scholarly journals The possibilities of using methods of physiobalneotherapy in the presence of risk factors for the prevention of cardiac diseases

2021 ◽  
Author(s):  
О.Д. Лебедева
Keyword(s):  
Risk Factors ◽  
Carbon Dioxide ◽  
Exercise Tolerance ◽  
Healthy Lifestyle ◽  
Minute Ventilation ◽  
Aerobic Performance ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Gas Exchange Parameters ◽  
Software Complex

В связи с тем, что сердечно-сосудистые заболевания являются основной причиной смертности во всем мире, снижение факторов риска и ведение здорового образа жизни играют важную роль в первичной и вторичной профилактике развития сердечно-сосудистых заболеваний и улучшении прогноза. Целью исследования явилось изучение эффективности применения углекислых ванн и водных тренировок в программе первичной профилактики у лиц с факторами риска сердечно-сосудистых заболеваний. Обследованы 60 пациентов (43 женщины и 17 мужчин) с наличием факторов риска данной патологии — до и после проведения им курса углекислых ванн и акватерапии. Проводились проба с физической нагрузкой путем кардиопульмонального тестирования на тредмиле с определением параметров газообмена, объема потребляемого О2, минутной вентиляции при постоянном мониторинге ЭКГ, а также использовался аппаратно-программный комплекс «Физиоконтроль-Р», включающий, помимо психологического тестирования (тесты Спилбергера, «Самочувствие – активность – настроение», Люшера), кардиоинтервалографию для исследования вегетативной регуляции сердечно-сосудистой системы, исследование состояния центральной и периферической гемодинамики. Отмечен переход из низкого в средний уровень толерантности к нагрузке, возрастание аэробной производительности, улучшение показателей гемодинамики, нормализация симпатовагального баланса. Программа акватерапии в бассейне и прием углекислых ванн привели к возрастанию у пациентов уровня толерантности к физической нагрузке, аэробной выносливости, физической работоспособности, что ассоциируется со снижением риска развития сердечно-сосудистых заболеваний. Due to the fact that cardiovascular diseases (CVD) are the leading cause of death worldwide, reducing risk factors and maintaining a healthy lifestyle play an important role in primary and secondary prevention of CVD development and improving prognosis. The purpose of the study. To study the effectiveness of carbon dioxide baths and water training in the primary prevention program in people with CVD risk factors. Material and methods. 60 patients (43 women and 17 men) with CVD risk factors were examined before and after a course of carbon dioxide baths and aquatherapy (AkvT). A physical exertion test was performed by cardiopulmonary testing on a treadmill with the determination of gas exchange parameters, the volume of O2 consumed, minute ventilation with constant ECG monitoring, and the Physiocontrol-R hardware and software complex was used, including, in addition to psychological testing (Spielberger, SAN, Lusher tests), cardiointervalography to study the autonomic regulation of the cardiovascular system, the study of the state of central and peripheral hemodynamics. Results. There was a transition from a low to an average level of exercise tolerance, an increase in aerobic performance, an improvement in hemodynamic parameters, and normalization of sympatho-vagal balance. Conclusion. The AkT program in the pool and the use of HCV led to an increase in the level of exercise tolerance, aerobic endurance, and physical performance in patients, which is associated with a reduced risk of developing CVD.

scholarly journals The application of carbon dioxide baths and aquatic therapy in preventive programs for persons with circu latory illnesses risk factors

2021 ◽  
Vol 99 (4) ◽  
pp. 288-291
Author(s):  
О. D. Lebedeva
Keyword(s):  
Risk Factors ◽  
Carbon Dioxide ◽  
Body Composition ◽  
Healthy Lifestyle ◽  
Control Group ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Aquatic Therapy ◽  
Software Complex ◽  
Peripheral Hemodynamics

Due to the fact that cardiovascular diseases (CVD) are the leading cause of death worldwide, reducing risk factors and maintaining a healthy lifestyle play an important role in primary and secondary prevention of CVD development and improving prognosis. The purpose of the study. To study the eff ectiveness of carbon dioxide baths and water training in the primary prevention program for people with CVD risk factors. Material and methods. 60 patients (43 women and 17 men) with CVD risk factors were examined before and after a course of carbon dioxide baths and aquatic therapy. The hardware and software complex «Physiocontrol-R» was used. It includes, in addition to psychological testing (Spielberger, SAN, Lüscher tests, сardiointervalography (CIG) for the study of the autonomic regulation of the cardiovascular system, the study of the state of central and peripheral hemodynamics, Bioelectrical impedance analysis (BIA) for the study of body composition. Results. In the group of patients who took a complex of carbon dioxide baths and water training, in contrast to the control group, there was an improvement in the clinical condition, hemodynamic parameters, normalization of sympathicovagal balance and body composition. Conclusion. The aquatic therapy program in the pool and the use of HCV led to an improvement in the patients ‘ psychoemotional state, improvement of central and peripheral hemodynamics, and sympathico-vagal balance, which is associated with a reduced risk of developing CVD.

Trends of Cardiovascular Risk Factors Clustering Over Time: A Study in Two Cohorts of Portuguese Adolescents

2008 ◽  
Vol 20 (1) ◽  
pp. 74-83 ◽  
Author(s):  
Clarice Martins ◽  
Francisco Silva ◽  
Maria Paula Santos ◽  
José Carlos Ribeiro ◽  
Jorge Mota
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Aerobic Performance ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Cross Sectional ◽  
Year Effect ◽  
Over Time ◽  
Better Than ◽  
Portuguese Adolescents

This study analyzes trends in CVD risk factors and aerobic performance. Two cross-sectional studies were performed including 138 (58 boys and 80 girls) in 1998 and 110 (44 boys and 66 girls) in 2003 adolescents. Although in cardiorespiratory fitness (CRF) boys performed better than girls, they had lower body mass index (BMI) and total cholesterol (TC) than girls. The data also showed a significant year effect (p = .000) for CRF in both boys and girls. The sex–age group interaction was not significant (p > .05). This cross-sectional study revealed a marked low CRF level over time in both boys and girls.

scholarly journals Breakfast consumption and CVD risk factors in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study

2012 ◽  
Vol 16 (7) ◽  
pp. 1296-1305 ◽  
Author(s):  
Lena Hallström ◽  
Idoia Labayen ◽  
Jonatan R Ruiz ◽  
Emma Patterson ◽  
Carine A Vereecken ◽  
...  
Keyword(s):  
Risk Factors ◽  
Waist Circumference ◽  
Cardiorespiratory Fitness ◽  
Weight Status ◽  
Healthy Lifestyle ◽  
Skinfold Thickness ◽  
Model Assessment ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Breakfast Consumption

AbstractObjectiveTo examine the association between breakfast consumption and CVD risk factors in European adolescents.DesignCross-sectional. Breakfast consumption was assessed by the statement ‘I often skip breakfast’ and categorized into ‘consumer’, ‘occasional consumer’ and ‘skipper’. Blood pressure, weight, height, waist circumference, skinfold thickness, total cholesterol (TC), HDL cholesterol (HDL-C), LDL cholesterol (LDL-C), TAG, insulin and glucose were measured and BMI, TC:HDL-C, LDL-C:HDL-C and homeostasis model assessment–insulin resistance index (HOMA-IR) were calculated.SettingThe European Union-funded HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.SubjectsEuropean adolescents, aged 12·50–17·49 years, from ten cities within the HELENA study (n2929,n925 with blood sample, 53 % females).ResultsIn males, significant differences across breakfast consumption category (‘consumer’, ‘occasional consumer’ and ‘skipper’) were seen for age, BMI, skinfold thickness, waist circumference, cardiorespiratory fitness, systolic and diastolic blood pressures, TC:HDL-C, LDL-C:HDL-C, glucose, insulin, HOMA-IR and LDL-C; in females, for cardiorespiratory fitness, skinfold thickness, BMI, insulin and HOMA-IR. In overweight/obese males significant differences were also seen for TC and LDL-C, whereas no differences were observed in non-overweight males or in females regardless of weight status.ConclusionsOur findings among European adolescents confirm previous data indicating that adolescents who regularly consume breakfast have lower body fat content. The results also show that regular breakfast consumption is associated with higher cardiorespiratory fitness in adolescents, and with a healthier cardiovascular profile, especially in males. Eating breakfast regularly may also negate somewhat the effect of excess adiposity on TC and LDL-C, especially in male adolescents.

scholarly journals Longitudinal assessment between lifestyle-related risk factors and a composite cardiovascular disease (CVD) risk index among adolescents in Malaysia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nithiah Thangiah ◽  
Tin Tin Su ◽  
Karuthan Chinna ◽  
Muhammad Yazid Jalaludin ◽  
Mohd Nahar Azmi Mohamed ◽  
...  
Keyword(s):  
Risk Factors ◽  
Physical Fitness ◽  
Healthy Lifestyle ◽  
Risk Index ◽  
Longitudinal Assessment ◽  
Cvd Risk Factors ◽  
Intervention Programme ◽  
Cvd Risk ◽  
Related Risk ◽  
Composite Risk

AbstractThe study aims to create a composite risk index of CVD among adolescents and examine the influence of demographic, socioeconomic and lifestyle-related risk factors on the composite risk index of biological CVD risk factors among adolescents in Malaysia. A Malaysian adolescent cohort of 1320 adolescents were assessed at 13, 15 and 17 years. Seven biological CVD risk factors with moderate correlation were identified, standardized and averaged to form a composite CVD risk index. Generalised estimating equation using longitudinal linear regression was used to examine the effects of changes in adolescent lifestyle-related risk factors on the composite CVD risk index over time. From the ages 13 to 17 years, physical fitness (β = − 0.001, 90% CI = − 0.003, 0.00002) and BMI (β = 0.051, 95% CI = 0.042, 0.060) were significant predictors of attaining high scores of CVD risk. Female (β = 0.118, 95% CI = 0.040, 0.197), Chinese (β = 0.122, 95% CI = 0.006, 0.239), Indians (β = − 0.114, 95% CI = − 0.216, − 0.012) and adolescents from rural schools (β = 0.066, 95% CI = − 0.005, 0.136) were also found to be considerably significant. A more robust and gender-specific intervention programme focusing on healthy lifestyle (including achieving ideal BMI and improving physical fitness) need to be implemented among school-going adolescents.

scholarly journals Health Attitudes and Beliefs Among Hypertensive Subjects: A Study of the Hellenic Atherosclerosis Society

2014 ◽  
Vol 6 (1) ◽  
pp. 12-17
Author(s):  
Evangelos Polychronopoulos ◽  
Ekavi N. Georgousopoulou ◽  
Tonia Vassilakou ◽  
Christos Pitsavos ◽  
Christina Chrysohoou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Beliefs ◽  
Healthy Lifestyle ◽  
Attitudes And Beliefs ◽  
Health Attitudes ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Cardiometabolic Disorders ◽  
Unhealthy Diet ◽  
Beliefs And Attitudes

Introduction: Health attitudes and beliefs have long been associated with lower risk of various diseases, better compliance to medication and less likelihood of relapsing. The aim of this work was to study health beliefs and attitudes of hypertensive subjects in relation to the management of cardiovascular disease (CVD) risk factors. Methods: The Hellenic Atherosclerosis Society ran a project where during 2006-2012, 10,141 individuals (39 ± 15 years, 47% men, i.e., 0.01% of the Greek population), from all areas of the country, were voluntarily enrolled and participated into a face-toface interview that gathered information about their beliefs and attitudes on diet, smoking and physical activity, as well as management of CVD disorders. Results: Self-reported prevalence of hypertension was 16.7% in men and 13.2% in women. Hypertensive subjects had lower educational level than non-hypertensive (11 ± 5 vs. 13 ± 4.5 years of school, p<0.001). Hypertensive participants as compared to normotensive seemed not to accept that unhealthy diet which consists of a major CVD risk factor (16.2% vs. 23.1%, p<0.001); and they believed more in the effect of pharmaceutical medication than in healthy lifestyle. Conclusion: There is need for more effective health strategies in order to convince people, especially those with cardiometabolic disorders, on the importance of the modifiable CVD risk factors.

scholarly journals Geographical profiles of cardiovascular risk and the risk factors in China: data from a nationwide population-based screening project

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C.Q Wu ◽  
X Li ◽  
J.P Lu ◽  
B.W Chen ◽  
Y.C Li ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Population Based ◽  
Staple Food ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Food Factor ◽  
Rural And Urban ◽  
Activity Factor

Abstract Background In China, an abundance of cardiovascular risk factors has contributed to the increasing prevalence of cardiovascular diseases (CVD), which caused almost 4 million deaths per year. However, comprehensive evidence on the geographical profiles of cardiovascular disease risk in China is lacking, as findings in prior studies have been limited to relatively small sample sizes, had incomplete regional coverage, or focused on a narrow risk factor spectrum. Purpose To compare the population CVD risk among different regions across China, and to describe the geographical distributions of CVD risk factors and their clusters throughout the nation. Methods In a nationwide population-based screening project covering 252 counties of China, standardized measurements were conducted to collect information on 12 major CVD risk factors. Individuals of high CVD risk were identified as those with previous CVD, or with a predicted 10-year risk of CVD greater than 10% according to the WHO risk prediction charts. We applied factor analysis to generate “clusters” that characterized the clustering of these risk factors, then explored their relationship with the local ambient temperature and per capital GDP. Results Among 983476 participants included, 9.2% were of high CVD risk, with a range of 1.6% to 23.6% across counties. Among the seven regions in China, the rate was relatively high in the Northeast (11.8%) and North China (10.4%), while low in the South China (7.2%) and Northwest (7.8%). We identified 6 clusters underlying CVD risk factors, including Obesity factor, Blood pressure factor, Staple food factor, Non-staple food factor, Smoking and alcohol factor, and Metabolic and physical activity factor (Figure). We found high risk regions were facing different leading challenges, like obesity and blood pressure for the North China, while unhealthy non-staple food for the Northeast. The South China, as the region with the lowest CVD risk, still had the highest prevalence of unhealthy staple food. Lower annual average ambient temperature was associated with higher risk in Blood pressure factor, Obesity factor and Non-staple food factor, but lower risk in Staple food factor and Metabolic and physical activity factor (p&lt;0.001 for all), consistently between rural and urban. Higher per capital GDP was associated with lower risk in Non-staple food factor in urban and higher risk in Metabolic and physical activity factor in rural (p&lt;0.05 for both). The correlation between per capital GDP and Smoking and alcohol factor differed significantly between in rural and urban regions (p=0.042). Conclusions The geographical profile of CVD risk in China is complex - population risk levels varied substantially across regions, which were contributed by different risk factors. China needs geographically targeted intervention strategies considering environmental and socio-economic factors to control CVD risk and reduce the burden related to CVD. Geographical disparity of risk clusters Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): The National Key Research and Development Program from the Ministry of Science and Technology of China; the CAMS Innovation Fund for Medical Science

scholarly journals FRI0420 ASSOCIATION BETWEEN RED BLOOD CELLS DISTRIBUTION WIDTH AND CARDIOVASCULAR RISK IN OSTEOARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 808.2-808
Author(s):  
N. Hammam ◽  
G. Salem ◽  
D. Fouad ◽  
S. Rashad
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Functional Limitations ◽  
Functional Limitation ◽  
C Reactive Protein ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Distribution Width ◽  
Reactive Protein ◽  
Lipid Panel

Background:Osteoarthritis (OA) is the most common joint disease that results in patient’s morbidity and disabilities. There is strong evidence that OA is a significant risk factor for cardiovascular disease (CVD). Red cell distribution width (RDW) blood test is a measure of the variation in red blood cell volume and size. Elevated RDW has recently been found to correlate with CVD risk in patients with and without heart disease and autoimmune diseases. RDW may be a marker for factors driving CVS risk.Objectives:: To investigate whether RDW can serve as a potential parameter for indicating cardiovascular risk in OA patients.Methods:A subsample of 819 OA patients was extracted from 2003-2006 National Health & Nutrition Examination Survey in a cross-sectional study. 63.7% of them were females. Their mean age was 66.4 ± 14.1 yrs. Demographic, medical data, inflammatory markers & lipid panel were obtained. Only patients with Haemoglobin>12 mg/dl were included. Functional limitations were assessed using a physical function questionnaire.Results:Elevated levels of RDW were associated with CVD risk factors in OA patients. 532 (65.8%) OA patients had functional limitations, while 78 (9.5%) and 63 (7.6%) known to have heart attacks or stroke ever. Mean RDW was 12.9±1.1fL. There was a positive significant correlation between RDW & CVD risk factors including body mass index (r=0.17, p<0.001), C-reactive protein (r=0.29, p<0.001), serum uric acid (r=0.12, p<0.001), and functional limitation (0.16, p<0.001). No significant association between RDW & lipid panel was found. In multiple regression analysis controlling for age, sex as covariates, body mass index (β =0.02, 95%CI: 0.01, 0.03, p=0.002), C-reactive protein (β =0.35, 95%CI: 0.26, 0.45, p<0.001), and functional limitation (β =0.18, 95%CI: 0.13, 0.35, p=0.03).Conclusion:In addition to known CVD risk in OA patients, elevated RDW levels should prompt physicians to aggressively screen and treat their patients for modifiable CVS risk factors, in addition to OA.Disclosure of Interests:None declared

scholarly journals Cardiovascular risk factors and COVID-19 outcomes in hospitalised patients: a prospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e045482
Author(s):  
Didier Collard ◽  
Nick S Nurmohamed ◽  
Yannick Kaiser ◽  
Laurens F Reeskamp ◽  
Tom Dormans ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cox Regression ◽  
Lipid Lowering ◽  
Lipid Lowering Therapy ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Icu Admission ◽  
Lowering Therapy ◽  
Secondary Outcomes ◽  
Age And Sex

ObjectivesRecent reports suggest a high prevalence of hypertension and diabetes in COVID-19 patients, but the role of cardiovascular disease (CVD) risk factors in the clinical course of COVID-19 is unknown. We evaluated the time-to-event relationship between hypertension, dyslipidaemia, diabetes and COVID-19 outcomes.DesignWe analysed data from the prospective Dutch CovidPredict cohort, an ongoing prospective study of patients admitted for COVID-19 infection.SettingPatients from eight participating hospitals, including two university hospitals from the CovidPredict cohort were included.ParticipantsAdmitted, adult patients with a positive COVID-19 PCR or high suspicion based on CT-imaging of the thorax. Patients were followed for major outcomes during the hospitalisation. CVD risk factors were established via home medication lists and divided in antihypertensives, lipid-lowering therapy and antidiabetics.Primary and secondary outcomes measuresThe primary outcome was mortality during the first 21 days following admission, secondary outcomes consisted of intensive care unit (ICU) admission and ICU mortality. Kaplan-Meier and Cox regression analyses were used to determine the association with CVD risk factors.ResultsWe included 1604 patients with a mean age of 66±15 of whom 60.5% were men. Antihypertensives, lipid-lowering therapy and antidiabetics were used by 45%, 34.7% and 22.1% of patients. After 21-days of follow-up; 19.2% of the patients had died or were discharged for palliative care. Cox regression analysis after adjustment for age and sex showed that the presence of ≥2 risk factors was associated with increased mortality risk (HR 1.52, 95% CI 1.15 to 2.02), but not with ICU admission. Moreover, the use of ≥2 antidiabetics and ≥2 antihypertensives was associated with mortality independent of age and sex with HRs of, respectively, 2.09 (95% CI 1.55 to 2.80) and 1.46 (95% CI 1.11 to 1.91).ConclusionsThe accumulation of hypertension, dyslipidaemia and diabetes leads to a stepwise increased risk for short-term mortality in hospitalised COVID-19 patients independent of age and sex. Further studies investigating how these risk factors disproportionately affect COVID-19 patients are warranted.

scholarly journals Serum alanine aminotransferase activity and risk factors for cardiovascular disease in a Caucasian population: the Tromsø study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Svein Ivar Bekkelund
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Alanine Aminotransferase ◽  
Maximum Level ◽  
Glycated Haemoglobin ◽  
Caucasian Population ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Cross Sectional ◽  
Serum Alanine Aminotransferase

Abstract Background High and low levels of serum alanine aminotransferase (ALT) are both associated with cardiovascular diseases (CVD) risks especially in elderly, but the mechanisms are less known. This study investigated associations between ALT and CVD risk factors including effects of sex and age in a Caucasian population. Methods Cross-sectional data were analysed sex-stratified in 2555 men (mean age 60.4 years) and 2858 women (mean age 60.0 years) from the population study Tromsø 6. Associations were assessed by variance analysis and multivariable logistic regression of odds to have abnormal ALT. Risk factors included body mass index (BMI), waist-to-hip-ratio, blood pressure, lipids, glucose, glycated haemoglobin and high-sensitive C-reactive protein (CRP). Results Abnormal elevated ALT was detected in 113 men (4.4%) and 188 women (6.6%). Most CVD risk factors associated positively with ALT in both sexes except systolic blood pressure and CRP (women only), while ALT was positively associated with age in men when adjusted for CVD risk factors, P < 0.001. BMI predicted ALT in men (OR 0.94; 95% CI 0.88–1.00, P = 0.047) and women (OR 0.90; 95% CI 0.86–0.95, P < 0.001). A linear inversed association between age and ALT in men and a non-linear inversed U-trend in women with maximum level between 60 and 64 years were found. Conclusion This study confirms a positive relationship between ALT and CVD risk factors, particularly BMI. Age is not a major confounder in the ALT-CVD relationship, but separate sex-analyses is recommended in such studies.

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