scholarly journals Self-Monitoring of Blood Pressure among Adults with Hypertension

2021 ◽  
Vol 4 (1) ◽  
pp. 55-60
Author(s):  
JO Edah ◽  
G Odoh ◽  
GA Amusa ◽  
MJ Duguru
Keyword(s):  
Blood Pressure ◽  
Medical Condition ◽  
Demographic Data ◽  
University Teaching ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Female Ratio ◽  
Study Population ◽  
At Home

Hypertension is a serious medical condition associated with complications and premature death. Self- measurement of blood pressure (BP) which is a way of monitoring BP is recommended and encouraged and is effective at lowering BP. This was a hospital based descriptive cross-sectional study conducted at the Jos University Teaching Hospital (JUTH). Consenting adults with hypertension who regularly attend the Medical Out Patient Department (MOPD) clinics were recruited consecutively for the study over a six-week period. A questionnaire was used to obtain socio-demographic data from the participants. Information including the presence of complications of hypertension and comorbidities, antihypertensive medications used and three blood pressure (BP) readings in the last twelve months were gotten from the patients' folders with the average taken to determine BP control. Three hundred and fifty patients were recruited for the study among whom 230 (65.71%) were females giving a male to female ratio of 1:1.9. The mean age ± SD of the study population was 59±12 years. Less than half 156 (44.57%) of the study population practiced self-monitoring of blood pressure (SMBP) at home. Higher level of education (OR: 6.76, 95% CI 3.87-11.81), use of ≥ 3 antihypertensive medications (OR: 3.18, 95% CI 1.84-5.48) and good diastolic BP (OR: 0.54, 95% CI 0.30-0.98) were found to be correlates of SMBP at home. The practice of SMBP at home among our patients is low. This highlights the importance of regular patients' education on the need for SMBP at home.

Blood pressure variations and low blood pressure values at home after hospital discharge in older hypertensives

2011 ◽  
Vol 19 (3) ◽  
pp. 460-466
Author(s):  
Marco Astengo ◽  
Martina Bonetto ◽  
Gianluca Isaia ◽  
Monica Comba ◽  
Gianfranco Fonte ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Hospital Discharge ◽  
Terminal Illness ◽  
Blood Pressure Measurement ◽  
University Teaching ◽  
Antihypertensive Regimen ◽  
Low Blood Pressure ◽  
Study Population ◽  
The Difference ◽  
At Home

Background: Blood pressure (BP) variations occurring after hospital discharge in a population of older hypertensives have not been previously investigated. Design: elderly (≥65 years) hypertensives admitted to the geriatric acute ward of a university-teaching hospital were enrolled in this prospective observational study. Methods: Exclusion criteria were terminal illness, discharge to institution, and changes in antihypertensive regimen. BP was recorded in the emergency room, at ward admission, daily during hospital stay, and at discharge. Home self blood pressure measurement was performed after discharge. Results: The study population included 106 patients. There was a significant decrease in systolic BP (SBP) and diastolic BP (DBP) throughout the study time points. SBP and DBP decreased after discharge (from 135.1 ± 15.0 to 131.5 ± 16.1 mmHg and from 77.2 ± 8.4 to 71.6 ± 8.7 mmHg, respectively), the difference being significant only for DBP ( p = 0.000). We further observed higher prevalence of critically low BP values (SBP <120 mmHg and DBP <70 mmHg) at home (23.6% and 48.1%, respectively) compared to discharge (8.5% and 9.4%, p = 0.006 and p = 0.000, respectively). Conclusions: We observed a decrease in BP values, and particularly DBP values, after hospital discharge, in a sample of older hypertensives. Critically low BP values were observed at home in a high proportion of subjects, suggesting wise use of antihypertensive therapy at discharge and early monitoring of BP values at home.

scholarly journals Prevalence of Hypertension and Diabetes Mellitus among Haemodialysis Patients at Elobied Haemodialysis Unit –West Sudan

2019 ◽  
pp. 1-5
Author(s):  
Abdelsalam Mohamed Hamed Elfaki ◽  
Samia Tarig Abdalla Mohamed
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Insulin Therapy ◽  
Blood Pressure Measurement ◽  
Diabetic Patients ◽  
Chronic Haemodialysis ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Female Ratio ◽  
Hypertensive Patients

Background and Objectives: Hypertension and diabetes mellitus are major risk factors of end – stage renal disease (ESRD). This study aimed to determine the prevalence of hypertension and diabetes mellitus among haemodialysis patients at Elobeid haemodialysis unit. Patients and Methods: The study was a single – centre cross - sectional study including 130 patients on chronic haemodialysis in Elobeid hospital haemodialysis unit. Each patient was personally interviewed by the co-author in the haemodialysis unit using a structured questionnaire prepared by the investigators. Data collected include: socioeconomic data (gender, age, residence, and occupation), history of hypertension, diabetes mellitus, treatment of hypertension, treatment of diabetes mellitus, duration of hypertension, duration of diabetes mellitus and duration of dialysis. Hypertension was defined as blood pressure ≥ 140/90 or the use of antihypertensive medications. Diabetes mellitus is defined by use of insulin therapy. In this study both hypertension and diabetes mellitus were already diagnosed and on regular medications. Statistic package for social sciences (SPSS) version 20 was used for data analysis. Results: One hundred and thirty patients were recruited. More than two thirds of patients were males with male to female ratio of 2.2: 1. Patient’s age ranged from 12 years to 90 years. The mean age was 46.3 ± 17.8 years. Forty (32%) patients were above 56 years of age. Ninety eight (75%) patients were hypertensive, the majority of hypertensive patients were males (90%). Eighty six hypertensive patients were on calcium channel blocker (88%). Amlodipine was the commonly used antihypertensive used. Twenty five (19%) patients were diabetics and all of them were males. All diabetic patients were also hypertensive. Fourteen diabetic patients (56%) were on insulin therapy, while 11 patients were using metformin. Conclusion: The prevalence of hypertension among haemodialysis patients was high while the prevalence of diabetes is less than that reported globally. The blood pressure should be tidily controlled specially in diabetic patients and patients with impaired renal function. For early detection of chronic kidney disease and elevated blood pressure as a sequel, routine blood pressure measurement is highly recommended in adult patients attend the clinic for any reason.

scholarly journals Patient experience of home and waiting room blood pressure measurement: a qualitative study of patients with recently diagnosed hypertension

2018 ◽  
Vol 68 (677) ◽  
pp. e835-e843 ◽  
Author(s):  
Alice C Tompson ◽  
Claire L Schwartz ◽  
Susannah Fleming ◽  
Alison M Ward ◽  
Sheila M Greenfield ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Qualitative Study ◽  
Patient Experience ◽  
Blood Pressure Measurement ◽  
Lifestyle Changes ◽  
Waiting Room ◽  
Cross Sectional ◽  
Self Monitoring ◽  
The Impact ◽  
At Home

BackgroundOut-of-office blood pressure (BP) measurement is advocated to confirm hypertension diagnosis. However, little is known about how primary care patients view and use such measurement.AimTo investigate patient experience of out-of-office BP monitoring, particularly home and practice waiting room BP measurement, before, during, and after diagnosis.Design and settingA cross-sectional, qualitative study with patients from two UK GP surgeries participating in a feasibility study of waiting room BP measurement.MethodInterviewees were identified from recent additions to the practice hypertension register. Interviews were recorded, transcribed, and coded thematically.ResultsOf 29 interviewees, 9 (31%) and 22 (76%) had used the waiting room monitor and/or monitored at home respectively. Out-of-office monitoring was used by patients as evidence of control or the lack of need for medication, with the printed results slips from the waiting room monitor perceived to improve ‘trustworthiness’. The waiting room monitor enabled those experiencing uncertainty about their equipment or technique to double-check readings. Monitoring at home allowed a more intensive and/or flexible schedule to investigate BP fluctuations and the impact of medication and lifestyle changes. A minority used self-monitoring to inform drug holidays. Reduced intensity of monitoring was reported with both modalities following diagnosis as initial anxiety or patient and GP interest decreased.ConclusionHome and practice waiting room measurements have overlapping but differing roles for patients. Waiting room BP monitors may be a useful out-of-office measurement modality for patients unwilling and/or unable to measure and record their BP at home.

P5310College students under stress have elevated cardiovascular risk factors associated to eating disorders

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
J F K Saraiva ◽  
A C Bellodi ◽  
S R Enumo ◽  
W L Machado ◽  
H A Fonseca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Fast Food ◽  
Protective Factor ◽  
Demographic Data ◽  
Adult Population ◽  
Cross Sectional ◽  
Sugary Drinks ◽  
At Home

Abstract Background High prevalence of cardiovascular diseases in the global adult population refers to the need for prevention. Tracking phenomenon studies have inferred that since childhood, risk and protection factors can be identified, thus supporting public health policies. Purpose To evaluate the prevalence of stress and the cardiovascular risk factor in Brazilian students. Methods A cross-sectional study was carried out in our city with 3,471 students, both sexes, from 7 to 13 years old, 51.7% of whom were non-Caucasian, aiming to analyze 31 variables: a) biological markers for cardiovascular risk (weight, height, waist circumference, systolic blood pressure, diastolic blood pressure, heart rate, HDL cholesterol, LDL cholesterol, total cholesterol, triglycerides, use of medications); b) health-related behavioural variables (ingestion of fruits, vegetables, meats, fish, dairy products, sweets, sugary drinks, fast food, snacks, lunch at home or at school, daily study hours, physical activity at school and out of school, means of transport to go to school, screen time); c) emotional variables (perceived stress at school and at home); d) socio-demographic data (sex, age, ethnicity). Data were collected in schools and tabulated; Network analysis considered 16 composite variables. Results A total of 17.5% of obesity and 16.2% of overweight verified at the studied population. Children and adolescents, under stress, are shown to have higher cholesterol levels, followed by increased use of medications or supplements, and increased physical activity, higher ratios for boys and non-white ethnicity individuals. Eating lunch provided by the school and being a female served as a protective factor for cardiovascular risk. Conclusion Considering the already known impact of stress on children's physical and psychological development and cardiovascular risk, it is urgent to establish public policies aimed at preventing these conditions, which have been severely perceived in very young, non-white and resident of a periphery of metropolises individuals.

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 Treatment adherence and blood pressure outcome among hypertensive out-patients in two tertiary hospitals in Sokoto, Northwestern Nigeria

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Rasaq Adisa ◽  
Olumide Ayodeji Ilesanmi ◽  
Titilayo Oyelola Fakeye
Keyword(s):  
Blood Pressure ◽  
Cigarette Smoking ◽  
Treatment Adherence ◽  
Pressure Control ◽  
Patient Specific ◽  
Lifestyle Modifications ◽  
Antihypertensive Medications ◽  
Chi Square ◽  
Cross Sectional ◽  
Adherence To Medication

Abstract Background Treatment adherence play important roles in blood pressure control leading to reduction in morbidity and mortality. This study therefore assessed adherence to pharmacological and non-pharmacological therapies among ambulatory hypertensive patients. Reasons for treatment non-adherence, and association between adherence and blood pressure were also investigated. Methods Cross-sectional questionnaire-guided interview and retrospective review of medical records of 605-patients from two-tertiary healthcare institutions in Sokoto, Northwestern Nigeria. Nine-item modified Morisky adherence scale was used to assess medication adherence. Overall adherence score to lifestyle modifications was obtained from the total scores from 4-domains of non-pharmacological measures including cigarette smoking and alcohol cessation, salt-restriction and exercise. Patient-specific adherence education was provided at contact to resolve the knowledge gap(s). Clinical-parameters were retrieved at contact and subsequent 2-months appointment. Descriptive statistics, Chi-square and Student’s t-test were used for analysis at p < 0.05. Results Fifty-four (8.9%) patients were adherent to medications. Forgetfulness (404; 35.2%) was the most common reason for medication non-adherence. Use of buddy/companion reminder (605, 30.2%) top the list of adherence education. Overall adherence to lifestyle modifications was 36(6.0%). Mean systolic blood pressure (SBP) at contact was 149.6 ± 22.5 versus 134.2 ± 15.8 mmHg at 2-months with a 10% reduction. There were significant associations in baseline SBP for patients with or without adherence to medication, cigarette smoking cessation, and exercise (p < 0.05). Conclusions Overall adherence to antihypertensive medications and lifestyle modifications is suboptimal, underscoring the need for continuous patient-specific adherence education to ensure better therapeutic outcomes.

scholarly journals Comparison of Urinary Adiponectin in the Presence of Metabolic Syndrome in Peri- and Postmenopausal Women

2021 ◽  
Author(s):  
Patsama Vichinsartvichai ◽  
Rattana Teeramara ◽  
Titima Jirasawas ◽  
Prirayapak Sakoonwatanyoo
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Postmenopausal Women ◽  
Demographic Data ◽  
Diagnostic Value ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Screening And Diagnosis ◽  
Baseline Demographic

Abstract Objectives To find the association between urinary adiponectin and metabolic syndrome (MetS) in peri- and postmenopausal women and its potential application as a noninvasive screening for MetS. Methods A cross-sectional study was conducted in healthy peri- and postmenopausal women (defined by STRAW+10 staging) age at least 40 years who attended annual checkup or menopause clinic were recruited. Baseline demographic data, MENQOL, anthropometric measurements, blood pressure, laboratory (FBS, total cholesterol, HDL-C, LDL-C, TG) and urinary adiponectin were collected. The MetS was diagnosed according to JIS 2009. Results 290 peri- and postmenopausal women had participated. The prevalence of Mets among our participants was 18%. Urinary adiponectin levels were similar in peri- and postmenopausal women with and without MetS (2.6±2.2 vs 2.3±1.9 ng/mL, respectively, P = 0.55). Urinary adiponectin provides no diagnostic value for MetS (AUC = 0.516). Conclusions Urinary adiponectin has no role in screening and diagnosis of MetS in peri- and postmenopausal women. The quest toward noninvasive screening for MetS is still going on.

scholarly journals Waist Circumference, Blood Pressure and Lifestyle of Sudanese Population, Khartoum Locality, Sudan 2016

2019 ◽  
pp. 1-8
Author(s):  
Asma Abdelaal Abdalla ◽  
Siham Ahmed Balla ◽  
Amna Abdalla Babiker ◽  
Safaa Abdelhameed Medani ◽  
Rania Abdalla Osman Khalfa ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Waist Circumference ◽  
Physical Exercise ◽  
Age Distribution ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Men And Women ◽  
Study Population ◽  
The Mean

Aims: To measure the waist circumference of Sudanese adults in Khartoum Locality and its relationship to blood pressure and lifestyle  during celebration of international day of hypertension in May 2016 . Study Design: It was a descriptive cross-sectional study. Place of the Celebration: Khartoum Locality at Alsahaa Alkhadraa (The Green Park). Methodology: A total of 364 adult participants, 196 men and 168 women were interviewed using structured questionnaire. Blood pressure (BP) was measured considering hypertension as ≥ 140 mmHg and ≥ 90 mmHg for systole and diastole BP respectively. Waist circumference was measured using an anthropometric measuring tape at cut-off point of 94 cm and 80 cm for men and women respectively. Data was managed by SPSS version 20 and Chi-square test at 95% CL was used to test the association between waist circumference, blood pressure and life style characteristics. Results: Age distribution of the study population showed 48.2% females and 45.4% males in the middle age group (38-57 years). Two thirds of the study population were hypertensive, 62.8% of males and 64.3% of females. The mean waist circumference of men was 97.82 cm + 16.7, mean Systolic BP was 127 + 22 and mean Diastolic BP was 85 + 15. The mean waist circumference of women was 99.31 + 16.2, mean Systolic was 128 + 24 and mean Diastolic BP was 84 +17. Abnormal waist circumference was found in 61.2% of males and 86.9% of females. Fifty nine (30.1%) of the males and 86 (51.2%) of the females with abnormal waist circumference were hypertensive. The association between abnormal waist circumference and high blood pressure was significant among both sexes, P value = 0.001. Physical exercise and fat and salt foods were not significantly associated waist circumference in both men and women. Conclusion: Two thirds of women and men in the celebrating areas were hypertensive.  Half of women and one third of men were significantly hypertensive and having abnormal waist circumference. Doing physical exercise, avoiding fat and salt foods was insignificantly associated with normal waist circumference. Large survey with representative sample is needed to estimate the real Sudanese waist circumference.  

scholarly journals Study of psychiatric morbidity of patients attending free mental health check up camp, Simara, Bara district of Nepal

2013 ◽  
Vol 2 (1) ◽  
pp. 30-34
Author(s):  
CP Sedain
Keyword(s):  
Mental Health ◽  
Depressive Disorder ◽  
Demographic Data ◽  
Psychiatric Morbidity ◽  
Cross Sectional Study ◽  
Health Clinic ◽  
Age Group ◽  
Cross Sectional ◽  
Female Ratio ◽  
Community Mental Health Clinics

Introduction: Maryknoll Nepal has been running community mental health clinics different part of the country. The aim of the study was to find out psychiatric morbidity of patients attending Maryknoll free check up clinic Simara, Bara district of Nepal. Methods: A prospective cross-sectional study comprised of all consecutive patients attending Maryknoll free check up clinic Simara, Bara district, Nepal. All the patients attending the free clinics were taken as cases. The study was conducted in January 2009. Demographic data and disease profile of 87 patients attending the clinic were analyzed. The ratios and proportions were used for statistical analysis. Results: Data from Simara free mental health clinic shows that the male to female ratio was 0.55:0.44.The age group 30-39(N-25, 28.74%) followed by age group 20-29 (N-19, 21.84%) was the commonest. The farmer were (N-49, 56.31 %) the most common visitor. The highest number of cases were depressive disorder (N-16, 18.93 %) followed by mania/BPAD (N-14, 16.09 %) and Schizophrenia (N-12, 13.73 %). Conclusion: The commonest incidence of psychiatric illness attending the free clinic is depressive disorder and mania/BPAD. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8572 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 30-34

Self-monitoring of blood pressure at home

1998 ◽  
Vol 16 (6) ◽  
pp. 725-731 ◽  
Author(s):  
George S. Stergiou ◽  
Irini I. Skeva ◽  
Andromachi S. Zourbaki ◽  
Theodore D. Mountokalakis
Keyword(s):  
Blood Pressure ◽  
Self Monitoring ◽  
At Home
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