Prevalence and Predictors of High Blood Pressure Among Women of Reproductive Age and Children Aged 10 to 14 Years in Guatemala

Introduction: High Body Mass Index is one of the risk factors for many chronic diseases and adverse health outcomes. It is associated with an increased risk of coronary heart disease, ischemic stroke, high blood pressure and type 2 diabetes mellitus. It also have many adverse effect on reproductive health of the women like sub fertility, polycystic ovarian disease, menstrual abnormality etc. The purpose of this study is to find Basal Metabolic Rate and the diseases pattern of reproductive age woman in Nepal. Methods: This is a descriptive study of women of reproductive age (15 to 49 years) attending a private gynaecology clinic in Kathmandu Valley from October 2016 to June 2017. Six hundred and eight women of current reproductive age group participated in this study. Women’s particulars and complaints were noted down. Detailed history was taken. Height, weight and blood pressure were recorded and general examination was done. BMI was calculated as BMI is weight in kilogram divided by height in meter square, and it was interpreted as per WHO guidelines. Results: Out of the total 608 participants, 243 (40%) were overweight, 96 (15.8%) were obese. Regarding the common health problems, 154 (25.3%) have sub fertility and 199 (32%) had genitourinary infection. Similarly, 90 (14.8%) had menstrual problems. Conclusions: Prevalence of overweight and obesity has risen significantly comparing to the study done decade ago in same setting. Similarly, sub fertility rate has also risen whereas the prevalence of genitourinary infections has decreased. Keywords: BMI; genitourinary infection; Nepal-reproductive age women; sub fertility.

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Assessment of the cardiovascular risk in women of reproductive age depending on the presence of gestational arterial hypertension in the anamnesis

Kazan medical journal ◽

10.17816/kmj1544 ◽

2012 ◽

Vol 93 (4) ◽

pp. 564-569

Author(s):

A R Sadykova ◽

A R Shamkina ◽

G R Mustafina

Keyword(s):

Blood Pressure ◽

Waist Circumference ◽

Arterial Hypertension ◽

Reproductive Age ◽

Normal Blood ◽

Normal Blood Pressure ◽

Women Of Reproductive Age ◽

Exact Test ◽

Fisher's Exact Test ◽

Fisher’S Exact Test

Aim. To assess the cardiovascular risk in women of reproductive age, depending on the presence of gestational arterial hypertension in the anamnesis. Methods. Examined were 25 practically healthy volunteers with normal blood pressure, 33 patients with high normal blood pressure and 77 women with arterial hypertension (Classification of the All-Russian Scientific Society of Cardiologists, 2010) with a history of arterial hypertension of 0.5-24 years. The average age of patients with arterial hypertension was 40.8±4.5 years. All examined individuals were divided into two groups depending on the presence of gestational arterial hypertension. Determined were the group averages and grades (in percent) of the studied factors. Results. Among women of the reproductive age gestational arterial hypertension was significantly more common in patients with arterial hypertension compared to women with normal levels of blood pressure (62.3 vs. 16%, p 0.001 by χ2 criteria). In the group of patients with arterial hypertension who have gestational arterial hypertension, compared with those individuals with normal blood pressure, who have gestational arterial hypertension significantly more ofter (p 0.05, Fisher’s exact test) seen was the abdominal type of obesity (54.1 vs. 0%). In the group of patients with arterial hypertension who have gestational arterial hypertension, compared with individuals with normal blood pressure without gestational arterial hypertension significantly more often (Fisher’s exact test) recorded was a family history of cardiovascular disease (inxcluding arterial hypertension), obesity, especially the abdominal type; revealed were significantly (by the U criteria) higher mean values of waist circumference, waist circumference relationship to hip circumference, body mass index, total cholesterol level. A significantly (p 0.01, Fisher’s exact test) greater proportion of individuals with very high additional risk of developing complications of hypertension in the next 10 years was noted in the group of patients with arterial hypertension and gestational arterial hypertension compared to patients with high normal blood pressure and gestational hypertension (37.5 vs. 0%). Conclusion. In women of reproductive age gestational arterial hypertension is a specific risk factor for subsequent arterial hypertension that is associated with significantly greater frequency of obesity, especially the abdominal type, very high additional risk of complications of arterial hypertension, as well as significantly higher mean values of waist circumference, ratio of waist circumference / hip circumference, and total cholesterol level.

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Understanding Patterns and Drivers of Bouillon Use in Northern Ghana to Inform Fortification Planning

Current Developments in Nutrition ◽

10.1093/cdn/nzab045_037 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 655-655

Author(s):

Sika Kumordzie ◽

Jennie Davis ◽

Katherine Adams ◽

Xiuping Tan ◽

Seth Adu-Afarwuah ◽

...

Keyword(s):

Blood Pressure ◽

Focus Groups ◽

High Blood Pressure ◽

Northern Region ◽

Reproductive Age ◽

Northern Ghana ◽

Negative Effects ◽

Funding Sources ◽

Almost All ◽

Micronutrient Fortification

Abstract Objectives To explore the potential for bouillon as a micronutrient fortification vehicle in northern Ghana, we assessed market availability, household purchase and consumption of bouillon products, and perceptions of bouillon and salt. Methods We selected 28 clusters in the Tolon and Kumbungu districts of the Northern region of Ghana (7 urban, 4 semi-urban, and 3 rural clusters per district). Among 369 randomly selected households, women of reproductive age (15–49 y; WRA) were interviewed about household bouillon purchasing habits, its use in food preparation, and perceptions about the positive/negative effects of bouillon consumption. Twenty focus groups of 5–6 participants each were held in 11 clusters (10 WRA, 5 men, 5 women > 49y). We also assessed availability of bouillon products for sale from vendors in clusters (n = 11) and major markets (n = 4). Results In the survey, almost all (99%) respondents had ever cooked with bouillon, and 77% reported typically cooking with bouillon at least twice per day. Seven brands and three flavors of bouillon products were for sale. Most households (87%) reported consuming shrimp flavor without other spice most frequently. On average, households purchased bouillon cubes weekly, most from open markets (74%) or kiosks (22%). Most common reasons for bouillon use included taste (98%) and family preference (46%). Economic access was also important: 59% reported purchasing less bouillon or switching bouillon brands (28%) or flavors (11%) when they had less money available. About two-thirds of respondents perceived having bouillon in a person's diet was “good” (vs 43% for salt); reasons provided included: “gives more energy” (43%) and “makes you stronger” (41%). Among the 18% of respondents who perceived having bouillon in a person's diet was “bad”, reasons included: stomach upset (63%) and high blood pressure (39%). High blood pressure (85%) was the most common concern among the 32% perceiving salt as “bad”. Focus groups revealed seasonal variation in quantity of bouillon used. Conclusions Bouillon consumption is common and frequent in northern Ghana, indicating good potential as a micronutrient fortification vehicle. Understanding perceptions of bouillon by different household members will inform research and program messaging. Funding Sources Funded by a grant to the University of California, Davis from Helen Keller International.

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Factors associated with blood pressure check-up during pregnancy among women of reproductive age in Tanzania: an analysis of data from 2015—16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03963-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Fabiola V. Moshi ◽

Maximilian Tungaraza

Keyword(s):

Blood Pressure ◽

Pregnant Women ◽

Health Survey ◽

Wealth Index ◽

Reference Population ◽

Education Level ◽

Demographic And Health Survey ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Factors Associated

Abstract Background Hypertensive Disorder of Pregnancy (HDP) is one of the leading causes of maternal mortality and morbidity amongst pregnant women in the world. Blood pressure check-ups during pregnancy are one of the strategies used to identify hypertensive disorders, hence timely management. Little is known about the factors associated with blood pressure check-ups in Tanzania. Method The study used data from 2015—16 Tanzania Demographic and Health Survey and Malaria Indicators Survey (2015—16 TDHS—MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the association between early antenatal booking and maternal services utilization. Results The prevalence of blood pressure checkups during pregnancy was 72.17% at 95% confidence interval of 71.1–73.2%. Factors associated with uptake of blood pressure check-ups were; timely antenatal booking, AOR = 1.496, CI = 1.297–1.726, p < 0.001, late booking was a reference population, age group [> 34 years, (AOR = 1.518, CI = 1.149–2.006, p = 0.003)] with < 20 years used as a reference population, wealth index [middle income, (AOR = 1.215, CI = 1.053–1.468, p = 0.008) and rich, (AOR = 2.270, CI = 1.907–2.702, p < 0.001)] reference population being poor; education level [primary education, (AOR = 1.275, CI = 1.107–1.468, p = 0.001); secondary education, (AOR = 2.163, CI = 1.688–2.774, p < 0.001) and higher education, (AOR = 9.929, CI = 1.355–72.76, p = 0.024)] reference population being no formal education; parity [para 2–4, (AOR = 1.190, CI = 1.003–1.412, p = 0.046) with para one used as a reference population and zones [Unguja Island, (AOR = 3.934, CI = 1.568–9.871, p = 0.004), Pemba Island, (AOR = 5.308, CI = 1.808–15.58, p = 0.002)] and Mainland Urban being the reference population. Conclusion The study revealed that rural dwelling pregnant women had higher chance of not getting their BP checked. It was also revealed that maternal age, education level, place of residence, wealth index and timing of ANC services were significantly associated with blood pressure check-ups. The study recommends the need to explore significant factors associated with utilization of available free reproductive health services across all public health facilities. It also recommends the need to address prioritized intensive awareness programs and behavioral change interventions on the significance of BP check-ups among pregnant women of reproductive age.

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Healthbot for Polycystic Ovarian Syndrome

International Journal of Database Management Systems ◽

10.5121/ijdms.2021.13201 ◽

2021 ◽

Vol 13 (2) ◽

pp. 1-08

Author(s):

Jeyshree Krishnaswamy Sundararajan ◽

Yanyan Li ◽

Ahmad Hadaegh

Keyword(s):

Blood Pressure ◽

Polycystic Ovarian Syndrome ◽

Reproductive Age ◽

High Cholesterol ◽

Women Of Reproductive Age ◽

Endocrine Disorder ◽

Cholesterol Levels ◽

The People ◽

And Control ◽

Ovarian Syndrome

Polycystic ovarian syndrome(PCOS) is one of the predominant hormonal imbalances present in women of reproductive age. It needs to be diagnosed and treated at an earlier stage as it's inter-related to diabetes, high cholesterol levels, and obesity. This paper presents an application specially designed for women to help them keep track of their Body Mass Index, Blood Sugar, and Blood Pressure based on their age. The people diagnosed with PCOS(an endocrine disorder) can use this application to make their life easy since it helps follow certain exercises, diets, and timely reminders for water and medicines. It has features like the period tracker to track the user’s menstrual cycle, find dieticians nearby, links to various PCOS supplements, users can track their moods during different menstrual phases and control their mood swings. Finally, the application has games to add that interactive touch.

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Higher maternal BMI early in pregnancy is associated with overweight and obesity in young adult offspring in Thailand

BMC Public Health ◽

10.1186/s12889-021-10678-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sakaewan Ounjaijean ◽

Antika Wongthanee ◽

Kanokwan Kulprachakarn ◽

Amaraporn Rerkasem ◽

Sakda Pruenglampoo ◽

...

Keyword(s):

Blood Pressure ◽

Young Adult ◽

Normal Weight ◽

Overweight And Obesity ◽

Reproductive Age ◽

Antenatal Visit ◽

Adult Offspring ◽

Women Of Reproductive Age ◽

Maternal Bmi ◽

In Pregnancy

Abstract Background Rates of overweight and obesity among women of reproductive age have been steadily increasing worldwide and in Thailand. There is mounting evidence that maternal obesity during pregnancy is associated with an increased risk of obesity and other adverse health outcomes in the offspring, but such data are lacking for Thailand. We examined the associations between maternal body mass index (BMI) and anthropometry (particularly the likelihood of obesity) and cardiometabolic parameters in young adult offspring. Methods This was a prospective follow-up study of a birth cohort in Chiang Mai (Thailand). Pregnant women carrying singletons were recruited at their first antenatal visit (< 24 weeks of gestation) and followed until delivery in 1989–1990. Participants were their young adult offspring followed up in 2010. Maternal BMI was recorded at the first antenatal visit. The offspring underwent clinical assessments, including anthropometry, lipid profile, insulin sensitivity (HOMA-IR), blood pressure, and carotid intima-media thickness. The primary outcome of interest was the likelihood of obesity in the offspring. Results We assessed 628 young adults (54% were females) at 20.6 ± 0.5 years of age (range 19.1–22.1 years). The young adult offspring of mothers with overweight/obesity was 14.1 kg (95%CI 9.7, 18.5; p < 0.0001) and 9.4 kg (95% CI 6.1, 12.8; p < 0.0001) heavier than those born to mothers with underweight or normal weight, respectively, and had BMI 3.46 kg/m2 (95%CI 2.26, 4.67; p < 0.0001) and 5.27 kg/m2 (95%CI 3.67, 8.68; p < 0.0001) greater, respectively. For every 1-kg/m2 increase in maternal BMI, the adjusted odds ratio (aOR) of offspring obesity was 25% greater (95%CI 1.10, 1.42; p < 0.001). Thus, the aOR of obesity in offspring of mothers with overweight/obesity was 4.6 times greater (95%CI 1.86, 11.26; p < 0.001) and nearly 17-fold greater (95%CI 1.96, 146.4; p = 0.010) compared to young adults born to mothers with normal weight or underweight, respectively. There were no observed associations between maternal BMI status and offspring metabolism or blood pressure. Discussion Maternal overweight/obesity early in pregnancy was associated with increased BMI and greater odds of obesity in their young adult offspring in Thailand. These findings highlight the public health importance of fostering healthier lifestyle choices among women of reproductive age.

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