scholarly journals Effect of a mobile application and smart devices on heart rate variability in diabetic patients with high cardiovascular risk: A sub-study of the LIGHT randomized clinical trial

2021 ◽  
Vol 79 (11) ◽  
pp. 1239-1244
Author(s):  
Mert İlker Hayıroğlu ◽  
Göksel Çinier ◽  
Gizem Yüksel ◽  
Levent Pay ◽  
Furkan Durak ◽  
...  
2020 ◽  
Author(s):  
Ahmet İlker Tekkeşin ◽  
Mert İlker Hayıroğlu ◽  
Göksel Çinier ◽  
Yelda Soluk Özdemir ◽  
Duygu İnan ◽  
...  

2021 ◽  
Vol 17 ◽  
Author(s):  
Samara Sousa Vasconcelos Gouveia ◽  
Guilherme Pertinni de Morais Gouveia ◽  
Leydnaya Maria Souza ◽  
Bruno Cunha da Costa ◽  
Gustavo Henrique Melo Sousa ◽  
...  

Purpose: This study aimed to analyze the effect of a Pilates protocol on respiratory muscle strength and heart rate variability (HRV) in patients with type 2 diabetes. Method: A randomized clinical trial (RBR-2gc2qj) was conducted with a type 2 diabetic target population. Patients practiced the Pilates protocol for 8 weeks, with two visits per week. The variables tested were maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and HRV (time and frequency domains). All variables were tested for normal distribution. Using SPSS 21.0, analysis of variance was performed for variables with normal distribution, and the Wilcoxon and Friedman tests were used for variables that did not show a normal distribution, with a 5% significance level. Results: Forty-four participants were included in the study (intervention group: 22; control group: 22; mean age: 61.23 ± 8.49 years), most of whom were female (77.3%), married or in a consensual union (59.1%), had complete literacy (31.8%), and had an average body mass index of 26.96 ± 4.35 kg/m2. There were no significant differences in MIP and MEP before and after the protocol between the intervention and control groups. Regarding HRV, there were significant differences in autonomic modulation, especially between the moments before and during exercise and between the moments during and after exercise; however, it was not possible to determine which system (sympathetic or parasympathetic) is most involved in these changes. Conclusion: The exercise protocol based on the Pilates method did not alter respiratory muscle strength but promoted changes in HRV, especially between the moments before and during exercise and during and after exercise.


Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 221-LB
Author(s):  
IAN NEELAND ◽  
STEVEN P. MARSO ◽  
COLBY AYERS ◽  
AMBARISH PANDEY ◽  
PARAG H. JOSHI

Author(s):  
Magdalena Napiórkowska-Orkisz ◽  
Aleksandra Gutysz-Wojnicka ◽  
Mariola Tanajewska ◽  
Iwona Sadowska-Krawczenko

Aim: The aim of the study was to assess the severity of pain experienced by a newborn during a heel puncture for screening using the Newborn Pain Scale (NIPS), measure the heart rate and compare the effectiveness of non-pharmacological methods of pain control. Design: Randomized clinical trial. No experimental factors. The test was performed during routine screening. Surroundings: Provincial Specialist Hospital in Olsztyn. Patients/Participants: Pain was assessed in 90 full-term newborns. The newborns were rooming in with their mothers in the hospital. Interventions: Newborns were divided into three groups. Three different methods of pain relief were used: breastfeeding, 20% glucose administered orally and non-nutritional sucking. Main Outcome Measures: The primary pain outcome was measured using the NIPS and the secondary pain outcome measures (heart rate, oxygen saturation) were measured using a pulse oximeter. Results: During capillary blood sampling from the heel, most newborns, n = 56 (62.2%), experienced no pain or mild discomfort, severe pain occurred in n = 23 (25.6%) and moderate pain occurred in n = 11 (12.2%). No significant statistical differences were found between the degree of pain intensity and the intervention used to minimize the pain p = 0.24. Statistically significant relationships were demonstrated between heart rate variability and the degree of pain intensity (p = 0. 01). There were no statistically significant differences between the newborn’s pain intensity and the mother’s opinion on the effectiveness of breastfeeding in minimizing pain. Conclusions: This study did not answer the question of which pain management method used during the heel prick was statistically more effective in reducing pain. However, the results indicate that each of the non-pharmacological interventions (breastfeeding, oral glucose dosing and non-nutritive sucking) applied during heel puncture resulted in effective pain management in most of the newborns enrolled in the study. The relationship between heart rate variability and the severity of pain was confirmed. Mothers of newborns in the breastfeeding group were satisfied with the pain relief methods used in the child and the opportunity to console their newborn during painful procedures in a technologically invasive environment.


Author(s):  
Bruna Luísa Silva ◽  
Lara Alves de Oliveira ◽  
Camila Medeiros Costa ◽  
Cristiano Queiroz Guimarães ◽  
Leonardo Sette Vieira ◽  
...  

2017 ◽  
Vol 49 (03) ◽  
pp. 136-137

Toledo E. et al. Mediterranean diet and invasive breast cancer risk among women at high cardiovascular risk in the PREDIMED trial: a randomized clinical trial. JAMA Intern Med 2015; 175: 1752–1760 Die Mittelmeerdiät, die den Verzehr von Obst und Gemüse fördert, Fisch statt rotem Fleisch empfiehlt und hin und wieder ein Glas Rotwein erlaubt, wird gemeinhin als gesundheitsfördernd angesehen. In der Vergangenheit haben bereits einige Beobachtungsstudien behauptet, dass die mediterrane Diät auch das Brustkrebsrisiko senken könne. Um diesen Effekt genauer zu untersuchen, verglich eine spanische Studie die Mittelmeerdiät mit einer fettarmen Diät hinsichtlich der Brustkrebsinzidenz.


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