Hot Flashes associated with Higher Blood Pressure among Early & Late Postmenopausal Women: A Cross-sectional Design

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Aida Abd El-Razek ◽  
Ibrahim Bashayreh
2016 ◽  
Vol 12 (3) ◽  
pp. 89
Author(s):  
Heni Hendriyani ◽  
Enik Sulistyowati ◽  
Astidio Noviardhi

Background: It is a fact that natrium consumption relates to hypertension and the risk of heart disease and stroke. Even though it is common happened in later life, hypertension can be started in early age.Objective: The aim of the study is to identify salty food preference, high natrium food consumption, natrium intake, weight and its correlation with blood pressure among schoolchildren.Method: The study used cross-sectional design. There were 151 samples from junior high school chosen by purposive sampling. Food salty level data was assessed by eating the snack with three different salt concentration. High and low natrium source food and natrium intake data were taken using semi-quantitative food frequency questionnaire. Blood pressure was measured by sphygmomanometer digital. Bivariate analysis was used Chi-square and Rank Spearman test.Results: The study revealed that 74,2% children prefer snack with the salt level above recommendation (> 0,5 gr salt per portion ). There were 22,5% children have natrium intake from food only ≥2000 mg (above recommendation). As much as 35,8% children fall into hypertension category based on their blood pressure (BP) level. There was a significant relationship between high natrium food consumption score with natrium intake (p=0,002). There were significant correlation between weight with systolic and diastolic BP ((p=0,000 r=-0,549 and p=0,000 r=-0,412). There were no correlation between atrium intake with systolic and diastolic BP (p=0,764;  r= 0,0025 and p=0,819 r=0,19).Conclusion: Healthy food and maintaining normal weight information and education must be done for children as early as possible.


2021 ◽  
Vol 7 (1) ◽  
pp. 39-43
Author(s):  
YUNIAR SETYAWATI ◽  
Ashon Sa’adi ◽  
Tiyas Kusumaningrum

Vasomotor complaints are common on postmenopausal women. Most women feel these complaints within 2 years after entering menopause; some of them will even feel up to a decade. In addition to vasomotor complaints, the incidence of central obesity also increases in menopause. The poor adipocyte system in central obesity that affects the central nervous system, body temperature and excessive sympathetic nerve activity have been suspected to be a cause of vasomotor syndrome at menopause. The purpose of this study was to analyze the relationship between central obesity and the characteristic of vasomotor symptoms in postmenopausal women. Method: this observational analytic study used a cross sectional design. The number of samples were 86 women aged 45-55 years who had been in postmenopausal period. Sampling technique was consecutive sampling. The independent variable was central obesity while the dependent variable was vasomotor symptoms. The data was taken using modified MENQOL questionnaire and direct measurements waist circumference to determine central obesity in the respondents. Data was tested using contingency coefficient test with α 0.05. Results: There were 59.3% respondents who experienced central obesity. More than eighty percent respondents with central obesity also experienced vasomotor symptoms which were considered disturbing. There was a significant relation between central obesity and the characteristic of vasomotor symptoms in postmenopausal women (p=0.00; r=0.513). Conclusion: The presence of central obesity leads to disturbing vasomotor symptoms in postmenopausal women  


2021 ◽  
Author(s):  
Patsama Vichinsartvichai ◽  
Rattana Teeramara ◽  
Titima Jirasawas ◽  
Prirayapak Sakoonwatanyoo

Abstract Objectives To find the association between urinary adiponectin and metabolic syndrome (MetS) in peri- and postmenopausal women and its potential application as a noninvasive screening for MetS. Methods A cross-sectional study was conducted in healthy peri- and postmenopausal women (defined by STRAW+10 staging) age at least 40 years who attended annual checkup or menopause clinic were recruited. Baseline demographic data, MENQOL, anthropometric measurements, blood pressure, laboratory (FBS, total cholesterol, HDL-C, LDL-C, TG) and urinary adiponectin were collected. The MetS was diagnosed according to JIS 2009. Results 290 peri- and postmenopausal women had participated. The prevalence of Mets among our participants was 18%. Urinary adiponectin levels were similar in peri- and postmenopausal women with and without MetS (2.6±2.2 vs 2.3±1.9 ng/mL, respectively, P = 0.55). Urinary adiponectin provides no diagnostic value for MetS (AUC = 0.516). Conclusions Urinary adiponectin has no role in screening and diagnosis of MetS in peri- and postmenopausal women. The quest toward noninvasive screening for MetS is still going on.


Author(s):  
Néstor Agra ◽  
Ana Teresa Afonso ◽  
Antón Sande ◽  
Ignacio Veleiro ◽  
José Enrique Paz ◽  
...  

IntroductionInflammatory status could play a role in alterations of blood pressure (BP) circadian rhythm. The aim of our study is to compare levels of usual inflammatory markers in patients with and without circadian BP abnormalities.Material and methodsThis is a cross-sectional design study with retrospective data analysis which included patients from an Internal Medicine Department with normal and high BP levels older than 18 years who were separated into two groups according to the circadian profile of BP (dipper and non-dipper) based on the results of 24-hour ambulatory BP monitoring. Patients were assessed for demographic characteristics and cardiovascular risk factors. We considered as inflammatory markers the platelet count (PTC), erythrocyte sedimentation rate (ESR), ultra-sensitive C-reactive protein, ferritin, fibrinogen, and uric acid.ResultsThe study included 551 patients (mean age of 54 years, 47% women). The non-dipper group had a higher percentage of individuals with higher ESR (OR = 1.77, 95% CI: 1.23–1.55, p = 0.001), uric acid (OR = 1.50, 95% CI: 1.04–2.16, p = 0.028) and fibrinogen (OR = 1.72, 95% CI: 1.18–2.51, p = 0.001) and a higher percentage of patients with higher PTC (OR = 0.54, 95% CI: 0.37–0.78, p = 0.005). These results were independent of age, waist circumference, presence of arterial hypertension, diabetes or hyperlipidemia, and use of antihypertensive drugs including renin angiotensin aldosterone system blockers.ConclusionsPatients with impaired circadian BP rhythm were associated with an unfavorable inflammatory status independently of BP levels. This fact could play a role in the prognostic differences observed between dipper and non-dipper patients.


Author(s):  
Olufunso W Odunukan ◽  
Ahmed S Rahman ◽  
Daniel Roellinger ◽  
Steven Cha ◽  
James M Naessens ◽  
...  

Background: The diagnosis of hypertension requires systolic blood pressure (SBP) ≥ 140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg on at least 2 different occasions. Therefore, there is the possibility of patients with elevated BP remaining undiagnosed if not seen by the same provider. Purpose: To utilize electronic medical records (EMR) to identify patients not previously diagnosed with hypertension that have elevated blood pressure meeting criteria for a diagnosis of hypertension using a threshold of SBP ≥ 140mmHg or DBP ≥ 90 mmHg (high BP) on 2 or more occasions. Methods: This was a cross sectional design utilizing retrospective multi-year billing and clinical data from a large multi-specialty center in the Midwest. Using electronic records of all outpatient visits in each year from 2009 - 2011, patients with at least 2 visits with SBP ≥ 140mmHg or DBP ≥ 90 mmHg (2HBP) in the measurement year were identified. These patients were compared with previously identified cohorts of known hypertension patients (Known HTN) compiled using the EMR problem list. A sensitivity analysis was done using patients with high BP at 2 consecutive visits (2CHBP) and also those with high BP at 3 consecutive visits (3CHBP). We compared proportions of patients with high BP without a prior diagnosis of hypertension (UDHTN). Results: The proportion of patients with SBP ≥ 140mmHg or DBP ≥ 90 mmHg without a prior diagnosis of hypertension (UDHTN) when compared to the cohort of known patients with a diagnosis of hypertension (Known HTN) was 25% in 2009, 26% in 2010, and 28% in 2011 in the 2CHBP cohort compared to 27% in 2009, 28% in 2010, and 30% in 2011 in the 2HBP cohort and 18% in 2009, 19% in 2010 and 23% in 2011 in the 3CHBP cohort. Conclusion: About a quarter of patients meeting current thresholds on multiple and consecutive visits did not have a known diagnosis of hypertension. The use of EMR can identify these patients for commencement of appropriate management. Table 1


Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 315 ◽  
Author(s):  
Barua ◽  
Faruque ◽  
Banik ◽  
Ali

Background and objectives: Justification for application of 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines to detect hypertension (HTN) among Bangladeshi population is understudied. This prompted us to examine the level of agreement between 2017 ACC/AHA and Joint National Committee 7 (JNC 7) guidelines to detect postmenopausal HTN in a rural area of Bangladesh. Materials and Methods: This cross-sectional study recruited 265 postmenopausal women of 40–70 years of age who visited a rural primary health care centre of Bangladesh. HTN was diagnosed based on two definitions: the JNC 7 guidelines (SBP ≥ 140 or DBP ≥ 90 mmHg), and the 2017 ACC/AHA guidelines (SBP ≥ 130 mmHg, or DBP ≥ 80 mmHg). The prevalence of postmenopausal HTN, its sub-types and stages were reported and compared using frequency and percentage. Agreement was evaluated using Cohen’s Kappa (κ), Prevalence-Adjusted Bias-Adjusted Kappa (PABAK) and First-order Agreement Coefficient (AC1). Results: The prevalence of postmenopausal HTN was 67.5% and 41.9% using 2017 ACC/AHA and JNC 7 guidelines respectively. Among the HTN sub-types and stages, the new 2017 ACC/AHA guideline classified higher proportion of respondents as having isolated systolic hypertension (ISH) (42.6%) and stage 2 HTN (35.8%) compared to JNC 7 (28.7% and 6.8% respectively). On the other hand, the JNC 7 guideline identified more respondents as pre-hypertensive (32.5%) when compared with the 2017 ACC/AHA guideline (3.8%). Between two guidelines, highest agreement was observed for ISH (86.03%) and those had pre-hypertension/elevated blood pressure (71.3%). Similarly, Landis & Koch’s approach detected highest agreement for ISH (κ = 0.74, substantial; PABAK = 0.76, substantial; AC1 = 0.84, excellent; p < 0.001) and pre-hypertension/elevated blood pressure (κ= 0.12, slight; PABAK = 0.42, moderate; AC1 = 0.83, excellent; p < 0.001). Conclusions: The 2017 ACC/AHA HTN guideline reported high agreement and detected more participants as hypertensive when compared with JNC 7 guideline for Bangladeshi postmenopausal women that demands further large-scale study in general population to clarify the current findings more precisely.


2020 ◽  
Vol 15 (2) ◽  
pp. 119
Author(s):  
Shirley Priscilla Gunawan ◽  
Merryana Adriana

Globalization era has led to higher demands and expectancy for life, causing higher stress level followed by higher prevalence of obesity and hypertension. Obesity and stress has became risk factors of hypertension and heart disease. This study purposed for analyzing the correlation between obesity and stress level with hypertension among church community in Indonesian Christian Church (GKI) Manyar Surabaya. This study was an analytic observational study with a cross-sectional design. Subject of this study were chosen using simple random sampling method. Data were collected by interviewing subjects, calculating subjects’ Body Mass Index (BMI) based on their height and body weight measurement, measuring blood pressure and fi lling DASS-42 questionnaire. All data were analyzed with Spearman test using SPSS v25.0. 76 subjects aged 18-45 year were participated in this study. This study showed 21.1% subjects were overweight and 42.1% were obese. 65.8% subjects experienced stress with a DASS score above 14. Twenty seven subjects experienced prehypertension and 12 others experienced hypertension stage 1. Based on statistical calculation, obesity (r=0.577; p<0.001) and stress level (r=0.370; p=0.001) are positively correlated to hypertension. Health promotion should be held to increase knowledge and awareness about the danger of obesity and stress to hypertension. Therefore, people can put more eff orts to maintain ideal body weight, learn to manage stress well and control blood pressure regularly


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Go Handayani ◽  
Fransiska Lintong ◽  
Jimmy F. Rumampuk

Abstract: Movement is a certain habit that never gone from every human being. A Person never stop to move even when he was asleep, because without realizing our heart is settled to pump out blood going to entire body. The quick heart beat can be feel on some situation for example; run, bike or heavy lifting. While run the heartbeat feel faster. Beside heartbeat, breathing and body temperature is also rise where breathing get deeper and faster resembling with body that feel hotter. The aim of this study is to see the influence of running activity toward blood pressure and body temperature. The research methodology used is cross sectional design. The research was conducted between September to November 2015. Subjects are 30 teenager attain the age of 18- 25 years old that selected through inclusion and exclusion criteria. Data analysis performed by Wilcoxon test using SPSS.The result showed that there are 24 people that has rise blood pressure and on the measuring body temperature there are 20 people has decrease of blood temperature after run. Conclusion: Research shows that there are significant contradiction of blood pressure before and after run. On the measure body temperature there are no significant contradiction before and after run.Keywords: run, blood pressure, body temperatureAbstrak: Gerak merupakan suatu kebiasaan yang tidak lepas dari setiap manusia. Manusia tidak pernah berhenti bergerak bahkan disaat seorang tidur, karena tanpa disadari jantung manusia tetap bergerak untuk memompa darah ke seluruh tubuh. Detak jantung yang kencang dapat kita rasakan pada keadaan-keadaan tertentu, contohnya; berlari, bersepeda atau mengangkat beban. Saat berlari, detak jantung terasa lebih kencang dan lebih cepat. Selain detak jantung, pernapasan dan suhu tubuh juga meningkat, dimana pernapasan lebih dalam dan cepat bersamaan dengan tubuh yang terasa panas. Tujuan dari penelitian ini adalah untuk melihat pengaruh berlari terhadap tekanan darah dan suhu. Metode penelitian yang digunakan adalah design potong lintang (cross sectional) yang dilaksanakan pada bulan September sampai November 2015. Subjek penelitian adalah 30 orang remaja yang berumur 18-25 tahun melalui kriteria inklusi dan eksklusi. Analisis data dilakukan uji statistik Wilcoxon dengan menggunakan SPSS. Hasil penelitian menunjukkan bahwa terdapat 24 orang yang mengalami peningkatan pada pengukuran tekanan darah dan pada pengukuran suhu ditemukan 20 orang yang mengalami penurunan suhu setelah berlari. Simpulan: Terdapat perbedaan yang signifikan pada pengukuran tekanan darah sebelum dan sesudah berlari. Pada pengukuran suhu, tidak terjadi perbedaan yang signifikan sebelum dan setelah berlari.Kata kunci: berlari, tekanan darah, suhu


2019 ◽  
Vol 4 (2) ◽  
pp. 20-24
Author(s):  
Emdat Suprayitno1

ABSTRACT Hypertension is a health problem in the world, especially in developing countries. Hypertension is often called a silent killer (silent killer) because it is included in a deadly disease without accompanied by symptoms first as a warning for victims. The problem of high hypertension, especially in the elderly with concomitant decline in organ function. This type of research is quantitative descriptive using non-analytic cross sectional design. The sampling technique used was total sampling with a sample size of 32 people. The instrument used in the form of a tensimeter and blood pressure observation sheet. The results showed that the majority of respondents aged 55-60 years were 10 people (31.25%), the majority of respondents were male as many as 18 people (56.25%). Blood pressure status in patients with hypertension in Karanganyar village is systolic blood pressure 140-159 mmHg, diastolic blood pressure 90-99 mmHg as many as 18 people (56.25%) It can be concluded that the majority of blood pressure status of hypertension sufferers in Gadung Hamlet, Karanganyar Village, Kalianget Subdistrict are in the category of Hypertension.   Keywords: Blood Pressure, Hypertension


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