Tag: Hypertension

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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Effect of foot reflexology on perimenopausal mild hypertension

Hala M Hanfy, Mohamed A. Awad, Hossam El Dien H Kamel, Nermeen K Eid

Hala M Hanfy, Mohamed A. Awad, Hossam El Dien H Kamel, Nermeen K Eid – Effect of foot reflexology on perimenopausal mild hypertension. Fizjoterapia Polska 2022; 22(1); 44-50

Abstract
Purpose. to investigate the effect of foot reflexology on perimenopausal mild hypertension. Methods. Fifty perimenopausal women suffering from mild hypertension were selected randomly from the outpatient clinic of the gynecology department in Sayed Galal University Hospital in Cairo, Al Azhar University, shared in this study. Their ages were ranged from 48 to 50 years old. Their body mass index (BMI) did not exceed 30kg/m. The physician diagnosed them as mild hypertensive patients (stage 1). Patients with bronchial asthma, history of hypertension before the 4th decade, diabetes mellitus and mental health problems such as depression and anxiety are excluded from the study. The design of the study was an experimental study (two groups pre-test post-test design). The patients were divided randomly into two equal groups (A&B): Group A (Control group); consisted of twenty-five patients. They performed aerobic exercises only three times per week for 8 weeks. Group B (Study group); consisted of twenty-five patients. They performed aerobic exercises and received foot reflexology three times per week for 8 weeks. Body mass index was assessed using a standard weight and height scale. Blood pressure was assessed using a mercury sphygmomanometer, blood analysis for TC, TG, LDL and HDL for both groups A and B before and after treatment.
Results. showed that, within groups, there was a significant decrease in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL and a significant increase in HDL in both groups A and B post-treatment in comparison with pre-treatment values. Between groups, pre-treatment there was no significant difference in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL and HDL. While, post-treatment there was a significant difference between groups A and B in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL (more decrease in group B) and HDL (more increase in group B).
Conclusion. Foot reflexology is an effective method in treating perimenopausal mild hypertension through decreasing SBP, DBP, cholesterol, TG, LDL and increasing HDL.
Key words:
foot reflexology, perimenopausal, hypertension
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Assessing the risk of accidental falls in the elderly: an analysis of a medium-sized population

Marek Żak, Tomasz Grodzicki

Marek Żak, Tomasz Grodzicki – Assessing the risk of accidental falls in the elderly: an analysis of a medium-sized population. Fizjoterapia Polska 2004; 4(4); 391-395

Abstract

Background. The incidence of falls among the elderly has not yet been the subject of a major, in-depth study. This significant social issue is still greatly underrated by clinicians and physiotherapists. As accidental falls are widely recognized to carry potentially grave consequences for frail elderly victims, the present study aimed to assess in some detail the attendant circumstances and identify the key risk factors, with a view to contributing to the establishment of a nationwide plan for multi-tiered, preventive action. Materials and methods. The study group was comprised of 178 female patients, 66-91 years of age, recruited from the Geriatric Department of the Municipal Medical and Nursing Facility in Cracow, treated for hypertension in the period 1999-2001. Each was reported to have sustained at least one fall within 3 months prior to hospitalization. We examined the patients’ nursing and medical records, as well as individual risk assessment profiles, in search of patterns. Comprehensive information was obtained on the attendant circumstances, i. e. specific location, timing, and prevailing circumstances. Results. The majority of accidental falls (68%) occurred within the patient’s own room, toilet, or hallway. The patients proved to be most at risk when attempting to change posture. As many as 46% of the falls occurred between 6 and 10 AM, which may have been due to environmental factors combined with individually impaired mobility.Conclusions. Paradoxically, the highest risk of fall was correlated with performing ostensibly simple tasks of daily living, particularly during night and early morning hours.

Key words:
Geriatrics, Hypertension, Activities of Daily Living
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