Monitoring of physical activity of patients with essential hypertension by the Actigraph accelerator – the influence of the environment

Gabriela Škrečková, Eva Lukáčová

 

Gabriela Škrečková, Eva Lukáčová – Monitoring of physical activity of patients with essential hypertension by the Actigraph accelerator – the influence of the environment. Fizjoterapia Polska 2023; 23(2); 162-167

DOI: https://doi.org/10.56984/8ZG0DF153

Abstract
Background. The environment is an important determinant of physical behaviour and also affects the quality of life. A healthy lifestyle is considered to be the simplest form of hypertension prevention and therapy.
Objective. The aim of our study was to find the correlation of physical behaviour of patients with essential hypertension depending on the environment.
Method: We monitored the physical activity (PA) of 60 hypertensive patients from urban (n: 30) and rural (n: 30) environments with Actigraph accelerator. The average blood pressure values of the respondents were SBP 147 mmHg (± 8.24) and DBP 92.08 mmHg (± 8.08). Actigraph evaluated physical behaviour in the form of: sitting during the day, light, moderate and high physical activity (min/week) and steps (steps/week). The quality of life of the respondents was assessed by the Quality-of-Life SF36 – short version questionnaire.
Results. We confirm the statistically significant difference between hypertensive patients from urban and rural environments in the following categories: sitting during the day (p = 0.000052), light PA (p = 0.022009), medium PA (p = 0.0012 steps (p = 0.006993). Comparing the Quality-of-Life SF 36 questionnaire data, we find a worse quality of life in hypertensive patients living in rural areas (ø 74.40) than in hypertensive patients living in urban areas (ø 78.57).
Conclusion. Hypertensive patients living in rural areas have better physical behaviour than hypertensive patients living in urban areas, but larger population studies are needed to confirm the influence of the environment on physical activity and quality of life.
Key words: hypertension, Actigraph, environment
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Impact of the environment, age, gender, height and weight on the size of spinal-pelvic syndrome features

Alicja Kaiser, Mirosław Mrozkowiak

A. Kaiser, M. Mrozkowiak – Impact of the environment, age, gender, height and weight on the size of spinal-pelvic syndrome features. Fizjoterapia Polska 2019; 19(4); 64-74

Abstract
The objective of the study was to analyze the impact of the environment, age, gender, height and weight on selected values of features describing the spinal-pelvic syndrome.
Material and methods. The study was conducted in a population of 2,361 children aged 7 to 15, in six semi-annual editions. This allowed to register 16,608 observations of 31 features describing body posture using the photogrammetric method.
Results. Due to the number of measurements obtained and the results of statistical calculations, only the results of the impact of high and medium significance were qualified for the analysis, consciously ignoring the impact of little significance. For multiple regression analysis with the selection of a subset of the optimal set of variables, five influencing parameters were selected: environment: city, age, gender: boy, girl, height and weight. The set of variables included parameters of the spinal-pelvic syndrome.
Conclusions:
1. The impact of the environment, gender, height and weight on selected body posture features is multidirectional and diverse.
2. Gender, then body height, body weight, environment and age have a significant and positive impact on body posture. The environment, then height and weight, gender and age significantly and negatively affect posture features.
3. Body weight and height as well as the environment significantly and positively affect the alpha angle; however, the alpha angle is negatively affected by gender and age. Body weight and height as well as the environment negatively affect the length of thoracic kyphosis; however, it is positively affected by gender and age. Body height and the environment positively affect the height of the lumbar lordosis; however, it is negatively affected by body weight, gender and age.

Key words:
projection moiré, body posture features, environment, gender, age, weight and height

 

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