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1.
Rev. Hosp. Ital. B. Aires (2004) ; 40(2): 53-55, jun. 2020. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1102484

ABSTRACT

Una de las características de la afección pulmonar por enfermedad por coronavirus (COVID-19) es la disociación entre la gravedad de la hipoxemia y el mantenimiento de una mecánica respiratoria relativamente conservada. En este contexto se ha establecido una teoría en relación con dos fenotipos de pacientes con síndrome de distrés respiratorio del adulto (SDRA): un fenotipo Low, caracterizado por baja elastancia y baja reclutabilidad, y un fenotipo High, con características de alta elastancia y alta reclutabilidad. Presentamos el caso de un paciente que cursó internación en la Unidad de Terapia Intensiva de Adultos de nuestro hospital, con clínica, mecánica ventilatoria y patrón tomográfico compatible con el fenotipo Low de SDRA por COVID-19. (AU)


Dissociation between severity of hypoxemia and relative preserved respiratory mechanics is a characteristic observed in lung impairment due to coronavirus disease (COVID-19). Patients with COVID-19 that present adult respiratory distress syndrome (ARDS) are identified for one of two phenotypes according to a theory recently established. The Low phenotype is distinguished by low elastance and low recruitability; and the High phenotype, by high elastance and high recruitability. The case describes a patient admitted in the adult Intensive Care Unit of Hospital Italiano de Buenos Aires with observed symptoms, ventilatory mechanics and tomographic pattern that are compatible with Low phenotype of ARDS due to COVID-19. (AU)


Subject(s)
Humans , Male , Middle Aged , Respiratory Distress Syndrome, Adult/microbiology , Coronavirus Infections/therapy , Phenotype , Respiratory Distress Syndrome, Adult/genetics , Respiratory Mechanics , Coronavirus Infections/diagnosis , Coronavirus Infections/physiopathology , Cough/etiology , Dyspnea/etiology , Fever/etiology , Hypertension/complications , Intensive Care Units , Hypoxia/physiopathology , Obesity/complications
2.
RECIIS (Online) ; 14(2): 386-400, abr.-jun. 2020. ilus, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1102631

ABSTRACT

Dentre as doenças crônicas não transmissíveis, a hipertensão arterial sistêmica (HAS) e o diabetes mellitus (DM) são as mais frequentes e constituem um problema de saúde mundial. Diante da necessidade de implantação de programas de autocuidado voltados para essas doenças, o trabalho tem como objetivo validar um programa de autocuidado para pacientes diabéticos e hipertensos. Trata-se de um estudo de coorte prospectivo de uma população de 100 indivíduos que estavam em sala de espera. A coleta dos dados foi realizada por meio de questionários sobre diferentes temas, aplicados nos encontros, para avaliar o conhecimento dos pacientes no pré e no pós-teste. Somente algumas questões específicas de cada tema não apresentaram diferença significativa entre o pré e o pós-teste. No entanto, todos os temas abordados apresentaram incremento de conhecimento no pós-teste. Sendo assim, pode-se validar este programa de cuidado para pacientes diabéticos e hipertensos, pois promove incremento de conhecimento para os pacientes.


Among chronic non-transmissible diseases, systemic arterial hypertension (SAH) and diabetes mellitus (DM) are the most frequent and constitute a global health problem. In view of the need to implement self-care programs about these diseases, the objective of this study is to validate a self-care program for diabetic and hypertensive patients. It is a prospective cohort study of a population of 100 individuals who were in the waiting room. The data collection was done through questionnaires about different topics, that were applied in the meetings, to evaluate the knowledge of patients in the pretest and posttest. Only a few specific questions of each theme did not present a significant difference between the pretest and posttest. However, all the themes addressed presented posttest knowledge increment. Therefore, this self-care program can be validated for diabetic and hypertensive patients, because it promotes an increase of knowledge for these patients.


Entre las enfermedades crónicas no transmisibles, hipertensión arterial sistémica (HAS) y la diabetes mellitus (DM) son las más frecuentes y constituyen un problema de salud mundial. Ante la necesidad de implantación de programas de autocuidado orientados a estas enfermedades, el trabajo tiene como objetivo validar un programa de autocuidado para pacientes diabéticos e hipertensos. Se trata de un estudio de cohorte prospectiva de una población de 100 individuos que estaban en la sala de espera. La recolección de los datos se realizó a través de cuestionarios sobre diferentes temas, aplicados en los encuentros, para evaluar el conocimiento de los pacientes en el pre-teste y en el post-test. Sólo algunas cuestiones específicas de cada tema no presentaron diferencia significativa entre el pre-test y el post-test. Sin embargo, todos los temas abordados presentaron incremento de conocimiento en el post-test. Por lo tanto, se puede validar este programa de autocuidado para pacientes diabéticos e hipertensos, pues promueve incremento de conocimiento para los pacientes.


Subject(s)
Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Primary Health Care , Self Care , Health Education , Chronic Disease , Health Promotion , Data Collection , Cohort Studies , Diabetes Mellitus , Hypertension
3.
Invest. educ. enferm ; 38(2): [e10], junio 30 2020.
Article in English | LILACS (Americas), BDENF, COLNAL | ID: biblio-1103582

ABSTRACT

Objective. To analyze the report of the experience of the person with high blood pressure, in light of the theory proposed by Kristen Swanson, Methods. This was a qualitative research with autobiographical-type narrative design. To collect and analyze the information, the work used open in-depth interview with 12 individuals, participant observation, and field notes. Results. The study recognized the beliefs, customs, and cultural practices of the person living with high blood pressure and identified the care needs. The participants shared their feelings, finding that each confronts this disease differently and learns to care for themselves in particular manner. Conclusion. In the analysis of the narratives of the experience of people with high blood pressure, five care processes by Swanson were recognized: maintaining the beliefs, knowing, being with, doing for, and permitting.


Objetivo. Analizar el relato de la experiencia de la persona con hipertensión arterial, a la luz de la teoría propuesta por Kristen Swanson, Métodos. Se trata de una investigación cualitativa con diseño narrativo tipo autobiográfico. Para la recolección y análisis de la información, se utilizó la entrevista abierta a profundidad, a doce personas, la observación participante y las notas de campo. Resultados. Se reconocieron las creencias, costumbres y prácticas culturales de la persona que vive con hipertensión arterial y se identificaron las necesidades de cuidado. Los participantes compartieron sus sentimientos, encontrando que cada uno afronta esta enfermedad de manera diferente y aprende a cuidarse de forma particular. Conclusión. En el análisis de las narrativas de la experiencia de las personas con hipertensión arterial se reconocieron los cinco procesos de cuidado de Swanson: mantener las creencias, conocer, estar con, hacer por y permitir.


Objetivo. Analisar o relato da experiência da pessoa com hipertensão arterial, à luz da teoria proposta por Kristen Swanson, Métodos. Se trata de uma investigação qualitativa com desenho narrativo tipo autobiográfico. Para a coleta e análise da informação, se utilizou a entrevista aberta a profundidade, a doze pessoas, a observação participante e as notas de campo. Resultados. Se reconheceram as crenças, costumes e práticas culturais da pessoa que vive com hipertensão arterial e se identificaram as necessidades de cuidado. Os participantes compartiram seus sentimentos, encontrando que cada pessoa afronta esta doença de maneira diferente e aprende a cuidar-se de forma particular. Conclusão. Na análise das narrativas da experiência das pessoas com hipertensão arterial se reconheceram os cinco processos de cuidado de Swanson: manter as crenças, conhecer, estar com fazer por e permitir.


Subject(s)
Humans , Self Care , Nursing Theory , Qualitative Research , Hypertension
4.
Int. j. morphol ; 38(2): 336-339, abr. 2020. graf
Article in Spanish | LILACS (Americas) | ID: biblio-1056444

ABSTRACT

La irrigación renal incluye la arteria renal y las arterias renales accesorias. Uno de estos vasos accesorios es la arteria polar renal superior o inferior. Estos vasos tienen un desarrollo embrionario y un origen anatómico similar a la arteria renal, tanto en la aorta abdominal como en sus ramas. Irrigan los segmentos renales correspondientes y se ha observado que su obliteración puede ser causa de aumento de la presión arterial, al estimular un aumento de renina circulante. El objetivo de este trabajo, es presentar un reporte de caso clínico de paciente masculino de 24 años, sin antecedentes mórbidos. Consulta por un cuadro de cefalea y mareos de 2 semanas de evolución. Clínicamente se pesquisó aumento de presión arterial y obesidad, sin fiebre ni otros hallazgos significativos. Los exámenes complementarios arrojan las siguientes alteraciones: triglicéridos (aumentados), presión arterial (aumentada), renina (aumentada) y AngioTac de abdomen evidenció una arteria renal polar accesoria superior izquierda, con estenosis vascular. La literatura indica que la hipertensión arterial esta correlacionada con la obstrucción parcial o total de una arteria renal o de una rama accesoria. Esta alteración en la disminución del flujo sanguíneo podría estimular la liberación de renina al torrente sanguíneo, afectando la presión arterial. Nuestros hallazgos concuerdan con lo descrito en la literatura y requieren ser considerados en el diagnóstico de hipertensión arterial. Este caso evidencia la necesidad de realizar una revisión exhaustiva de la base anatómica de la medicina con un enfoque integrativo, lo que permitirá mejorar el diagnóstico, el tratamiento y el pronóstico de patologías donde esta información es poco clara o inexistente.


The kidney irrigation includes the renal artery and the accessory renal arteries. One of these accessory vessels is the superior or inferior renal polar artery. These vessels have an embryonic development and an anatomical origin similar to the renal artery, both in the abdominal aorta but also of its branches. Irrigate the corresponding renal segments and it has been observed that their obliteration may cause increased blood pressure, by stimulating an increase in circulating renin. The objective of this work is to present a clinical case report of a 24year-old male patient, with no morbid history. Consultation due to headache and dizziness symptoms with 2 weeks of evolution. Clinically increased blood pressure and obesity, without fever or other significant findings. Corresponding exams showed the following changes: triglycerides (increased), blood pressure (increased), renin (increased) and abdominal AngioTac showed a left upper accessory polar renal artery with vascular stenosis. The literature indicates that arterial hypertension is correlated with partial or total obstruction of a renal artery or an accessory branch. This alteration in the decrease in blood flow could stimulate the release of renin into the bloodstream, affecting blood pressure. Our findings agree with what is described in the literature and need to be considered in the diagnosis of arterial hypertension. This case demonstrates the need for an exhaustive review of the anatomical basis of medicine with an integrative approach. This would improve diagnosis, treatment and prognosis of pathologies where this information is unclear or non-existent.


Subject(s)
Humans , Male , Young Adult , Renal Artery/abnormalities , Hypertension , Renal Artery/diagnostic imaging
5.
J. health med. sci. (Print) ; 6(1): 37-43, ene.-mar. 2020. ilus, tab
Article in Spanish | LILACS (Americas) | ID: biblio-1096714

ABSTRACT

El objetivo de este trabajo fue caracterizar epidemiológica y sociodemográficamente a las personas atendidas en la Unidad de Baja Visión y Rehabilitación Visual del Hospital Clínico de la Universidad de Chile. El método utilizado fue un estudio descriptivo, transversal y retrospectivo de los registros clínicos de las personas atendidas en la Unidad, entre marzo de 2015 a octubre de 2016. Para el análisis se utilizó el software MS Excel, calculando las frecuencias relativas y medidas de posición central y dispersión. En los resultados se observaron un mayor número de pacientes de sexo femenino (55,5%), y adultos mayores de 60 años o más (53,3%). El 73,3% de los pacientes pertenecieron al sistema de salud público y un 35,6% poseían menos de 8 años de estudio. El 80 % de las personas atendidas se encuentra en edad laboral, de éstos un 63,9% se encontraban laboralmente inactivos. Las enfermedades oftalmológicas con mayor frecuencia correspondieron a las enfermedades genéticas del ojo (22,2%) y la degeneración macular relacionada con la edad (17,8%). Un 57,8% de los pacientes presentó alguna patología sistémica asociada a baja visión. Sólo un 6,0% recibió rehabilitación visual anteriormente. Se concluyó que la mayor prevalencia de enfermedades oculares asociadas al envejecimiento como la degeneración macular relacionada con la edad y enfermedades genéticas del ojo, sumado a las características sociodemográficas y en particular a que un 94% de los pacientes no habían tenido acceso a rehabilitación visual, constituyen un perfil que desafía al desarrollo de medidas de salud pública que resguarden la prevención, acceso y rehabilitación, siendo la formación de equipos multidisciplinarios especialistas una necesidad imperiosa.


This work aimed to do a characterization, epidemiological and socio demographical, to the people attended in a Low Vision and Rehabilitation Unit from a Clinical Hospital of the Universidad de Chile. A descriptive, transversal and retrospective method was used for the clinical registers of the people attended in the Unit, between March 2015 to October 2016. For the analysis, a MS Excel software was used, calculating the relative and measured frequencies of central position and dispersion. In the results, a greater number of feminine patients (55. 5%) were observed, and seniors of 60 years or more (53.3%). 73.3% of the patients belonging to the Public Health Care System and 35.6% had less than 8 years of studies. The 80% of attended patients were in working age, from this 63,9% were unemployed. The ophthalmological diseases with more frequency belonged to eye genetic diseases (22.2%) and macular degeneration related to age (17.8%). 57.8% of the patients presented a systematic pathology associated with low vision. Just 6.0% received previous visual rehabilitation. We concluded that the greater prevalence of ocular diseases associated to aging such as macular degeneration related to age and eye genetic diseases added to the sociodemographic features and particularly a 94% of the patients did not have access to visual rehabilitation, represent a profile that challenges the development public health care measures that safeguard the prevention, access, and rehabilitation, being an imperative need the making of specialist multidisciplinary teams.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Vision, Low/rehabilitation , Vision, Low/epidemiology , Socioeconomic Factors , Vision Disorders/rehabilitation , Vision Disorders/epidemiology , Comorbidity , Chile/epidemiology , Diabetes Mellitus/epidemiology , Hypertension/epidemiology
6.
Demetra (Rio J.) ; 15(1): e44161, jan.- mar.2020. tab
Article in English, Portuguese | LILACS (Americas) | ID: biblio-1099822

ABSTRACT

Objetivo: O presente estudo teve por objetivo elaborar e avaliar a validade e a reprodutibilidade de um questionário de frequência alimentar (QFA) para hipertensos e/ou diabéticos do município de Maceió-AL, Brasil. Métodos: O QFA foi elaborado a partir de 1.603 inquéritos dietéticos recordatórios de 24 h (IDR24H). Para avaliar a validade e a reprodutibilidade do QFA aplicaram-se, em uma amostra de 40 indivíduos, três QFAS e três IDR24H concomitantemente e com intervalo máximo de 45 dias entre as aplicações. A validade foi avaliada por meio dos coeficientes de correlação de Pearson (CCP) ou de Spearman (CCS) entre o QFA 1, 2 e 3, e a média dos 3IDR24H, adotando-se o IDR24H como padrão de referência; e a reprodutibilidade, por meio do coeficiente de correlação intraclasse (CCI) entre os QFAs. Resultados: Quanto à validade, os CCP ou CCS atingiram os valores recomendados entre 0,4 e 0,7 para energia, macronutrientes, cálcio e sódio para as aplicações 1 e 2 do QFA (validade satisfatória); e para os demais nutrientes, CCP < 0,4. Quanto à reprodutibilidade, todos os nutrientes estudados apresentaram CCI dentro dos valores recomendados, exceto potássio entre QFA1 e QFA3 (CCI = 0,28). Conclusão: O QFA elaborado e avaliado neste estudo constitui um bom instrumento de avaliação de consumo alimentar para avaliação de energia, macronutrientes, cálcio e sódio para hipertensos e/ou diabéticos, podendo fornecer informações importantes para estudos de epidemiologia nutricional neste público-alvo. (AU)


Objective: The aims of the current study are to develop and assess the validity and reproducibility of a food frequency questionnaire (FFQ) focused on hypertensive and/or diabetic individuals living in Maceió City - AL, Brazil. Methods: The questionnaire was developed based on 1,603 twenty-four-hour recall dietary surveys (24-HDR). Three FFQs and three 24-HDRs were concomitantly applied to a sample of 40 individuals, at maximum interval of 45 days between applications, in order to assess FFQ validity and reproducibility. Validity assessment was based on Pearson's (PCC) or Spearman's (SCC) correlation coefficient between FFQs 1, 2, 3 and the mean of three 24-HDRs (the 24- HDR was used as reference standard). Reproducibility assessment was based on the intraclass correlation coefficient (ICC) among FFQs. Results: PCCs or SCCs recorded the recommended validity values (from 0.4 and 0.7) for energy, macronutrients, calcium and sodium in FFQs 1 and 2 (satisfactory validity), whereas other nutrients recorded PCC < 0.4. All investigated nutrients presented ICC within the recommended reproducibility values, except for potassium, which recorded ICC equal to 0.28 between FFQs 1 and 3. Conclusion: The FFQ developed and evaluated in the current study is a good food intake-evaluation instrument to assess energy, macronutrients, calcium and sodium in hypertensive and/or diabetic individuals, since it can provide important information for studies about nutritional epidemiology in this target population. (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Surveys and Questionnaires , Diabetes Mellitus , Feeding Behavior , Hypertension , Diet, Diabetic , Diet , Dietary Approaches To Stop Hypertension
7.
Saude e pesqui. (Impr.) ; 13(1): 31-49, jan/mar 2020. ilus, tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1052894

ABSTRACT

O objetivo deste estudo é identificar o nível de adesão ao tratamento medicamentoso de adultos autorreferidos com diagnóstico de hipertensão. Trata-se de um estudo descritivo-transversal envolvendo 213 indivíduos autorreferidos com diagnóstico de hipertensão participantes em campanhas de hipertensão arterial realizadas em cidade do interior paulista. Os instrumentos de coleta de dados utilizados foram entrevistas semiestruturadas e questionário de Morisky e Green. Foram aplicados o teste qui-quadrado e análise de correspondência múltipla. A maioria dos participantes do estudo relatou não aderir ao tratamento medicamentoso (84%). O sexo feminino apresentou maior adesão. As barreiras à adesão foram dificuldade para mudança de hábitos de vida, irregularidade às consultas médicas e aos horários das medicações. A adesão ao tratamento medicamentoso constitui-se de um processo complexo e multifatorial que merece atenção especial da equipe multiprofissional em saúde com o objetivo de aumentar as taxas de adesão e a qualidade de vida dos indivíduos.


Adhesion level to medicinal treatment by adults diagnosed with hypertension is identified by a descriptive and transversal study involving 213 people diagnosed with hypertension and participating in arterial hypertension campaign in a town in the hinterland of the state of São Paulo, Brazil. Data were collected by half-structured interviews and by Morisky & Green questionnaire. Most participants (84%) failed to adhere to medicinal treatment, with females complying most with adhesion. Adhesion impairments comprised difficulties in changes in lifestyle, irregular visits to the doctor´s and medicine timetable. Adhesion to medicine treatment is a complex and multifactor process that needs special attention by the multiprofessional health team to increase adhesion rates and life quality of patients.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Therapeutics , Patient Compliance , Hypertension , Quality of Life , Treatment Refusal
8.
REME rev. min. enferm ; 24: e-1287, fev.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1053240

ABSTRACT

Objetivo: verificar se o emprego de ventilação mecânica invasiva (VMI) com pressão positiva predispõe o aparecimento de lesão renal aguda (LRA) em pacientes críticos. Método: coorte prospectiva de abordagem quantitativa desenvolvido em Unidade de Terapia Intensiva (UTI) de um hospital público. Os pacientes elegíveis foram selecionados por conveniência. Para a coleta de dados aplicou-se questionário constituído de itens sobre variáveis clínicas e laboratoriais. As informações foram extraídas do prontuário durante o período de 15 dias. A análise dos dados foi descritiva e inferencial. Consideraram-se significativos resultados com p≤0,05. Resultados: dos 79 pacientes avaliados, a hipertensão arterial esteve entre as comorbidades mais incidentes (29,1%). Entre os pacientes analisados, 59,5% necessitaram de VMI com PEEP ≥10 cmH2 O. Do total de pacientes, 91,1% evoluíram com disfunção renal, segundo a classificação KDIGO. Como desfecho, 34,2% dos pacientes evoluíram a óbito. Pacientes que usaram PEEP >5 cmH2 0 mostraram significativa predisposição à disfunção renal (p≤0,05). Conclusão: a ventilação mecânica invasiva com pressão positiva (PEEP) foi um fator que contribuiu para o agravo da função renal em diferentes gradações. Constatou-se que pacientes em VMI com PEEP >5 cmH2 O estão mais predispostos ao aparecimento da LRA em UTI, em razão da tendência à idade avançada, a sobrepeso, tempo prolongado de ventilação mecânica e ainda hipertensão arterial.(AU)


Objective: to verify whether the use of invasive mechanical ventilation (IMV) with positive pressure predisposes to the appearance of acute kidney injury (AKI) in critically ill patients. Method: prospective cohort of quantitative approach developed in intensive care unit (ICU) of a public hospital. Eligible patients were selected by convenience sampling. For data collection, a questionnaire consisting of items on clinical and laboratory variables was applied. The information was extracted from the medical records during a period of 15 days. Data analysis was descriptive and inferential. Significant results with p≤0.05 were considered significant. Results: hypertension was among the most incident comorbidities (29.1%) of the 79 patients evaluated. Among the patients analyzed, 59.5% required IMV with PEEP ≥10 cmH2 O. Of the total number of patients, 91.1% evolved with renal dysfunction, according to the KDIGO classification. As an outcome, 34.2% of patients died. Patients who used PEEP >5 cmH2 0 showed significant predisposition to renal dysfunction (p≤0.05). Conclusion: invasive mechanical ventilation with positive pressure (PEEP) was a factor that contributed to aggravate renal function in different gradations. It was found that patients receiving IMV with PEEP >5 cmH2 O are more predisposed to the onset of AKI in the ICU, due to the tendency to advanced age, overweight, long time of mechanical ventilation and also hypertension. (AU)


Objetivo: comprobar si el uso de ventilación mecánica invasiva (VMI) con presión positiva predispone a la lesión renal aguda (LRA) en pacientes críticos. Método: cohorte prospectiva con enfoque cuantitativo desarrollado en la unidad de cuidados intensivos (UCI) de un hospital público. Los pacientes elegibles fueron seleccionados mediante muestreo por conveniencia. La recogida de datos fue realizada por medio de una encuesta de preguntas sobre las variables clínicas y de laboratorio. La información fue extraida del registro médico durante el período de 15 días. El análisis de datos fue descriptivo e inferencial. Los resultados con p≤0.05 fueron considerados significativos. Resultados: de los 79 pacientes evaluados, la hipertensión arterial se encontraba entre las comorbilidades más incidentes (29,1%). Entre los pacientes analizados, el 59.5% requirió VMI con PEEP ≥10 cmH2 O. Del número total de pacientes, el 91.1% tuvo disfunción renal, según la clasificación KDIGO. Como resultado, el 34,2% de los pacientes falleció. Los pacientes que usaron PEEP> 5 cmH2 O mostraron predisposición significativa a la disfunción renal (p≤0.05). Conclusión: la ventilación mecánica invasiva con presión positiva (PEEP) fue un factor que contribuyó al empeoramiento de la función renal en diferentes grados. Se encontró que los pacientes en IMV con PEEP> 5 cmH2 O están más predispuestos a la LRA en la UCI, debido a la edad, al sobrepeso, al tiempo prolongado de ventilación mecánica e incluso a la hipertensión arterial. (AU)


Subject(s)
Humans , Respiration, Artificial , Positive-Pressure Respiration , Acute Kidney Injury , Hypertension , Intensive Care Units
9.
Nursing (Säo Paulo) ; 23(261): 3594-3599, fev.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1095667

ABSTRACT

Objetivo: avaliar os parâmetros hemodinâmicos em homens e mulheres e elaborar proposta de ações farmacológicas e não farmacológicas para pacientes com pressão de pulso (PP) acima da média. Método: estudo retrospectivo, documental, quantitativo, com amostra de 287 prontuários, no qual foram avaliados dados epidemiológicos e clínicos de pacientes hipertensos e diabéticos vinculados a uma unidade de referência da Estratégia de Saúde da Família. Resultados: foi detectado aumento progressivo da PP, principalmente, na população feminina a partir dos 50 anos de idade. Conclusão: evidenciou-se a prevalência do sexo feminino e o aumento progressivo da PP, o que representa elevado risco cardiovascular (RCV) nesta população. Assim, destaca-se a necessidade de maiores intervenções com direcionamento específico a este grupo.(AU)


Objective: to evaluate hemodynamic parameters in men and women and to elaborate a proposal for pharmacological and non-pharmacological actions for patients with above-average pulse pressure (PP). Method: retrospective, documentary, quantitative study, with a sample of 287 medical records, in which epidemiological and clinical data from hypertensive and diabetic patients linked to a reference unit of the Family Health Strategy were evaluated. Results: a progressive increase in PP was detected, mainly in the female population over 50 years of age. Conclusion: the prevalence of females and the progressive increase in PP became evident, which represents a high cardiovascular risk (CVR) in this population. Thus, the need for greater interventions with a specific focus on this group is highlighted.(AU)


Objetivo: evaluar los parámetros hemodinámicos en hombres y mujeres y elaborar una propuesta de acciones farmacológicas y no farmacológicas para pacientes con presión de pulso (PP) superior al promedio. Método: estudio retrospectivo, documental, cuantitativo, con una muestra de 287 registros médicos, en el que se evaluaron datos epidemiológicos y clínicos de pacientes hipertensos y diabéticos vinculados a una unidad de referencia de la Estrategia de Salud Familiar. Resultados: se detectó un aumento progresivo de PP, principalmente en la población femenina mayor de 50 años. Conclusión: la prevalencia de las mujeres y el aumento progresivo de PP se hicieron evidentes, lo que representa un alto riesgo cardiovascular (CVR) en esta población. Por lo tanto, se destaca la necesidad de mayores intervenciones con un enfoque específico en este grupo.(AU)


Subject(s)
Humans , Chronic Disease , Blood Pressure Monitoring, Ambulatory , Family Health Strategy , Diabetes Mellitus , Hypertension , Primary Health Care
10.
REME rev. min. enferm ; 24: e-1275, fev.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1051265

ABSTRACT

Objetivo: identificar os fatores de riscos modificáveis de pacientes com hipertensão arterial sistêmica e relacioná-los às características sociodemográficas e clínicas. Métodos: estudo transversal e correlacional realizado em pacientes com hipertensão arterial sistêmica. Os fatores de risco analisados foram obesidade, consumo excessivo de sal, sedentarismo, consumo de bebida alcoólica, tabagismo, estresse e apneia do sono. A obesidade foi analisada pelo índice de massa corporal e medida da circunferência abdominal, o consumo de sal e o sedentarismo pelo relato dos pacientes, as desordens relacionadas ao consumo de álcool pelo Alcohol Use Disorders Indentification Test, o tabagismo pelo relato dos pacientes e pelo Questionário de Fagerström, o estresse pela Escala de Estresse Percebido e a apneia do sono pelo Questionário de Berlim. As variáveis sociodemográficas e clínicas analisadas foram idade, sexo, raça, escolaridade, estado civil, renda familiar, moradia, número de filhos e de conviventes e ocupação profissional. Resultados: foram avaliados 106 pacientes; 85 eram obesos, 73 sedentários, 71 apresentavam alto risco para apneia obstrutiva do sono e 25 faziam uso de álcool. A média do escore de desordens devido ao álcool foi de 0,83+2,8 pontos, do consumo de sal foi de 3,95 gramas, do estresse foi de 14,2+7,6 pontos e da dependência de nicotina foi de 3,00+1,7 pontos. Obesidade, sedentarismo, uso de bebida alcoólica, consumo de sal e estresse relacionaram-se a algumas variáveis sociodemográficas. Conclusão: ações preventivas devem ser adotadas para que haja mudança no estilo de vida desses pacientes e, consequentemente, redução de complicações e de outras doenças cardiovasculares.(AU)


Objective: to identify the modifiable risk factors of patients with systemic arterial hypertension and to relate them to sociodemographic and clinical characteristics. Methods: cross-sectional and correlational study carried out in patients with systemic arterial hypertension. The risk factors analyzed were obesity, excessive salt consumption, physical inactivity, alcohol consumption, smoking, stress and sleep apnea. Obesity was analyzed by body mass index and measurement of waist circumference, salt consumption and physical inactivity by patients' reports, disorders related to alcohol consumption by the Alcohol Use Disorders Identification Test, smoking by patients' reports and Fagerström Questionnaire, stress by the Perceived Stress Scale and sleep apnea by the Berlin Questionnaire. The sociodemographic and clinical variables analyzed were age, sex, race, education, marital status, family income, housing, number of children and cohabitants and professional occupation. Results: 106 patients were evaluated; 85 were obese, 73 were sedentary, 71 were at high risk for obstructive sleep apnea and 25 were using alcohol. The average score of disorders due to alcohol was...(AU)


Objetivo: identificar los factores de riesgo modificables de pacientes con hipertensión arterial sistémica y relacionarlos con características sociodemográficas y clínicas. Métodos: estudio transversal y correlacional realizado en pacientes con hipertensión arterial sistémica. Los factores de riesgo analizados fueron obesidad, consumo excesivo de sal, inactividad física, consumo de alcohol, tabaquismo, estrés y apnea del sueño. La obesidad se analizó mediante el índice de masa corporal y la medición de la circunferencia de la cintura, el consumo de sal y la inactividad física según los informes de los pacientes, los trastornos relacionados con el consumo de alcohol mediante el test para la identificación de trastornos por uso de alcohol (AUDIT), el tabaquismo según los informes de los pacientes y el cuestionario de Fagerström, estrés por la escala de estrés percibido y apnea del sueño por el cuestionario de Berlín. Las variables sociodemográficas y clínicas analizadas fueron edad, sexo, raza, educación, estado civil, ingresos familiares, vivienda, número de hijos y convivientes y ocupación profesional. Resultados: se evaluaron 106 pacientes; 85 eran obesos, 73 eran sedentarios, 71 tenían un alto riesgo de apnea obstructiva del sueño y 25 usaban alcohol. El puntaje promedio de los trastornos debidos al alcohol fue de 0,83 + 2,8 puntos, el consumo de sal fue de 3,95 gramos, el estrés fue de 14,2 + 7, 6 puntos y la dependencia de la nicotina fue 3,00 + 1,7 puntos. La obesidad, la inactividad física, el uso de alcohol, el consumo de sal y el estrés se relacionaron con algunas variables sociodemográficas. Conclusión: deben tomarse medidas preventivas para cambiar el estilo de vida de estos pacientes y, en consecuencia, reducir las complicaciones y demás enfermedades cardiovasculares. (AU)


Subject(s)
Humans , Male , Female , Risk Factors , Cardiovascular Nursing , Hypertension , Hypertension/prevention & control , Socioeconomic Factors , Diagnostic Techniques, Cardiovascular
11.
Arch. med ; 20(1): 181-187, 2020-01-18.
Article in Spanish | LILACS (Americas) | ID: biblio-1053280

ABSTRACT

Objetivo: caracterizar los pacientes adultos mayores con hipertensión arterial pertenecientes al Policlínico Docente José Martí (Santiago de Cuba, Cuba, consultorios médicos de familia número 14 y 15) en el período enero y diciembre del 2016. Materiales y métodos: se realizó un estudio descriptivo transversal, en un universo constituido por los 201 adultos mayores diagnosticados con hipertensión arterial y que cumplieron con los criterios de inclusión. Para obtener los datos se revisaron las historias clínicas de salud familiar y las historias clínicas individuales de los pacientes, y se realizó encuesta a los mismos. Se utilizó el porcentaje como medida de resumen y los resultados se llevaron a tablas estadísticas. Resultados: tabulados los resultados se encontró que el 60,2% de los pacientes tienen hipertensión arterial grado I, el 22,4% están entre 60 y 64 años y el 65,2% son de sexo femenino. El 80,1% tienen antecedentes hereditarios de hipertensión arterial y el 56,2% manifiestan el estrés como factor de riesgo asociado. Los eventos agudos asociados a urgencia y/o emergencia hipertensiva fueron los más frecuentes con un 88,6%; y el 54,2% realiza tratamiento combinado.Conclusiones: los adultos mayores estudiados forman parte de la alta prevalencia de hipertensión arterial (HTA) en el municipio Santiago de cuba, relacionándose a las estadísticas nacionales y donde la prevención es elemental..(AU)


Objective: to characterize the elderly patients with arterial hypertension, belonging to the Educational Polyclinic Jose Marti (Santiago de Cuba, Cuba , family doctor's office number 14 and 15), during the period understood between January and December of the 2016. Materials and methods: a descriptive, cross-sectional study was performed in a universe constituted by the 201 elderly patients diagnosed as hypertensive, which fulfilled the inclusion criteria. Family health medical records, individual patient medical records and surveys were used for data collection. the percentage was used as a summary measure and the results were taken to statical tables. Results: the tabulated results find 60.2% of patients have grade 1 arterial hypertension, 22.4% are between 60 and 64 years old and 65.2% are female. 80.1% have a hereditary history of arterial hypertension and 56.2% have stress as an associated risk factor. The acute events associated with urgency and/or hypertensive emergency were the most frequent with 88.6% and 54.2% performed combined treatment. Conclusions: the bigger affected adults are part of the high prevalence of arterial hypertension (HTA) en the Santiago de Cuba municipality, by relating to the national estadiscases and where the prevention is elementary.


Subject(s)
Middle Aged , Frail Elderly , Hypertension
12.
Article in Portuguese | LILACS (Americas) | ID: biblio-1097242

ABSTRACT

Objetivo: iinvestigar a potencial associação entre a hipertensão arterial sistêmica (HAS) e a gravidade da COVID-19. Métodos: realizou-se uma pesquisa eletrônica no Medline, Scopus e Web of Science acerca da relação entre HAS e COVID-19. Resultados: as primeiras hipóteses levantadas revelaram que a associação entre as doenças estava no tratamento com inibidores da enzima de conversão da angiotensina e bloqueadores dos receptores da angiotensina. Contudo, em um estudo experimental, observou-se que os pacientes hipertensos tratados com esses medicamentos apresentaram menor taxa de gravidade da doença. Conclusão: até o momento, a relação de HAS e COVID-19 é conflitante.(AU)


Objective: to investigate the potential association between systemic arterial hypertension (SAH) and the severity of COVID-19. Methods: An electronic research on Medline, Scopus and Web of Science was conducted about the relationship between SAH and COVID-19. Results: The first hypotheses raised revealed that the association between the diseases was in the treatment with angiotensin conversion enzyme inhibitors and angiotensin receptor blockers. However, in an experimental study it was observed that hypertensive patients treated with these drugs had a lower rate of disease severity. Conclusion: So far, the relationship between SAH and COVID-19 is conflicting.(AU)


Subject(s)
Humans , Angiotensin-Converting Enzyme Inhibitors/pharmacology , Coronavirus Infections/diagnosis , Hypertension/etiology , Prognosis
13.
Article in Portuguese | LILACS (Americas) | ID: biblio-1116028

ABSTRACT

Objetivo. Comparar as tendências temporais de acesso e utilização de serviços para controle de hipertensão arterial sistêmica (HAS) e diabetes mellitus (DM) em equipes com e sem a participação de profissionais do Programa Mais Médicos (PMM). Métodos. Utilizou-se um delineamento analítico-descritivo, com comparação entre equipes participantes do PMM (intervenção) e não participantes, em uma abordagem quase-experimental em série temporal. Comparouse o desempenho de uma amostra de 30 000 equipes da Estratégia Saúde da Família em 2012 e 20 000 equipes em 2015. Os padrões nos dois grupos foram analisados pela técnica de diferença-em-diferença com estratificação por região geopolítica, porte populacional e perfil municipal. A média semestral de atendimentos foi estimada pela divisão do número total de consultas de DM e HAS realizadas por médicos e enfermeiros em determinada equipe de saúde pelo total de usuários com DM/HAS cadastrados no mesmo local e período. Uma média de consultas/usuário maior do que 14,2 para DM e 10,8 para HAS foi considerada como outlier, sendo as equipes com essas médias excluídas das análises. Resultados. A análise de diferença-em-diferença indicou melhor desempenho na oferta de consulta para DM (P < 0,001) e HAS (P < 0,001) entre as equipes com PMM em comparação àquelas sem o programa. O efeito foi mais pronunciado nas regiões Norte e Nordeste, em municípios com mais de 20% da população em extrema pobreza e em municípios de todos os portes populacionais. Conclusões. Os resultados mostram que o PMM amplia o acesso e a utilização dos serviços de saúde.(AU)


Objective. To compare temporal trends in access and utilization of systemic arterial hypertension (SAH) and diabetes mellitus (DM) services provided by teams with or without physicians from the More Doctors Program (PMM). Method. An analytical-descriptive design was used, with comparison of teams that joined the PMM (intervention) vs. non-participants, using a quasi-experimental time series approach. The study compared the performance of a sample of 30 000 Family Health Strategy teams in 2012 and 20 000 teams in 2015. The patterns in both groups were analyzed using the difference-in-difference technique with stratification according to geopolitical region, population size, and municipal profile. The mean number of consultations per semester was estimated by dividing the total number of DM and HAS consultations provided by physicians and nurses in a given health care team by the total number of users with DM/HAS registered in the same location and period. A mean number of consultations/user > 14.2 for DM and > 10.8 for HAS was considered as an outlier, and thus the teams with these means were excluded from the analyses. Results. The difference-in-difference analysis indicated better performance in the provision of DM (P < 0.001) and SAH (P < 0.001) services among PMM teams vs. non-PMM teams. The effect was more pronounced in the North and Northeast regions, in municipalities with more than 20% of the population living in extreme poverty, and in municipalities of all population sizes. Conclusions. The results show that the PMM increased access and utilization of health care services.(AU)


Objetivo. Comparar las tendencias temporales del acceso y de la utilización de los servicios para el control de la hipertensión arterial sistémica (HAS) y la diabetes mellitus (DM) realizado por los equipos de salud de la familia que trabajan solos y por los que cuentan con la participación de profesionales del Programa Mais Médicos (PMM). Métodos. Se utilizó un diseño analítico y descriptivo, con comparación entre los equipos con participantes del PMM (intervención) y sin ellos, con un método cuasiexperimental de series temporales. Se comparó el desempeño de una muestra de 30 000 equipos que trabajaron dentro del marco de la estrategia de salud de la familia en el 2012 y de 20 000 equipos en el 2015. Se analizaron los patrones observados en ambos grupos con la técnica de doble diferencia con estratificación por zona geopolítica, tamaño de la población y perfil municipal. Se estimó la media semestral de casos atendidos con la división del número total de consultas por DM y HAS a cargo de médicos y miembros del personal de enfermería de un determinado equipo de salud por el total de usuarios con DM y HAS registrados en el mismo lugar y período. Se consideró que una media de consultas por DM por usuario mayor de 14,2 y por HAS mayor de 10,8 era un valor atípico y, por lo tanto, los equipos con esas medias se excluyeron de los análisis. Resultados. El análisis de doble diferencia indicó un mejor desempeño en la atención de consultas por DM (P < 0,001) y por HAS (P < 0,001) a cargo de los equipos con participantes del PMM en comparación con los que trabajaron sin ese programa. El efecto fue más pronunciado en las regiones norte y nordeste, en los municipios con más de 20% de la población en condiciones de extrema pobreza y en municipios de todos los tamaños de población. Conclusiones. Los resultados muestran que el PMM amplía el acceso y la utilización de los servicios de salud.(AU)


Subject(s)
Humans , Primary Health Care/organization & administration , Program Evaluation/methods , Family Health , Diabetes Mellitus/prevention & control , Hypertension/prevention & control , National Health Programs/organization & administration , Brazil , Time Series Studies , Epidemiology, Descriptive
14.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811254

ABSTRACT

PURPOSE: This study assessed the food intake and nutritional status of the elderly in long-term care facilities in order to provide adequate food services and improve the nutritional status.METHODS: The survey was carried out from August 2019 to October 2019 for the elderly in long-term care facilities located in Gwangju Metropolitan City. The survey was conducted to collect data from 199 elderly persons (34 males and 165 females) aged over 65 years old. The food intake was assessed using a 1-day 24-hour recall method.RESULTS: More than 90% of the subjects were over 75 years old. Forty five percent of the subjects were active, 44.2% of the subjects perceived themselves as not being healthy. Dementia and Parkinson's disease were the most common diseases, followed by hypertension, musculo-skeletal disease, diabetes, and stroke. Only 25.6% of the subjects had most of their teeth intact, and 44.7% of the subjects had difficulty in chewing and swallowing. The total food intake was 1,127 g in males and 1,078 g in females. The most frequently consumed foods were kimchi, cooked rice with multi-grains, soybean soup, cooked rice with white rice, yogurt, pumpkin porridge, soy milk, and duck soup. The average energy intake of the subjects was 1,564.9 kcal in males and 1,535.5 kcal in females. The overall nutritional status of the elderly in the long-term care facilities was poor. In particular, the intake of vitamin D and calcium, vitamin C, riboflavin, and potassium were very low. The intake of vitamin D was 5 µg, and 86.4% of the elderly were below the estimated average requirement, while the intake of sodium was high.CONCLUSION: The results of this study can be used to understand the health and nutritional status and to improve the food services and nutrition management for the elderly in long-term care facilities.


Subject(s)
Aged , Ascorbic Acid , Calcium , Cucurbita , Deglutition , Dementia , Ducks , Eating , Energy Intake , Female , Food Services , Humans , Hypertension , Long-Term Care , Male , Mastication , Methods , Nutritional Status , Parkinson Disease , Potassium , Riboflavin , Sodium , Soy Milk , Soybeans , Stroke , Tooth , Vitamin D , Yogurt
15.
Article in English | WPRIM (Western Pacific) | ID: wprim-811143

ABSTRACT

BACKGROUND: Diabetes mellitus is associated with an increased risk of dementia. We aimed to comprehensively analyze the incidence and risk factors for dementia and young-onset dementia (YOD) in diabetic patients in Korea using the National Health Insurance Service data.METHODS: Between January 1, 2009 and December 31, 2012, a total of 1,917,702 participants with diabetes were included and followed until the date of dementia diagnosis or until December 31, 2015. We evaluated the incidence and risk factors for all dementia, Alzheimer's disease (AD), and vascular dementia (VaD) by Cox proportional hazards analyses. We also compared the impact of risk factors on the occurrence of YOD and late-onset dementia (LOD).RESULTS: During an average of 5.1 years of follow-up, the incidence of all types of dementia, AD, or VaD was 9.5, 6.8, and 1.3/1,000 person-years, respectively, in participants with diabetes. YOD comprised 4.8% of all dementia occurrence, and the ratio of AD/VaD was 2.1 for YOD compared with 5.5 for LOD. Current smokers and subjects with lower income, plasma glucose levels, body mass index (BMI), and subjects with hypertension, dyslipidemia, vascular complications, depression, and insulin treatment developed dementia more frequently. Vascular risk factors such as smoking, hypertension, and previous cardiovascular diseases were more strongly associated with the development of VaD than AD. Low BMI and a history of stroke or depression had a stronger influence on the development of YOD than LOD.CONCLUSION: The optimal management of modifiable risk factors may be important for preventing dementia in subjects with diabetes mellitus.


Subject(s)
Alzheimer Disease , Blood Glucose , Body Mass Index , Cardiovascular Diseases , Dementia , Dementia, Vascular , Depression , Diabetes Mellitus , Diabetes Mellitus, Type 2 , Diagnosis , Dyslipidemias , Follow-Up Studies , Humans , Hypertension , Incidence , Insulin , Korea , National Health Programs , Risk Factors , Smoke , Smoking , Stroke
16.
Article in English | WPRIM (Western Pacific) | ID: wprim-811140

ABSTRACT

BACKGROUND: Soybean food consumption has been considered as a possible way to lower incidence of cardiometabolic syndrome (CMS) among Asians. However, results from studies investigating its efficacy on CMS in Asians have been inconsistent.METHODS: We analyzed the association between soybean intake frequency and prevalence of CMS based on data from the Korea National Health and Nutrition Examination Survey 2007 to 2011. Data of 9,287 women aged 20 to 64 years were analyzed. Food frequency questionnaire was used to assess soybean food consumption frequency. General linear model and multivariable logistic regression model were used to examine the association of soybean intake quintile with CMS and its risk factors. Least square means of metabolic factors mostly showed no significant relevance except liver indexes.RESULTS: Compared to participants in the 1st quintile (<2 times/week of soybean food), odds ratios (OR) for CMS and abdominal obesity (AO) in the 4th quintile (8.5 times/week<soybean food≤17 times/week) were 0.73 (95% confidence interval [CI], 0.57 to 0.95) and 0.72 (95% CI, 0.58 to 0.90), respectively. After excluding Tofu products, ORs of CMS, AO, high blood pressure, and hypertriglyceridemia were lower than those without excluding Tofu products. However, results still did not show significant inverse linear trend across frequency quintiles.CONCLUSION: Our findings suggest that soybean intake of 8.5 to 17 times/week was inversely associated with CMS in Korean women. The relation between soybean intake >17 times/week and CMS varied depending on soybean food items.


Subject(s)
Asian Continental Ancestry Group , Diabetes Mellitus , Eating , Female , Humans , Hypertension , Hypertriglyceridemia , Incidence , Korea , Linear Models , Liver , Logistic Models , Nutrition Surveys , Obesity, Abdominal , Odds Ratio , Prevalence , Risk Factors , Soy Foods , Soybeans
17.
Article in English | WPRIM (Western Pacific) | ID: wprim-811064

ABSTRACT

PURPOSE: Details of patients hospitalized for asthma exacerbation in mainland China are lacking. To improve disease control and reduce economic burden, a large sample survey among this patient population is indispensable. This study aimed to investigate the clinical characteristics and outcomes of such patients.METHODS: A retrospective study was conducted on patients hospitalized for asthma exacerbation in 29 hospitals of 29 regions in mainland China during the period 2013 to 2014. Demographic features, pre-admission conditions, exacerbation details, and outcomes were summarized. Risk factors for exacerbation severity were analyzed.RESULTS: There were 3,240 asthmatic patients included in this study (57.7% females, 42.3% males). Only 28.0% used daily controller medications; 1,287 (39.7%) patients were not currently on inhaled corticosteroids. Acute upper airway infection was the most common trigger of exacerbation (42.3%). Patients with severe to life-threatening exacerbation tended to have a longer disease course, a smoking history, and had comorbidities such as hypertension, chronic obstructive pulmonary disease (COPD), and food allergy. The multivariate analysis showed that smoking history, comorbidities of hypertension, COPD, and food allergy were independent risk factors for more severe exacerbation. The number of patients hospitalized for asthma exacerbation varied with seasons, peaking in March and September. Eight patients died during the study period (mortality 0.25%).CONCLUSIONS: Despite enhanced education on asthma self-management in China during recent years, few patients were using daily controller medications before the onset of their exacerbation, indicating that more educational efforts and considerations are needed. The findings of this study may improve our understanding of hospital admission for asthma exacerbation in mainland China and provide evidence for decision-making.


Subject(s)
Adrenal Cortex Hormones , Asthma , China , Comorbidity , Disease Progression , Education , Female , Food Hypersensitivity , Hospitalization , Humans , Hypertension , Inpatients , Medication Adherence , Mortality , Multivariate Analysis , Pulmonary Disease, Chronic Obstructive , Retrospective Studies , Risk Factors , Seasons , Self Care , Smoke , Smoking
18.
Article in English | WPRIM (Western Pacific) | ID: wprim-810973

ABSTRACT

BACKGROUND: Elevated blood pressure is a major preventable cause of cardiovascular diseases. Alcohol consumption is a well-known risk factor of elevated blood pressure. The aldehyde dehydrogenase 2 (ALDH2) polymorphism is common in Eastern Asians, and inactive ALDH2 genotypes are associated with both avoiding alcohol consumption and aldehyde accumulation. Therefore, this study assessed the associations between alcohol consumption and hypertension and blood pressure according to the ALDH2 genotypes.METHODS: This study consists of 8,526 participants in the Dong-gu Study. Multivariate logistic regression was used to calculate the odds ratio (OR) according to alcohol consumption after stratifying by gender and ALDH2 genotypes. Multivariate linear regression was performed to estimate the systolic blood pressure (SBP) and diastolic blood pressure (DBP) according to the amount of alcohol consumed.RESULTS: In men, alcohol consumption was positively associated with both SBP and DBP in active ALDH2 carriers, but not in inactive ALDH2 carriers. In active ALDH2 carriers, compared to non-drinkers, the OR of hypertension was 1.16 (95% confidence interval [CI], 0.91–1.49) for < 1 drink/day, and 1.44 (95% CI, 1.15–1.80) for ≥ 1 drink/day in men. With each 1 drink/day increase, SBP and DBP increased by 3 and 1 mmHg in men, respectively. There was no significant association between ALDH2 genotypes and hypertension and blood pressure in women.CONCLUSION: ALDH2 genotype modified the association between alcohol consumption and blood pressure in men. There was a positive relationship between alcohol consumption and blood pressure in active ALDH2 carriers, but no significant relationship in inactive ALDH2 carriers.


Subject(s)
Acetaldehyde , Alcohol Drinking , Aldehyde Dehydrogenase , Asian Continental Ancestry Group , Blood Pressure , Cardiovascular Diseases , Cohort Studies , Female , Genotype , Humans , Hypertension , Linear Models , Logistic Models , Male , Odds Ratio , Oxidoreductases , Risk Factors
19.
Korean Circulation Journal ; : 432-440, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-816673

ABSTRACT

BACKGROUND AND OBJECTIVES: Although dietary management is strongly recommended in patients with hypertension, little is known about how many manage their diet and follow the guidelines for hypertension. We investigated the prevalence of dietary management among adults with known hypertension and evaluated their compliance to the dietary guidelines.METHODS: Data from the Korea National Health and Nutrition Examination Survey 2013–2016 were used. Among 15,870 adults aged 30–79 years, 4,162 reported a physician-diagnosed hypertension. Diet management behavior was defined by self-report response. Actual dietary intake was assessed by a 24-hour dietary recall. Dietary quality was evaluated using the Korean Healthy Eating Index (KHEI).RESULTS: Among adults with hypertension, 28.0% reported that they were managing their diet. Those with hypertension consumed significantly less dietary sodium (p value<0.01), but also less potassium (p value<0.01), resulting in no difference of sodium-to-potassium ratio compared to those without hypertension (p value=0.66). Among those with hypertension, diet-managing adults had better KHEI score (66.9, p value<0.01) and consumed less sodium (3,354.3 mg, p value<0.01) than not-managing adults (63.6 score and 3,554.5 mg, respectively). However, total KHEI score was rather lower in those with hypertension (p value<0.01) than those without hypertension and their sodium intake was still over the recommended amount.CONCLUSIONS: More than two-thirds of Korean adults with hypertension did not manage their diet in daily life. More effective strategies are needed to increase the level of compliance with dietary recommendations for people with high blood pressure.


Subject(s)
Adult , Compliance , Diet Therapy , Diet , Eating , Humans , Hypertension , Korea , Nutrition Policy , Nutrition Surveys , Potassium , Prevalence , Self Care , Sodium , Sodium, Dietary
20.
Article in English | WPRIM (Western Pacific) | ID: wprim-816626

ABSTRACT

Korea is currently an aged society and is on the cusp of becoming a superaged society in a few years. The health burden of cardiovascular diseases increases with age, and the increasing prevalence of cardiovascular risk factors, such as obesity, hypertension, diabetes mellitus, and dyslipidemia, may be linked to increased population-level cardiovascular risk. In 2018, the prevalence of obesity in Korea was 35.7% (men, 45.4%; women, 26.5%) according to the Obesity Fact Sheet 2019, based on National Health Insurance Corporation medical checkup data. In 2016, the prevalence of diabetes was 14.4% in Koreans older than 30 years according to the Diabetes Fact Sheet published by the Korean Diabetes Association, based on data from the Korean National Health and Nutrition Examination Survey. The prevalence of hypertension in the total population of Korea in 2018 was 28.3% according to the Korean Hypertension Fact Sheet produced by the Korean Society of Hypertension. Lastly, the prevalence of dyslipidemia in 2018 was 40.5% according to the Dyslipidemia Fact Sheet published by the Korean Society of Lipid and Atherosclerosis. In this article, I would like to review the prevalence and current management of cardiovascular risk factors in Korea according to the fact sheets released by various associations.


Subject(s)
Adult , Atherosclerosis , Cardiovascular Diseases , Diabetes Mellitus , Dyslipidemias , Female , Humans , Hypertension , Korea , National Health Programs , Nutrition Surveys , Obesity , Prevalence , Risk Factors
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