Search results

1

Relative influence of body mass index and socioeconomic class on blood pressure levels and health

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Ajay Soni A., Nazeem Ishrat Siddiqu N. I., Ravindra Wadhwani R.

European Journal of Clinical and Experimental Medicine

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2019

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issue 2

131-135

EN

Introduction. Blood pressure (BP) is a complex entity which is influenced by many factors. The impact of socioeconomic class and body mass index (BMI) on hypertension has been reported in the past but literature on their influence on blood pressure in healthy adolescents is very limited. Aim. The aim of the study is to assess the influence of BMI and socioeconomic status on BP in healthy adolescents. Material and methods. This cross sectional study includes three hundred healthy adolescents. Anthropometric and BP measurements were done. BMI categories were derived using WHO Asia Pacific guidelines. An updated Kuppuswami scale was used for determining socioeconomic status. Multiple regression analysis and analysis of variance was used to study impact of socioeconomic and BMI classes on BP. Results. Obese subjects of upper socioeconomic class have higher blood pressure values. Strong significant differences in the mean values of systolic blood pressure (f-23.569; p<0.00001), diastolic blood pressure (f-22.470; p<0.00001) and mean arterial pressure (f-27.454; <0.00001) were observed in different BMI classes. Except for diastolic blood pressure (f-2.713; p <0.030) rest of BP indices did not differ significantly in different SES classes. Conclusion. Obese subjects of upper socioeconomic class are prone for development of future hypertension. High BMI is significant risk factor for high BP, however socioeconomic class of the subject should also be considered as predisposing factor for high BP.

2

Detrimental effects of early rural life on blood pressure among urban male migrants in Wrocław, Poland

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Kozieł S., Lipowicz A., Ulijaszek S. J.

Anthropological Review

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2012

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vol. 75

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issue 2

83-91

EN

The purpose of the study was to compare the blood pressure of rural-to-urban migrants and the sedentary population (non-migratory) of the city of Wrocław, Poland. Additionally, the effect of time spent in the rural area on blood pressure was also assessed. The study sample consisted of 2753 males aged 25-75 years, following a medical examination, underwent an interview and anthropometric measurements between 1989-90. Based on the place of origin all males were divided into rural-to-urban migrant inhabitants of Wrocław (N=1222) and sedentary inhabitants of Wrocław (N=921). The percentage of time spent in the rural area [(time spent in rural area/age)*100] was then calculated and was used in analysis. In each age category, the rural-urban migrants were found to be shorter in height. Age, BMI, level of education and time of migration had a significant effect on both the systolic and diastolic blood pressure irrespective of the level of education. It was demonstrated that the time of migration, allowing for age, body size and education level, significantly correlated with blood pressure. The later in time, the males migrated from rural to urban areas, the higher their blood pressure. It was hypothesized that unhealthy behavior could still have continued in a new urban environment, resulting in migrant - sedentary differences in health parameters.

3

Nurses’ knowledge on the assessment of alcohol consumption and smoking and its effect on blood pressure

88%

Grabowska H., Narkiewicz K.

Progress in Health Sciences

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2013

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vol. 3

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issue 2

130-136

EN

Introduction: Excessive alcohol consumption and smoking increase the risk of hypertension and the incidence of cardiovascular disease. Nurses have a unique opportunity to help patients who smoke and consume alcohol at a risky level, not requiring a specialist, which may contribute to a reduction in blood pressure (BP), as well as providing more health benefits. The aim of the study was to evaluate the knowledge of nurses on how to assess the consumption of alcohol and smoking and their effect on BP. Material and methods: The study included 1,108 participants (W-1,089, M-19, aged 21-60, 0-37 years of work experience). The study was conducted in 2007-2009 using the diagnostic survey method and achievement tests. Results: Alcohol assessment methods were correctly indicated by 13.4% of respondents, while the correct interpretation of a standard unit of alcohol was made by 35.8% of respondents. The Fagerström Test was known only to 13.2% of respondents. The effects of alcohol and smoking on BP values were known to most subjects. The youngest participants, nursing graduates, were significantly more likely to have made the correct indication. Conclusions: Overall, knowledge of how to assess alcohol consumption and smoking allowing minimal intervention to take place in the group of nurses studied was relatively low. Significantly more correct indications were made by the youngest respondents, those who were not married and nursing graduates. It seems reasonable to popularize methods for identifying the risk of hypertension associated with alcohol consumption and cigarette smoking in postgraduate nursing education.

4

Prevention and nutritional therapy of metabolic syndrome

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Rożniata M., Zujko K., Zujko, M.E

Progress in Health Sciences

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2017

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vol. 7(2)

100-104

EN

The term metabolic syndrome (MetS) defines the cooccurrence of the related risk factors of metabolic origin that promote the development of cardiovascular diseases with atherosclerotic background and type 2 diabetes. The diagnostic criteria of MetS have undergone modifications for years. Until now no clear definition of MetS has been established. The latest diagnostic criteria of MetS published in 2009 by a group of IDF (International Diabetes Federation) and AHA/NHLBI (American Heart Association/ National Heart, Lung and Blood Institute) experts discern three out of five risk factors: abdominal obesity (taking into consideration population differences), elevated level of triglycerides, reduced HDL cholesterol, hypertension and fasting hyperglycemia. Genetic predispositions and environmental factors, such as lack of physical activity and improper diet are considered to be responsible for MetS development. Therefore, prevention and treatment of MetS should be based first of all on a change in modifiable lifestyle factors, among which proper diet is of essential importance.

5

The influence of physiotherapy on blood pressure in children and adolescents with respiratory tract diseases

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Pirogowicz I., Ornat M., Jerczak B., Pachołek K., Domeredzka P., Gojny Ł.

Family Medicine & Primary Care Review

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2017

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issue 1

54-58

6

Predictors of blood pressure levels, knowledge and practices of adult hypertensives attending a Secondary Health Care Centre in South-Western Nigeria

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Azeez I. A., Dairo M. D., Akinyemi J. O., Idowu O. P.

European Journal of Clinical and Experimental Medicine

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2022

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issue 3

290-297

EN

Introduction and aim. The prevalence of hypertension is increasing with accompanying poor control. The aim of this study was to assess the predictors of knowledge and practices of adult hypertensives. Material and method. The study was a prospective (before and after) study with health education as the intervention. A simple random sampling technique with computer-generated random numbers was used to recruit 386 patients. Data were analysed using SPSS version 23. Logistic regressions were used to determine the predictors of knowledge and practices. Results. Those who had tertiary education were about four times more likely to have good knowledge of hypertension than those who had secondary education (OR=0.256; 95% CI=0.106–0.617). The females were about 1.73 times more likely to have good practices of hypertension than males (OR=1.729; 95% CI=1.008–2.966). For every 1 unit increase in the body mass index, there was a statistically significant increase in diastolic blood pressure by about 0.22 units (95% CI=0.046–0.394, p=0.013). The health education had a positive impact on the blood pressure reduction. Conclusion. The predictors of knowledge of hypertension, practices of hypertensives and diastolic blood pressure were level of education, sex, and body mass index respectively.

7

Interpreting as a stressful activity: physiological measures of stress in simultaneous interpreting

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Korpal P.

Poznań Studies in Contemporary Linguistics

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2016

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vol. 52

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issue 2

297-316

EN

The question of interpreter aptitude has been widely discussed in Interpreting Studies (e.g. Lambert 1991; Moser-Mercer 1994; Mackintosh 1999). Language command and cognitive skills have often been treated by interpreter trainers as the main determinants of an interpreter’s future success. However, in recent years, more and more attention from interpreting scholars has been devoted to psycho-affective factors, such as motivation, anxiety or stress resistance (e.g. Timarová and Ungoed-Thomas 2008; Rosiers et al. 2011; Bontempo and Napier 2011). This paper presents the results of a pilot study, the main objective of which was to examine whether the speed of speaker’s delivery influences the level of stress experienced by interpreting trainees during a simultaneous interpreting task. To this end, heart rate and blood pressure data were collected. The participants were asked to interpret two speeches from English into Polish. The author hypothesised that while interpreting a faster speech the participants would experience a higher level of stress than when they interpreted a slower speech. The hypothesis was corroborated only for heart rate values. No statistically significant differences were observed for either systolic or diastolic blood pressure. The study offers valuable insight into the question of stress experienced by interpreting trainees.

8

The prevalence of cardiovascular disease risk factors in normotensive, pre-hypertensive and hypertensive South African colliery executives

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Grace J., Semple S.

International Journal of Occupational Medicine and Environmental Health

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2012

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vol. 25

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issue 4

375-382

EN

Objective: The aim of this study was to establish the prevalence of cardiovascular disease (CVD) risk factors amongst South African colliery executives presenting normal blood pressure (normotensive), pre-hypertension and hypertension. Materials and Methods: Selected CVD risk factors of a non-randomized, available population of 143 Caucasian male executives from fi ve South African collieries situated in Mpumalanga and Gauteng Provinces were recorded. Results: Executives with pre-hypertension and hypertension exhibited a higher prevalence of CVD risk factors, compared to the persons with normal blood pressure levels. The percentage of executives with CVD risk factors, with the exception of BMI, was greater amongst those with pre-hypertension than those with hypertension. Conclusion: The current study showed that a workplace CVD risk screening process was effective in identifying the relatively high prevalence of CVD risk factors amongst SA colliery executives. In addition, out of all the studied risk factors, undesirable body composition (BMI, WHR and fat %) exhibited the highest prevalence amongst pre-hypertensive and hypertensive SA colliery executives.

9

Blood pressure profile and nutritional status of pupils benefitting from the National Home-Grown School Feeding Programme in southwest Nigeria

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Ajayi I. O. O., Oyewole O. E., Onabanjo O. O., Olawuwo M. F., Salisu O.

European Journal of Clinical and Experimental Medicine

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2023

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issue 2

289-297

EN

Introduction and aim. Childhood hypertension is an important precursor to adult hypertension. This study was used to investigate blood pressure level and nutritional status of pupils in public primary schools that were benefitting from the National Home Grown School Feeding Programme in southwest Nigeria. Material and methods. A cross-sectional study conducted among randomly selected 40 public primary schools where feeding programme was on-going in Oyo and Ogun States. Pretested semi-structured questionnaire was used to obtain information from the pupils. Anthropometric measurements and blood pressure readings were assessed using relevant tools. Results. Some of the pupils (129; 41.6%) aged 10-15 years (p<0.0001) were stunted compared to those aged 5-9years (60; 11.3%). Undernutrition among pupils aged 10-15 years was 47.7%, which was significantly higher than (p<0.0001) among pupils aged 5-9 years, 18.5%. Overall, prevalence of hypertension among the pupils was 6.0%. No significant difference between male and female groups with regards to MUAC (p=0.115), blood pressure (p=0.302) and BMI-for-age (p=0.100). A significant association found between blood pressure and BMI-for-age (p=0.004). Conclusion. Prevalence of blood pressure among the pupils assessed suggests more presence of high blood pressure in the population of primary school pupils. School feeding programme could be an avenue to improve nutritional indices among the pupils.

10

Zależność ciśnienia tętniczego krwi od wydolności fizycznej

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Pilis K., Pilis A., Stec K., Pilis W., Zych M., Michalski C., Buchta J.

Puls Uczelni

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2014

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issue 4

9-13

PL

Wstęp: Zmiany ciśnienia tętniczego krwi podczas wysiłku fzycznego są u poszczególnych osób indywidualnie różne. Ich przyczyny nie są dokładnie znane. Cel pracy: Celem prezentowanej pracy jest zbadanie reakcji krążeniowych w spoczynku i przy obciążeniu fzycznym powodującym wzrost skurczowego ciśnienia tętniczego (SBP) = 200 mmHg u osób o różnej wydolności fzycznej. Materiał i metody: W badaniach uczestniczyło 18 piłkarzy nożnych i 14 nietrenujących studentów nie różniących się wiekiem, masą i wysokością ciała i wskaźnikiem BMI, u których w warunkach spoczynkowych dokonywano pomiarów ciśnienia tętniczego skurczowego (SBPr), ciśnienia tętniczego rozkurczowego (DBPr) i częstości skurczów serca (HRr). Następnie badani wykonywali wysiłek fzyczny na cykloergometrze o wzrastającej intensywności, w którym przy ciśnieniu skurczowym = 200 mm Hg (SBP200) dokonywano pomiarów DBP200 i HR200. W warunkach spoczynkowych i wysiłkowych wyliczano wielkość ciśnienia średniego (MAPr, MAP200), ciśnienia tętna (PPr, PP200) i podwójnego iloczynu ciśnienie – tętno (DPr, DP200). Wyliczano także moc osiąganą w teście PWC170 (W i W/kg) oraz wielkość maksymalnego poboru tlenu VO2max (ml/min i ml/min/kg). Wyniki: Piłkarze osiągnęli wyższą moc w PWC170 i VO2max oraz niższe HR200 i DP200 (p<0,001), jak również niższe wartości HRr (p<0,01) niż studenci, a spoczynkowe jak i wysiłkowe SBP, DBP, MAP i PP nie różniły się między badanymi grupami. W grupie piłkarzy moc w PWC170 (W) korelowała ujemnie (p<0,05) z DP200, a VO2max (ml/min; ml/min/kg) również korelował ujemnie z HRr (p<0,05; p<0,01). Wśród studentów moc w PWC170 (W, W/kg) i VO2max (ml/min i ml/min/kg) korelowała ujemnie z HR200 i z DP200. Ponadto VO2max (ml/min/kg) korelował ujemnie z HRr. Wnioski: Badania wykazały, że pomimo różnic w wydolności fzycznej badanych grup nie stwierdza się istotnych zmian ciśnienia tętniczego krwi spoczynkowego i modyfkowanego wysiłkiem fzycznym. Jednak przy obciążeniu powodującym skrajnie wysoki wzrost SBP obserwuje się poprawę ekonomizacji pracy serca i układu krążenia niezależny od wielkości wydolności fzycznej badanych.

EN

Background: Changes in blood pressure during subjects’ exercise are individually diferent. The reasons of these diferences are unknown. Aim of the study: The aim of this paper is to investigate the rate of changes in cardiovascular system at rest and at physical load which enhance systolic blood pressure (SBP) = 200 mmHg in people with diferent physical performance. Material and methods: The studies included 18 soccer players and 14 students who do not practice any sport, whose age, body mass, body height and BMI have been similar, and who at baseline were measured systolic blood pressure (SBPr), diastolic blood pressure (DBPr) and heart rate (HRr). Then, the subjects performed exercise on a cycloergometer with increasing intensity in which at the level of the systolic blood pressure = 200 mm Hg (SBP200) were measured DBP200 and HR200. In terms of resting and exercise time the size of the mean arterial pressure (MAPr, MAP200), pulse pressure (PPr, PP200) and rate-pressure product (DPr, DP200) were calculated. Moreover the power achieved in PWC170 test (W and W/kg) and maximal oxygen uptake (VO2max) (ml/min and ml/min/kg) were also calculated. Results: Soccer players have reached a higher power in PWC170 and higher VO2max and lower HR200 and DP200 (p<0,001), as well as lower values of HRr (p<0,01) than students however SBP, DBP, MAP and PP registered during rest and during exercise did not difer between the groups. Among the players power reached at PWC170 (W) correlate negatively with DP200 – (p<0,05) and VO2max (ml/min; ml/min/kg) also correlated negatively with HRr (p<0,05, p<0,01). Among students power reached at PWC170 (W, W/kg) and VO2max (ml/min, ml/min/kg) correlate negatively with HR200 and DP200. Moreover VO2max (ml/min/kg) correlate negatively with HRr. Conclusions: Studies have shown that, despite diferences in physical performance of both groups, there were no signifcant changes in blood pressure at rest or modified during exercise. However, at extremely high increase in SBP improved economization in function of the heart and circulatory system independent of the size of physical performance of the subjects were observed.

11

Wpływ zabiegów balneologicznych i hydroterapii na wartość ciśnienia tętniczego skurczowego i rozkurczowego

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Rudnik E., Pułyk K., Boniek-Poprawa D., Bogdan Obszański B., Kleinrok A.

Medical Review

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2014

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issue 4

334–342

PL

STRESZCZENIE Choroby cywilizacyjne stanowią istotny problem zdrowotny krajów szybko rozwijających się, w tym Polski. Negatywne skutki rozwoju cywilizacji przyczyniają się do powstania cukrzycy, choroby wieńcowej, nadciśnienia tętniczego (NT) oraz chorób układu kostno-stawowego. W leczeniu chorób przewlekłych, oprócz farmakoterapii jest wdrażane leczenie uzdrowiskowe. Jego istota polega na zastosowaniu naturalnych bodźców leczniczych, indywidualnie dobranych w zakresie rodzaju, charakteru i intensywności działania. Celem pracy jest ocena wpływu zabiegów balneologii i hydroterapii na wartość ciśnienia tętniczego (RR). Badaniem objęło 150 kuracjuszy Sanatorium Uzdrowiskowego w Horyńcu-Zdroju, wyniki uzyskano na podstawie pomiaru RR przed i po zabiegach oraz z anonimowej ankiety przeprowadzonej wśród pacjentów sanatoryjnych. Badano wpływ zabiegów leczniczych na wartość ciśnienia tętniczego skurczowego (RRs) i rozkurczowego (RRr). Analizie poddano też dane socjodemograficzne oraz aktualne choroby wśród kuracjuszy. Wykazano, że NT występuje częściej u osób w wieku powyżej 60 lat, z wykształceniem średnim lub wyższym, niepracujących i niezdolnych do pracy. Ciśnienie skurczowe ulega obniżeniu po kąpieli kwasowęglowej, siarkowodorowej, wirowej, 4-komorowej i masażu podwodnym, a podnosi się po natrysku i okładach borowinowych. Z kolei RRr ulega obniżeniu po kąpieli kwasowęglowej, siarkowodorowej, perełkowej, wirowej kończyn dolnych, a podniesieniu po natrysku. Wniosek z tego, że stosowane zabiegi mają zróżnicowany wpływ na wartość ciśnienia RRs i RRr.

EN

Introduction: Diseases of civilization pose a vital health problem of the fast developing countries, including Poland. Negative effects of the growing civilization contribute to diabetes, coronary heart disease, hypertension (HTN) and the osteoarticular system diseases. Apart from drug therapy, sanatorium and health resort treatment is being implemented in the treatment of chronic diseases. Its essence consists in application of the natural medicinal stimuli, which are individually selected when it comes to their kind, character and intensity. Aim: The aim of this paper is the evaluation of the influence of the balneotherapy and hydrotherapy on blood pressure value (BP). Material and method: The research included 150 patients of the Health Resort in Horyniec-Zdrój, results were obtained on the basis of BP measurement before and after the treatment as well as an anonymous questionnaire carried out among the patients. The influence of the medicinal treatment on the niekorzystvalue of the systolic (SYS) and diastolic (DIA) blood pressure was investigated. Socio demographic data and patients’ current diseases were also analyzed. Results: It has been demonstrated that HTN occurs more often in people over the age of 60 years, that have a secondary education or higher, unemployed and incapable of working. The value of the systolic blood pressure lowers after such treatments as: carbonic acid bath, hydrogen sulphide bath, whirlpool bath, 4-chamber bath and underwater massage. It rises after a shower and peloid compresses. On the other hand, the DIA decreases after such treatments as: carbonic acid bath, hydrogen sulphide bath, pearl bath, whirl bath for legs and increases after a shower. Conclusion: Taking everything into consideration, it may be concluded that applied treatments have a varied influence on the value of the SYS and DIA blood pressure.

12

Anthropometric indicators as predictors of the risk of metabolic syndrome in adult working men

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Brudecki J., Chrzanowska M.

Anthropological Review

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2015

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vol. 78

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issue 1

67-77

EN

Measurement of body weight, height, waist and hip circumference is a standard procedure that allows to better define the risk of metabolic syndrome. The aim of the study is to determine the usefulness of anthropometric indicators such as BMI, WC (waist circumference), WHR, WHtR and percentage of body fat to predict the metabolic cardiovascular risk in the adult male population of Krakow, as well as an attempt to determine the metabolic cardiovascular risk with the original anthropometric risk index. The study included 405 men from the population working in the T. Sendzimir Steelworks in Kraków at the age of 30-69 years. Anthropometric measurements: body height measured to the nearest mm, circuits (waist, hips) measured to the nearest centimetre, the percentage of fat (the type of electronic scales Tanita BF 300) measured according to the standard protocol by the same technician and biomedical indicators assessing the functional status of organism, total cholesterol, HDL, LDL, triglycerides, glucose and blood pressure measured with a mercury manometer. As a measure of goodness of fit for the indices of risk (and their components), the AUC method was used for the ROC curves to evaluate the sensitivity and specificity of the diagnostic test. The results show that significant in predicting the risk of metabolic syndrome are not only standard anthropometric measurements specified in the standards of WHO, EGIR, NCEP and IDF. In addition, it is important to take into account the amount of fat and calculate the cumulative risk index based on all relevant measurements and indicators.

13

Associations of nutrition and body composition with cardiovascular disease risk factors in soldiers during a 6-month deployment

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Nykänen T., Pihlainen K., Kyröläinen H., Fogelholm M.

International Journal of Occupational Medicine and Environmental Health

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2020

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vol. 33

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issue 4

457-466

EN

ObjectivesThis observational follow-up study investigated the associations of nutrition and body composition with cardiovascular disease (CVD) risk factors, including pro-inflammatory biomarkers, in soldiers during a 6-month deployment.Material and MethodsThirty-five male soldiers were assessed at months 0, 3 and 6, and their parameters, i.e., M±SD, were as follows: age 30.0±8.7 years, height 179±6 cm, and BMI 24.2±2.5 kg/m2. Three-day food diaries were used for monitoring macronutrient intake. Body composition was estimated using bioimpedance. Fasting blood samples for lipids and pro-inflammatory biomarkers were collected, and blood pressure measurements were performed.ResultsCarbohydrate intake increased and protein intake decreased at month 3 (p = 0.034, p < 0.001), while body composition remained stable. Systolic blood pressure increased at month 6, while other CVD risk factors remained within the reference values. Fat mass and body fat percentage were associated positively with total and low density lipoprotein (LDL) cholesterol concentrations at all measurement points. A negative association was found between the change in fiber intake vs. the change in total (r = –0.36, p = 0.033) and LDL cholesterol (r = –0.39, p = 0.019).ConclusionsLower fiber intake and a greater amount of body fat were associated with high total and LDL cholesterol concentrations. Nevertheless, the measured CVD risk factors remained within the reference values, except for the higher systolic blood pressure. A regular screening of body composition and a higher consumption of fiberrich foods may promote cardiometabolic health in soldiers.

14

The effect of polyunsaturated fatty acids on cardiovascular risk factors and urinary mercury in workers employed at electrolytic production of chlorine

75%

Skoczyńska A., Cyran M., Turczyn B., Wojakowska A., Smyk B., Skoczyńska M.

International Journal of Occupational Medicine and Environmental Health

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2021

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vol. 34

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issue 4

551-564

EN

ObjectivesWhile inorganic mercury is being gradually withdrawn from industry, environmental exposure to mercury is recognized as one of the greatest present toxicological problems. The aim of this study was to evaluate the effect of polyunsaturated fatty acids (PUFAs) supplementation on selected cardiovascular risk factors and the urinary mercury (Hg-U) concentration in workers occupationally exposed to mercury vapor.Material and MethodsOverall, 38 workers of an electrolyzer hall (Hg-U: 46.6±35.7 μg/g creatinine) and a control group of 60 employees not exposed to Hg (Hg-U: 4.3±15.5 μg/g creatinine) were included in a clinical cross-over study. Clinical and laboratory tests were carried out 4 times: before and after a 3-month period of PUFAs supplementation (1000 mg daily), then after a 3-month break, and then after another 3-month period of PUFAs supplementation.ResultsThe baseline heart rate (HR) and serum triglyceride levels were higher in the Hg-exposed workers than in the controls, whereas systolic blood pressure (SBP) and cholesterol (C) levels exceeded normal values in both groups. There was a positive correlation between high-density lipoprotein 3 cholesterol (HDL3-C) and Hg-U levels. The PUFAs use was associated with a decrease in both HR and SBP. After the first stage of supplementation, a decrease in the Hg-U concentration was observed. In a multivariate logistic regression model, decreases in Hg-U were associated only with exposure to mercury; ORΔHg = 0.562 (95% CI: 0.323–0.979), p < 0.042. After the second 3-month period of PUFAs supplementation, a significant association between HDL3-C and a Hg-U decrease was shown: OR HDL3 = 1.222 (95% CI: 1.01–1.46), p < 0.033.ConclusionsIn the workers exposed to mercury vapor, PUFAs supplementation led to some beneficial effects on HR and SBP. The first stage of supplementation was associated with a decrease in Hg-U in which HDL3 metabolism probably plays an important role.

15

Effects of 2 physical exercise programs (circuit training and brisk walk) carried out during working hours on multidimensional components of workers’ health: a pilot study

75%

Saavedra J. M., Kristjánsdóttir H., Gunnarsson S. B., García-Hermoso A.

International Journal of Occupational Medicine and Environmental Health

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2021

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vol. 34

|

issue 1

39-51

EN

ObjectivesThe objective of this study was to determine the effects of 2 physical exercise programs carried out during working hours in an office work environment on health-related parameters of employees.Material and MethodsThe participants included 47 healthy office worker volunteers (aged 45±11.95 years, 27% males) who formed 3 groups: circuit training (CT), brisk walk (BW), and control (C) groups. The interventions lasted 12 weeks with a weekly frequency of three 30-minute sessions in the middle of the workday. All employees were evaluated with a multicomponent battery test which included: anthropometric and body composition measurements, a cardiorespiratory fitness test, lipid profile, blood pressure, and mental health (depression, anxiety, and stress). Basic descriptive statistics were calculated. A repeated measures ANOVA was performed to summarize changes in the variables studied after the application of the physical exercise programs.ResultsGenerally, both exercise programs (CT and BW) maintained the body weight and body mass index while reducing body fat mass (a group × time interaction; 4.864 ≤ F ≤ 6.524, 0.001 ≤ p ≤ 0.015), although the CT intervention also showed relevant (inter-group) reductions in the waist-hip ratio (F = 11.311, p = 0.007) and increased skeletal muscle mass (F = 15.062, p = 0.003). Both exercise programs (CT and BW) improved the cardiorespiratory fitness test scores (a group × time interaction; F = 18.054, p < 0.001). There were no changes in the lipid profile or blood pressure after the interventions, but there was an improvement in mental health (4.760 ≤ F ≤ 8.087, 0.008 ≤ p ≤ 0.037).ConclusionsThe findings suggest that both types of programs could be implemented in the employees’ daily routine in order to improve their overall health. Nevertheless, studies with larger samples are necessary before the conclusions can be generalized.

16

Effects of participatory action-oriented training (PAOT) intervention for hypertension management among intercity van drivers

75%

Songprasert T., Kalampakorn S., Jirapongsuwan A., Leelacharas S.

International Journal of Occupational Medicine and Environmental Health

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2024

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vol. 37

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issue 2

194-204

EN

Objectives This study aims to evaluated the effectiveness of participatory action-oriented training (PAOT) intervention for hypertension management among intercity van drivers. Material and Methods This quasi-experimental study applied concept and process of participatory action-oriented training and self-management to guide the development of the intervention addressing improvement in hypertension management behaviors. A total of 104 intercity van drivers with uncontrolled hypertension in Thailand were recruited to participate in this program. The intervention group (N = 52) received PAOT program, while the control group (N = 52) received conventional program. Data on hypertension management behaviors, and blood pressure were measured at baseline, 1 month and 3 months after intervention. Results At 3 months after intervention, hypertension management behavior, and systolic blood pressure were significantly different between 2 groups (p < 0.05). Conclusions This PAOT was found to be feasible and could potentially improve hypertension management, and blood pressure level of intercity van drivers. The program should be applied in further studies with other workplaces in both formal and informal sectors with different characteristics and other health issues.

17

Reakcja układu krążenia na stres i pole elektromagnetyczne emitowane przez telefony komórkowe – 24-godzinne monitorowanie EKG i ciśnienia tętniczego

51%

Szyjkowska A., Gadzicka E., Szymczak W., Bortkiewicz A.

Medycyna Pracy

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2019

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vol. 70

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issue 4

411-424

EN

Background Experimental studies have shown cardiovascular effects of electromagnetic fields (EMF) emitted by mobile phones (e.g., prolonged QTc interval and abnormal blood pressure [BP] values). Also, stress may have an impact on the cardiovascular function. However, there are practically no data regarding the joint effect of exposure to stress and EMF, with both factors pertaining, e.g., to employees of mobile network operators. Material and Methods Out of 208 subjects who had taken part in survey research, 55 workers agreed to undergo resting ECG, 24-h ECG and ambulatory blood pressure monitoring (ABPM). Their health condition, occupational and life-stress levels and EMF exposure were also assessed. Results Among the workers using mobile phones for more than 60 min daily, the systolic BP values in office measurement and at night-time in ABPM were significantly higher than among the workers spending less time talking on mobile phones (p = 0.04 and p = 0.036, respectively). The workers with the highest level of occupational stress showed significantly higher systolic 24-h BP (p = 0.007) and at day-time (p = 0.002), both during work (p = 0.010) and after work (p = 0.005), and higher diastolic BP values at day-time (p = 0.028). Cardiovascular response was strongly gender-related: males showed more BP abnormalities while females displayed more impairments in ECG records. The heart rate from 24 h was significantly correlated with the level of occupational stress, after adjusting for gender, life-stress and EMF. Conclusions The findings obtained thus far have indicated the need to conduct in-depth studies on the impact of stress and EMF emitted by mobile phones on the health effects, in order to clarify the observed gender-related differences in cardiovascular response to the combined exposure to stress and EMF. Med Pr. 2019;70(4):411–24

PL

Wstęp W badaniach eksperymentalnych zaobserwowano wpływ korzystania z telefonu komórkowego na pracę serca, m.in. wydłużenie odstępu QTc oraz zmiany w wartościach ciśnienia tętniczego. Także stres może wywoływać zmiany w układzie krążenia. Brak jednak badań uwzględniających jednoczesne oddziaływanie stresu i pola elektromagnetycznego (PEM). Oba czynniki dotyczą m.in. pracowników sieci komórkowych. Materiał i metody Spośród 208 badanych we wcześniejszych etapach metodą ankietową 55 osób wyraziło zgodę na udział w dalszych badaniach [EKG spoczynkowe, 24-godzinna rejestracja EKG i ciśnienia tętniczego (ambulatory blood pressure monitoring − ABPM)]. Oceniono u nich także stan zdrowia, poziom stresu zawodowego i ogólnego oraz ekspozycję na PEM. Wyniki W przypadku osób rozmawiających przez telefon komórkowy ponad 60 min dziennie ciśnienie skurczowe w pomiarze jednorazowym i ciśnienie skurczowe z nocy w badaniu ABPM były istotnie wyższe niż u rozmawiających krócej (odpowiednio, p = 0,04 i p = 0,036). Badani, u których stwierdzono najwyższy poziom stresu zawodowego, charakteryzowali się istotnie wyższym ciśnieniem skurczowym w okresie doby (p = 0,007) i dnia (p = 0,002), zarówno w pracy (p = 0,010), jak i po niej (p = 0,005), oraz wyższym ciśnieniem rozkurczowym w okresie dnia (p = 0,028). Reakcja układu krążenia była istotnie zależna od płci. U mężczyzn dominowały zaburzenia ciśnienia tętniczego, a u kobiet – zaburzenia przewodzenia w EKG. Częstość skurczów serca w okresie doby z uwzględnieniem wpływu płci, stresu ogólnego i PEM była istotnie skorelowana z poziomem stresu zawodowego. Wnioski Uzyskane dotychczas wyniki wskazują na potrzebę dalszych badań w celu wyjaśnienia przyczyn różnej u kobiet i mężczyzn odpowiedzi układu krążenia na działanie stresu i PEM emitowanego przez telefony komórkowe. Med. Pr. 2019;70(4):411–424

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