Digital Blood Pressure Monitor Research Articles

Physiological parameters and training characteristics of endurance runners at Ethiopian Youth Sports Academy (2400 meters above sea level) and Guna Athletics Sport Club (3100 meters above sea level) training camps: a comparative cross-sectional study.

Endurance performance is impacted by physiological, anthropometrical, diet, genetic, psychological, and training characteristics. Altitude can affect physiological parameters (like maximum oxygen utilization, arterial oxygen saturation (SaO<inf>2</inf>), heart rate, and blood pressure) and training characteristics (duration, frequency, and training load). Thus, this study compared physiological parameters and training characteristics between endurance runners at Ethiopian Youth Sports Academy (EYSA) and Guna Athletics Sport Club (GASC) located which are located at elevation of 2400 and 3100 meters, respectively. A comparative cross-sectional study design was used from September to November 2021. Data was obtained from a total of 120 eligible participants (30 runners and 30 controls at GASC, and 30 runners and 30 controls at EYSA). Sociodemographic and training characteristics were assessed using self-administered standardized questionnaires. SaO<inf>2</inf> and heart rate were measured using finger pulse-oximetry (Nellcor, Oxim N-65; Covidien, Dublin, Ireland). Blood pressure was measured by Folee Digital Blood Pressure Monitor DX-B1 (Jiangsu Folee Medical Equipment Co., Ltd., Zhenjiang, China). The runners of GASC had significantly lower resting SaO<inf>2</inf>, SaO<inf>2</inf> immediately after maximal exertion, training (frequency and load) than runners of EYSA in both sexes. Runners of Guna Athletics Sport Club (RGASC) had significantly higher maximum oxygen utilization (VO<inf>2</inf>max) than Runners Ethiopian Youth Sports Academy (REYSA) in both sexes. Severe exercise-induced hypoxemia (EIAH) and moderate EIAH were developed by male runners of GASC and EYSA respectively. Besides, female runners GASC and EYSA developed moderate and mild EIAH, respectively. Conclusively, there were significant differences in physiological parameters and training load between RGASC and REYSA. High altitude (3100 meters) may have a greater impact on the above variables than moderate hypoxia (2400 meters above sea level). Hence, endurance runner coaches should give emphasis to these variables.

Potential Combination of Roselle Flower Water Honey and Dates on Blood Pressure in Hypertensive Patients

High blood pressure is a condition where systolic blood pressure is more than 140 mmHg and diastolic blood pressure is more than 90 mmHg. The aim of the study was to determine the effect of giving roselle flower decoction combined with honey and dates on blood pressure in hypertensive patients. The type of research was an experimental study with a randomized group design (RGD) divided into 4 treatment groups: the control group was given a leaflet, treatment group 1 was given 10 g of roselle, treatment group 2 was given 30 g of roselle, and treatment group 3 was given 50 g of roselle. Administered for 7 days with 1 time per day. The number of respondents was 28 people with a purposive sampling technique. The research instrument used a digital blood pressure monitor, 24-hour recall form, statistical analysis used ANOVA and Duncan's further test. The results showed that there were significant differences from the four treatments, with post-systolic p&lt;0.000 and post-diastolic p&lt;0.004, it can be concluded that each treatment group after the intervention had significant differences. The best result was treatment 3 with a roselle dose of 50 g. There is an effect of giving roselle flower decoction combined with honey and dates on blood pressure in hypertensive patients in the working area of the Telaga Dewa Community Health Center, Bengkulu City. Further research is needed on dose modification and duration of administration for maximum BP reduction.

Musculoskeletal Disorders and Psychosocial Stress at Work: A Comprehensive Study on Indian Nurses

Background Nurses’ physical and mental well-being is crucial for prompt patient-care service. While research has been conducted on the specific causes of musculoskeletal disorders (MSDs) and occupational stress among Indian nurses, a comprehensive picture considering all these variables is still lacking. This study investigated MSD prevalence and psychosocial stress levels among female nurses in West Bengal, India, and the connections between these factors and MSDs. Methods The study was performed in nine different hospitals and nursing homes in West Bengal, India. The modified Nordic questionnaire and Copenhagen Psychosocial Questionnaire (COPSOQ) were used. The body height, body weight, BMI, pulse rate and blood pressure of the subjects were measured using an anthropometer, a weighing machine and a digital blood pressure monitor, respectively. Results 80.9% of subjects reported that they had discomfort in the past 12 months, with the highest percentage (52.1%) of complaints of low-back pain. From COPSOQ, concerning mean values were found in the demand scales and general health. The presence of different discomforts was found to be significantly related to various scales of COPSOQ. Conclusion Increased cognitive, quantitative and sensorial demands were found to be major contributors to the high prevalence of MSDs among nurses in this study. As the well-being of nurses is pivotal for maintaining well-ordered health systems, regular follow-ups on their physical and psychological health are necessary.

Timing and Patient Position During Cuff Blood Pressure Measurement Affect Myocardial Work Parameters Measured by Echocardiography

Although cuff blood pressure measurement is a critical parameter to calculate myocardial work noninvasively, there is no recommendation about when and how to measure it. Accordingly, we sought to evaluate the effects of the timing during the echo study and the patient's position on the scanning bed during the cuff blood pressure measurement on myocardial work parameter calculations. One hundred one consecutive patients (44 women, 66±14years) undergoing clinically indicated echocardiography were prospectively enrolled. During the echocardiographic study, we measured the cuff blood pressure 4 times, using a fully automatic digital blood pressure monitor applied to the right and left arm in the same position throughout the study: BP1, before the start of the echo study, with the patient lying in the supine position; BP2, after positioning the patients on their left side to start the echo study; BP3, at the time of the acquisition of the 3 apical views (4- and 2-chamber and long-axis) used to measured left ventricular global longitudinal strain; and BP4, at the end of the echo study with the patient again in the supine position. Systolic blood pressureat BP1 was 147±21mm Hg. Between BP1 and BP2, it dropped by 17±9mm Hg (P<.05). Systolic blood pressure at BP3 was significantly lower than BP2 (130±20mm Hg vs 122±18mm Hg, P<.05), and at BP4 was significantly lower than at BP1 (-9 ± 13mm Hg, P<.05). The average global longitudinal strain was -16%±3%. Accordingly, the global work index was 1,929±441mm Hg% at BP1, dropped to 1,717±421 at BP2, decreased to 1,602±351mm Hg% at BP3, and increased to 1,815±386mm Hg% at BP4 (P<.001). The timing during the echocardiography study and the patient's position on the scanning bed are critical determinants of the measured cuff systolic blood pressure and the resulting values of myocardial work parameters.

UbiHeart: A novel approach for non-invasive blood pressure monitoring through real-time facial video

Monitoring blood pressure (BP) is an essential component of evaluating cardiovascular health, aiding in the early detection and management of hypertension-related complications. Traditional methods of BP measurement often involve invasive or cumbersome devices, leading to discomfort and reduced compliance. We propose a framework to monitor BP non-invasively, analyzing the face video captured by a webcam or smartphone camera leveraging the relationship of image-based Pulse Transit Time (iPTT) and Heart Rate Variability (HRV) with BP. We have built a dataset of 90 sets of collected videos using a mobile phone front camera and BP data from a standard digital BP monitor from 12 individuals from an approved Institutional Review Board (IRB) to evaluate our system. We have got a Mean Absolute Error (MAE) of 10.35+/−2.5 mmHg for systolic BP (SBP) and 7.8+/−1.5 mmHg for diastolic BP (DBP) while using the HRV representation RMSSD. On the other hand, an MAE of 8.25+/−3.5 mmHg for SBP and 7.7+/−2.5 mmHg for DBP while using the HRV representation SDRR. Finally, we have developed a framework and built a real-time system to monitor BP as a mobile and web-based application that can facilitate early detection of trends and anomalies, allowing healthcare providers to intervene promptly and personalize treatment plans.

Feasibility, Acceptability, and Preliminary Effectiveness of a Combined Digital Platform and Community Health Worker Intervention for Patients With Heart Failure: Protocol for a Randomized Controlled Trial.

Interventions focused on remote monitoring and social needs care have shown promise in improving clinical outcomes for patients with heart failure (HF). However, patient willingness to use technology as well as concerns about access in underresourced settings have limited digital platform implementation and adoption. There is little research in HF populations examining the effect of a combined digital and social needs care intervention that could enhance patient engagement in digital platform use while closing gaps in care related to social determinants of health. Here, we describe the protocol for a clinical trial of a digitally enabled community health worker intervention designed for patients with HF. This study aims to describe the protocol for a randomized controlled trial assessing the acceptability, feasibility, and preliminary effectiveness of an intervention that combines remote monitoring with a digital platform and community health worker (CHW) social needs care for patients with HF who are transitioning from hospital to home. Given the elevated morbidity and mortality, identifying comprehensive and patient-centered interventions at the time of hospital care transitions that can improve clinical outcomes, impact cost, and augment the quality of care for this cohort is a priority. This trial randomized adult inpatient participants (n=50) with a diagnosis of HF receiving care at a single academic health care institution to the 30-day intervention (digital platform+CHW pairing+usual care) or the 30-day control (CHW pairing+usual care) arms. All study participants completed baseline questionnaires and 30-day exit interviews and questionnaires. The primary outcomes will be acceptability, feasibility, and preliminary effectiveness. This clinical trial opened for enrollment in September 2022 and was completed in June 2023. Initial results are expected to be published in the spring of 2024, and analysis is currently underway. Feasibility outcome measures will include the use rates of the biometric sensor (average hours per day), the digital blood pressure monitor (average times per day), the weight scale (average times per day), and the completion of the symptoms questionnaire (average times per day). The acceptability outcome will be measured by the patients' response to the truthfulness of the statement that they would be willing to use the digital platform in the future (response options: very true, somewhat true, or not true). Preliminary effectiveness will be measured by tracking 30-day clinical outcomes (hospital readmissions, emergency room visits, and missed primary care and cardiology appointments). The results of this investigation are expected to contribute to our understanding of the use of digital interventions and the implementation of supportive home-based social needs care to enhance engagement and the potential effectiveness of clinically focused digital platforms. These results may inform the construction of a future multi-institutional trial designed to test the true effectiveness of this intervention in HF. ClinicalTrials.gov NCT05130008; https://clinicaltrials.gov/study/NCT05130008. DERR1-10.2196/55687.

Obesity as a Predisposing Genetic Factor for Development of Pediatric Hypertension in Calabar Municipality, Cross River State, Nigeria

Aims: The study aimed to assess the prevalence of obesity in children, and to evaluate obesity as a risk factor of hypertension among children obtaining treatment at the University of Calabar teaching hospital.&#x0D; Study Design: the study adopted a descriptive cross-sectional survey design involving children between 3 and 18years attending pediatrics clinic at the University of Calabar teaching hospital was used to achieve the objectives of the study.&#x0D; Place and Duration of Study: Study was conducted at the University of Calabar teaching hospital Calabar, Cross River state, southern Nigeria between May 2023 and November 2023.&#x0D; Methodology: data collection was carried out using the following instruments; (a) Semi-structured questionnaire; for anthropometric measurements (the anthropometric measurements were used to determine MBI of respondents) (b) Weighing balance and measuring tape; for measuring the weight and height of respondents in kilogram (kg) and metre (m) respectively (c) Digital blood pressure monitor; for measurement of respondents’ blood pressure. Data was collected with the help of the research assistants on a daily basis for 6 weeks from the pediatric unit of the hospital with two research assistants administering the questionnaire while the other took and recorded anthropometric measurements.&#x0D; Results: BMI percentile of 53 (39.13%) respondents was 95th percentile and above, followed by 35(25.36%) at 5th percentile, 28(20.29%) below 5th percentile, and 22(15.94%) at 85th percentile. 43(31.16%) respondents had elevated blood pressure of 120-129 mm Hg(systolic) and less than 80 mm Hg (diastolic) were recorded for 22(15.94%) and 25(18.12%) respondents respectively. 48(34.78%) respondents had blood pressure higher than 130/80 mm Hg indicative of hypertension.&#x0D; Conclusion: BP above 130/80 mm Hg indicated a positive correlation between childhood obesity and pediatric high blood pressure.

Association of the PDE4D gene variant with selected markers in individuals with ischaemic heart disease: a pilot study.

The aim of the study was to evaluate the variant (rs2910829) of the PDE4D gene in relation to its influence on biochemical, anthropometric and physiological parameters in patients with coronary artery disease and healthy subjects of the Eastern Slovak population. The male group consisted of 72 individuals and the female group consisted of 132 individuals. On the basis of clinical screening the subjects were divided into two groups - with ischaemic heart disease and control group. Genomic DNA was isolated from peripheral blood using a commercial NucleoSpin® Blood Machenery-Nagel kit. Molecular genetic analysis of the polymorphism under study was performed using the StepOne™ Real-Time PCR System instrument. The lipid profile markers TC, HDL, LDL, TG were measured by Cobas Integra 400 plus biochemical analyser, and systolic and diastolic blood pressure using a digital blood pressure monitor. Among anthropometric parameters, body height and weight, waist and hip circumference were measured and BMI and WHR indices were calculated. A statistically significant (p = 0.018) possible association between the mutant T allele and ischaemic heart disease was found in men. In women, we found a statistically significant difference in the systolic (p = 0.013) and diastolic blood parameters (p = 0.005) in the CC genotype. In the group of women, we found statistically significant differences in all observed anthropometric parameters and in LDL and TC markers. In the group of men divided on the basis of BMI, statistical significance was found in systolic blood pressure (p = 0.028). In the group of women with ischaemic heart disease, we found a negative correlation between BMI and HDL. The study contributes to new findings of the representation of genotypes and alleles of the rs2910829 PDE4D gene polymorphism in the Slovak population. This is a pilot study. Interactions between genotype and observed anthropometric, physiological and biochemical markers were confirmed.

Prevalence of Elevated Blood Pressure and Its Relationship With Anthropometric Risk Factors in Students of a Pre-university Girls' College in Bangalore: A Cross-Sectional Study.

Background There is a growing concern regarding elevated blood pressure in adolescence. Children and adolescents with high blood pressure are at risk for adult hypertension. Being overweight and obese are important risk factors for hypertension. This study aimed to determinethe prevalence of elevated blood pressure and its association with anthropometric risk factors among students of a pre-university girls' college. Methodology A cross-sectional study was conducted among 337 students at a pre-university girls' college aged 15-19 years in urban Bangalore. A self-administered, semi-structured, pretested questionnaire collected the sociodemographic details, family history, and lifestyle. Height, weight, waist circumference (WC), and hip circumference were measured. Standard cut-off levels were used for body mass index (BMI), WC, waist-hip ratio (WHR), and waist-height ratio (WHtR). Resting blood pressure was determined using a digital blood pressure monitor. It was classified into normotensive, pre-hypertension (>90th to <95th percentile), and hypertension (>95th percentile). Data were analyzed using SPSS version 18 (SPSS Inc., Chicago, IL, USA). Pre-hypertension and hypertension were considered as having elevated blood pressure. Results The prevalence of pre-hypertension and hypertension was 21.4% (n = 72, 95% confidence interval (CI) = 17.0-25.7) and 9.8% (n = 33, 95% CI = 6.6-13.0), respectively. The prevalence of overweight was 20.2% (n = 68, 95% CI = 15.9-24.5) and obesity was 12.2% (n = 41, 95% CI = 8.7-15.7). WC, WHR, and WHtR were abnormal in 34.7% (n = 117, 95% CI = 29.6-39.8), 47.5% (n = 160, 95% CI = 42.1-52.8), and 45.7% (n = 154, 95% CI = 50.4-51.0), respectively. There was a statistically significant correlation betweensystolic blood pressure and BMI (p < 0.001), WC (p < 0.001), and WHtR (p < 0.001), as well asdiastolic blood pressure and BMI (p < 0.001), WC (p = 0.008), and WHtR (p = 0.011). Statistically significant differences in mean BMI (p = 0.004), WC (p < 0.001), WHR (p = 0.007), and WHtR (p = 0.001) between normal, pre-hypertensive, and hypertensive students were also noted. Conclusions Pre-hypertension and hypertension are fundamental problems in pre-university girl students. With a similarly increased prevalence of obesity and other anthropometric risk factors, students must be aware of hypertension and its risk factors.

Abstract 11804: Implementing a Digitally-Enabled Community Health Worker Intervention for Patients With Heart Failure: A Randomized Controlled Trial

Introduction: Heart failure (HF) readmissions are a leading cause of US 30-day hospital readmissions. Factors related to clinical complexity and unmet social needs are among the key drivers associated with HF negative clinical outcomes. Digital platforms have shown promise in improving HF outcomes but limitations like patient lack of familiarity with technology and unmet social needs continue to limit implementation and adoption. Hypothesis: An intervention pairing HF patients with a digital platform and a community health worker (CHW) for 30 days post-hospital discharge is (a) feasible, (b) acceptable, and (c) can demonstrate preliminary effectiveness in reducing 30-day hospital readmissions, emergency department (ED) visits, and missed clinic appointments compared to control (CHW only). Methods: Participants (n=50; enrolled 9/2022-6/2023) were randomized to intervention (CHW + digital platform) or control (CHW only). Intervention participants received a digital platform within a mobile phone application (daily symptoms questionnaire, educational videos) connected to a biometric sensor (tracking heart rate, oxygenation, steps taken), a digital weight scale, and a digital blood pressure monitor. Feasibility (use of the platform and engagement with the CHW), acceptability (willingness to use the intervention again), and clinical outcomes (30-day readmissions, ED visits, and missed appointments) were tracked. Results: As of June 1, 2023 (n=42), preliminary analysis demonstrates intervention feasibility (participant use of the sensor (avr 11.1 hrs/day), digital blood pressure (1.3 times/day; SD=0.22) and weight scale (1.1 times/day (SD=0.18) on 81-86% of study days; symptom questionnaire completion on 75% of study days; &gt;3 CHW interactions occurred for 71% of participants) and acceptability (84% of participants indicated willingness to use the intervention again). Clinical outcome data analysis completion is forthcoming September 2023. Conclusions: A novel intervention combining a digital platform with CHW social needs care in HF was feasible and acceptable. Clinical outcome data analysis completion is forthcoming September 2023. A larger future clinical trial is needed to determine the intervention’s true effectiveness.

Prevalence and Associated Factors of Hypertension Among Adolescents in a Rural Community of North India.

Hypertension exerts a substantial burden on the healthcare system in India. Recent literature suggests hypertension to be a rising health problem not only in adults but also in adolescents. The early diagnosis of hypertension in adolescents and timely interventions are key in reducing the burden of hypertension-related morbidity and mortality in later life. This study aimed to estimate the prevalence and factors associated with hypertension among adolescents residing in a rural community in north India. This was a community-based cross-sectional study done in Ballabgarh, Haryana. A computer-generated random sample of 600 adolescents was drawn through a sampling frame of adolescents (10-19 years) listed in the Health Management Information System. House visits were made and a semi-structured interview schedule was used. Blood pressure was measured using a digital blood pressure (BP) apparatus (OMRON digital BP monitor, three readings) with age-appropriate cuffs, and hypertension was defined using the American Academy of Pediatrics 2017/Indian Academy of Pediatrics 2022 criteria. Age-adjusted BMI was calculated using AnthroPlus software (Geneva, Switzerland: WHO). The prevalence of hypertension was reported with a 95% confidence interval. Bivariate and multivariate logistic regression was done to determine the association of hypertension with the associated factors. In this study, 550 adolescents participated, of which 284 (51.6%) were males. The overall prevalence of hypertension was 18.9% (95% CI: 15.8-22.4%), stage 1 hypertension 17.3% (95% CI: 14.3-20.7%), and stage 2 hypertension 1.6% (95% CI: 0.8-3.1%). The participants aged 15-19 years (adjusted OR: 2.40, 95% CI: 1.51-3.80) compared to adolescents aged 10-14 years, and those who were overweight/obese (adjusted OR: 3.93, 95% CI: 2.14-7.20) compared to those with normal weight had significantly greater odds; whereas the female sex had lesser odds (adjusted OR: 0.49, 95% CI: 0.32-0.81) of having hypertension compared to male adolescents. Approximately one-fifth of the participants in this study had hypertension, highlighting the need for interventions including lifestyle modification and active case finding targeting adolescents.

Feasibility and Acceptability of a Combined Digital Platform and Community Health Worker Intervention for Patients With Heart Failure: Single-Arm Pilot Study.

Heart failure (HF) is one of the leading causes of hospital admissions. Clinical (eg, complex comorbidities and low ejection fraction) and social needs factors (eg, access to transportation, food security, and housing security) have both contributed to hospitalizations, emphasizing the importance of increased clinical and social needs support at home. Digital platforms designed for remote monitoring of HF can improve clinical outcomes, but their effectiveness has been limited by patient barriers such as lack of familiarity with technology and unmet social care needs. To address these barriers, this study explored combining a digital platform with community health worker (CHW) social needs care for patients with HF. We aim to determine the feasibility and acceptability of an intervention combining digital platform use and CHW social needs care for patients with HF. Adults (aged ≥18 years) with HF receiving care at a single health care institution and with a history of hospital admission in the previous 12 months were enrolled in a single-arm pilot study from July to November 2021 (N=14). The 30-day intervention used a digital platform within a mobile app that included symptom questionnaire and educational videos connected to a biometric sensor (tracking heart rate, oxygenation, and steps taken), a digital weight scale, and a digital blood pressure monitor. All patients were paired with a CHW who had access to the digital platform data. A CHW provided routine phone calls to patients throughout the study period to discuss their biometric data and to address barriers to any social needs. Feasibility outcomes were patient use of the platform and engagement with the CHW. The acceptability outcome was patient willingness to use the intervention again. Participants (N=14) were 67.7 (SD 11.7) years old; 8 (57.1%) were women, and 7 (50%) were insured by Medicare. Participants wore the sensor for 82.2% (n=24.66) of study days with an average of 13.5 (SD 2.1) hours per day. Participants used the digital blood pressure monitor and digital weight scale for an average of 1.2 (SD 0.17) times per day and 1.1 (SD 0.12) times per day, respectively. All participants completed the symptom questionnaire on at least 71% (n=21.3) of study days; 11 (78.6%) participants had ≥3 CHW interactions, and 11 (78.6%) indicated that if given the opportunity, they would use the platform again in the future. Exit interviews found that despite some platform "glitches," participants generally found the remote monitoring platform to be "helpful" and "motivating." A novel intervention combining a digital platform with CHW social needs care for patients with HF was feasible and acceptable. The majority of participants were engaged throughout the study and indicated their willingness to use the intervention again. A future clinical trial is needed to determine the effectiveness of this intervention.

EFFECT OF CAFFEINATED AND DECAFFEINATED COFFEE ON BLOOD PRESSURE

The world's most popular stimulant, caffeine, accounts for 80% of all caffeine consumption. It is widely used as a component in pharmaceuticals due to its high antioxidant and nutrient content, including phenol and polyphenol. On the presence of caffeine drinks are categorised as caffeinated and decaffeinated. The present study was conducted to evaluate the effect of caffeinated and decaffeinated coffee on blood pressure among the young generation. This experimental study was conducted on 85 healthy individuals (both male and female, non hypertensive) between 18-28 years of age. Blood Pressure (BP) was measured by an automatic digital blood pressure monitor, before and after taking of coffee in 30, 60, and 90 minutes. Each participant ingested 100 mL of coffee prepared from 50 mg of caffeinated coffee in water. The consumption time of each individual was between 2- 4 minutes. It was noticed almost 65.7% participants were found normal while, a significant difference in 34.3% found in systolic blood pressure (SBP) and diastolic blood pressure (DBP) after the intake of caffeinated coffee at p-value (&lt;0.001).An increase of4.4 mmHg and 5.02 mmHg was found in systolic blood pressure after 60, 90 minutes respectively from the normal that is &lt;20mm Hg. While, a slight increase was noticed in DBP after taking caffeinated coffee. No significant difference were seen after the congestion of decaffeinated coffee among participants. It was concluded by the study that individual responses can vary. There was increase in BP after taking caffeinated coffee. There was no significant effect found after decaffeinated coffee. Some people might be more sensitive to caffeine and feel its effects more strongly, while others might not notice much difference. Additionally, any effects from this small amount of coffee are likely to wear off relatively quickly, within a few hours at most.

Estimation of Body Composition and Health Status in Women, PE Students, on-site of Outdoor Activities on Gazivode Lake – A Case Study Report

This paper is based on the results of the cross-sectional experiment that was implemented in the school year 2021/2022 among women students in the first year of bachelor studies at the Faculty of Sport and Physical Education (FSPE) in Leposavić, University of Priština (temporarily allocated in Kosovska Mitrovica). The study design model was implemented during the obligatory course Outdoor activities (2nd semester, weekly classes 1 + 4, and 15 + 60 classes per semester) for the first time. Body composition assessment was realized along with the pedagogical practice of summer outdoor activities camp on Gazivode Lake in Kosovo (as a practical exam study curriculum requirement). The sample includes seven women FSPE students. Based on the body composition and health status assessment, students’ results are presented in figures (for the evaluation of measured variables) and diagrams for estimating the individual student’s results. Comparative analysis of results within the group was used, considering the differences among examined students regarding calculated mean values, recorded min and max results, and confidence interval. The student profile model scores were selected according to the best results achieved in general placement in most variables and evaluated regarding the case study report. The results were evaluated based on the digital system for the assessment of body composition (Omron BF511) and the interpretation of results for the following variables: Body Fat (BF%), Visceral Fat (VF), Skeletal Muscles Percentage (SM%), Body Mass Index (BMI), and Resting Metabolic Rate (RMR). Health status assessments were performed by an electronic digital blood pressure monitor (Prizma YE660E) for the measurement of Systolic (SYS), Diastolic Blood Pressure (DIA), and Resting Heart Rate (RHR). The results show the expected intra-group differences in body composition parameters, which are not inherited conditionally, for all selected body parameters (except for BMI). However, most of the values are in the recommended range, especially those with small percentages of high BF% and BMI, as well as SM% values, indicating the heterogeneity of the participants, their sports orientation, health status, and level of physical activity.

HUBUNGAN KEGIATAN SENAM LANSIA DENGAN KADAR KOLESTEROL, TEKANAN DARAH DAN STATUS GIZI PADA LANSIA

In 2018 the percentage of elderly people in Indonesia will reach 9.27 percent. Decreased physiological function in the elderly is something that occurs with age. Some diseases that often infect the elderly are stroke, diabetes mellitus (DM), hypertension, and coronary heart disease caused by cholesterol levels. Elderly exercise that is done regularly can control cholesterol levels, blood pressure and nutritional status so as to avoid disease. This study aims to determine the relationship of elderly gymnastic activities with cholesterol levels, blood pressure and nutritional status in the elderly in Abiansemal Village, Badung Regency. This type of research is an observational cross-sectional design. The sample size is 25 elderly who take gymnastics with sampling technique Purposive Sampling. Cholesterol levels data are collected by measuring using a cholesterol test, blood pressure is collected using a digital blood pressure monitor, nutritional status data is collected by measuring height and weight using microtoise and digital stamped scales, data on elderly gymnastic activities are collected by interview method. Statistical tests using the chi square test with yates correction. The results of statistical analysis using the chi square test with yates correction showed no relationship between elderly exercise activities with cholesterol levels (p = 0.617), there was a relationship between elderly exercise activities with blood pressure (p = 0.019) and there was no relationship between elderly exercise activities with nutritional status ( p = 1,319).

PREVALENCE OF HYPERTENSION AND ASSOCIATED RISK PREDICTORS AMONG SCHOOL GOING ADOLESCENTS LIVING IN WEST BENGAL, INDIA

Background: Hypertension or high blood pressure (HBP) is a most common non-communicable disease. Childhood HBP is a major public health problem worldwide as it tracks to adulthood. HBP was associated with obesity. Objective: This study was undertaken to investigate the prevalence of high blood pressure in Indian adolescents and its association with various anthropometric obesity indices. Methods: The study was conducted among school students aged 11-17 years. Blood pressure was measured using digital oscillometric blood pressure monitor. Anthropometric parameters like height, weight, Neck circumference, Waist circumference and Hip circumference were assessed using standard methods. BMI, Neck height ratio and waist height ratio were calculated. Blood pressure status was evaluated on the basis of American Academy of Pediatrics guideline. SBP and/or DBP &gt; 95th percentile in children below 13 years and 130/80 or above in adolescent 13 years or older was considered as high blood pressure. The association between BP and anthropometric parameters were examined. Results: A total 1272 students of class V-XII were participated in this study out of which 56.3% were female and 43.7% were male. 26.8% boys and 13.1% girls were under HBP category. Signicant positive correlation was observed between BP and body fat indices. Overweight and obesity were signicantly associated with risk of hypertension among boys and girls. Central obesity and upper body obesity were also associated with high blood pressure. Conclusion: Prevalence of high blood pressure in adolescent is alarming. Hypertension was signicantly associated with general obesity, abdominal obesity and upper body obesity. Thus screening of risk of high BP should be carried out in adolescents and initiate intervention to control the consequences of it.

Anxiety level and physiological response to invasive dental treatments. a longitudinal study

To determine the relationship between the level of anxiety and the physiological response to invasive dental treatments. A convenience sample of 180 patients was formed (73 men and 107 women) ≥18 years (range: 18-58) undergoing treatment with local anesthetics from three private dental offices in the city of Lima. Measurements were made before, during and after treatment on anxiety according to the IDARE questionnaire of 40 questions (20 trait and 20 state) and their physiological response was evaluated according to oxygen saturation (OS), pulse and blood pressure (BP) measured. with digital pulse oximeter and blood pressure monitor. The Friedman and Spearman correlation tests were used, working with a value of P<0.05. Most patients had a medium level of anxiety before dental treatment (state 49.4% and trait 55.6%). OS, pulse and BP increased after application of the anesthetic and decreased at the end of treatment, with significant differences (P<0.05). Anxiety scores were significantly correlated only with pulse (state: r=0.238-0.564; trait: r=0.174-0.323) and BP (state: r=0.429-0.699; trait: r=0.312-0.465) (P<0.05). State-trait anxiety had a positive relationship with the physiological dimensions of blood pressure and pulse before dental treatment with local anesthetics.

PS-P13-11: ASSOCIATION BETWEEN SPOT URINE SODIUM-TO-POTASSIUM RATIO AND BLOOD PRESSURE IN HEALTHY ADOLESCENTS: THE WAKAYAMA STUDY

Objective: Spot urine sodium to potassium ratio (Na/K) is a simple measure of sodium loading and has been shown to be associated with blood pressure (BP) levels. This study aimed to evaluate the association between spot urine Na/K and BP in a cross sectional sample of healthy adolescent population. Design and method: The study participants consisted of 457 healthy adolescents (217 males and 240 females) aged 12 to 15 years (mean age: 13.9 years). Brachial arterial BP was measured in the supine position using digital BP monitor with an appropriate cuff size. Urinary Na, K, and creatinine levels were measured using spot urine specimens collected in the early morning of the sampling day. Results: The spot urine Na/K levels of participants was 4.99 ± 2.76 (Na, 148.1 ± 58.4 mEq/L; K, 36.1 ± 18.7 mEq/L), and there was no significant difference between males and females. When the participants were stratified based on the quartiles of urinary Na/K distribution (&lt; 2.95, 2.95 to 4.54, 4.55 to 6.59, &gt; = 6.6), systolic and diastolic BP gradually increased with an increase in Na/K levels (systolic BP, 106.1, 106.9, 108.2, and 111.5 mmHg, P for trend &lt; 0.001; diastolic BP, 62.0, 62.4, 63.1, 64.3 mmHg, P for trend = 0.022). The Na/K was more closely associated with BP than urinary Na and K levels, as well as daily salt intake estimated from urinary Na. In multiple regression analysis, Na/K was significantly associated with systolic BP (β; = 0.144, P &lt; 0.001) and diastolic BP (β; = 0.114, P = 0.015), independent of potential confounding factors. The BP of the subgroup with high Na/K (&gt; = 6.6) and high salt intake (&gt; = 8.5 g/day) was significantly higher than that of those with only high salt intake (systolic BP, 115.0 mmHg vs. 109.1 mmHg, P &lt; 0.001; diastolic BP, 66.0 mmHg vs. 62.5 mmHg, P = 0.017). Conclusions: High Na/K levels is associated with elevated BP in healthy adolescents, and Na/K may be useful in assessing the effect of salt loading on BP than Na excretion alone.

Gender-specific factors associated with hypertension among women of childbearing age: Findings from a nationwide survey in India.

The association of conventional (modifiable and non-modifiable) risk factors for hypertension has already been established in the literature. However, there are other putative risk factors specific to women (early menarche, age at first childbirth, women empowerment, number of children born, hysterectomy, etc.) in the development of hypertension. This study is the first study to highlight the potential association of gender-specific factors along with other conventional risk factors and hypertension, using a nationwide sample. The study is a secondary analysis of the data collected from the National Family Health Survey-4 (NFHS-4), a nationally representative sample of 699,686 women of reproductive age in India. The interview schedule included data on general background characteristics, marriage, reproductive history, hysterectomy, knowledge, and utilization of family planning services, maternal and child care, women empowerment, non-communicable diseases, and domestic violence. The blood pressure was measured by direct observation by the study investigators using a digital blood pressure monitor. To account for disproportionate sampling and non-response, a weighted statistical analysis was performed. Logistic regression analysis was done to study the strength of the association between the risk factors and hypertension (computation of unadjusted and adjusted odds ratio). The prevalence of hypertension was 11.8% among women. Among the conventional factors, older age, higher body mass index (BMI), tobacco use, and alcohol use had higher odds for hypertension, while higher education, higher socio-economic position, and living in urban areas had lower odds. Among the gender-specific factors, younger age at first childbirth, early menarche, oral contraceptive pill use [adjusted OR: 1.23; (1.18-1.28)], and hysterectomy [adjusted OR: 1.10; (1.05-1.69)] were found to be risk factors for hypertension. Domestic violence was significantly associated with hypertension [unadjusted OR: 1.11; (1.02-1.20)]. Empowered women had lower odds of hypertension [adjusted OR: 0.93; (0.95-1.03)]. Significant association of these gender-specific factors among women necessitates the need for taking into account these factors while screening for hypertension among women and thus, designing a tailored model better suited to them for risk assessment.

Sodium and Potassium Urinary Excretion Among Malaysian Adults Claiming to Practice Salt-control: Findings from the Malaysian Community Salt Survey (MyCoSS)

Introduction: Raised blood pressure is associated with diet high in sodium and low in potassium. According to the Malaysian Community Salt Survey (MyCoSS), Malaysian adults consume a high sodium diet, despite half claiming that they control their salt intake. The objective of this study was to investigate the association of sodium and potassium with salt-control claims among adults from the MyCoSS study based on 24-h urinary excretion. Methods: Data of 1,047 respondents aged 18 years and above who completed the knowledge, attitude, and practice (KAP) questionnaire were used in this study. Face-to-face interviews were conducted to acquire information on sociodemographic, medical reports and KAP on salt intake. Sodium and potassium level were assessed from 24-hr urine specimen, anthropometric measurements were done using WHO criteria, while blood pressure was measured using validated digital blood pressure monitor. Descriptive and analysis of variance (ANOVA) were used to determine the associations between urinary sodium and potassium with salt-control claims and practices. Results: The consumption of sodium was higher than recommended, while potassium was lower among respondents who claimed to control their salt intake. Significant associations were found between sodium intake with marital status, ethnicity, education level and employment status. Meanwhile, significant associations were found between potassium intake with ethnicity and employment status. Conclusion: Sodium intake was high, and potassium intake was low among respondents who claimed they control their salt intake. Further study with detailed intervention on specific target group is required to improve sodium and potassium intakes among Malaysian adults.