REcomMEndations for DIAgnostics and MaNagemenT of Arterial Hypertension in Adults Aged 65 Years and Older for General Practitioners — REMEDIA NT 65+ GP

Tykarski, Andrzej; Mastalerz-Migas, Agnieszka; Wieczorowska‐Tobis, Katarzyna; Kokoszka‐Paszkot, Janina; Kusz-Rynkun, Agata; Rymaszewska, Joanna; Bujnowska–Fedak, Maria Magdalena; Neumann-Podczaska, Agnieszka; Bień, Barbara; Siebert, Janusz; Grodzicki, Tomasz

doi:10.5603/ah.a2018.0023

Cited by 4 publications

(7 citation statements)

References 6 publications

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“…According to the European Society of Cardiology and the European Society of Hypertension (ESH/ESC European Guidelines 2018), the classification of normal BP and hypertension was based on the limit value of 140/90 mmHg with a division into three groups (optimal <120/80 mmHg; normal up to 129/84 mmHg; high normal up to 139/89 mmHg) and distinction of isolated systolic hypertension (ISH) [ 45 , 46 ]. Patients were encouraged by their primary care physicians to participate in the project based on their medical examination results.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

Rusowicz

Serweta

Juszko

et al. 2022

IJERPH

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Background: The complexity of health problems concerning women aged ≥60 years makes it necessary to develop effective, low-cost strategies involving biopsychosocial interventions. The aim of this study is to identify the factors associated with undertaking health-promoting activities by older women at high risk of metabolic syndrome (MetS) with or without depressive symptoms. Methods: The study group consisted of 70 older women (62–84 years old) undertaking regular physical activity. A self-developed questionnaire (used to determine the living situation, selected lifestyle components and health problems), the Perceived Stress Questionnaire (PSQ) and the Geriatric Depression Scale (GDS) were used. Results: In the study group undertaking regular physical activity, 40% had increased symptoms of depression (D group), and 60% were classified as non-depressed (ND group). The D group had a higher general stress level (t = −6.18, p = 0.001). Improving and/or maintaining physical fitness was identified as the greatest motivation in both groups. Willingness to spend time with other people significantly differed between the two groups (χ2 = 4.148, p = 0.042). The sole factor significantly differentiating between both groups was lack of time (χ2 = 8.777, p = 0.003). Conclusions: Motivations and barriers to undertaking health-promoting activities and levels of perceived stress were significantly different between the depressed and non-depressed groups. It is important to encourage primary care physicians to perform screening tests for late-life depression and to provide information on where therapeutic interventions are available for patients with symptoms of MetS and coexisting depressive symptoms.

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Section: Methodsmentioning

confidence: 99%

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

Rusowicz

Serweta

Juszko

et al. 2022

IJERPH

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“…The exclusion criteria included disturbed cognitive functions, the inability to move independently or a motor disability precluding exercise, serious neurological or orthopedic conditions (e.g., advanced Parkinson’s disease, severe stroke consequences). The classification of normal blood pressure and hypertension is in accordance with the European guidelines ESH/ESC 2018 and is based on the limit value RR 140/90 mm Hg with a division into three steps (optimal < 120/80 mm Hg; normal up to 129/84 mm Hg; high normal up to 139/89 mm Hg) and distinction of the Insulated Subtype Systolic Hypertension (ISH) [ 13 , 14 ]. Patients were recruited to the project by their primary care physicians based on the results of medical tests and anthropometric measurements.…”

Section: Methodsmentioning

confidence: 99%

Multimodal Therapeutic Approach in Women with High Risk of Metabolic Syndrome—A Single Group One Center Pre-Post Study

Rusowicz

Serweta

Idzikowski

et al. 2021

JCM

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The study aims to determine the impact of multimodal therapeutic approach on self-perceived stress in women with high risk of Metabolic Syndrome (MetS). The study involved 43 women aged 60 years and over (mean 68.6 ± 6.5) participating in a Mental Health Promotion Program. Over the 3-month course of the project, all of the participants attended meetings of a support group (60-min sessions twice a week). During these meetings, they took part in general fitness training (20 min), dancing (20 min), as well as health-promoting education and psychoeducation sessions (20 min). Moreover, the participants were encouraged to modify their diet to reduce their daily fat and sugar intake. Stress levels were assessed using the Perception of Stress Questionnaire (PSQ). Mood was measured with the Geriatric Depression Scale (GDS-30). In all of the subjects, a body composition analysis was performed using a Tanita BC-545N analyzer. Abdomen and hip circumference were measured to determine the waist-hip ratio. Weight and height were measured to determine the BMI score. At the beginning of the project, the intensity of stress correlated with the level of depressive symptoms (GDS), Body Mass Index (BDI), and the amount of visceral fat. Three months of participation in the Mental Health Promotion Program resulted in a significant reduction in stress intensity (p < 0.01). At the end of the project, all of the participants expressed their willingness to continue their participation in the classes, which is very important as there is a need to conduct long-term health-promoting activities in the age group in question.

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The physiological decline and incident diseases cannot be avoided with increasing age. One of the accompanying diseases is hypertension, a risk factor for cardiovascular morbidity and mortality, particularly in the elderly [1,2].Hypertension is defined as a systolic blood pressure (SBP) ≥ 140 mm Hg and/or diastolic blood pressure (DBP) ≥ 90 mm Hg. However optimal BP in adults is defined as SBP and DBP of 120 and 80 mmHg, respectively [3].Based on the Joint National Committee (JNC) 8 Hypertension Guidelines for the general popu-

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mentioning

confidence: 99%

“…The physiological decline and incident diseases cannot be avoided with increasing age. One of the accompanying diseases is hypertension, a risk factor for cardiovascular morbidity and mortality, particularly in the elderly [1,2].…”

mentioning

confidence: 99%

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Overweight/obesity as the dominant factors associated with hypertension in the elderly in Indonesia

Yunita¹,

Sartika

2022

Arterial Hypertension

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REcomMEndations for DIAgnostics and MaNagemenT of Arterial Hypertension in Adults Aged 65 Years and Older for General Practitioners — REMEDIA NT 65+ GP

Abstract: This text referring directly to the diagnosis and treatment of hypertension in elderly patients is a translation of a fragment of REMEDIA NT 65+ GP published in the "Lekarz POZ" (GP Practitioner) journal 4/2018.

Cited by 4 publications

References 6 publications

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

Multimodal Therapeutic Approach in Women with High Risk of Metabolic Syndrome—A Single Group One Center Pre-Post Study

Overweight/obesity as the dominant factors associated with hypertension in the elderly in Indonesia

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