scholarly journals Variation in Blood Glucose and Blood Pressure Distribution among Students of a Tertiary Institution in Port-Harcourt

2021 ◽  
pp. 1-8
Author(s):  
S. O. Ojeka ◽  
T. G. Ibulubo ◽  
F. Saronee
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Pressure Distribution ◽  
Low Income ◽  
Fasting Blood Glucose ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
State College ◽  
Arterial Blood ◽  
Port Harcourt

Introduction: Globally, reports on diabetes, hypertension and other cardiovascular diseases have shown to pose a major pitfall of health challenge, resulting in mortality especially among middle and low-income groups in developing countries. Aim: This research was therefore undertaken to determine the variation in blood glucose and blood pressure distribution among individual students of a tertiary institution in Port-Harcourt, Nigeria. Methodology: This is a randomized cross sectional observational study. 220 apparently healthy students (54 male and 166 female) of Rivers State College of Health Sciences and Management Technology (RIVSCOHSMAT), Port Harcourt were recruited into the study, Fasting blood glucose and blood pressure were determined using glucometer and sphygmomanometer respectively.          Results: The results show the prevalence of prehypertension and hypertension as 8.2% and 10.5% respectively. The results revealed that 2.3% of the population was pre-diabetic with a higher prevalence in men (5.6%) compared to females (1.2%). Male subjects had significantly higher fasting blood sugar, systolic, diastolic and mean arterial blood pressure compared to the females (p<0.05). Conclusion: The study revealed gender differences in blood glucose homeostasis between women and men. More awareness is needed to encourage a healthier lifestyle to reduce the burden of diabetes and hypertension.

scholarly journals METS-IR, a novel score to evaluate insulin sensitivity, is associated with the urinary albumin–creatinine ratio in Chinese adults: A cross-sectional REACTION study

2021 ◽  
Author(s):  
Wanlu Su ◽  
Jie Wang ◽  
Songyan Yu ◽  
Kang Chen ◽  
Wenhua Yan ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Blood Pressure ◽  
Blood Glucose ◽  
Fasting Blood Glucose ◽  
Urinary Albumin ◽  
Postprandial Blood Glucose ◽  
Creatinine Ratio ◽  
Discriminative Ability ◽  
Cross Sectional ◽  
Albumin Creatinine Ratio

Abstract BackgroundThe metabolic score for insulin resistance (METS-IR) is a novel noninsulin-based metabolic index used as a substitution marker of insulin resistance. However, whether METS-IR is associated with the urinary albumin–creatinine ratio (UACR) is not well known. Therefore, we explored the associations between METS-IR and UACR and compared the discriminative ability of METS-IR and its components for elevated UACR. MethodsThis study included 37,290 subjects. METS-IR was calculated as follows: (Ln [2 × fasting blood glucose (FBG) + fasting triglyceride level (TG 0 )] × body mass index (BMI))/[Ln (high-density lipoprotein cholesterol (HDL-C))]. Participants were divided into four groups on the basis of METS-IR: <25%, 25%–49%, 50%–74%, and ≥75%. Logistic regression analyses were conducted to determine the associations between METS-IR vs. its components (FBG, TG 0 , BMI, and HDL-C) with UACR. ResultsParticipants with the highest quartile METS-IR presented a more significant trend towards elevated UACR than towards its components (odds ratio [OR]: 1.260, 95% CI: 1.152–1.378, P < 0.001 in all subjects; OR: 1.321, 95% CI: 1.104–1.579, P = 0.002 in men; OR: 1.201, 95% CI: 1.083–1.330, P < 0.001 in women). There were significant associations between METS-IR and UACR in younger participants (<65 years for women and 55–64 years for men). Increased METS-IR was significantly associated with UACR in men with FBG ≥ 5.6 mmol/L or postprandial blood glucose ≥ 7.8 mmol/L and systolic blood pressure ≥ 120 mmHg or diastolic blood pressure ≥ 80 mmHg. The relationships were significant in women with diabetes and hypertension.ConclusionsIncreased METS-IR was significantly associated with elevated UACR, and its discriminative power for elevated UACR was superior to that of its components. This findings support the clinical significance of METS-IR for evaluating renal function damage.

scholarly journals Association between metabolic parameters and risks of anemia and electrolyte disturbances among stages 3–5 chronic kidney disease patients in Taiwan

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Adi Lukas Kurniawan ◽  
Ya-Lan Yang ◽  
Chien-Yeh Hsu ◽  
Rathi Paramastri ◽  
Hsiu-An Lee ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Blood Glucose ◽  
Kidney Disease ◽  
Diastolic Blood Pressure ◽  
Fasting Blood Glucose ◽  
Adverse Outcomes ◽  
Metabolic Parameters ◽  
Cross Sectional ◽  
Electrolyte Disturbances

Abstract Background Anemia and electrolyte disturbances are adverse outcomes of chronic kidney disease (CKD). This study explored the association between metabolic parameters with anemia and electrolyte and mineral disorders among CKD patients in Taiwan. Methods This cross-sectional study with a total of 2176 CKD stages 3–5 patients were collected from the Department of Nephrology at Shuang Ho Hospital, Taipei Medical University through the “Chronic Kidney Disease Common Care Network” database from December 2008 to April 2019. A multivariable-adjusted logistic regression expressed as odd ratios (OR) was performed to assess the association of metabolic parameters with anemia and electrolyte and mineral disorders. Results Elevated diastolic blood pressure, fasting blood glucose, and glycated hemoglobin A1c (HbA1c) were associated with presence of anemia. Similarly, elevated fasting blood glucose and HbA1c were associated with hyponatremia (OR = 1.59 and 1.58, P for both < 0.01) and hypercalcemia (OR = 1.38 and 1.33, P for both < 0.05). There was no significant association in serum lipid levels with presence of anemia. However, total triglycerides, total cholesterol and low-density lipoprotein-cholesterol were only associated with presence of hypercalcemia (OR = 1.43, 1.95 and 3.08, respectively, P for all < 0.05). Conclusions Elevated diastolic blood pressure, fasting blood glucose, HbA1c and blood lipids are associated with anemia or electrolyte and mineral disorders in CKD patients.

scholarly journals Community health worker-led, technology-enabled private sector intervention for diabetes and hypertension management among urban poor: a retrospective cohort study from large Indian metropolitan city

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e045246
Author(s):  
Sarang Deo ◽  
Preeti Singh
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Private Sector ◽  
Community Health ◽  
Low Income ◽  
Retrospective Cohort ◽  
Retention Rate ◽  
Fasting Blood Glucose ◽  
Mean Difference ◽  
Secondary Outcome

ObjectivesWe assessed the effectiveness of community health workers (CHWs)-led, technology-enabled programme as a large-scale, real-world solution for screening and long-term management of diabetes and hypertension in low-income and middle-income countries.DesignRetrospective cohort design.SettingForty-seven low-income neighbourhoods of Hyderabad, a large Indian metropolis.ParticipantsParticipants (aged ≥20 years) who subscribed to an ongoing community-based chronic disease management programme employing CHWs and technology to manage diabetes and hypertension.Primary and secondary outcome measuresWe used deidentified programme data between 1 March 2015 and 8 October 2018 to measure participants’ pre-enrolment and post-enrolment retention rate and within time-interval mean difference in participants’ fasting blood glucose and blood pressure using Kaplan-Meier and mixed-effect regression models, respectively.Results51 126 participants were screened (median age 41 years; 65.2% women). Participant acquisition rate (screening to enrolment) was 4%. Median (IQR) retention period was 163.3 days (87.9–288.8), with 12 months postenrolment retention rate as 16.5% (95% CI 14.7 to 18.3). Reduction in blood glucose and blood pressure levels varied by participants’ retention in the programme. Adjusted mean difference from baseline ranged from −14.0 mg/dL (95% CI −18.1 to −10.0) to −27.9 mg/dL (95% CI −47.6 to −8.1) for fasting blood glucose; −2.7 mm Hg (95% CI −7.2 to 2.7) to −7.1 mm Hg (95% CI −9.1 to −4.9) for systolic blood pressure and −1.7 mm Hg (95% CI −4.6 to 1.1) to −4.2 mm Hg (95% CI −4.9 to −3.6) for diastolic blood pressure.ConclusionsCHW-led, technology-enabled private sector interventions can feasibly screen individuals for non-communicable diseases and effectively manage those who continue on the programme in the long run. However, changes in the model (eg, integration with the public health system to reduce out-of-pocket expenditure) may be needed to increase its adoption by individuals and thereby improve its cost-effectiveness.

scholarly journals Association of serum uric acid, morning home blood pressure and cardiovascular risk factors in a population with previous prehypertension: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038046 ◽  
Author(s):  
Lucky Aziza Bawazier ◽  
Mochammad Sja'bani ◽  
Fredie Irijanto ◽  
Zulaela Zulaela ◽  
Agus Widiatmoko ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Uric Acid ◽  
Cardiovascular Risk ◽  
Blood Glucose ◽  
Cardiovascular Risk Factors ◽  
Fasting Blood Glucose ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

ObjectiveTo observe the changes in blood pressure (BP) over 10 years and to investigate current BP association to serum uric acid (SUA) levels and cardiovascular risk factors in the epidemiological data of a target group of patients with prehypertension in 2007.DesignCross-sectional study.SettingMlati Subdistrict, Sleman District, Yogyakarta Province, Indonesia.ParticipantsA total of 733 patients from ‘Mlati Study Database’ in 2007 were selected by simple random sampling using statistical software. Subjects had both physical and laboratory examinations.Outcome measuresMorning home BP and laboratory examination of urine (uric acid excretion and creatinine) and blood samples (SUA, blood urea nitrogen, creatinine, a lipid profile and fasting blood glucose levels).ResultsAbout 31.1% of 733 subjects with prehypertension became hypertensive after 10 years, 24.6% returned to normal tension and the rest of it remained in prehypertensive state. Mean (SD) of SUA levels in 2017 was significantly higher in men than in women (5.78 (1.25) mg/dL vs 4.52 (1.10) mg/dL, p<0.001). Furthermore, men tended to have high-normal (5–7 mg/dL) or high SUA levels (≥7 mg/dL) compared with women (p<0.001, Relative Risk (RR)=2.60). High-normal and high SUA levels in population with a history of prehypertension were significantly associated with current prehypertension and hypertension only in women (p=0.001, RR=1.21). Age and body mass index was found to be significantly associated with both systolic and diastolic BP in men, but only with systolic BP in women. Fasting blood glucose and SUA levels were significantly associated with systolic and diastolic BP only in women.ConclusionWe concluded that after 10 years, of 733 subjects with prehypertension, 31.1% became hypertensive. The SUA levels in men are significantly higher than those in women. Moreover, high-normal and high SUA levels were significantly associated with prehypertension and hypertension in women but not in men.

scholarly journals Az idősek tápláltsági állapota és testösszetétele a szabadkai Gerontológiai Központban

2019 ◽  
Vol 160 (9) ◽  
pp. 349-358
Author(s):  
Hajnalka Pozsár ◽  
Karolina Berenji ◽  
Csaba Pozsár
Keyword(s):  
Blood Pressure ◽  
Body Composition ◽  
Blood Glucose ◽  
Arterial Blood Pressure ◽  
Nutritional Assessment ◽  
Fasting Blood Glucose ◽  
The Elderly ◽  
The Body ◽  
Blood Pressure Monitor ◽  
Arterial Blood

Abstract: Introduction: Nutritional assessment is the most effective way of preventing obesity and malnutrition in the elderly. Aim: The aim of our study was to assess the nutritional status of people living in the nursing home, and to determine blood glucose and arterial blood pressure. Method: In November 2017, thirty-six people aged over 60 were included in the study. The body composition was determined by bioimpedance scale ‘In Body 230’. The fasting blood glucose level was determined by a digital blood glucose meter and the arterial blood pressure was determined by a digital blood pressure monitor. Results: Body composition of the participants showed that 36.1% are classified as overweight (body mass index [BMI] 25–29.9 kg/m2) and 36.1% as obese (BMI≥30.0 kg/m2). Obesity (50%) is predominantly recorded at the age of 75–84 years. 44% of the subjects did not have a glycemic response, with an average fasting blood sugar of 7.27 ± 2.03 mmol/L. The mean arterial blood pressure was 143.6/79.5 mmHg. Nearly 60% of the examined elderly people are hypertensive. Conclusions: Obesity was diagnosed in more than one third of the elderly and 70% had high cardiovascular comorbidity. According to these findings, nursing homes need to pay more attention to the amount and quality of meals in order to avoid complications. Orv Hetil. 2019; 160(9): 349–358.

scholarly journals Accuracy of Self-Reported Hypertension, Diabetes, and Hyperlipidemia among Adults of Liwan, Guangzhou, China

2020 ◽  
Author(s):  
Huijie GUO ◽  
Yi YU ◽  
Yilu YE ◽  
Shudong ZHOU
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Health Knowledge ◽  
Blood Pressure Measurement ◽  
Glucose Measurement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Past ◽  
Arterial Blood ◽  
Self Reports

Background: We aimed to determine the accuracy of self-reported diabetes, hypertension, and hyperlipidemia in Chinese adults and examine factors that affect the accuracy of self-reports. Methods: This representative cross-sectional survey was conducted in Liwan District, Guangzhou City, Southeast China. Self-reported data were collected using a structured questionnaire. Biometrical data were recorded, including blood lipid, blood glucose and arterial blood pressure levels. Sensitivity, specificity, and κ values of self-reports were used as measurements of accuracy or agreements. The Robust Poisson-GEE was applied to determine the association of participants’ characteristics with the accuracy of self-reports. Results: Self-reported and biometrical data of 1278 residents aged 18 yr and older (693 women and 585 men) were used to calculate three measures of agreement. The agreement between self-reports and biomedical measurements was substantial for both hypertension and diabetes (κ=0.77 and 0.76), but only slight for hyperlipidemia (κ=0.06). Similarly, the sensitivity was higher for hypertension and diabetes (72.3% and 71.2%) than for hyperlipidemia (6.8%), while the specificity was high overall (≥98%). The factors associated with an accurate self-reported diagnosis in respondents with disease included having undergone blood pressure measurement (for hypertension) or blood glucose measurement (for diabetes) in the past 6 month, having attended health knowledge lectures in the past year and having social health insurances (for hypertension), and having undergone physical discomfort in the past 2 weeks (for hypertension and diabetes). Conclusion: The accuracy of self-reported hypertension and diabetes was high, whereas that of self-reported hyperlipidemia was lower among the population.

scholarly journals Cross Sectional Analysis of the Effect of Yogurt and Fiber Consumption on BMI, Blood Pressure, and Lipids in College Students

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 750-750
Author(s):  
Paige Farias ◽  
Kathleen Melanson
Keyword(s):  
College Students ◽  
Blood Pressure ◽  
Blood Glucose ◽  
Diastolic Blood Pressure ◽  
Fasting Blood Glucose ◽  
Fermented Foods ◽  
Cross Sectional ◽  
Dietary History ◽  
Fiber Consumption ◽  
The Impact

Abstract Objectives Results from recent studies suggest that maintaining a healthy gut microbiome is important for predicting health outcomes using biomarkers such as BMI, blood pressure, glucose, and lipids. College-aged students are an important population to consider as they are at a crucial stage in developing eating habits, including consumption of probiotic-rich, fermented foods and prebiotic fermentable nutrients. We hypothesize that yogurt consumption and fiber consumption will beneficially impact these outcomes and we explored a possible interaction. Methods In a cross-sectional design, 497 college students (76% female; 19.5 ± 3.62 yr; BMI 23.94 ± 4.72 kg/m2) enrolled in a general nutrition course completed the Dietary History Questionnaire II. Height and weight were measured, along with blood pressure with an electronic sphygmomanometer. Fasting blood glucose and lipids were measured with Cholestech. Median splits were used for yogurt (.05 cups/day) and fibers (18.71 grams/day) intakes. Analysis of Variance (ANOVA) was used to examine relationships of yogurt consumption and fiber consumption separately with BMI, blood pressure, and blood lipids. ANCOVA was used to control for added sugars intakes. To test for interactions between yogurt and fibers, 2 × 2 ANOVA and ANCOVA were used. Data are expressed as means ± standard deviations. Results Of the 497 students, 48% reported lower yogurt consumption while 50% reported lower fiber consumption. Univariate-measures analysis indicated a significant effect of higher yogurt consumption on BMI (P = .037), blood glucose (P = .048), and diastolic blood pressure (P = .035) while higher fiber consumption showed a significant effect on total cholesterol (P = .011), HDL (P = .045), and triglycerides (P = .006). LDL was not significantly impacted (P = .069). No significance differences were reported within interactions (P &gt; .05). Conclusions Higher yogurt consumption was associated with lower BMI, blood glucose, and diastolic blood pressure, while higher fiber consumption was associated with beneficial effects on lipids. Lack of interaction between yogurt and fibers may be related to a low yogurt intake in this population. These findings may promote further research focusing on synbiosis to examine the impact of fiber when consumed conjunctively with probiotic foods. Funding Sources There was no external funding for this study.

scholarly journals Androgenetic Alopecia as a Marker of Metabolic Syndrome

2021 ◽  
pp. 146-153
Author(s):  
Faryal Hussain Memon ◽  
Abdul Ghani Rahimoon ◽  
Pardeep Kumar ◽  
Shahid Hussain Memon ◽  
Erum Siddiqui ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Blood Glucose ◽  
Low Socioeconomic Status ◽  
Family Income ◽  
Fasting Blood Glucose ◽  
Androgenetic Alopecia ◽  
Cross Sectional ◽  
Male Patients ◽  
The Relationship

Background: Alopecia induced by androgens in genetically predisposed individuals is termed as Androgenetic alopecia (AGA). There is proof appearance the relationship between Androgenetic alopecia and metabolic condition. Objective: To determine frequency of metabolic syndrome in Androgenetic alopecia as a biomarker of disease in adult male patients. Materials and methods: It was a Cross Sectional Study conducted at the Department of Dermatology, Liaquat University of Medical and Health Sciences Hospital, Jamshoro/Hyderabad. Total 178 diagnosed male patients of Androgenetic alopecia were included. The grading of male pattern Androgenetic alopecia was done according to modified Norwood-Hamilton classification. Norwood-Hamilton Stage I-III were regarded to be mild to moderate and Stage IV and higher were regarded as severe. Vein was engorged by a tourniquet applied above the cubital fossa. Blood glucose levels were estimated. The level of triglycerides was determined. HDL-Cholesterol was estimated by a pre­cipitant method. Descriptive statistics were calculated using SPSS. Chi square tests were applied to determine the relationship of independent variables with metabolic syndrome. Results: The overall mean age of the patients was 39.08±10.14 years. The mean waist circumference, triglycerides, high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure and fasting blood glucose were 94.71±12.30 cm, 133.83±13.27 mg/dl, 48.10±7.89 mg/dl,102.94±17.67 mmHg, 76.88±8.56 mmHg, and 93.06±9.78 mg/dl respectively. A total of 10.1% of the patients were found to have metabolic syndrome. There was a significant association between metabolic syndrome and age and family income. Conclusion: Metabolic syndrome was observed in 10.1% of the patients and this was more commonly found in: the age group >40 years, married individuals, low socioeconomic status individuals, and illiterate individuals.

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