RESUMO
Among its different activities the Mexican Health Ministry (SSA) promotes: 1) the specification of biological standards for the Mexican population; 2) mechanisms for early detection of physiopathological changes and 3) development of the appropriate technology as a basis for primary health care. As part of this program we studied a random sample of students at the "Colegio de Bachilleres" of Cuajimalpa a suburban area of Mexico City, situated at 2800 m above sea level, part of the equipment used was produced at the Center for Development and Technological Applications (CE-DAT), an agency of SSA. Height, weight, heart rate (HR), systolic and diastolic blood pressures (SBP/DBP) were measured at rest in sitting position, standing up and walking on a treadmill. The results show a population with similar physical characteristics to those described for other populations in Mexico, with HR values within a homogeneous distribution, except for three subjects with rates larger than 2 standard deviations (SD). At standing up, women showed an orthostatic reflex of 27 beats/min and men of 22 beats/min. At the beginning of the exercise, the HR curve becomes more homogeneous, showing a discrete ascending slope with a low correlation coefficient, suggesting low physical capacity of the studied population. As exercise continued, some subjects showed a low increment of HR, giving values differing by 2 SD. Five women and three men had resting SBP values lying 2 SD out of the mean values of the sample. During exercise, SBP increases 28 mmHg as average. Notwithstanding the low cardiac response, the time spent on the treadmill lies within the levels considered as good and, even, excellent, on the table of the National Institute of Cardiology. We discuss new procedures to analyze instantaneously the HR and the pressoreceptor reflex as well as their functional significance.
Assuntos
Altitude , Teste de Esforço , Adolescente , Adulto , Feminino , Humanos , MasculinoRESUMO
Both the altitude of Mexico City (D.F.) and the increase in atmospheric pollutants make it important to establish parameters of comparison for cardiovascular variables, such as heart rate (HR) and blood pressure (BP). The epidemiological transition occurring in Mexico is increasing the need for human and physical resources at the first level of health care in order to perform early diagnoses of cardiovascular disorders among the population. Heart rate, systolic and diastolic blood pressures (SBP, DBP) were recorded under diverse conditions (seated, standing, performing 30 sit-ups, and then standing and seated after the sit-ups) in 235 inhabitants of Milpa Alta (a suburb of Mexico City). The procedures and equipment used were designed and produced at the Center for Development and Technological Applications, Ministry of Health. The following results were found: HR decreases with age and body surface. Likewise, the HR increase due to exercise is lower with increasing age and larger body surface and its return to resting levels is slower. SBP and DBP magnitude is directly related to body surface. In women an increase of body weight was found to be significantly related to a higher SBP. The orthostatic reflex (OR) decreases with age and body surface. The descending slope is higher in women than in men. We propose that the study of OR could provide better information for predicting cardiovascular changes. The described procedures can be performed with the physical and human resources available at the Health Centers. The extension of this type of applied research to first level health care centers would allow the country to respond efficiently to the epidemiological transition.
Assuntos
Pressão Sanguínea , Frequência Cardíaca , Adolescente , Adulto , Fatores Etários , Idoso , Peso Corporal , Criança , Pré-Escolar , Feminino , Humanos , Masculino , México , Pessoa de Meia-Idade , Esforço Físico , Postura , Fatores Sexuais , População UrbanaRESUMO
Para mejorar los procedimientos de atención de la salud cardiovascular en México es indispensable que en los centros de salud puedan hacer mediciones precisas con aparatos adecuados y se cuente con valores estándar de la población. Se analizaron en 102 personas la frecuencia cardiaca (FC), presión arterial sistólica (PAS) y presión arterial diastólica (PAD) en situasión de reposo sentados, parados, haciendo 30 sentadillas y nuevamente en reposo, parados y sentados. Se encontró una relación directa entre la magnitud de FC y PA con la supérficie corporal y con la edad cronológica. El reflejo ortostático va disminuyendo en relación con el incremento de años de vida. El ejercicio físico incrementó la FC, PAS y PAD que vuelve a disminuir en los siguientes cuatro a ocho minutos consecutivos al ejercicio en las personas en las tres primeras décadas de vida, mientras que en las otras dos no regresa, dentro de este tiempo, a los valores previos. Este decremento de RO es más pronunciado en los hombres que en las mujeres, aunque las cifras de PA son mayores en mujeres en las dos últimas décadas estudiadas. La distribución de los datos parece seguir la curva de distribución normal y queda dentro de lo descrito para altitudes sobre el nivel del mar menores que la ciudad de México. Al implantar los sistemas de medición que se describen en este trabajo, se podrán detectar al inicio los procesos patológicos que afecten la actividad cardiaca y la presión arterial, en situasiones de alteración del ambiente
To improve theprocedures for cardiovascular health care in Mexico it is necessary to be able to perform accurate measurements of the cardiovascular parameters with appropriate equipment and to count with standard values for the Mexican population at the primary health level. Cardiac frequency (CF), systolic arterial pressure (DAP) and diastolic arterial pressure (DAP) were analyzed in 02 consenting volunteers under resting (seated) and standing conditions as well as during excercise (30 sitting), and again after excercise under resurge conditions. A direct relation was found between CF, SAP and DAP with body surface and age. The orthostatic reflex (OR) diminished with age. Excercise increased FC, PAS and PAD, which decreased four-eight minutes after completing the excercise in those subjetcs under 30 years of age, where as in those aged 30 to 50 years these parameters did not return to their previous values. The RO decrement is more pronounced in men, although arterial pressure values ar higher in women aged 30 to 50 years. Data followed normal distribution curve, agreeing with the data re ported for altitudes lower than that of Mexico City. Implementing the measurement systems described in thi paper will allow early detection of pathology that migh affect cardiac activity and arterial pressure that could b, related to environmental pollution at the first level o medical attention.
Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Frequência Cardíaca , Hipertensão , Pressão Sanguínea , Equipe de Assistência ao PacienteRESUMO
To improve the procedures for cardiovascular health care in Mexico it is necessary to be able to perform accurate measurements of the cardiovascular parameters with appropriate equipment and to count with standard values for the Mexican population at the primary health level. Cardiac frequency (CF), systolic arterial pressure (SAP) and diastolic arterial pressure (DAP) were analyzed in O2 consenting volunteers under resting (seated) and standing conditions as well as during exercise (30 sitting), and again after exercise under resurge conditions. A direct relation was found between CF, SAP and DAP with body surface and age. The orthostatic reflex (OR) diminished with age. Exercise increased FC, PAS and PAD, which decreased four-eight minutes after completing the exercise in those subjects under 30 years of age, where as in those aged 30 to 50 years these parameters did not return to their previous values. The RO decrement is more pronounced in men, although arterial pressure values are higher in women aged 30 to 50 years. Data followed a normal distribution curve, agreeing with the data reported for altitudes lower than that of Mexico City. Implementing the measurement systems described in this paper will allow early detection of pathology that might affect cardiac activity and arterial pressure that could be related to environmental pollution at the first level of medical attention.
