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1.
Rev. Ciênc. Méd. Biol. (Impr.) ; 22(1): 58-62, jun 22, 2023. tab
Article in Portuguese | LILACS | ID: biblio-1442850

ABSTRACT

Objetivo: associar a variação da pressão arterial (PA) com alguns componentes da aptidão física relacionada à saúde e a mobilidade funcional em mulheres idosas hipertensas. Metodologia: foram avaliadas 37 voluntárias com idade entre 61 e 80 anos no Laboratório de Ensino, Pesquisa e Extensão sobre Envelhecimento (LEPEEn). A PA foi aferida em repouso e 15 minutos após a realização dos testes, na posição sentada. Realizou-se a composição corporal, os testes de força de preensão manual (FPM), sentar-se e levantar da cadeira (SLC), marcha estacionaria (ME), time up and go (TUG), e velocidade da caminhada (VC). Foi utilizada a correlação linear de Pearson para verificar as possíveis associações entre as variáveis. Resultados: a variação (Δ) da PA entre o repouso e a recuperação não apresentou diferença significativa (p > 0,05). A FPM do membro dominante e os desempenhos nos testes TUG e VC foram satisfatórios. Porém, os resultados obtidos nos testes de SLC e ME ficaram ligeiramente abaixo do indicado. Observou-se que o percentual de músculo esquelético foi considerado normal, porém o percentual de gordura e o índice de massa corporal ficaram acima dos valores de referência. Conclusão: é provável que o excesso de gordura tenha influenciado na resposta hipotensora após os testes, corroborando assim, para que não houvesse associação entre as variáveis do estudo.


Objective: to analyse the association of variations in blood pressure (BP) with some components of physical fitness related to health and functional mobility in elderly hypertensive women. Methodology: 37 volunteers aged between 61 and 80 years were evaluated at the Laboratory of Teaching, Research and Extension on Aging (LEPEEn). BP was measured at rest and 15 minutes after the tests were performed, in a sitting position. Body composition, handgrip strength (HGS), sitting and standing from a chair (SGC), stationary gait (SG), time up and go (TUG), and walking speed (WS) tests were performed. Pearson's linear correlation was used to verify possible associations between variables. Results: the BP variation (Δ) between rest and recovery did not show a significant difference (p > 0.05). The HGS of the dominant limb and the performance in the TUG and WS tests were satisfactory. However, the results obtained in the SGC and SG tests were slightly below the expected. It was observed that the percentage of skeletal muscle was considered normal, but the percentage of fat and the body mass index were above the normal range. Conclusion: it is likely that excess fat may have influenced the hypotensive response after the tests, thus corroborating the lack of association between the study variables.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Physical Fitness , Arterial Pressure , Hypertension , Epidemiology, Descriptive , Cross-Sectional Studies , Evaluation Studies as Topic
2.
An. Fac. Cienc. Méd. (Asunción) ; 56(1): 75-84, 20230401.
Article in Spanish | LILACS | ID: biblio-1426769

ABSTRACT

Introducción: La presencia de hipertensión arterial en población joven aumenta el riesgo de eventos cardiovasculares en la mediana edad y como consecuencia una morbimortalidad prematura. El propósito de este estudio es evaluar la progresión de los componentes de la presión arterial y la correlación con las medidas antropométricas y laboratoriales en estudiantes de la Universidad Nacional de Asunción- Paraguay. Materiales y métodos: Se realizó un estudio descriptivo correlacional, longitudinal, prospectivo, desde el año 2013 hasta el año 2017 evaluando al inicio 284 universitarios y 240 al final de las carreras. Se midieron variables sociodemográficas, antropométricas, presión arterial, determinaciones bioquímicas. La progresión de los componentes de la presión arterial, de las variables antropométricas y clínicas se calcularon mediante la prueba T de muestras relacionadas. La correlación de la presión arterial sistólica y presión arterial diastólica con las variables antropométricas y laboratoriales con la correlación de Pearson. Resultados: La progresión de los componentes de la presión arterial presentó una diferencia estadísticamente significativa en la presión arterial sistólica, presión arterial diastólica y presión de pulso. En relación con las características antropométricas y clínicas de los estudiantes se encontró una diferencia estadísticamente significativa entre la medición inicial y final en el peso, perímetro abdominal, glicemia, insulina, colesterol total, colesterol de alta densidad, colesterol de baja densidad, triglicéridos y proteína C reactiva. La correlación más importante encontrada entre las medidas antropométricas con la presión arterial sistólica y presión arterial diastólica fue la circunferencia abdominal. Conclusión: Se encontró aumento de la tendencia de la presión arterial y de otros factores de riesgo cardiovascular en universitarios.


Introduction: The presence of arterial hypertension in young population increases the risk of cardiovascular events in middle age and as a consequence premature morbimortality. The purpose of this study was to evaluate the progression of blood pressure components and the correlation with anthropometric and laboratory measurements in students of the National University of Asuncion, Paraguay. Materials and methods: A descriptive correlational, longitudinal, prospective, descriptive study was conducted from 2013 to 2017 evaluating at the beginning 284 undergraduates and 240 at the end of the careers. Sociodemographic variables, anthropometric variables, blood pressure, biochemical determinations were measured. The progression of blood pressure components, anthropometric and clinical variables were calculated using the related samples t-test. The correlation of systolic blood pressure and diastolic blood pressure with anthropometric and laboratory variables was correlated with Pearson's correlation. Results: The progression of blood pressure components presented a statistically significant difference in systolic blood pressure, diastolic blood pressure and pulse pressure. In relation to the anthropometric and clinical characteristics of the students, a statistically significant difference was found between the initial and final measurements in weight, abdominal perimeter, glycemia, insulin, total cholesterol, high-density cholesterol, low-density cholesterol, triglycerides, and C-reactive protein. The most important correlation found between anthropometric measurements with systolic blood pressure and diastolic blood pressure was abdominal circumference. Conclusion: An increase in the trend of blood pressure and other cardiovascular risk factors was found in university students.


Subject(s)
Arterial Pressure , Pressure , Hypertension
3.
Lima; Perú. Ministerio de Salud. Instituto Nacional de Salud. Centro Nacional de Salud Pública; 1 ed; Feb. 2023. 16 p. ilus.
Monography in Spanish | MINSAPERU, LILACS, LIPECS | ID: biblio-1425588

ABSTRACT

La presente publicación describe un enfoque dietético para mantener la presión arterial normal, realizado por el profesional nutricionista basado en el aumento de frutas, verduras y lácteos bajos en grasa e incluye cereales integrales,pescado, aves. menestras y frutas secas. El material ayuda al profesional nutricionista a desarrollar actividades educativas para enseñar al paciente con hipertensión arterial o a personas diagnosticadas con hipertensión arterial a comer más sano, lo que permitirá que disminuya la presión y el colesterol malo elevado, por tratarse de una dieta baja en grasas saturadas, total, colesterol y sodio a la misma vez que es alta en minerales como potasio, magnesio y calcio


Subject(s)
Diet, Fat-Restricted , Diet , Arterial Pressure , Nutritionists , Diet, Healthy , Hypertension
4.
Medisan ; 27(1)feb. 2023. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1440566

ABSTRACT

Introducción: La hipertensión arterial es la enfermedad crónica de mayor morbilidad a escala mundial, la cual representa un problema de salud por su multicausalidad y sus consecuencias. Objetivo: Describir las principales características sociodemográficas y clínicas de pacientes con hipertensión arterial, pertenecientes a un área de salud de Niquero. Métodos: Se realizó un estudio observacional, descriptivo y transversal de 370 pacientes con hipertensión arterial, quienes pertenecían al Consultorio Médico de la Familia No. 4 de Niquero, provincia de Granma, desde junio de 2021 hasta igual mes de 2022. Se estudiaron las variables edad, sexo, color de la piel, clasificación según cifras tensionales y evolución, así como estado del paciente y complicaciones. Resultados: Predominaron los grupos etarios de 40-59 (37,6 %) y 60-79 años (36,5 %), el sexo femenino (58,4 %), así como el color de la piel mestizo (55,9 %). Resultaron mayoría los pacientes con hipertensión arterial de grado II en fase 1 (44,3 %) y los parcialmente compensados (55,9 %). La enfermedad arterial periférica fue la principal complicación (21,1 %). Conclusiones: La descripción de las características sociodemográficas y clínicas de los pacientes con hipertensión arterial constituye un elemento a tener en cuenta para el adecuado control de los afectados en las áreas de salud.


Introduction: Hypertension is the chronic disease of more morbidity worldwide, which represents a health problem due to its multicausality and consequences. Objective: To describe the main sociodemographic and clinical characteristics of patients with hypertension, belonging to a health area of Niquero. Methods: An observational, descriptive and cross-sectional study of 370 patients with hypertension who belonged to the Family Doctor Office No. 4 of Niquero, Granma province, was carried out from June, 2021 to the same month in 2022. The variables age, sex, color of the skin, classification according to tension figures and evolution were studied, as well as patient state and complications. Results: There was a prevalence of the 40-59 (37.6 %) and 60-79 (36.5 %) age groups, female sex (58.4 %), as well as the mixed race color of the skin (55.9 %). The patients with grade II hypertension in phase 1 (44.3 %) and partially compensated (55.9 %) were the majority. Peripheral arterial disease was the main complication (21.1 %). Conclusions: The description of the sociodemographic and clinical characteristics of patients with hypertension constitutes an element to take into account for the appropriate control of those affected in the health areas.


Subject(s)
Hypertension , Primary Health Care , Arterial Pressure
5.
Rev. cient. cienc. salud ; 5(1): 1-6, 26-01-2023.
Article in Spanish | LILACS, BDNPAR | ID: biblio-1517627

ABSTRACT

Introducción. La falta del cumplimiento terapéutico es un problema en el control de la hipertensión arterial. Objetivo. Caracterizar los pacientes no adherentes al tratamiento de hipertensión arterial en pobladores de la V Región Sanitaria del Paraguay. Material y Métodos: Estudio transversal que incluyó pacientes hipertensos conocidos que se encontraban en tratamiento para la hipertensión arterial. Se utilizó la Escala de adherencia a la medicación de Morisky 8 ítems que mide comportamientos de adherencia específicos asociados a la ingesta de medicamentos. Resultados. Se incluyeron163 pacientes, todos considerados no adherentes al tratamiento según la Escala Morinsky MMAS-8. El 52,2% tenía más de 40 años, 66,3% del sexo femenino, 40,5% de nivel universitario, 57,1% casado y el 87,7% vive con la familia. El 66,9% informó trabajar hasta 8 horas por día y el 58,3% con ingresos mayores a 2 salarios mínimos. En cuanto al conocimiento el 53,9% fue alto. El 50% de los pacientes declaró utilizar plantas medicinales para su tratamiento, el 7,4% con depresión frecuentemente o casi siempre y el 22,1% ansiedad frecuentemente o casi siempre. En cuanto a las preguntas de no adherencia, el 53,4% olvidó tomar alguna vez su medicación o dejar de tomarla cuando siente que está bajo control (53,3%),el 44,2% deja de tomar su medicación porque se siente peor con ella y el 46,5% la olvida cuando viaja. Conclusión. La no adherencia en los pacientes de la V Región fue alarmante, por tanto, se deben de realizar medidas de acción respecto a las mismas. Palabras Clave: hipertensión; presión arterial; cumplimiento y adherencia al tratamiento; epidemiologia


Introduction. The lack of therapeutic compliance is a problemto control high blood pressure.Objective. To characterize patients who do not adhere to the treatment of arterial hypertension in the Vsanitary region of Paraguay. Material and Methods: A cross-sectional study was carried out in known hypertensive patients who were undergoing treatment for high blood pressure. The 8-item Morisky Medication Adherence Scale was used, which measures specific adherence behaviors associated with medication intake. Results.163 patients were included, all considered non-adherent to treatment according to the Morinsky MMAS-8 Scale. 52.2% were over 40 years old, 66.3% female, 40.5% with university level, 57.1% married, and 87.7% lived with their family. 66.9% reported working up to 8 hours per day and 58.3% with income greater than 2 minimum wages. Regarding knowledge, 53.9% was high. 50% of the patients declared using medicinal plants for their treatment, 7.4% with depression frequently or almost always and 22.1% with anxiety frequently or almost always. Regarding the non-adherence questions, 53.4% ever forgot to take their medication or stopped taking it when they feel they are under control (53.3%), 44.2% stop taking their medication because they feel worse with it and 46.5% forget it when traveling. Conclusion. The non-adherence in patients from Region V was alarming, therefore, action measures must be taken regarding them. Key words:hypertension; blood pressure; treatment adherence and compliance; epidemiology


Subject(s)
Humans , Male , Female , Hypertension , Epidemiology , Arterial Pressure
7.
Acta Physiologica Sinica ; (6): 130-136, 2023.
Article in Chinese | WPRIM | ID: wpr-970113

ABSTRACT

The alteration of pulmonary artery pressure is an important physiological indicator to reflect the organism's adaptation to acclimatization or the pathological injury in response to high-altitude hypoxic environment. The effects of hypoxic stress at different altitudes for different time on pulmonary artery pressure are different. There are many factors involved in the changes of pulmonary artery pressure, such as the contraction of pulmonary arterial smooth muscle, hemodynamic changes, abnormal regulation of vascular activity and abnormal changes of cardiopulmonary function. Understanding of the regulatory factors of pulmonary artery pressure in hypoxic environment is crucial in clarifying the relevant mechanisms of hypoxic adaptation, acclimatization, prevention, diagnosis, treatment and prognosis of acute and chronic high-altitude diseases. In recent years, great progress has been made in the study regarding the factors affecting pulmonary artery pressure in response to high-altitude hypoxic stress. In this review, we discuss the regulatory factors and intervention measures of pulmonary arterial hypertension induced by hypoxia from the aspects of hemodynamics of circulatory system, vasoactive state and changes of cardiopulmonary function.


Subject(s)
Humans , Altitude , Arterial Pressure , Acclimatization , Hypoxia , Muscle, Smooth
8.
Rev. int. sci. méd. (Abidj.) ; 25(1): 72-77, 2023. tables
Article in French | AIM | ID: biblio-1442350

ABSTRACT

. Les maladies non transmissibles chez le sujet âgé sont négligées en Afrique car l'espérance de vie n'était aussi élevée qu'aujourd'hui. Quel en était donc le panorama, il y a 10 ans ? Objectif : Améliorer les connaissances des maladies non transmissibles et des comorbidités chez les sujets âgés. Méthodes. Il s'agissait d'une étude transversale, rétrospective à visée descriptive du 1er janvier 2009 au 31 décembre 2013 dans le service de Médecine Interne du Centre Hospitalier Universitaire de Bouaké (CHU). Elle portait sur 151 patients hypertendus âgés de 65 ans et plus. Résultats. L'âge moyen était de 75 ans avec des extrêmes de 65 ans et 93 ans. Le sex-ratio était de 1,07. Les comorbidités étaient marquées principalement par le diabète (47%). Les motifs d'hospitalisation étaient dominés par les signes neurologiques (70%). L'hypertension artérielle (HTA) systolique isolée représentait 48% et l'HTA de grade III 23%. Ses principales complications étaient les accidents vasculaires cérébraux (AVC) (62%) et les cardiopathies (32%). Ces AVC étaient surtout ischémiques (78%). L'HTA était associée à d'autres facteurs de risque cardiovasculaire (78%) notamment la pression pulsée (52%) et le diabète (47%). Les Inhibiteurs de l'enzyme de conversion (IEC) étaient les plus prescrits (64%). La mortalité était de 23%. Conclusion. Les facteurs de risque cardiovasculaire constituent depuis plus de 10 ans à Bouaké, la morbidité mais surtout la mortalité des séniors, du fait de la gravité de leurs complications.


Subject(s)
Humans , Noncommunicable Diseases , Hypertension , Cross-Sectional Studies , Arterial Pressure , Heart Diseases
9.
São Paulo; s.n; 2023. 193 p.
Thesis in Portuguese | LILACS | ID: biblio-1438511

ABSTRACT

Introdução: O mundo globalizado, a ampliação da produção de bens e prestação serviços e a sociedade ininterruptamente ativa afetaram o contexto social e a organização do trabalho, ampliando jornadas de trabalho para além dos horários diurnos. As atividades laborais ou sociais prolongam o tempo de alerta, inclusive durante à noite, o que pode causar alteração nos ritmos biológicos e efeitos adversos à saúde, predispondo ao desenvolvimento de distúrbios metabólicos, mentais e doenças crônicas não transmissíveis, especialmente as doenças cardiovasculares. Várias categorias profissionais trabalham em turnos, mas os trabalhadores da área de saúde têm sua atuação intrinsecamente relacionada a turnos noturnos, estando expostos ao desenvolvimento precoce de desfechos cardiovasculares adversos. Objetivo: Determinar se existe associação entre o turno de trabalho, pressão arterial central e rigidez arterial de profissionais da equipe de enfermagem. Métodos: Foram realizados três sub estudos. O primeiro foi uma revisão sistemática sobre o trabalho em turnos e a rigidez arterial precoce. O segundo e o terceiro estudos foram de desenho transversal realizados em profissionais da equipe de enfermagem de um hospital escola da cidade de Maceió-Alagoas. Os profissionais foram entrevistados e caracterizados sócio demograficamente, quanto às condições de saúde, hábitos de vida, percepção de estresse, escalas de trabalho e cronotipo. Foi realizada avaliação do estado nutricional antropométrico e foram avaliados os parâmetros de pressão arterial braquial, central e rigidez arterial, por métodos não invasivos. Os profissionais foram submetidos a análises dos padrões de sono e vigília, por actigrafia, associado a um diário de atividade e repouso. Os dados resultantes foram apresentados como média e desvio padrão para as variáveis quantitativas e frequências relativas e absolutas para as variáveis categóricas. O segundo artigo testou a associação entre a duração total do sono e três desfechos: a velocidade da onda de pulso, o augmentation index e a pressão arterial central. Para tanto, foi realizada a análise de spline cúbico de três nós. O terceiro artigo examinou a associação de forma direta ou mediada entre os anos de exposição ao trabalho noturno e a rigidez arterial, por meio da análise de caminhos. Resultados: A análise dos onze artigos incluídos na revisão sistemática não trouxe evidências suficientes para afirmar que o trabalho em turnos aumenta de forma independente a rigidez arterial em trabalhadores em turnos. No segundo estudo, a duração do sono de trabalhadores em turnos foi associada, na forma de curva em U, com o augmentation index; indicando haver risco de funcionalidade vascular alterada associada a menor ou maior duração do sono. No terceiro estudo, a exposição ao trabalho em turnos foi associada, por mediação do jet lag social, com maiores valores de velocidade da onda de pulso, que prediz maior risco cardiovascular. O jet lag social, também foi associado a mais alta percepção de estresse e maior duração do sono. Considerações finais: As modificações dos indicadores de função vascular encontrados, se somados a características individuais de sexo, idade, fatores genéticos, maior ou menor tolerância ao trabalho noturno, bem como manutenção ou não de hábitos de vida saudáveis, podem potencializar riscos cardiovasculares nos profissionais que trabalham em turnos.


Introduction: The globalized world, the expansion of the production of goods and services and the uninterruptedly active society have affected the social context and the organization of work, extending working hours beyond the daytime hours. Working or social activities have prolonged alertness time, including during the night, which can cause changes in biological rhythms and adverse effects on health, predisposing to the development of metabolic and mental disorders and non-transmissible chronic diseases, especially cardiovascular diseases. Several professional categories work in shifts, but health care workers have their performance intrinsically related to night shifts, being exposed to the early development of adverse cardiovascular outcomes. Objective: To determine whether there is an association between work shift, central blood pressure and arterial stiffness of nursing staff professionals. Methods: Three sub-studies were conducted. The first was a systematic review on shift work and early arterial stiffness. The second and third studies were of cross-sectional design carried out in professionals of the nursing team of a teaching hospital in the city of Maceió-Alagoas. The professionals were interviewed and characterized socio-demographically, regarding health conditions, life habits, perception of stress, work schedules and chronotype. The anthropometric nutritional status was evaluated and the brachial and central arterial pressure and arterial stiffness parameters were assessed by non-invasive methods. The professionals were submitted to analyses of sleep and wakefulness patterns, by actigraphy, associated with an activity and rest diary. The resulting data were presented as mean and standard deviation for quantitative variables and relative and absolute frequencies for categorical variables. The second article tested the association between total sleep duration and three outcomes: pulse wave velocity, augmentation index, and central blood pressure. For this purpose, three-node cubic spline analysis was performed. The third paper examined the direct or mediated association between years of exposure to night work and arterial stiffness, using pathway analysis. Results: Analysis of the eleven articles included in the systematic review did not yield sufficient evidence to state that shift work independently increases arterial stiffness in shift workers. In the second study, sleep duration of shift workers was associated, in the form of a U-curve, with augmentation index, indicating that there is a risk of altered vascular functionality associated with shorter or longer sleep duration. In the third study, exposure to shift work was associated, through mediation of social jet lag, with higher pulse wave velocity values, which predicts higher cardiovascular risk. Jet lag was also associated with higher perceived stress and longer sleep duration. Final considerations: The changes in the vascular function indicators found, when added to individual characteristics of sex, age, genetic factors, greater or lesser tolerance to night work, as well as maintainance or not of healthy life habits, may potentiate cardiovascular risks in shift-workers.


Subject(s)
Cardiovascular Diseases , Occupational Health , Vascular Stiffness , Pulse Wave Analysis , Arterial Pressure , Shift Work Schedule , Nursing, Team
10.
Rev. bras. med. esporte ; 29: e2022_0172, 2023. tab, graf
Article in English | LILACS | ID: biblio-1394831

ABSTRACT

ABSTRACT Introduction: The unregulated development in the current life pattern has strengthened obesity among adolescents, and this problem is becoming more serious. Objective: Compare the impact of two exercise methods on the physical health of obese adolescents. Methods: 24 obese adolescents (12 females; BMI>30% ± 3%; age concentrated between 10 and 16 years) were selected and divided into group I and group II for a 4-week experimental study, and changes in physical fitness and function were recorded. Results: After four weeks of aerobic exercise control (group I), waist circumference, hip circumference, skinfold thickness, and abdominal fold thickness were significantly reduced in boys (p<0.05), and girls' body shape indicators were significantly altered (p<0.05). After four weeks of aerobic exercise combined with resistance training (group II), the effects of weight, BMI, and body size were significant in boys and girls. Conclusion: Aerobic exercise can effectively improve the physical problems of obese adolescents. Under the same external conditions, the effect of aerobic exercise was shown to be more effective when combined with resistance training in the physical improvement of the analyzed group. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.


RESUMO Introdução: O desenvolvimento desregrado no padrão de vida atual fortaleceu a obesidade entre os adolescentes e esse problema está se tornando cada vez mais grave. Objetivo: Comparar o impacto entre dois métodos de exercício na saúde física de adolescentes obesos. Métodos: Foram selecionados 24 adolescentes obesos (12 mulheres; IMC>30% ± 3%; idade concentrada entre 10 e 16 anos) e divididos no grupo I e no grupo II para um estudo experimental de 4 semanas, sendo registradas as alterações no condicionamento e função física. Resultados: Após 4 semanas de controle de exercício aeróbico (grupo I), a circunferência da cintura, circunferência do quadril, espessura da dobra cutânea e espessura da dobra abdominal foram significativamente reduzidas em meninos (p<0,05), e os indicadores de forma corporal das meninas foram significativamente alterados (p<0,05). Após 4 semanas de exercício aeróbico combinado com treinamento de resistência (grupo II), os efeitos do peso, IMC e tamanho do corpo foram significativos em meninos e meninas. Conclusão: O exercício aeróbico pode melhorar efetivamente os problemas físicos dos adolescentes obesos. Sob as mesmas condições externas, o efeito do exercício aeróbico demonstrou-se mais eficaz quando aliado ao treinamento de resistência na melhoria física do grupo analisado. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.


RESUMEN Introducción: El desarrollo desordenado en el patrón de vida actual ha potenciado la obesidad entre los adolescentes y este problema es cada vez más grave. Objetivo: Comparar el impacto de dos métodos de ejercicio en la salud física de adolescentes obesos. Métodos: Se seleccionaron 24 adolescentes obesos (12 mujeres; IMC>30% ± 3%; edad concentrada entre 10 y 16 años) y se dividieron en el grupo I y el grupo II para un estudio experimental de 4 semanas, y se registraron los cambios en la aptitud física y la función. Resultados: Después de 4 semanas de control de ejercicio aeróbico (grupo I), la circunferencia de la cintura, la circunferencia de la cadera, el grosor de los pliegues cutáneos y el grosor de los pliegues abdominales se redujeron significativamente en los niños (p<0,05), y los indicadores de la forma corporal de las niñas se alteraron significativamente (p<0,05). Tras 4 semanas de ejercicio aeróbico combinado con entrenamiento de resistencia (grupo II), los efectos del peso, el IMC y el tamaño corporal fueron significativos en chicos y chicas. Conclusión: El ejercicio aeróbico puede mejorar eficazmente los problemas físicos de los adolescentes obesos. En las mismas condiciones externas, el efecto del ejercicio aeróbico se mostró más eficaz cuando se combinó con el entrenamiento de resistencia en la mejora física del grupo analizado. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.


Subject(s)
Humans , Male , Female , Adolescent , Exercise Therapy/methods , Obesity/therapy , Weight Loss , Body Mass Index , Inspiratory Capacity , Arterial Pressure/physiology , Heart Rate/physiology
11.
Rev. Nutr. (Online) ; 36: e220103, 2023. tab, graf
Article in English | LILACS | ID: biblio-1521589

ABSTRACT

ABSTRACT Objective: This study aimed to evaluate the effect of baru nuts supplementation on body composition and metabolic profile in adults with type 2 diabetes. Methods: This is a randomized, placebo-controlled, crossover trial with 30 adults with type 2 diabetes. The assay had two periods of 12 weeks each, with a washout period of 12 weeks between treatments. The subjects were randomized and received the two treatments in alternate periods: supplementation of 30g baru nuts or placebo. Anthropometry, body composition, blood pressure, blood sampling, food intake, and physical activity data were analyzed. Results: Baru nut intake reduced waist circumference (p=0.032), compared to placebo group. In the intra-group analysis, baru nut intake reduced total cholesterol (p=0.012) and LDL-c (p=0.017). Conclusion: The daily intake of baru nuts improved abdominal adiposity. Therefore, these nuts should be included in the diet to improve the health status of adults with type 2 diabetes.


RESUMO: Objetivo: Avaliar o efeito da suplementação com amêndoa de baru sobre a composição corporal e perfil metabólico de adultos com diabetes Mellitus tipo 2. Métodos: Este é um estudo randomizado, placebo-controlado, crossover com 30 adultos com diabetes Mellitus tipo 2. O ensaio clínico foi dividido em dois períodos de 12 semanas cada, com um washout de 12 semanas entre os tratamentos. Os sujeitos foram randomizados e receberam dois tratamentos em períodos alternativos: suplementação com 30 g de amêndoa de baru ou placebo. Foram coletados dados referentes à antropometria, composição corporal, pressão arterial, amostras de sangue, ingestão de alimentos e práticas de atividade física. Resultados: A ingestão de amêndoa de baru reduziu a circunferência da cintura (p=0,032), em comparação com o grupo placebo. Na análise intragrupo, a ingestão de amêndoa de baru também reduziu o colesterol total (p=0,012) e LDL-c (p=0,017). Conclusão: A ingestão diária de amêndoa de baru melhorou a adiposidade abdominal, portanto, deve ser incluída na dieta para a melhora do estado de saúde de adultos com diabetes Mellitus tipo 2.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Young Adult , Body Composition , Dipteryx , Diabetes Mellitus, Type 2/metabolism , Placebos/therapeutic use , Cholesterol , Cross-Over Studies , Abdominal Circumference , Arterial Pressure
12.
Notas enferm. (Córdoba) ; 23(40): 27-36, dic.2022.
Article in Spanish | LILACS, BDENF, BINACIS, UNISALUD | ID: biblio-1401417

ABSTRACT

Determinar el nivel de información sobre factores de riesgo de Infarto agudo de miocardio en los pacientes ambulatorios que asisten a una institución de salud de la provincia de Corrientes año 2021. Metodología: Estudio cuantitativo descriptivo, transversal y observacional. Muestra obtenida mediante muestreo probabilístico aleatorio simple compuesta por 108 pacientes que asistieron a los consultorios de Diabetes, Presurometría y Hospital de Día. Se aplicó un cuestionario validado mediante una prueba piloto. Variables: edad, sexo, nivel de instrucción, Nivel de información sobre alimentación, hábitos nocivos, actividad física y preguntas generales. Los resultados fueron volcados a una matriz diseñada en programa Excel. Resultados: La población en estudio presento una mediana de edad de 43, moda 39 y predomino del sexo masculino 56%, sobre el femenino 44%, en el nivel de instrucción prevaleció el secundario completo 19% seguido de primario incompleto 15%. Abordando los niveles de información sobre factores de riesgo de Infarto agudo de miocardio predominaron los niveles altos en todas las variables trabajadas, obteniendo un nivel general de información alto del 82%, se apreció en la alimentación 65%, hábitos nocivos 70%, aspectos generales un 86% y actividad física 48%. Conclusión: Esta investigación remarca la importancia de la educación permanente y en etapas tempranas sobre los factores de riesgo de Infarto Agudo de Miocardio. La población en estudio presento un nivel alto de información. No obstante, la educación debe fomentarse para llegar al 37% restante que obtuvo niveles inferiores[AU]


To determine the level of information on risk factors for acute myocardial infarction in outpatients attending a health institution in the province of Corrientes in 2021. Methodology: Quantitative descriptive, cross-sectional and observational study. Sample obtained by simple random probabilistic sampling made up of 108 patients who attended the Diabetes, Blood Pressure and Day Hospital clinics. A validated questionnaire was applied by means of a pilot test. Variables: age, sex, level of education, level of information on food, harmful habits, physical activity and general questions. Te results were dumped into a matrix designed in Excel program. Results: Te population under study presented a median age of 43, mode 39 and a predominance of males 56%, over females 44%, on the level of education the complete secondary prevailed 19% followed by incomplete primary 15%. Addressing the levels of information on risk factors for acute myocardial infarction, high levels predominated in all the variables worked on, obtaining a high general level of information of 82%, disaggregating 65%, harmful habits 70%, aspects general 86% and physical activity 48%. Conclusion: Tis research highlights the importance of permanent education and in early stages about the risk factors of Acute Myocardial Infarction. Te study population presented a high level of information. However, education should be encouraged to reach the remaining 37% who obtained lower levels[AU]


: Determinar o nível de informação sobre fatores de risco para infarto agudo do miocárdio em pacientes ambulatoriais atendidos em uma instituição de saúde na província de Corrientes em 2021. Metodologia: Estudo quantitativo descritivo, transversal e observacional. Amostra obtida por amostragem probabilística aleatória simples composta por 108 pacientes atendidos nas clínicas de Diabetes, Pressão Arterial e Hospital Dia. Foi aplicado um questionário validado por meio de teste piloto. Variáveis: idade, sexo, escolaridade, nível de informação sobre alimentação, hábitos nocivos, atividade física e questões gerais. Os resultados foram despejados em uma matriz projetada no programa Excel. Resultados: A população em estudo apresentou mediana de idade de 43 anos, moda 39 e predominância do sexo masculino 56%, sobre o feminino 44%, no nível de escolaridade o ensino médio completo prevaleceu 19% seguido do ensino fundamental incompleto 15%. Abordando os níveis de informação sobre fatores de risco para infarto agudo do miocárdio, predominaram níveis elevados em todas as variáveis trabalhadas, obtendo um nível geral de informação elevado de 82%, desagregando 65%, hábitos nocivos 70%, aspectos gerais 86% e atividade física 48%. Conclusão: Esta pesquisa destaca a importância da educação permanente e precoce sobre os fatores de risco do Infarto Agudo do Miocárdio. A população do estudo apresentou um alto nível de informação. No entanto, a educação deve ser incentivada para atingir os 37% restantes que obtiveram níveis mais baixos[AU]


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Outpatients , Exercise , Risk Factors , Diet , Arterial Pressure , Habits , Myocardial Infarction
13.
Arq. ciências saúde UNIPAR ; 26(3): 428-440, set-dez. 2022.
Article in Portuguese | LILACS | ID: biblio-1399126

ABSTRACT

Introdução: Os fatores de riscos cardiovasculares têm sido muito prevalentes em adultos jovens, principalmente em acadêmicos, devido ao estilo de vida próprio desta etapa da vida e os fatores de risco que nele se associa. Objetivo: Identificar a prevalência dos fatores de riscos cardiovasculares em acadêmicos dos cursos das áreas da saúde de uma universidade particular e uma pública do Sudoeste do Paraná. Métodos: Avaliou-se 578 acadêmicos matriculados nos primeiros e últimos anos das áreas da saúde. Para levantamento dos dados, foram coletados os dados de variáveis sociodemográficas, antropométricos, nível de atividade física e comportamento sedentário, pressão arterial, Índice de Massa Corporal e obesidade abdominal. As informações foram analisadas por meio de estatísticas descritivas bem como teste t de Student para analisar as diferenças entre os anos de curso. As análises foram realizadas no programa de estatística SPSS 25,0. Previamente, este projeto foi encaminhado e aprovado pelo comitê de ética em pesquisa com seres humanos da UNIPAR ­ Universidade Paranaense. Resultados: Não foram identificadas diferenças significantes entre a série inicial e final dos universitários avaliados. Já para os diferentes cursos podemos destacar que, o curso de medicina teve taxa alarmante nos seguintes fatores de risco: níveis de atividade física e comportamento sedentário (68,8% e 87,5% respectivamente). Observou-se que no primeiro ano o comportamento sedentário (43,4%) foi maior que anos finais. Já para os sexos, observa-se maiores prevalências para o comportamento sedentário (44%) nas mulheres e pressão arterial para os homens (82,6%). Conclusão: Os fatores de riscos cardiovasculares em acadêmicos da área da saúde encontram-se preocupantes. Esses resultados destacam a importância de considerar a distribuição dos cuidados nos desfechos de maior prevalência com a PA, tanto para estudantes de instituições públicas como privadas.


Introduction: Cardiovascular risk factors have been very prevalent in young adults, especially in undergraduate students, due to the lifestyle characteristic of this stage of life and the risk factors associated with it. Objective: To identify the prevalence of cardiovascular risk factors in academic courses in the health areas of a private and a public university in the Southwest of Paraná. Methods: Were evaluated 578 students enrolled in the first and last years in the health areas were evaluated. For data collection, data on sociodemographic and anthropometric variables, level of physical activity and sedentary behavior, blood pressure, body mass index and abdominal obesity were collected. The information was be analyzed using descriptive statistics as well as Student's t test to analyze the differences between the years of the course. Analyzes were performed using the SPSS 25.0 statistical program. Previously, this project was submitted and approved by the ethics committee for research with human beings at UNIPAR ­ Universidade Paranaense. Results: No significant differences were identified between the initial and final grades of the evaluated students. As for the different courses, we can highlight that the medical course had an alarming rate in the following risk factors: levels of physical activity and sedentary behavior (68.8% and 87.5% respectively). It was observed that in the first year the sedentary behavior (43.4%) was higher than the final years. As for genders, there is higher prevalence of sedentary behavior (44%) in women and blood pressure in men (82.6%). Conclusion: Cardiovascular risk factors in academics in the health area are worrying. These results highlight the importance of considering the distribution of care in the most prevalent outcomes with BP, both for students from public and private institutions.


Introducción: Los factores de riesgo cardiovascular han sido muy prevalentes en los adultos jóvenes, especialmente en los universitarios, debido al estilo de vida propio de esta etapa de la vida y a los factores de riesgo asociados a ella. Objetivo: Identificar la prevalencia de factores de riesgo cardiovascular en alumnos de cursos de salud de una universidad privada y otra pública del sudoeste de Paraná. Métodos: Evaluamos a 578 estudiantes matriculados en el primer y último año de los cursos de salud. Para la recopilación de datos, se recogieron los datos de las variables sociodemográficas y antropométricas, el nivel de actividad física y el comportamiento sedentario, la presión arterial, el índice de masa corporal y la obesidad abdominal. La información se analizó mediante estadísticas descriptivas y la prueba t de Student para analizar las diferencias entre los años del curso. Los análisis se realizaron con el programa estadístico SPSS 25.0. Previamente, este proyecto fue remitido y aprobado por el comité de ética en investigación con seres humanos de la UNIPAR - Universidade Paranaense. Resultados: No se identificaron diferencias significativas entre las series iniciales y finales de los universitarios evaluados. Para los diferentes cursos podemos destacar que el curso de medicina tuvo una tasa alarmante en los siguientes factores de riesgo: niveles de actividad física y comportamiento sedentario (68,8% y 87,5% respectivamente). Se observó que en el primer año el comportamiento sedentario (43,4%) era mayor que en los últimos años. En cuanto a los sexos, se observó una mayor prevalencia del comportamiento sedentario (44%) en las mujeres y de la presión arterial en los hombres (82,6%). Conclusión: Los factores de riesgo cardiovascular en los estudiantes de salud son preocupantes. Estos resultados ponen de manifiesto la importancia de considerar la distribución de la atención en los resultados de mayor prevalencia con PA, tanto para los estudiantes de instituciones públicas como privadas.


Subject(s)
Humans , Male , Female , Students , Universities , Cardiovascular Diseases , Prevalence , Risk Factors , Exercise/physiology , Catchment Area, Health , Sedentary Behavior , Arterial Pressure , Obesity
14.
Rev. cuba. oftalmol ; 35(3)sept. 2022.
Article in Spanish | LILACS, CUMED | ID: biblio-1441738

ABSTRACT

Objetivo: Describir el comportamiento de la presión de perfusión ocular en sujetos sin enfermedad ocular. Métodos: Se realizó un estudio descriptivo transversal con sujetos sin enfermedad ocular de la consulta externa de Oftalmología del Hospital Universitario "General Calixto García", entre enero y diciembre de 2019. Resultados: La mediana de presión intraocular del ojo derecho osciló entre 13,0-16,0 mmHg, y del ojo izquierdo entre 13,0-15,5 mmHg, durante todo el estudio. El valor máximo para ambos ojos se obtuvo a las 6:00 a. m. (madrugada). La mediana de presión arterial sistólica osciló entre 129,0-138,5 mmHg, y de diastólica entre 79,5-81,5 mmHg. El valor mínimo de presión arterial diastólica fue 53 mmHg a las 6:00 a. m. La mediana de presión de perfusión ocular del ojo derecho osciló entre 46,4 mmHg (12:00 a. m.) y 50,8 mmHg; y del ojo izquierdo entre 47,3 mmHg (6:00 a. m.) y 51,9 mmHg. El valor mínimo específico de presión de perfusión ocular fue 35 mmHg para ambos ojos, a las 6:00 a. m. Conclusiones: La hipertensión arterial es el antecedente patológico personal más frecuente en la población estudiada y en ocasiones se producen cifras fuera de la normalidad, tanto elevadas como disminuidas, capaces de afectar la presión de perfusión ocular, sobre todo la diastólica baja. Sin embargo, las presiones de perfusión ocular se mantuvieron normales, probablemente, por mecanismos de autorregulación individuales(AU)


Objective: To describe the behavior of ocular perfusion pressure in subjects without ocular disease. Methods: A cross-sectional descriptive study was performed with subjects without ocular disease from the Ophthalmology outpatient clinic of the University Hospital "General Calixto García", between January and December 2019. Results: The median intraocular pressure of the right eye ranged between 13.0-16.0 mmHg, and of the left eye between 13.0-15.5 mmHg, throughout the study. The maximum value for both eyes was obtained at 6:00 a. m. (early morning). The median systolic blood pressure ranged from 129.0-138.5 mmHg, and diastolic from 79.5-81.5 mmHg. The minimum diastolic blood pressure value was 53 mmHg at 6:00 a.m. The median ocular perfusion pressure of the right eye ranged from 46.4 mmHg (12:00 a.m.) to 50.8 mmHg; and of the left eye from 47.3 mmHg (6:00 a.m.) to 51.9 mmHg. The minimum specific ocular perfusion pressure value was 35 mmHg for both eyes, at 6:00 a.m. Conclusions: Arterial hypertension is the most frequent personal pathologic antecedent in the population studied, and both elevated and decreased out-of-normal figures capable of affecting ocular perfusion pressure, especially low diastolic, occasionally occur. However, ocular perfusion pressures remained normal, probably due to individual autoregulatory mechanisms(AU)


Subject(s)
Humans , Male , Female , Arterial Pressure , Epidemiology, Descriptive , Cross-Sectional Studies
15.
Rev. cientif. cienc. med ; 25(1): 28-33, sept. 2022.
Article in English | LILACS | ID: biblio-1399904

ABSTRACT

INTRODUCTION: the aim of this study was to analyze the medication used by the patients with hypertensive crisis (blood pressure above 180/120mmHg) and its impact on the main risk factors for hypertensive emergency development. METHODS: a total of 233 patients (108 male, 125 female), 184 had hypertensive urgency/ 53 emergency (54.44% /50.95% in women) at the Emergency department during 11 months. Patients were divided in five age groups as decades starting from the age of 40 (mean 65.85 years) and a total ten groups depending on which type of hypertensive medication they were using (ACEi, ARB, BB, CCB, diuretics, moxonidine, and their combinations). RESULTS: by using antihypertensive monotherapy percentage of hypertensive emergencies were 100.00%, 50.00%, 41.66%, 33.33%, 21.05%. Using ACEi + CCB + diuretic significantly decreased the number of emergencies to 0%, 18.47%, 21.05%, 25.00%, 33.33%; but adding beta blocker additionally diminished the risk. Overall 53 patients had no medication (22.75%) and 68 of 233 patients were smokers (29.18%, 63.23% male) of which 36 patients had hypertensive emergency (52.94% of smokers). The biggest number of non-dippers was found in patients who took ARBs, diuretics and/or CCB but the smallest number was shown in patients who took ACEi in combination with moxonidine (-20.07%). 22.02% of smokers were non-dippers (-54.67% nonsmokers). Odds ratio for getting hypertensive emergency in case patient had a non-dipper profile was 4.18 (CI 1.02 ­ 18.89, p < 0.05). Patients taking different medication (or none) did not have increased chance for hypertensive emergency development (OR 1.21, p = NS). We didn't find any differences in the non-dipping profile incidence between genders (72.12% males, 72.83% females). CONCLUSION: combinations of all antihypertensive medication showed benefit over monotherapy. Higher 24-hour and nighttime blood pressure (non-dipping profile) was significantly associated with greater change for developing hypertensive emergency.


INTRODUCCIÓN: el objetivo de este estudio fue analizar la medicación utilizada por los pacientes con crisis hipertensiva (presión arterial superior a 180/120mmHg) y su impacto en los principales factores de riesgo para el desarrollo de la emergencia hipertensiva. MÉTODOS: un total de 233 pacientes (108 hombres, 125 mujeres), 184 tenían urgencia hipertensiva/ 53 emergencia (54,44% /50,95% en mujeres) en el servicio de Urgencias durante 11 meses. Los pacientes fueron divididos en cinco grupos de edad según décadas a partir de los 40 años (media de 65,85 años) y un total de diez grupos según el tipo de medicación hipertensiva que utilizaban (IECA, ARA, BB, BCC, diuréticos, moxonidina y sus combinaciones). RESULTADOS: utilizando monoterapia antihipertensiva el porcentaje de urgencias hipertensivas fue del 100,00%, 50,00%, 41,66%, 33,33%, 21,05%. El uso de IECA + BCC + diuréticos disminuyó significativamente el número de urgencias al 0%, 18,47%, 21,05%, 25,00%, 33,33%; pero la adición de betabloqueantes disminuyó el riesgo. En general, 53 pacientes no tenían medicación (22,75%) y 68 de 233 pacientes eran fumadores (29,18%, 63,23% hombres), de los cuales 36 pacientes tuvieron una urgencia hipertensiva (52,94% de los fumadores). El mayor número de hipertensos no inmersivos se encontró en los pacientes que tomaban ARA, diuréticos y/o BCC, pero el menor número se mostró en los pacientes que tomaban IECA en combinación con moxonidina (-20,07%). El 22,02% de los fumadores no eran hipertensos inmersivos (-54,67% de los no fumadores). El odds ratio para obtener una emergencia hipertensiva en caso de que el paciente tuviera un perfil no inmersivo fue de 4,18 (IC 1,02 - 18,89, p < 0,05). Los pacientes que tomaban una medicación diferente (o ninguna) no tenían mayor probabilidad de desarrollar una emergencia hipertensiva (OR 1,21, p = NS). No se encontraron diferencias en la incidencia de perfil no inmersivo entre géneros (72,12% varones, 72,83% mujeres). CONCLUSIÓN: las combinaciones de toda la medicación antihipertensiva mostraron beneficios sobre la monoterapia. Una mayor presión arterial de 24 horas y nocturna (perfil de hipertensión no inmersiva) se asoció significativamente con un mayor cambio para desarrollar una emergencia hipertensiva.


Subject(s)
Male , Female , Aged , Diuretics , Arterial Pressure , Hypertension
16.
Rev. Soc. Argent. Diabetes ; 56(suple. 2): 48-52, may. - ago. 2022. ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-1396862

ABSTRACT

En las personas con diabetes mellitus (DM) e hipertensión arterial (HTA), los objetivos de presión arterial (PA) deben individualizarse considerando el riesgo cardiovascular, los potenciales efectos adversos de los fármacos antihipertensivos, y el costo y las preferencias de los pacientes. En personas con DM y elevado riesgo cardiovascular un objetivo de PA <130/80 mmHg sería apropiado si puede lograrse con seguridad. Si el riesgo cardiovascular es bajo, tratar la HTA con un objetivo <140/90 mmHg. En embarazadas con DM gestacional (DMG) e HTA preexistente, se sugiere un objetivo de PA de 110-135/85 mmHg con la finalidad de reducir el riesgo de eclampsia y minimizar el retraso de crecimiento intrauterino.


In patients with diabetes mellitus (DM) and hypertension (HP), blood pressure (BP) goals should be individualized considering cardiovascular risk, potential adverse effects of antihypertensive medications, cost, and patient preferences. In people with DM and high cardiovascular risk, a BP target <130/80 mmHg would be appropriate if it can be achieved safely. If cardiovascular risk is low, treat hypertension with a target <140/90 mmHg. In pregnant women with gestational diabetes mellitus (GDM) and preexisting hypertension, a BP target of 110-135/85 mmHg is suggested to reduce the risk of eclampsia and minimize intrauterine growth restriction.


Subject(s)
Diabetes Mellitus , Arterial Pressure , Hypertension
17.
Rev. Asoc. Odontol. Argent ; 110(2): 1100812, may.-ago. 2022. tab
Article in Spanish | LILACS | ID: biblio-1417278

ABSTRACT

Objetivo: Determinar la relación entre el nivel de pre- sión arterial (PA) y la hemorragia post-exodoncia aplicando medidas de hemostasia local en pacientes bajo tratamiento con warfarina. Materiales y métodos: Este estudio se realizó sobre 30 pacientes (15 hombres y 15 mujeres) bajo tratamiento anti- coagulante oral (TACO) con warfarina. Los pacientes concu- rrían al programa de TACO del Hospital y Centro de Referen- cia de Salud El Pino (HEP y CRS). Se les realizaron una o dos extracciones dentales (n=38) sin suspensión del anticoagulan- te oral a pacientes que tuvieran un coeficiente internacional normalizado (INR) del día menor o igual a 3. Se aplicaron medidas de hemostasia local con gasa compresiva y/o sutura en 30 de las extracciones dentales. Los procedimientos quirúr- gicos fueron llevados a cabo en el Servicio Dental del CRS y HEP. Se registraron las siguientes variables: 1) PA previa a la exodoncia, 2) PA a los 30 minutos, 3) Presencia o ausencia de hemorragia a los 30 minutos post-exodoncia y 4) PA y presen- cia o ausencia de hemorragia a las 24 horas post-exodoncia. Se estudió la relación entre el nivel de PA y la hemorragia post-exodoncia. Resultados: De todos los pacientes evaluados, ninguno presentó hemorragia post-exodoncia en los distintos momen- tos de evaluación, independientemente de cuál fuera su PA. No se encontraron efectos de la variable PA ­considerando valores de PA sistólica (PAS) por debajo de 140 mmHg y de PA diastólica (PAD) menores a 90 mmHg- en relación con la hemorragia post-exodoncia. Conclusión: De acuerdo con los resultados obtenidos en este estudio, la presión arterial con PAS <140 mmHg y PAD <90 mmHg no es un factor que influya en el sangrado post-exodoncia en pacientes bajo tratamiento con warfarina con ≤3 (AU)


Aim: To establish the relationship between blood pres- sure (BP) level and post-exodontic hemorrhage by applying local hemostasis measures in patients under warfarin treat- ment. Materials and methods: This study was conducted in 30 patients (15 men and 15 women) under oral anticoagu- lant (OAC) treatment with warfarin. The patients attended the TACO program of the "Hospital y Centro de Referencia de Salud el Pino (HEP y CRS)". One or two dental extractions (n=38) were performed in the patients that had an INR low- er or equal to 3, without suspending the oral anticoagulant treatment, applying local hemostasis measures with compres- sive gauze and/or suture in 30 of the extractions. The surgical procedure was carried out in the Dental Department of the CRS and HEP. The following variables were registered: 1) BP prior to extraction, 2) BP after 30 minutes, 3) presence or absence of hemorrhage after 30 minutes post-exodontia and 4) BP and presence or absence of hemorrhage 24 hours post-exodontia. The relation between BP level and post-exo- dontic bleeding was studied. Results: Considering all the examined patients, none of them presented post-exodontic hemorrhage at any of the dif- ferent moments of evaluation, regardless of their BP level. No effect of the BP variable ­considering a range of systolic BP SBP) below 140 mmHg and a diastolic BP (DBP) under 90 mmHg- was found in relation to post-exodontic hemorrhage. Conclusion: According to the results obtained in this study, blood pressure with SBP <140 mmHg and DBP <90 mmHg is not an influential factor in post-exodontic bleeding in patients under warfarin treatment with ≤3 (AU)


Subject(s)
Humans , Male , Female , Tooth Extraction/adverse effects , Warfarin , Oral Hemorrhage/prevention & control , Arterial Pressure , Anticoagulants , Chile , International Normalized Ratio , Dental Service, Hospital
18.
Archiv. med. fam. gen. (En línea) ; 19(2): 4-13, jul. 2022. tab, ilus
Article in Spanish | LILACS | ID: biblio-1391781

ABSTRACT

Introducción: Existen poblaciones que por razones aún no completamente estudiadas y comprendidas presentan niveles de presión arterial óptimos que determinan la ausencia de morbilidad y mortalidad relacionada con las afecciones cardiovasculares. Objetivo: Determinar los niveles de presión arterial de adultos indígenas Yanomami ubicados en la serranía de Topirapecó en el Estado Amazonas en Venezuela. Métodos: Entre los meses de mayo a julio y diciembre de 2021, se realizó un estudio cuantitativo transversal en 271 adultos indígenas Yanomami de 20 años de edad o más. Se visitó en 2 ocasiones cada shabono con la finalidad de realizarle medición de la presión arterial. Las orientaciones para cumplir con el protocolo de medición de presión arterial fueron impartidas en el idioma original de los Yanomami con el apoyo de un Agente Comunitario Yanomami de Atención Primaria de Salud. El análisis estadístico incluyó promedios, porcentajes e intervalos de confianza para promedios y para porcentajes. Resultados: El 93% de los individuos presentaron valores de presión arterial óptimos (<120 y <80) y 5,5% PA normal (<130 y <85). Solo se presentaron 2 casos (0,7%) con HTA (Grado I). Los niveles promedios de PAS, PAD y PAM fueron 93,10 (±11,70); 60,66 (±9,87) y 71,48 (±9,77) mm Hg, respectivamente. Conclusiones: Los Yanomami que viven en comunidades del área geográfica de la serranía de Tapirapecó presentan niveles óptimos de presión arterial, lo que les previene de comorbilidad asociada a la HTA, lo que indica que no constituye un problema de salud emergente entre los Yanomami (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Arterial Pressure , Indigenous Peoples , Venezuela , Cross-Sectional Studies , Healthy Lifestyle , Hypertension/epidemiology
19.
Int. j. cardiovasc. sci. (Impr.) ; 35(3): 382-390, May-June 2022. tab
Article in English | LILACS | ID: biblio-1375647

ABSTRACT

Abstract Background: A family history of arterial hypertension (AH), combined with environmental risk factors, is directly related to the development of AH. Objectives: To evaluate the frequency of AH, anthropometric indicators and level of physical activity and their association with a family history (FH) of AH in school children. Methods: Cross-sectional study with 118 students, aged between 11 and 17 years, of both sexes. Waist circumference (WC), weight, height, level of physical activity and FH of HA were collected. Body mass index z score (BMI-z) and waist-to-height ratio (WHtR) were calculated. Binary logistic regression model was used to verify the chance risk, with significance p <0.05. Results: Of the 118 parents who answered the questionnaire, 34.7% had a positive FH of AH. Girls with a positive FH had higher means of WC (p= 0,004), BMI (p=0,020), and systolic blood pressure (SBP) (p=0,006) than boys, and a higher risk of being overweight (OR=4,48; 95%CI:1,55-12,94), and having elevated WHtR (OR=5.98; 95%CI:1.66- 21.47) and SBP (OR=3,07; 95%CI:1,03-9,13) than girls without a FH, but they practice more vigorours moderate physical activity (MVPA) (p=0,039). On the other hand, no differences in these parameters were observed between boys with and without a FM of AH. Conclusion: Overweight and a FH of hypertension were associated with an increased risk for AH in girls. This was not observed among boys, perhaps due to more active lifestyle.


Subject(s)
Male , Female , Child , Adolescent , Exercise , Anthropometry , Heredity , Arterial Pressure , Hypertension/genetics , Cross-Sectional Studies , Abdominal Fat , Obesity
20.
Actual. nutr ; 23(3): 138-145, jul 2022.
Article in Spanish | LILACS | ID: biblio-1417998

ABSTRACT

Introducción: El comienzo de los estudios universitarios está asociado a cambios en el estilo de vida que pueden predisponer a la aparición de factores de riesgo cardiovascular. Objetivo: Se evaluó la asociación entre el cambio en el estilo de vida de los estudiantes en dos años y la incidencia de Presión Arterial (PA) elevada y la obesidad central. Materiales y métodos: Estudiantes de primer año de Medicina se evaluaron en 2017 y 2019. Se midió circunferencia cintura, PA y se aplicó un score de Estilo de Vida (HOLS) que incluye Índice de Masa Corporal, hábito de fumar, consumo de alcohol, consumo de frutas y verduras y actividad física. Se expresaron los resultados en cada año, 2017 y 2019 separados por sexo. Se realizó regresión logística multivariada con PA y circunferencia cintura en 2019 como variables dependientes y cambios en el HOLS entre 2017 y 2019 como variable predictora. Resultados: La prevalencia de PA limítrofe fue más elevada en varones que en mujeres en 2017 y sin cambios en 2019. La proporción de estudiantes con obesidad central no se modificó. En 2017, en ambos sexos, se destacó el exceso de peso, bajo consumo de frutas y verduras y escasa actividad física que determinaron un bajo score HOLS (6,2). Transcurridos dos años el HOLS disminuyó en ambos sexos. Una disminución del HOLS se asoció con mayor riesgo de obesidad central comparado al HOLS que permaneció estable. No se observó asociación entre las variaciones del HOLS y PA. Conclusiones: El score aplicado es una herramienta útil para evaluar el estilo de vida de los estudiantes. Una disminución del HOLS se asoció con mayor riesgo de obesidad central


Introduction: The beginning of university studies is associated with changes in lifestyle that could create predisposition to the appearance of cardiovascular risk factors. Objective: The purpose of this study was to examine the association between two-year changes in the lifestyle and incident elevated Blood Pressure (BP) and central obesity in university students. Materials and Methods: First-year medical students were evaluated in 2017 and 2019. Waist circumference and BP were assessed. A Lifestyle Score (HOLS) was applied that included Body Mass Index, plus four behavioral factors: smoking, alcohol use, fruit/vegetable consumption, and physical activity. Multivariate logistic regression was used with BP and waist circumference in 2019 as dependent variable and HOLS change between 2017 and 2019 as the primary predictor. Results: The prevalence of borderline BP was higher in men than in women in 2017 and unchanged in 2019. The proportion of students with abdominal obesity did not change. In 2017, in both sexes, excess weight, low consumption of fruits and vegetables and little physical activity were highlighted. This determined a low HOLS score (6.2). After two years a decrease in the score was observed in both sexes. A two-year decrease in HOLS was associated with significantly greater odds of incident central obesity as compared to stable HOLS. No associations were observed between variations in HOLS and BP. Conclusion: The applied score is a tool to evaluate the lifestyle of the students. A decrease in HOLS was associated with an increased risk of central obesity


Subject(s)
Humans , Adult , Obesity , Arterial Pressure , Life Style
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