Average Blood Pressure Research Articles

Pengaruh Senam Lansia Terhadap Lansia Dengan Hipertensi di UPTD Puskesmas Sei Lekop Kabupaten Bintan

In the elderly, the cardiovascular system will experience changes, such as arteries losing their elasticity, which can cause an increase in pulse and systolic blood pressure. Elderly exercise utilizes movement by activating the sympathetic and parasympathetic nervous systems and increasing the release of various hormones which cause the individual's condition to relax. Elderly exercise is a physical activity that is useful for eliminating fat and cholesterol in blood vessels. This exercise is rarely carried out routinely at research sites. The aim of this study was to determine the effect of elderly exercise on hypertension in the elderly at the Sei Lekop Community Health Center. This study used a pre-experimental research design with a one group pre-post test design with probability sampling, involving 31 elderly people with hypertension. Blood pressure was measured with a spygmomanometer and elderly exercise was carried out according to procedures. Data analysis was carried out using paired t-test. The results showed that the average blood pressure before the intervention was 150.00/94.48 mmHg, whereas after the intervention the average blood pressure was 140.48/90.48 mmHg, with a p value = 0.001 for systolic pressure and 0.003 for diastolic pressure, so it was proven that there was a significant influence on blood pressure before and after the elderly exercise intervention was given to the elderly at the Sei Lekop Community Health Center. It is hoped that elderly exercise can be used and become a work program at the Community Health Center which is carried out routinely for both elderly people with hypertension and those who are healthy.

Exploring blood pressure dynamics and oxidative stress markers in an animal model of polycystic ovary syndrome.

Polycystic ovary syndrome (PCOS) is a hormonal disorder characterized by elevated androgen levels, heightened insulin secretion, and dysregulation of luteinizing hormone and follicle-stimulating hormone. This disorder results in metabolic disruptions, while the irregular estrous cycles associated with PCOS impact cellular functions like growth, movement, and alterations in cell adhesion within the tissue matrix. This study aims to identify the blood tension, serum malondialdehyde (MDA) levels, and serum Metalloproteinase-1 (MMP-1) in rat models of PCOS. The study was conducted using female Wistar rats aged 6 months weighing between 130 and 180 g. The rats were divided into three treatment groups: negative control, induction of testosterone propionate (TP) at a dose of 100 mg/kg BW IP for 12 days, and induction of estradiol valerate (EV) at a dose of 2 mg/kg BW IP for 2 days. Data were analyzed quantitatively using a one-way analysis of variance followed by a Posthoc Test using the least significant difference with a confidence level of 95%. The research results indicate that the average blood pressure of TP Group and EV Group did not differ significantly from the negative control (p > 0.05). Serum MDA levels were significantly different in the TP Group compared to the negative control (p < 0.05). On the other hand, MMP-1 levels showed no significant difference (p > 0.05) among all the treatment groups. The findings of this study suggest that TP induction in a rat model of PCOS can potentially contribute to oxidative stress and lipid peroxidation, but does not significantly affect blood pressure or serum MMP-1 levels.

A Real-World Study on the Short-Term Efficacy of Amlodipine in Treating Hypertension Among Inpatients.

Hospitalized hypertensive patients rely on blood pressure medication, yet there is limited research on the sole use of amlodipine, despite its proven efficacy in protecting target organs and reducing mortality. This study aims to identify key indicators influencing the efficacy of amlodipine, thereby enhancing treatment outcomes. In this multicenter retrospective study, 870 hospitalized patients with primary hypertension exclusively received amlodipine for the first 5 days after admission, and their medical records contained comprehensive blood pressure records. They were categorized into success (n=479) and failure (n=391) groups based on average blood pressure control efficacy. Predictive models were constructed using six machine learning algorithms. Evaluation metrics encompassed the area under the curve (AUC), accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). SHapley Additive exPlanations (SHAP) analysis assessed feature contributions to efficacy. All six machine learning models demonstrated superior predictive performance. Following variable reduction, the model predicting amlodipine efficacy was reconstructed using these algorithms, with the light gradient boosting machine (LightGBM) model achieving the highest overall performance (AUC = 0.803). Notably, amlodipine showed enhanced efficacy in patients with low platelet distribution width (PDW) values, as well as high hematocrit (HCT) and thrombin time (TT) values. This study utilized machine learning to predict amlodipine's effectiveness in hypertension treatment, pinpointing key factors: HCT, PDW, and TT levels. Lower PDW, along with higher HCT and TT, correlated with enhanced treatment outcomes. This facilitates personalized treatment, particularly for hospitalized hypertensive patients undergoing amlodipine monotherapy.

Blood pressure control in diabetic kidney disease: a post-hoc analysis of the FANTASTIC trial

BackgroundThe target blood pressure (BP) value is unclear for diabetic kidney disease (DKD). Therefore, we aimed to evaluate the effect of strict BP control or ‘on treatment’ BP on clinical outcomes in patients with DKD.MethodsA post-hoc analysis of the prespecified secondary outcomes of the FimAsartaN proTeinuriA SusTaIned reduCtion in comparison with losartan in diabetic chronic kidney disease (FANTASTIC) trial, a randomized multicenter double-blind phase III trial. Eligible patients were aged ≥ 19 years with DKD. We assigned 341 participants with DKD to BP control strategy (standard-systolic BP [SBP] < 140 mmHg versus strict-SBP < 130 mmHg). The outcome was the occurrence of cardiovascular events and renal events. Separate analyses were performed to compared the risk of outcome according to achieved average BP levels.ResultsA total of 341 participants were included in the analysis. Over a median follow-up of 2.8 years, cardiovascular/renal events were observed in 25 (7.3%) participants. Mean (SD) SBPs in the standard and strict BP control group were 140.2 (11.6) and 140.2 (11.9) mmHg, respectively. The strict BP control group did not show significantly reduced risk of cardiovascular/renal events (HR 1.32; 95% CI 0.60–2.92]). In the post-hoc analyses using achieved BP, achieved average SBP of 130–139 mmHg resulted in reduced risk of cardiovascular/renal events (HR 0.15; 95% CI 0.03–0.67) compared to achieved average SBP ≥ 140 mmHg, whereas further reduction in achieved average SBP < 130 mmHg did not impart additional benefits.ConclusionIn patients with DKD, targeting a SBP of less than 130 mmHg, as compared with less than 140 mmHg, did not reduce the rate of a composite of cardiovascular and renal events. Achieved SBP of 130–139 mmHg was associated with a decreased risk for the primary outcome in patients with DKD.Trial registrationClinicalTirals.gov Identifier: NCT02620306, registered December 3, 2015.(https://clinicaltrials.gov/study/NCT02620306).

The Effect of Giving Young Coconut Water on Reducing Blood Pressure in Hypertension Patients in the Working Area of Urug Public Health Center, Tasikmalaya City

The prevalence of hypertension in Indonesia has increased every year, West Java is the province with the second highest prevalence of hypertension problems up to 39.6%. One of the risk factors found in hypertension is excess salt in the body caused by an unhealthy lifestyle. One of the non-pharmacological therapies that can be done is giving young coconut water. The purpose of this study was to determine the effect of giving young coconut water on reducing blood pressure in hypertensive patients in the Urug Health Center work area, Tasikmalaya City. The research method was quantitative with a quasi-experimental method and a one-group pre-test and post-test research design, with all hypertensive patients in the village as many as 618 hypertensive patients and a purposive sampling approach obtained a sample size of 18 people. The provision of young coconut water was carried out for 3 consecutive days with 1 time / day as much as 250 cc every morning. The data analysis used univariate and bivariate analysis. The results of the study obtained an average blood pressure value before the intervention was given systolic 162.44 mmHg and diastolic 94.89 mmHg, while after the intervention the average systolic blood pressure was 141.89 mmHg and diastolic 85.11 mmHg. The results of the study showed that there was an effect of giving young coconut water on reducing high blood pressure in hypertensive patients with a p-value of 0.000. The conclusion was that there was an effect of giving young coconut water on reducing blood pressure in hypertensive patients where potassium helps the body eliminate excess salt through urine. Suggestions are expected that the results of this study can be implemented by further researchers as an alternative therapy for various categories of hypertension.

Factors affecting early neurological deterioration after intravenous alteplase treatment for branch atheromatous disease

AbstractBackgroundIntravenous alteplase treatment is effective for acute cerebral infarction, irrespective of the stroke type. However, its value for branch atheromatous disease (BAD) remains unclear, and early neurological deterioration (END) can occur.AimTo investigate factors affecting END after intravenous alteplase treatment in patients with acute BAD.MethodsThis study included 40 consecutive patients diagnosed with cerebral infarction due to BAD in the lenticulostriate artery territory and treated with intravenous alteplase between April 2007 and March 2023. END was defined as an increase of ≥2 points in the total National Institutes of Health Stroke Scale score or ≥1 point in the motor items within 24 h post‐alteplase administration compared to the score at admission. Factors affecting END were retrospectively evaluated.ResultsEND was observed in 17 of the 40 patients (43%). The median time from the start of alteplase administration to the worsening of neurologic symptoms was 5 h. After intravenous alteplase treatment, the END group had a significantly lower 24‐h average systolic blood pressure (SBP, mean ± standard deviation mmHg) than the non‐END group (142.0 ± 15.2 vs. 149.4 ± 12.0, p &lt; 0.001). The SBP at each time point (immediately before alteplase administration and every 2 h up to 24 h after alteplase administration) was significantly lower in the END than in the non‐END group at 2, 4, and 6 h after alteplase administration.ConclusionsWhen intravenous alteplase was administered for BAD, BP control after alteplase administration affected END. When alteplase is administered for BAD, it is important to control the blood pressure to maintain hemodynamics.

Validation of the JAMR upper-arm pressure monitor B23 according to the AAMI/ESH/ISO Universal Standard (ISO 81060- 2:2018/AMD 1:2020).

The aim of this study was to evaluate the accuracy of the JAMR upper-arm blood pressure monitor B23 in the general population according to the AAMI/ESH/ISO Universal Standard (ISO 81060-2 : 2018/AMD 1 : 2020). The study recruited participants who met the criteria of the AAMI/ESH/ISO Universal Standard in terms of their number, sex, age, limb size, and blood pressure (BP) distribution. The study involved measuring BP, including both SBP and DBP, using both the test device and a standard mercury sphygmomanometer in sequential measurements. Of 90 participants, 85 qualified participants were analyzed. A total of 255 sets of comparison data (three sets for each subject) were obtained and analyzed. For the validation criterion 1, the mean ± SD of the differences between the JAMR B23 and mercury sphygmomanometer BP readings was -0.24 ± 6.52/-2.67 ± 5.6 mmHg (SBP/DBP). For criterion 2, the SD of the averaged BP (SBP/DBP) differences between the JAMR B23 and reference BP (SBP/DBP) per participant was 5.61/5.13 mmHg (the requirement was ≤6.95/6.43 mmHg by calculation). The JAMR B23 passed all the requirements of the AAMI/ESH/ISO Universal Standard (ISO 81060-2 : 2018/AMD 1 : 2020) and can be recommended for clinical and self/home use in the general population.

Excessive Blood Pressure Rise and Cardiovascular Remodeling in Marathon Runners.

Exercise-induced hypertension (EIH) is thought to be associated with increased cardiovascular (CV) risks. However, no previous studies have investigated the effects of EIH on CV systems in marathon runners without CV risk factors using both 24-hr ambulatory blood pressure (BP) monitoring and exercise stress echocardiography (ESE). This study firstly described differences in CV adaptations according to EIH assessed by both exams. Marathon runners between 35 and 64 years of age without CV risk factors were eligible. All the participants underwent both 24-hr ambulatory BP monitoring and ESE. EIH was defined as a maximal exercise systolic BP≥210 mmHg. The EIH group (n=19) had shorter training history and higher exercise intensity compared to the non-EIH group (n=23). The average systolic BP was higher in the EIH group than in the non-EIH group. Left cardiac chamber size and left ventricular mass (LVM) were also higher in the EIH group compared to the non-EIH group. Maximal BP during ESE was positively correlated with both parameters. Exaggerated BP response during exercise needs to be monitored for pre-emptive measurements before it results in progressive cardiovascular maladaptation.

Inclusion of blood pressure parameter increases predictive capability of severe obstructive sleep apnea: A decision tree approach.

Few studies included objective blood pressure (BP) to construct the predictive model of severe obstructive sleep apnea (OSA). This study used binary logistic regression model (BLRM) and the decision tree method (DTM) to constructed the predictive models for identifying severe OSA, and to compare the prediction capability between the two methods. Totally 499 adult patients with severe OSA and 1421 non-severe OSA controls examined at the Sleep Medicine Center of a tertiary hospital in southern Taiwan between October 2016 and April 2019 were enrolled. OSA was diagnosed through polysomnography. Data on BP, demographic characteristics, anthropometric measurements, comorbidity histories, and sleep questionnaires were collected. BLRM and DTM were separately applied to identify predictors of severe OSA. The performance of risk scores was assessed by area under the receiver operating characteristic curves (AUCs). In BLRM, body mass index (BMI) ≥27kg/m2, and Snore Outcomes Survey score ≤55 were significant predictors of severe OSA (AUC 0.623). In DTM, mean SpO2<96%, average systolic BP ≥135mmHg, and BMI ≥39kg/m2 were observed to effectively differentiate cases of severe OSA (AUC 0.718). The AUC for the predictive models produced by the DTM was higher in older adults than in younger adults (0.807vs. 0.723) mainly due to differences in clinical predictive features. In conclusion, DTM, using a different set of predictors, seems more effective in identifying severe OSA than BLRM. Differences in predictors ascertained demonstrated the necessity for separately constructing predictive models for younger and older adults.

Pemberdayaan Kesehatan Lansia melalui Pemeriksaan Tekanan Darah, dan Senam Lansia di Kelurahan Partali Toruan Hutabarat

The aim of this research is to assess the effectiveness of the elderly health program run by the Partali Toruan Hutabarat Village, with special emphasis on participatory sessions specifically for the elderly and periodic blood pressure. The analytical method used is an intervention study with data collection both before and after the intervention. The results show a significant increase in understanding of the importance of regularly cleaning and using natural materials for the health of local communities. Apart from that, there was also a negative impact seen on the average blood pressure levels in the group of program participants. All of this highlights the important role of community initiatives in improving the health of the elderly through integrated and sustainable efforts, such as health education and promotion of active lifestyles.

The effects of a digital lifestyle intervention in patients with hypertension: Results of a pilot randomized controlled trial.

In this pilot study, the authors investigated the preliminary effectiveness of the digital lifestyle intervention, actensio (mementor DE GmbH), in treating arterial hypertension. Adults with arterial hypertension were randomly assigned to an intervention group (actensio+standard care) or a control group (waiting list+standard care) in a 1:1 ratio. Primary and secondary endpoints were assessed at baseline (t0) and 3months post-randomization (t1). The primary endpoint was average systolic blood pressure, measured at home for 1week. Secondary endpoints included patient engagement (measured using the "patient activation measure"; PAM-13), average diastolic blood pressure, and heart rate. All endpoints were analyzed using ANCOVA models, following an intention-to-treat approach, while adjusting for baseline values. Missing data were estimated using multiple imputation models. A total of N=102 participants (f=59, age=52.94±9.01) were randomized to either the intervention (IG; N=52) or the control group (CG; N=50), of which N=80 completed the blood pressure diary, and N=81 the PAM-13 at t1. Between-group comparisons showed an average group difference in systolic blood pressure of -5.06mm Hg (95% CI=-8.71 to -1.41, p=.013) between the intervention group (M=137.37±10.13) and the control group (M=142.35±11.23). Average group difference for patient engagement was 3.35 points with a trend towards statistical significance (95% CI=-018 to 6.89, p=.064), favoring the intervention group (MIG=79.38±9.44vs. MCG=75.45±10.62). There were no group differences in diastolic blood pressure (-1.78mm Hg; 95% CI=-4.50 to 0.95, p=.402) and heart rate (-0.684; 95% CI=-3.73 to 2.36, p=0.683). The results of the present pilot study confirm the preliminary effectiveness of the digital lifestyle intervention, actensio, in reducing high blood pressure in patients with hypertension.

Non-Invasive Sensors Integration for NCDs with AIoT Based Telemedicine System.

Thailand's hospitals face overcrowding, particularly with non-communicable disease (NCD) patients, due to a doctor shortage and an aging population. Most literature showed implementation merely on web or mobile application to teleconsult with physicians. Instead, in this work, we developed and implemented a telemedicine health kiosk system embedded with non-invasive biosensors and time-series predictors to improve NCD indicators over an eight-month period. Two cohorts were randomly selected: a control group with usual care and a telemedicine-using group. The telemedicine-using group showed significant improvements in average fasting blood glucose (148 to 130 mg/dL) and systolic blood pressure (152 to 138 mmHg). Data mining with the Apriori algorithm revealed correlations between diseases, occupations, and environmental factors, informing public health policies. Communication between kiosks and servers used LoRa, 5G, and IEEE802.11, which are selected based on the distance and signal availability. The results support telemedicine kiosks as effective for NCD management, significantly improving key NCD indicators, average blood glucose, and blood pressure.

Differences in Systemic Pulse Waveform Between Individuals With Glaucoma, Glaucoma Suspects, and Healthy Controls.

It has been hypothesized that compromised ocular circulation in glaucoma may be concomitant of systemic changes. The purpose of this study is to test whether systemic blood flow pulse waveform patterns differ between individuals with glaucoma (GL), glaucoma suspects (GLS), and normal healthy controls (HC). The study included 35 bilateral GL, 67 bilateral GLS, 29 individuals with unilateral GL who were considered GLS in the other eye, and 44 healthy controls. Systemic pulsatile blood pressure waveforms were recorded using a finger cuff. A continuous 200Hz plethysmography recording is made to obtain a pulse waveform. Waveform parameters were extracted using custom software from an average of eight pulse cycles. These were compared between GL, GLS, and HC groups on a per-eye basis, using generalized estimating equation models to account for intereye correlations; and plotted against disease severity by visual field linearized mean deviation (MDlin) and retinal nerve fiber layer thickness (RNFLT). Averaged blood pressure was significantly lower in the HC group (mean ± standard deviation 91.7 ±11.7 mm Hg) than the GLS (102.4 ± 13.9) or GL (102.8 ± 13.7) groups, with P < 0.0001 (generalized estimating equation regression). Waveform parameters representing vascular resistance were higher in both GLS and GL groups than the HC group; and were correlated with RNFLT and MDlin (P ≤ 0.05). The shape of the systemic pulsatile waveform differs in individuals with GL/GLS suspects, compared to HC eyes. Blood pressure changes more rapidly in individuals with GL, which suggests higher arterial stiffness.

Status of elevated blood pressure among Chinese children and adolescents aged 7-17 from 2016 to 2017 according to 4 different references

To describe and analysis the detection rate of high normal blood pressure and high blood pressure among Chinese children and adolescents aged 7-17 years from 2016 to 2017 according to the clinical practice guideline for screening and management of high blood pressure in Children and Adolescents published by the American Academy of Pediatrics(the AAP reference), the international blood pressure references among Children and Adolescents aged 6 to 17 years(the international reference), health industry standard of the People&apos;s Republic of China "Reference of screening for elevated blood pressure among children and adolescents aged 7 to 18 years(WS/T 610-2018)"(the industry reference) and updating blood pressure references for Chinese children aged 3 to 17 years(the guideline reference). Data was from the China Nutrition and Health Surveillance of Children and Lactating Women(2016-2017), in which the multistage stratified whole group random sampling method was used to draw participants from 275 surveillance sites in 31 provinces(autonomous regions and municipalities). In total, 67 231 participants were included according to the inclusion and exclusion criteria. Blood pressure was measured three times by trained staff using a validated oscillometric blood pressure monitor at the same point. The average blood pressure was calculated for the three measurements for SBP and DBP. To match the sampling design methodology, all values were weighted to represent the total population of Chinese children and adolescents 7-17 years of age considering sampling weights for each stratification based on the sixth population census data provided by the National Bureau of Statistics. The detection rate varied greatly under different references. The detection rate of high normal blood pressure was ranked from high to low according to the AAP reference(20.15%) &gt; the guideline reference(17.29%) &gt; the industry reference(13.14%) &gt; the international reference(12.66%); the detection rate of high blood pressure in descending order is the guideline reference(24.31%) &gt; the international reference(21.34%) &gt; the AAP reference(20.59%) &gt; the industry reference(19.96%). Although the consistency between the AAP references and international references and our national two references were medium to high, the difference in detection rate obtained by analysis was large. Considering the differences of demographic characteristics in the reference population, caution should be taken when applying foreign references to judge the blood pressure status of children and adolescents in China.

The Role of Electrocardiographic Exercise Testing for the Possibility of Permanent Pacemaker Implantation in Patients with Sinus Bradycardia.

Study on the role of electrocardiographic (ECG) exercise testing for the possibility of permanent pacemaker implantation (PPI) in patients with sinus bradycardia (SB). Cross-sectional descriptive, prospective study. The study on 60 patients with SB below 50 beats/minute on 12-lead electrocardiogram at rest, with or without symptoms of SB, conducted at the Vietnam National Heart Institute and Hanoi Heart Hospital from January 2020 to September 2021. Sixty patients with SB were studied, 36 male (60%) and 24 female patients (40%), p > 0.05. The average age was 55.12 ± 13.89 years old. Maximum exercise capacity (MEC) is low and only reaches 7.78 ± 3.59 metabolic equivalents (METs); Not reaching 85% of predicted MEC accounts for 53.5%; Maximum exercise time is 10.53 ± 0.46 minutes; Impaired heart rate (HR) variability in patients with SB is high: Chronotropic Index <0.8 accounts for 53.5%, not reaching 85% of predicted HR max accounts for 45%. The average HR max was 129.90 ± 29.22 beats per minute (BPM). The average maximum workload systolic blood pressure was 155.23 ± 20.59 mmHg. The average value of maximum exercise diastolic blood pressure was 88.10 ± 9.11 mmHg. The HR decreased by 27.87 ± 16.82 BPM in the first minute. Not achieving 85% of predicted MEC (p = 0.062), so it is not an independent factor predicting the ability for PPI. Only the HR variability index <0.8 is an independent predictor for PPI in bradycardic patients, which has OR = 21.521 (95% CI: 2.27-04.34, p < 0.05). Results can be seen that Chronotropic Index <0.8 is an important marker for physicians to decide on PPI in ECG during exercise testing in SB patients and is a potential prognostic factor for the need for PPI.

Venous thromboembolism during three muslim pilgrimage seasons

Background Acute pulmonary embolism (PE) is a potentially fatal condition for which prompt recognition, risk assessment and appropriate treatment must be implemented to reduce mortality and morbidity. This study was planned to analyze all cases of venous thromboembolism (VTE) admitted to the tertiary care hospital during three successive Muslim hajj seasons. Methods A prospective observational study that included 135 patients of which 65 patients were with deep vein thrombosis (DVT group), 50 patients were with pulmonary embolism (PE group) and 20 patients were with concomitant DVT and PE (DVT/PE group). All patients were subjected to full history taking, clinical examination, laboratory, and radiological studies. Results The presentation with hemodynamic compromise and the percentage of mortality were more in patients with DVT/ PE compared to patients with PE alone. The patients in the DVT group had the highest D-dimer and triglyceride levels. The patients in the PE group had the most severe tachypnea and the highest values of cardiac biomarkers and aminotransferases. The patients in the DVT/PE group had the most rapid average pulse, the lowest average blood pressure, and the lowest oxygen saturation. Conclusions The presentations with DVT or DVT/PE were more in females and presentation with PE without DVT was more in males. Hajjis with VTE presented with less frequent symptoms, more overt clinical signs, more hemodynamic compromise and overall mortality compared to other studies. The study information may encourage the designated health authorities to raise awareness and implement VTE preventive measures during pilgrimage season.

The Effect of an mHealth Self-Monitoring Intervention (MI-BP) on Blood Pressure Among Black Individuals With Uncontrolled Hypertension: Randomized Controlled Trial.

Hypertension is one of the most important cardiovascular disease risk factors and affects >100 million American adults. Hypertension-related health inequities are abundant in Black communities as Black individuals are more likely to use the emergency department (ED) for chronic disease-related ambulatory care, which is strongly linked to lower blood pressure (BP) control, diminished awareness of hypertension, and adverse cardiovascular events. To reduce hypertension-related health disparities, we developed MI-BP, a culturally tailored multibehavior mobile health intervention that targeted behaviors of BP self-monitoring, physical activity, sodium intake, and medication adherence in Black individuals with uncontrolled hypertension recruited from ED and community-based settings. We sought to determine the effect of MI-BP on BP as well as secondary outcomes of physical activity, sodium intake, medication adherence, and BP control compared to enhanced usual care control at 1-year follow-up. We conducted a 1-year, 2-group randomized controlled trial of the MI-BP intervention compared to an enhanced usual care control group where participants aged 25 to 70 years received a BP cuff and hypertension-related educational materials. Participants were recruited from EDs and other community-based settings in Detroit, Michigan, where they were screened for initial eligibility and enrolled. Baseline data collection and randomization occurred approximately 2 and 4 weeks after enrollment to ensure that participants had uncontrolled hypertension and were willing to take part. Data collection visits occurred at 13, 26, 39, and 52 weeks. Outcomes of interest included BP (primary outcome) and physical activity, sodium intake, medication adherence, and BP control (secondary outcomes). We obtained consent from and enrolled 869 participants in this study yet ultimately randomized 162 (18.6%) participants. At 1 year, compared to the baseline, both groups showed significant decreases in systolic BP (MI-BP group: 22.5 mmHg decrease in average systolic BP and P<.001; control group: 24.1 mmHg decrease and P<.001) adjusted for age and sex, with no significant differences between the groups (time-by-arm interaction: P=.99). Similar patterns where improvements were noted in both groups yet no differences were found between the groups were observed for diastolic BP, physical activity, sodium intake, medication adherence, and BP control. Large dropout rates were observed in both groups (approximately 60%). Overall, participants randomized to both the enhanced usual care control and MI-BP conditions experienced significant improvements in BP and other outcomes; however, differences between groups were not detected, speaking to the general benefit of proactive outreach and engagement focused on cardiometabolic risk reduction in urban-dwelling, low-socioeconomic-status Black populations. High dropout rates were found and are likely to be expected when working with similar populations. Future work is needed to better understand engagement with mobile health interventions, particularly in this population. ClinicalTrials.gov NCT02955537; https://clinicaltrials.gov/study/NCT02955537. RR2-10.2196/12601.

Terapi Pijat Punggung dengan Alat Pijat Kayu Kaki Tiga Menurunkan Tekanan Darah pada Lansia dengan Hipertensi

Hypertension in the elderly is a degenerative disease caused by increased arterial pressure in accordance with age, aortic regurgitation, and the degenerative process that occurs in the body where persistent blood pressure increases with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. Efforts that can be made as an alternative to non-pharmacological therapy, one of which is the provision of back massage therapy with a three-legged wooden massage tool. The purpose of this study was to determine the effect of giving back massage therapy with a three-legged wooden massage tool on blood pressure in the elderly with grade one hypertension. This type of research is pre-experimental with the design used one group pretest-posttest design using sampling techniques, namely non probability with purposive sampling. The number of samples used in this study were 16 elderly respondents with hypertension. The research was conducted in April 2023. The results showed that the average systole and diastol blood pressure before treatment was 158,94/92,81 mmHg with the average MAP calculation before treatment was 114,85 mmHg. The average systole and diastol blood pressure after treatment was 140,19/83,06 mmHg with an average MAP calculation after treatment of 102,10 mmHg. The results of statistical tests using paired t-test obtained a p value of 0,000 which stated that there was a significant difference in blood pressure before and after treatment. Based on this, it is recommended to the health service unit to make back massage therapy with a three-legged wooden massage tool as a non-pharmacological therapy in treating hypertensive patients, especially in the elderly group.

Religious minority status and risk of hypertension in women: Evidence from Bangladesh

Discrimination based on religion and communal violence against religious minorities have been on the rise worldwide. Despite growing incidences of violence against religious minorities, little is known on the relationship between minority status and population health outcomes in the low-and-middle income countries (LMICs). This study intends to fill this gap by assessing the prevalence of hypertension among religious minority women in Bangladesh, a South Asian country with high levels of social hostilities involving religion. Using data from the Bangladesh Demographic and Health Survey (BDHS) 2017–18, we examined whether religious minority women had a differential risk of having hypertension. We estimated logistic regression models to obtain the odds in favor of being hypertensive among women aged 18–49 years and compared the odds for religious minority women with that of their non-minority counterparts. We then estimated linear regression models to examine how average systolic- and diastolic-blood pressure measures differ across minority and non-minority women. We found that the odds of being hypertensive for minority women were 1.43 (95 % CI: 1.14–1.79) times that of their non-minority counterparts. The adjusted odds ratio was very similar, 1.45 (95 % CI: 1.14–1.84), when various sociodemographic and other risk factors were accounted for. The conditional average SBP and DBP levels were respectively 3.42 mmHg (95 % CI: 1.64–5.20) and 1.44 mmHg (95 % CI: 0.37–2.51) higher among minority women. Thus, we found evidence that religious minority women in Bangladesh had a disproportionately higher risk of having hypertension compared to their non-minority peers. These results call for further research on psychological distress from systematic discrimination and collective trauma among religious minorities in Bangladesh.

Effect of whole-body vibration on blood pressure in obese postmenopausal women. A randomized controlled study

Background. Menopause constitutes a natural biological process that reflects the end of the reproductive life of women and has been related to elevated risk factors for multiple strokes. Multiple studies have revealed that healthy women during menopause have increased abdominal obesity, triglycerides (TG), total cholesterol (TC), low-density lipoprotein (LDL), fasting blood glucose, body mass index (BMI), and blood pressure (BP) besides reduced high-density lipoprotein (HDL). Aim. We aim to determine the impact of whole body vibration (WBV) on BP and blood lipid profile in obese postmenopausal women. Subjects and methods. Our study enrolled 30 postmenopausal women with hypertension (HTN) who were aged 55–65 years old and had a BMI of 30–34.9 Kg/m2. An experienced physician diagnosed the participants with either pre-HTN or stage 1 HTN, with BP measurements of 140/90–159/99 mmHg. The participants were assigned into two equal groups (n = 15) in a random manner. Group A received a dietary regimen, whereas Group B received the dietary regimen along with a two-month whole body vibration (WBV) training program for 30 min, 3 sessions/week. Measurements were obtained for all participants, including their BP and serum TC, TG, HDL, and LDL levels pre- and post-therapy. Results. The results demonstrated that average systolic blood pressure (SBP), diastolic blood pressure (DBP), TC, TG, and LDL values significantly decreased in both groups, with a significant reduction favoring group B. Additionally, the average HDL value exhibited a statistically significant increase in both groups, with a significant increase favoring group B. Conclusion. WBV conjugated with a suitable nutritional intervention is considered a safe, user-friendly, and highly efficient physical therapy strategy for ameliorating blood lipid levels and lowering BP in postmenopausal women with HTN.