Association between Exercise and Blood Pressure in Hypertensive Residents: A Meta-Analysis

Background. Exercise is recommended as an effective lifestyle behaviour for adults to prevent and treat hypertension. In this study, a randomized-effect meta-analysis was used to analyse the influence of exercise interventions on blood pressure in patients with hypertension. Methods. Candidate papers were retrieved from PubMed, Web of Science, Embase, and Cochrane Library electronic databases, and 46 studies were finally included and analysed. Results. It was shown that preplanned walking (systolic blood pressure (SBP): WMD (weighted mean difference) = −5.94, 95% CI: −8.57, −3.30; diastolic blood pressure (DBP): WMD = −2.66, 95% CI: −3.66, −1.67), yoga (SBP: WMD = −5.09, 95% CI: −9.28, −0.89; DBP: WMD = −3.06, 95% CI: −5.16, −0.96), aquatic sports (SBP WMD = −7.53, 95% CI: −11.40, −3.65; DBP: WMD = −5.35, 95% CI: −9.00, −1.69), and football (SBP: WMD = −6.06, 95% CI: −9.30, −2.82; DBP: WMD = −5.55, 95% CI: −8.98, −2.13) had significant effects on blood pressure reduction. However, Tai Chi (SBP: WMD = −8.31, 95% CI: −20.39, 3.77; DBP: WMD = −3.05, 95% CI: −6.96, 0.87) and Qigong (SBP: WMD = −4.34, 95% CI: −13.5, 4.82; DBP: WMD = −3.44, 95% CI: −7.89, 1.01) did not significantly reduce blood pressure. The heterogeneity of the meta-analysis was high. Conclusion. Walking, yoga, aquatic sports, and football were feasible and independent lifestyle interventions, and they were effective options for treating hypertension. More scientifically designed randomized controlled trials are needed in the future to further compare different forms of exercise for the treatment of hypertension.

Influence of Angiotensin-Converting Enzyme Inhibitors (ACEi) on Angiogenesis Induced by Physical Exercise

Angiotensin-converting enzyme inhibitors (ACEi) are used to reduce blood pressure and vascular resistance by modulating the ACE activity responsible for the angiotensin II formation. However, different ACEi seem to influence exercise-induced angiogenesis. The objective of this review was to investigate the effects of different ACEi on vessel growth in skeletal muscle induced by exercise training. The present study is characterized by a narrative literature review design, the databases of Scielo, Google Scholar and PubMed were consulted. There are different groups of ACEi , sulfhydryl group such as captopril and a carboxyl group such as perindiporil and enalapril that can influence their effects on ACE activity. It is already known that exercise promotes the increase of vessels from vessels already existing in the skeletal musculature, a process known as angiogenesis and contributes to the blood pressure reduction (BP). Although these different responses are still scarce, vessel endothelial growth factor (VEFG) and nitric oxide (NO) may participate. Thus, the use of different ACEi can influences the angiogenesis responses induced by exercise, being one of the important mechanisms for BP reduction. The choice of ACEi group should be carefully analyzed for hypertensive individuals who practice physical exercise. Keywords: Physical Education and Training. Microcirculation. Hypertension. ResumoOs inibidores da enzima conversora de angiotensina (iECA) são utilizados para redução da pressão arterial e resistência vascular modulando a atividade da ECA responsável pela formação da angiotensina II. Entretanto, diferentes iECAs parecem influenciar a angiogênese induzida pelo exercício físico. Desta maneira objetivo desta revisão foi investigar os efeitos de diferentes iECA sobre o crescimento de vasos no musculo esquelético induzido pelo exercício físico. O presente estudo caracteriza-se um delineamento de revisão de literatura narrativa, foram consultadas as bases de dados do Scielo, Google acadêmico e PubMed. Existem grupos distintos dos iECAs, grupo sulfidrila como o captopril e o grupo carboxila como o perindiporil e grupo que pode influenciar seus efeitos sobre a atividade da ECA. Já é sabido que O exrcício promove o aumento de vasos a partir de vasos já existentes na musculatura esquelética, processo conhecido como angiogênese e colabora para redução da pressão arterial (PA). Entretanto os iECAs parecem influenciar esta resposta do aumento da densidade capilar no músculo esquelético. Embora ainda sejam escassos estas diferentes respostas podem ter as participações do fator de crescimento endotelial de vasos (VEFG) e o óxido nítrico (NO). Desta maneira o uso dos grupos do iECAs podem influenciar as resposta da angiogênese induzido pelo exercício sendo um dos mecanismos importantes pela redução da PA. A escolha do grupo de iECA deve ser analisada com cautela para indivíduoS hipertensos que praticam exercício físico. Palavras-chave: Educação Física e Treinamento. Microcirculação. Hipertensão

Penerapan Terapi Rendam Kaki Air Hangat Untuk Menurunkan Tekanan Darah Pada Ibu Hamil Hipertensi Di Wilayah Petarukan

Hypertension in pregnancy is a major cause of maternal morbidity and mortality. Warm Water Foot Soak Therapy is one of non-pharmacological therapies that can be applied to reduce blood pressure in pregnant women with hypertension. This research was a case study aiming to describe the application of Warm Water Foot Soak Therapy in reducing blood presure in hypertensive pregnant women. A blood pressure observation sheet was used as an instrument in collecting data. The intervention given to the participant during this study was the application of Warm Water Foot Soak Therapy for 15 minutes four times for each participant within two weeks. The blood pressure in case I before and after the application of the therapy decreased from 149/98 mmHg to 126/80 mmHg, and in case II it decreased from 162/104 mmHg to 132/80 mmHg. In conclusion, the application of Warm Water Foot Soak Therapy could reduce blood pressure of hypertensive pregnant women. Hence, health workers are expected to apply Warm Water Foot Soak Therapy to pregnant women with hypertension. Keywords :Hypertension; pregnant women; Warm Water Foot Soak Therapy Abstrak Hipertensi dalam kehamilan menjadi penyebab utama kesakitan dan kematian ibu. Terapi non-farmakologis untuk menurunkan tekanan darah pada ibu hamil dengan hipertensi salah satunya terapi rendam kaki air hangat. Karya tulis ilmiah ini bertujuan untuk menggambarkan penerapan terapi rendam kaki air hangat dalam menurunkan tekanan darah pada ibu hamil dengan hipertensi. Desain karya tulis ilmiah ini berupa studi kasus pada dua ibu hamil dengan hipertensi. Instrumen yang digunakanya itu lembar observasi tekanan darah. Intervensi dengan menerapkan terapi rendam kaki air hangat selama 15 menit sebanyak empat kali dalam waktu dua minggu. Hasil penerapan sebelum terapi pada kasus I yaitu 149/98 mmHg dan kasus II yaitu 162/104 mmHg. Setelah dilakukan terapi, tekanan darah pada kasus I dan II turun yaitu 126/80mmHg dan 132/80mmHg. Simpulan studi kasus yaitu penerapan terapi rendam kaki air hangat dapat menurunkan tekanan darah pada ibu hamil dengan hipertensi. Saran bagi tenaga kesehatan untuk dapat menerapkan terapi rendam kaki air hangat pada ibu hamil yang mengalami hipertensi.Kata kunci :Hipertensi;ibuhamil;rendam kaki air hangat

Fabrication and characterization of 3D printing scaffold technology by extract oils from plant and its applications in the cardiovascular blood

Extract oils from plants used in 3D polysaccharides modified with natural protein polymer modified polymer scaffolds can help to reduce blood pressure. This study aimed to use extract oils from plant (EOP)as blood pressure-reducing, bind them to magnetic iron nanoparticles (Fe3O4@NPs), then bind them to polymeric 3D print scaffolds [chitosan, polylactic acid, and polyurethane (CS/PLA/PU), modified with natural protein and finally separate them. This method made it possible to investigate different variables for nanoparticles. In this project, synthesis polymer, modified gelatin (Mo-Ge), PEGylation, extract oils from plant loading and release process in nanocarrier with different concentrations were examined and cell proliferation was optimized. The results show that 75% of the extract oils from plant loaded on iron magnetic nanoparticles containing PEGylated polymer scaffolds was released. Cell proliferation was performed for the sample. In this process, modification of scaffolding with polysaccharides modified with natural protein and extract oils from plant increased the efficiency of nanoparticles among the studied Allium sativum and Zingiber officinale. The size of A. sativum and Z. officinale were 29.833 nm and 150.02 nm size, respectively. These behaved very similarly to each other and A. sativum had the biggest effect in lowering blood pressure. The application of extract oils from plant in 3D mode scaffolding has not been studied before and this is the first analysis to do so, using nanoparticles.

A Food Box Intervention to Reduce Blood Pressure in Native American Adults With Hypertension: The CHEERS Study

Diet-related chronic diseases, such as hypertension and obesity, are prevalent in Native American (NA) communities where poor food environments are prominent and healthy food access is limited. The Chickasaw Healthy Eating Environments Research Study (CHEERS) is an NIH-funded study aimed to improve Body Mass Index and blood pressure control among NA adults with uncontrolled hypertension. This multi-level randomized trial, guided by a community-based participatory research orientation, was co-created by tribal and university partners and is implemented within the Chickasaw Nation of Oklahoma. We created hypertension-specific food boxes that contained DASH diet foods, coupons for purchasing vegetables and fruits, educational materials, and heart-healthy recipes for supporting healthy eating. Food boxes were packed and shipped monthly to intervention participants with a 30-day supply of: one fruit serving/day, one vegetable serving/day, one serving of unsalted nuts or seeds/day, one serving of beans or lentils/day, and two servings of fatty fish/week. We will present our participatory approach in co-developing the CHEERS study methods, findings with a focus on older adults, and lessons learned. CHEERS is the first innovative food box intervention to be conducted in NA communities. Food box interventions show promise in improving dietary intake and reducing hypertension and obesity in rural and poor food environments.

Penerapan Tindakan Senam Hipertensi Untuk Menurunkan Tekanan Darah Pada Pasien Lansia

Hypertension in the elderly is those who experience an increase in systolic blood pressure above 140 mmHg and diastolic pressure above 90 mmHg. This paper aims to apply hypertension exercises to lower blood pressure in the elderly.Two elderly people with hypertension in Johosari Village, Kandeman, Batang were taken as the subject. The result showed both have experienced a decrease in pain and blood pressure. At the visit, a pain scale was 6, TD: 160/90 mmHg and it has decreased into 1, and TD: 120/80 mmHg at the last visit on the first case. Meanwhile, on the second case, a pain scale was 7, TD: 170/90 mmHg in the first visit and it has decreased into 1, TD: 120/90 mmHg in the last visit. Therefore, it could be concluded the exercises are effectively applied to lowe blood pressure on the elderly. And, it is expected as one of the ways to reduce blood pressure on the elderly with hypertension.Keywords: Hypertension, The elderly, Hypertension exercises AbstrakHipertensi pada lansia adalah lansia yang mengalami peningkatan tekanan darah sistolik diatas 140 mmHg dan tekanan diastolik di atas 90 mmHg.Tindakan untuk menurunkan tekanan darah salah satunya adalah dengan senam hipertensi.Senam hipertensi mampu untuk menurunkan tekanan darah.Tujuan Karya Tulis Ilmiah ini adalah untuk mengaplikasikan tindakan senam hipertensi untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Metode Karya Tulis Ilmiah ini adalah penerapan tindakan senam hipertensi pada lansia.Subyek studi kasus yang digunakan dua lansia yang mengalami hipertensi di desa Johosari Kecamatan Kandeman kabupaten Batang.Hasil penerapan menunjukkan selama 7 kali kunjungan dua lansia mengalami penurunan nyeri dan penurunan tekanan darah, pada kasus satu kunjungan pertama skala nyeri 6, TD: 160/90 mmHg dan kunjungan ketujuh skala nyeri menjadi 1, TD: 120/80 mmHg, sedangkan kasus dua kunjungan pertama skala nyeri 7, TD: 170/90 mmHg dan kunjungan ketujuh skala nyeri menjadi 1, TD: 120/90 mmHg.Kesimpulan dari studi kasus ini menunjukkan senam hipertensi efektif digunakan untuk menurunkan tekanan darah pada lansia.Saran dari penulis diharapkan senam hipertensi dapat dijadikan sebagai tindakan untuk menurunkan tekanan darah pada lansia hipertensi.Kata kunci: Hipertensi, lansia, senam hipertensi

Penerapan Intervensi Mendengarkan Murottal Al-Quran Terhadap Penurunan Tekanan Darah Pada Lansia

Elderly is someone who enters teh age of 60 years or more and experiences physical and physiological changes. Health problems that are commonly experienced by the elderly are hypertension. Hypertension is a health problem characterized by an increase in systolic and diastolic blood pressure of more than 140/90 mmHg. Non-pharmacological action that is useful in reducing blood pressure is listening to murottal Al-Quran therapy. The purpose of the action is to reduce blood pressure in the elderly with hypertension. This research used the case study method of gerontic nursing care with the therapeutic technique of listening to Al-Quran murottal. The application of Al-Quran murottal listening intervention which was carried our for 7 visits was proven to redue blood pressure in the elderly. The first clien’t initial blood pressure was 170/100 mmHg to 120/90 mmHg (the average drop in systolic pressure is 45-50 mmHg and diastolic is 10 mmHg), while the second clien’t initial blood pressure was 175/100 mmHg to 120/100 mmHg(the average drop in systolic pressure is 45-50 mmHg and diastolic is 10 mmHg). this result can be used as a consideration for nurses to provide Al-Quran murottal therapy as an alternative nursing action for the elderly with hypertension.Keywords : Hypertension, Elderly, Al-Quran Murottal listening therapy AbstrakLansia merupakan seseorang yang memasuki usia 60 tahun atau lebih dan mengalami perubahan fisik maupun fisiologis, salah satu masalah kesehatan yang biasa dialami lansia adalah hipertensi. Hipertensi merupakan masalah kesehatan dengan ditandainya kenaikan tekanan darah sistolik dan diastoliknya lebih dari 140/90 mmHg. Tindakan non-farmakologi yang bermafaat dalam penurunan tekanan darah yaitu terapi mendengarkan murottal Al-Quran. Tujuan dilakukan tindakan yaitu untuk menurunkan tekanan darah pada lansia hipertensi. Karya Tulis Ilmiah ini disusun dengan menggunakan metode studi kasus asuhan keperawatan gerontik dengan teknik terapi mendengarkan murottal Al-Quran. Penerapan terapi mendengarkan murottal Al-Quran yang dilakukan selama 7 kali kunjungan terbukti dapat menurunkan tekanan darah pada lansia. Lansia klien 1 dengan tekanan darah awal 170/100 mmHg menjadi 120/90 mmHg (rata-rata penurunan tekanan sistolik 45-50 mmHg dan diastoliknya 10 mmHg), klien lansia 2 dengan tekanan darah awal 175/100 mmHg menjadi 120/100 mmHg mmHg (rata-rata penurunan tekanan sistolik 45-50 mmHg dan diastoliknya 10 mmHg). Perawat diharapkan dapat memberikan terapi Murottal Al-Quran secara maksimal sebagai salah satu alternatif tindakan keperawatan bagi lansia dengan hipertensi.Kata kunci : Hipertensi; Lansia, Terapi Murottal Al-Quran

Gambaran Penurunan Tekanan Darah Pada Pasien Lansia Dengan Hipertensi Setelah Dilakukan Pemberian Slow Stroke Back Massage: Literatur Review

Elderly is an age that is prone to hypertension so that interventions are needed to reduce blood pressure in the elderly. Hypertension is a condition of a person who has an increase in blood pressure above normal. The intervention that can be given is slow stroke back massage which is a massage to provide relaxation to lower blood pressure. This study aims to describe the re-duction of blood pressure in elderly patients with hypertension after giving slow stroke back massage: Literature Review. The selection of articles in this study was a literature review analysis using the P.I.C.O method, searching for articles through Google Scholar or Garuda Portal (n=3) and PubMed (n=2) to find articles according to inclusion and exclusion criteria. The results of the literature review analysis on the five articles after giving Slow Stroke Back Massage to elderly patients with hypertension showed a decrease in systolic blood pressure, the average result was before 147,53 and an average after 140.461, while the decrease in diastolic blood pressure obtained an average result of - the average before 90.07 and the average after 84.30. The results of a literature review of five articles show that Slow Stroke Back Massage is proven to reduce blood pressure in elderly patients with hypertension. For the basis used as the basis for the action of giving massage to the problem of hypertension in the elderly, physiotherapists can give Slow Stroke Back.Keywords : Hypertension;Elderly; Slow Stroke Back Massage AbstrakLansia merupakan suatu usia yang rentan mengalami hipertensi sehingga dibutuhkan intervensi guna menurunkan tekanan darah pada lansia. Hipertensi adalah keadaan seseorang yang men-galami peningkatantekanan darah diatas normal. Intervensi yang dapat diberikan adalah slow stroke back massage yang merupakan suatu massage guna memberikan relaksasi untuk menurunkan tekanan darah. Study ini bertujuan untuk gambaran penurunan tekanan darah pada pasien lansia dengan hipertensi setelah dilakukan pemberian slow stroke back massage: literature review. Pemilihan artikel pada penelitian ini yaitu analisis literature riview dengan metode P.I.C.O, Pencarian artikel melalui Google Scholar atau Portal garuda (n=3) dan PubMed (n=2) untuk menemukan artikel sesuai kriteria inklusi dan eksklusi. Hasil analisis literature riview pada kelima artikel setelah dilakukan pemberian Slow Stroke Back Massage pada pasien lansia dengan hipertensi didapatkan penurunan tekanan darah sistole didapatkan hasil rata-rata sebelum 147, 53 dan rata-rata sesudah 140,461 sedangkan penurunan tekanan darah diastole didapatkan hasil rata-rata sebelum 90,07 dan rata-rata sesudah 84,30. Hasil literature review lima artikel menunjukkan bahwa Slow Stroke Back Massage terbukti dapat menurunkan tekanan darah pada Pasien Lansia dengan hipertensi. Untuk dasar digunakan sebagai dasar Tindakan dalam melakukan pemberian massage pada masalah hipertensi pada lansia fisioterapis dapat melakukan pemberian Slow Stroke Back.Kata Kunci : Hipertensi;Lansia;Slow Stroke Back Massage

Supplement study update for Reach Out: a multi-arm randomized trial of behavioral interventions for hypertension initiated in the emergency department: Reach Out Cognition

Background Reach Out is a factorial trial studying multicomponent behavioral interventions to reduce blood pressure in hypertensive emergency department patients. The original study protocol was published in June 2020. Here, we describe the updated protocol, including a supplemental study, Reach Out Cognition. Reach Out Cognition is a remote study that will assess the acceptability, feasibility, and satisfaction of digital, self-administered cognitive assessments and Bluetooth-enabled, self-measured blood pressure monitoring in the Reach Out population. We will also estimate the prevalence of mild cognitive impairment in Reach Out participants. Methods Reach Out Cognition includes remote enrollment and follow-up assessments. Reach Out Cognition extends Reach Out data collection past the current 12 months to 15 and 18 months. Participants will be Reach Out participants who complete their 12-month outcome assessments and opt to continue in the cohort study. Participants will continue to receive the Reach Out intervention, consisting of (1) daily healthy behavior text messaging and (2) weekly self-measured blood pressure monitoring. Blood pressure will be measured using Bluetooth-enabled self-measured blood pressure monitoring devices, and cognition will be measured using digital self-administered cognitive assessments at 12, 15, and 18 months. Discussion Reach Out Cognition will explore the potential of remote, digital, self-administered assessments of blood pressure and cognition among predominantly working-age Black Americans. Reach Out Cognition will inform future clinical trials and clinical remote monitoring of blood pressure and cognition that may lead to new approaches to treating and reducing hypertension and cognitive disparities. Trial registration ClinicalTrials.gov NCT03422718. The record was first available to the public on January 30, 2018, prior to the enrollment of patients on March 25, 2019.

LITERATURE REVIEW EFEKTIFITAS TERAPI RENDAM KAKI AIR HANGAT PADA PASIEN HIPERTENSI

Basic Health Research 2018 states the prevalence of hypertension based on the results ofmeasurements in the population aged ≥ 18 years by 34.1%. The highest was in South Kalimantan(44.1%), while the lowest was in Papua (22.2%) and West Java 39.1%. West Java Province wasranked second in the highest number of hypertension sufferers from 34 provinces in Indonesia.One therapy that can overcome hypertension is warm water foot bath therapy. The review of thisliterature aims to determine the effectiveness of warm water foot bath therapy in hypertensivepatients. The design in this scientific paper is a literature review search using an electronicdatabase that is Google Scholar. Keywords used in the search are hypertension, warm water footbath therapy, and blood pressure. The results found 5 articles from Google Scholar discuss theeffect of soaking feet of warm water in hypertensive patients. The literature review results fromthe five articles show that warm water foot bath therapy can reduce blood pressure.