Assessment of Cognitive Performance of Hypertensives with Mini-cog and Audio-visual Reaction Time.

Background: It is hypothesized that long-term hypertension might be associated with cognitive decline. Objectives: The present study was aimed at finding out whether persistently elevated blood pressure affects the processing capability of the central nervous system. Methods: The cognitive functions of 62 male subjects with age ranging from 40 to 60 years forming various groups as normotensives and hypertensives were assessed through Mini-Cog and audio-visual reaction time. Mini-Cog involved Clock Drawing Test and Three Item Recall Test (mini recall test). Both these tests were scored as per standard methods to find out whetherthe cognition was normal or abnormal. The auditory and visual reaction times were measured by the “Response Analyzer” device. Results: The clock drawing test and the three item-recall tests were significantly abnormal in hypertensives. Also, both auditory and visual reaction times were significantly delayed in hypertensives as compared to that of controls. Conclusion: The impairment of the cognitive function in hypertensives as reflected by the changes in the Mini-Cog and audio-visual reaction times might be due to structural and functional changes in various areas of brain involved in perceptual motor coordination.

Effect of indoor air pollution during cooking on peak expiratory flow rate and its association with exposure index in rural women.

Routine exposure to domestic cooking fuels is an important source of indoor air pollution causing deterioration of lung function. We conducted a community based cross-sectional study in 760 non-smoking rural women involved in household cooking with four types of cooking fuels i.e. Biomass, Kerosene stove, Liquid Petroleum Gas (LPG) and Mixed (combination of two and more cooking fuels). Peak Expiratory Flow Rate (PEFR) less than 80% of the predicted was considered as abnormal PEFR. The overall prevalence of abnormal PEFR was found to be 29.1% with greater predominance among biomass fuel users (43.3%) with high risk ratio (1.86) as compared to kerosene (0.63), LPG (0.75) and mixed (0.66) fuel users. However the pair wise comparison of different groups of cooking fuels by Marascuilo procedure reported significant differences within different groups except kerosene - mixed group. The study also demonstrated a negative correlation between observed PEFR and exposure indices in different cooking fuels (r=–0.51). Our results indicate that prolonged exposure to cooking fuels particularly biomass fuels as a source of cooking adversely affects PEFR in nonsmoking rural women.

Effect of short-term and long-term Brahmakumaris Raja Yoga meditation on physiological variables.

Effect of short-term and long-term Brahmakumaris Raja Yoga meditation on physiological variables like heart rate (HR), respiratory rate (RR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) was evaluated in 100 subjects practicing Raja Yoga meditation. All 100 subjects (33 men and 67 women) were aged 30 years and above (mean age 52.06±12.76 years). Short-term meditators (STM) (n=27) practiced Raja Yoga meditation for duration of six months to five years (mean duration 3.37±1.67 years) and long-term meditators (LTM) (n=73) practiced Raja Yoga meditation for more than five years (mean duration 11.19±5.13 years). The participants were asked to meditate and the physiological variables (HR, RR, SBP and DBP) were recorded twice (15 minutes and 30 minutes) after beginning of meditation. Also, the fasting blood sugar was estimated by glucometer. The study subjects did not differ significantly in age and various anthropometric characteristics such as body weight, body mass index, waist-hip ratio and fasting blood sugar. Comparison between STM and LTM showed that the changes from baseline values (from premeditation to post-meditation at 15 and 30 minutes) in LTM were not statistically significant with those in STM (P>0.05). However, within group differences in LTM revealed that changes in the physiological variables were statistically significant when compared between pre and post meditation both at 15 and 30 minutes. The study suggests that the long-term practice of Raja Yoga meditation improves basic cardio-respiratory functions due to shifting of the autonomic balance in favor of parasympathetic instead of sympathetic system.

A longitudinal study of antenatal changes in lung function tests and importance of postpartum exercises in their recovery.

A study of changes in lung function tests during pregnancy was undertaken in fifty pregnant women beginning from third month of gestation. Fifty nonpregnant age and height matched women formed the controls. Forced Vital Capacity (FVC), Timed Vital Capacity (FEV1), Inspiratory Capacity (IC), Expiratory Reserve Volume (ERV) and peak Expiratory Flow Rate (PEFR) were performed in each month of pregnancy. However ten subjects were not available for follow-up during postpartum period. Remaining forty women were divided into two groups of twenty each. Group I performed daily graded active exercises to strengthen the anterior abdominal wall muscles. Group II women did not perform any exercises. It was observed that the antenatal changes in percent FVC and FEV1 were insignificant, but the decline in ERV and PEFR were very highly significant (P < 0.001) and the increment in IC was significant (P < 0.05). In the postpartum period the percentage variation of values in group I was less than 5% from controls (P > 0.05) and in group II it was 15-20% from controls (P < 0.05), resulting in a significant variation in group II women as compared to the controls. It is concluded that there are adaptive changes in lung functions in the antenatal period. We stress the importance of regular graded active exercises in the postpartum period for the speedy recovery of these changes.

An epidemiological study of pulmonary function tests in geriatric population of central India.

We have studied Pulmonary Function Tests (PFTs) namely Vital Capacity (VC). Forced Vital Capacity (FVC), and Forced Expiratory Volume in First Second (FEV1). Forced Expiratory Flow(FEF 25-50%) in 1200 elderly subjects above 60 years of age of which 570 were females and 630 males. Mean age was 69.22 +/- 5.57 years in males and 68.77 +/- 5.44 in females. The mean value of ventilatory parameters were as follows-1) VC 2.99 +/- 0.5 lt in males and 1.89 +/- 0.29 lt in females. 2) FVC 2.69 +/- 0.58 lt. in males and 1.76 +/- 0.21 lt in females. 3) FEV1/FVC% 83.82 +/- 10.62% in males and 83.37 +/- 11.93% in females. 4) FEF 25-75% was 2.81 +/- 1.20 lt/sec in males and 2.13 +/- 1.27 lt/sec. Physical as well as ventilatory parameters were less in females than for males. The correlation of age with VC and FEV1 was highly significant (P < 0.01) but with FVC was not significant (P > 0.05). The correlation of height, weight and body surface area was not significant with any ventilatory parameter (P > 0.05). Multiple regression equations for VC, FVC and FEV1 were formulated for males and females taking height and age as variables. The predicted values correlated excellently with observed values.