical treatment studies on acute angina pectoris, but the relevant imaging analysis is very lacking. In order to study the clinical treatment of patients with acute angina pectoris and analyze the relevant medical images, to arrive at a more effective treatment method, this article launched an in-depth study. First, we selected 88 patients with acute angina in a hospital as the research object and randomly divided them into a control group (n = 44) and an experimental group (n = 44) Yan et al. (2020). The control group was treated with conventional acute angina pectoris drugs, while the experimental group was treated with clopidogrel on this basis. The two groups were treated at the same time, and the treatment time lasted for 3 months. Then, the risk factors of the two groups of patients were analyzed, and the differences were statistically significant ( P < 0.05 ). Then, the medical images of the two groups of patients were analyzed, and the diastolic blood pressure, systolic blood pressure, and coronary artery stenosis were compared before and after treatment. After treatment, the diastolic blood pressure and systolic blood pressure of the experimental group were 88.31 ± 3.15 mmHg and 125.63 ± 4.16 mmHg, respectively. The proportion of patients with zero-vessel disease and single-vessel disease in the experimental group increased to 15.91% and 56.82%. The treatment plan received by the experimental group patients had a better improvement effect. Finally, the clinical efficacy was compared. The total effective rates of the control and experimental groups were 72.7% and 88.6%, respectively. This shows that the treatment method adopted by the experimental group of patients has a better curative effect and is worthy of clinical promotion.


2019 ◽  
Vol 4 (1) ◽  
pp. 31
Author(s):  
Mutammi Desira ◽  
Niketut Sulendri ◽  
Fifi Luthfiyah ◽  
Suhaema Suhaema

Background: hypertension or high blood pressure is an increase in one's blood pressure, wherein systolic blood pressure ≥ 140 mmHg and or diastolic blood pressure ≥ 90 mmHg on repeated examinations.  Hypertension often occurs in the elderly caused by changes occurring during the aging process that cause the walls of blood vessels to undergo thickening and hardening so that it becomes stiff, the diameter of the cavity of the blood vessels shrink or Narrows. One form of non-pharmacological treatment in overcoming hypertension is by herbal medicine, namely by utilizing the content of potassium in fruits and vegetables, such as bananas and tomatoes containing high potassium that can decrease blood pressure, especially in elderly groups. Research Methods: Type of Quasy-experimental research with Pretest- Posttest with Control Group Draft. The samples in this study were elderly hypertension as many as 18 people with random techniques divided into 2 groups. Group intervention with the giving of tomato banana pudding ambon as much as 175 gram/day for 6 days, while the control group is not given treatment. Research Result: There is a decrease in systolic blood pressure as much as17.8 mmHg (P = 0,002) and diastolic blood pressure as much as 8.9 mmHg(P = 0,347) in the intervention group. Conclusio: There is an influence on the systolic blood pressure but there is no  influence  on  diastolic  blood  pressure  before  and  after  given  banana tomato pudding Ambon.


2015 ◽  
Vol 4 (4) ◽  
pp. 304
Author(s):  
Tri Wahyuliati ◽  
Agung Pranoto ◽  
Samekto Wibowo

The research aimed to determine the pattern of changes in serum levels of NT-3 in the improvement of diabetic neuropathy, after doing diabetic foot exercise. A true experimental study with randomaized pre – post test control trial. A total of 36 subjects meeting the inclusion and exclusion criteria were included in the exercise group or the control one with age matched systematic random sampling method. Exercise group had a significant improvement on the score of ABI (<em>p</em>.0.002), systolic blood pressure (<em>p</em>.0.014), diastolic blood pressure (<em>p</em>.0.055), DNS (<em>p</em>.0.01), DNE (<em>p</em>.0.001) and increased of serum level of NT-3 (<em>p</em>.0.049). Control group had result respectively on ABI (<em>p</em>.0.131), systolic blood pressure (<em>p</em>.0.668), diastolic blood pressure (<em>p</em>.0.216), DNS (<em>p</em>.1.00), DNE (<em>p</em>.0.543), and increase of NT-3 (<em>p</em>.0.264). The comparation results of the two groups had a significant different on the score of ABI (<em>p</em>.0.01), systolic blood pressure (<em>p</em>.0.01), diastolic blood pressure (<em>p</em>.0.01), DNS (<em>p</em>.0.01), DNE (<em>p</em>.0.01), and increased of NT-3 (<em>p</em>.0.01). Diabetic foot exercise had a peripheral affect on a clinically significant improvement based on ABI scores, systolic and diastolic blood pressure, DNS and DNE, and increase of serum level of NT-3.


2020 ◽  
Vol 9 (2) ◽  
pp. 1771-1778
Author(s):  
Reni Hariyanti ◽  
Suharyo Hadisaputro ◽  
Sri Sumarni ◽  
Erna Widyastuti

This study was conducted to examine the effectiveness of cucumber suri juice (Cucumis Sativus) on blood pressure in hypertensive menopausal women. The study was a quasi-experimental pretest-posttest with control group design. It was 20 respondents selected by purposive sampling, divided into two groups there were intervention group (10 respondent) and control group (10 respondent). Data were analyzed used paired T test. The results showed that the decrease systolic blood pressure in the intervention group was 31,30 mmHg and diastolic blood pressure 16,60 mmHg (p value 0,000) and in the control group decreased systolic blood pressure by 2,0 mmHg and diastolic blood pressure 1.3 mmHg (p value> 0.05). There was a significant effect of cucumber suri juice on blood pressure in the intervention group. Therefore that the cucumber suri juice can be an alternative treatment among menopausal women with hypertension


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
M.Yoga Sefia Nurindra ◽  
Rahmatina B.Herman ◽  
Yenita Yenita

AbstrakHipertensi dapat menyebabkan gangguan jantung yang serius sampai kematian. Handgrip isometric exercise adalah latihan yang melibatkan kontraksi otot lengan bawah dan tangan dengan melakukan cengkraman menggunakan handgrip dynamometer. Tujuan penelitian ini adalah mengetahui perubahan tekanan darah sewaktu melakukan handgrip isometric exercise. Penelitian ini merupakan penelitian eksperimental dengan menggunakan desain randomized crossover study yang melibatkan 24 orang subjek laki-laki dengan usia 20,7 ± 0,6 tahun dan BMI 21,8 ± 2,1 Kg/m2. Hasil penelitian menunjukkan peningkatan tekanan darah baik sistolik maupun diastolik yang signifikan sewaktu melakukan handgrip isometric exercise. Tekanan darah sistolik dari 115,2 ± 5,0 mmHg menjadi 135,0± 6,5 mmHg (p<0,05) dan diastolik 76,3± 5,0 mmHg menjadi 98,3 ± 8,7 mmHg (p<0,05). Pada kontrol terlihat penurunan tekanan darah sistolik yang signifikan dari 113,8 ± 6,1 mmHg menjadi 111,5 ± 7,1 mmHg (p<0,05) dan diastolik penurunan tidak signifikan dari 75,0 ± 5,9 mmHg menjadi 72,9 ± 6,2 mmHg (p>0,05).  Pada penelitian ini disimpulkan bahwa tekanan darah meningkat sewaktu handgrip isometric exercise.Kata kunci: hipertensi, handgrip isometric exercise, tekanan darah AbstractHypertension can cause a serious heart problem and mortality. Handgrip isometric exercise is an activity involving contraction of forearm and hand muscle of one arm by pressing handgrip dynamometer. The objective  of  this study was to investigated blood pressure during handgrip isometric exercise. This research was an experimental study with randomized crossover design that involved 24 male subjects, age of 20,7 ± 0,6 years old and BMI 21,8 ± 2,1 Kg/m2. The results demonstrated significant increases in systolic and diastolic blood pressure during handgrip isometric exercise. Systolic blood pressure significantly increased from 115,2 ± 5,0 mmHg to 135,0 ± 6,5 mmHg (p<0,05) and diastolic from 76,3 ± 5,0 mmHg to 98,3 ± 8,7 mmHg (p<0,05). In control group, systolic blood pressure significantly decreases from 113,8 ± 6,1 mmHg to 111,5 ± 7,1 mmHg (p<0,05) and unsignificant decreased in diastolic blood pressure from 75,0 ± 5,9 mmHg to 72,9 ± 6,2 mmHg (p>0,05). It can be concluded that blood pressure increased during handgrip isometric exercise.Keywords: hypertension, handgrip isometric exercise, blood pressure


2019 ◽  
Vol 27 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Yifei Lu ◽  
Shoshana H Ballew ◽  
Hirofumi Tanaka ◽  
Moyses Szklo ◽  
Gerardo Heiss ◽  
...  

Aims The aim of this study was to evaluate the associations of blood pressure categorization based on the 2017 American College of Cardiology and American Heart Association guideline with the risk of peripheral artery disease (PAD). Methods Among 13,113 middle-aged participants, we investigated the associations of 2017 blood pressure categories (systolic <120 and diastolic <80 mmHg (normal if no anti-hypertensive medications; reference), 120–129 and <80 (elevated), 130–139 and/or 80–89 (stage 1 hypertension), and ≥140 and/or ≥90 (stage 2 hypertension)) with incident PAD (hospitalizations with a diagnosis or leg revascularization) using Cox regression models. Analyses were separately conducted in individuals with and without anti-hypertensive medications. Results During a median follow-up of 25.4 years, 466 incident PAD occurred (271 cases in 9858 participants without anti-hypertensive medications). In participants without anti-hypertensive medications, we observed significant hazard ratios of PAD in elevated blood pressure (1.80 (1.28–2.51)) and stage 2 hypertension (2.40 (1.72–3.34)), but not in stage 1 hypertension. Analyzing systolic and diastolic blood pressure separately, higher systolic blood pressure categories showed significant associations with incident PAD in a graded fashion whereas, for diastolic blood pressure, only ≥90 mmHg did. Generally similar patterns were seen among participants on anti-hypertensive medication, while they had higher risk of PAD than those without at each blood pressure category. Conclusions Systolic blood pressure, including the category of 130–139 mmHg, showed stronger associations with incident PAD than did diastolic blood pressure. Consequently, elevated blood pressure conferred similar or even greater risk of PAD than stage 1 hypertension, with implications on how to interpret new blood pressure categories in terms of leg vascular health.


2017 ◽  
Vol 25 (2) ◽  
pp. 190-199 ◽  
Author(s):  
Yutaka Igarashi ◽  
Yoshie Nogami

Background No meta-analysis has examined the effect of regular aquatic exercise on blood pressure. The purpose of this study was to perform a meta-analysis to evaluate the effects of regular aquatic exercise on blood pressure. Design A meta-analysis of randomized controlled trials. Methods Databases were searched for literature published up to April 2017. The randomized controlled trials analysed involved healthy adults, an intervention group that only performed aquatic exercise and a control group that did not exercise, no other intervention, and trials indicated mean systolic blood pressure or diastolic blood pressure. The net change in blood pressure was calculated from each trial, and the changes in blood pressure were pooled by a random effects model, and the risk of heterogeneity was evaluated. Subgroup analysis of subjects with hypertension, subjects who performed endurance exercise (or not), and subjects who only swam (or not) was performed, and the net changes in blood pressure were pooled. Results The meta-analysis examined 14 trials involving 452 subjects. Pooled net changes in blood pressure improved significantly (systolic blood pressure −8.4 mmHg; diastolic blood pressure −3.3 mmHg) and the changes in systolic blood pressure contained significant heterogeneity. When subjects were limited to those with hypertension, those who performed endurance exercise and subjects who did not swim, pooled net changes in systolic and diastolic blood pressure decreased significantly, but the heterogeneity of systolic blood pressure did not improve. Conclusion Like exercise on land, aquatic exercise should have a beneficial effect by lowering blood pressure. In addition, aquatic exercise should lower the blood pressure of subjects with hypertension, and other forms of aquatic exercise besides swimming should also lower blood pressure.


2021 ◽  
Vol 9 (1) ◽  
pp. 28-32
Author(s):  
Eliza Eliza ◽  
Ayu Lestari ◽  
Sumarman Sumarman ◽  
Andi Eka Yunianto

Background : Hypertension is a condition when systolic blood pressure ≥ 140 mmHg and diastolic blood pressure  ≥ 90 mmHg blood. One of herbal therapies to help lowering blood pressure is by utilizing foods which contain high potassium, such as bananas, melons, and young coconut water.Objective : To analyze the effect of banana melon and young coconut water pudding on lowering blood pressure levels of hypertensive patients at the Palembang Public Health Center.Method : A quasi-experimental study with pre and pos test control group design. The subjects were 60 hypertensive patients at Palembah PHC who were eagerly fulfilled inclusion and exclusion criteria. Data analysis were used t-dependent and t-independent tests to analyze the effect of melon banana pudding and young coconut water with blood pressure.Results : The results showed there was an average decrease in systolic and diastolic blood pressure in the treatment group of 13.07 mmHg (p= 0.000) and 6.93 mmHg (p= 0,000). Consumption of banana melon pudding and young coconut water showed a significant effect on reducing 6.1 mmHg systolic blood pressure (p=0.003) and 4.56 mmHg diastolic blood pressure (p=0,000). T-independent test showed that systolic blood pressure in the treatment and control groups obtained p-0.005 and diastolic blood pressure obtained p-value 0.048.Conclusion : Consumption of banana melon pudding and young coconut water could lower blood pressure levels f hypertensive patients


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