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The objective of the present study was to compare BP after a concurrent training session (CT) and playful activities (LA) in people living with HIV (PLHIV) and to analyse the contribution of peripheral resistance and baroreflex in BP. Fifteen people living with HIV participated in the study, 9 women and 6 men aged 50.54 ± 10.81 years, time of ART use of 9.17 ± 4.97 years. All volunteers participated in one session of HT, one session of AL, and one session of control (CC). BP and heart rate (HR) were measured before and after the interventions for analyses of systolic blood pressure (SBP), diastolic blood pressure (DBP), total peripheral resistance (TPR) and low frequency (LF). The Shapiro-Wilk, Friedman, and Wilcoxon tests were performed; the significance level was p<0.05. Spearman's correlation coefficient test and Gohen's test (d) were also used to calculate the effect size. There was a statistically significant decrease in SBP and DBP after TC (SBP: before = 123 ± 14 mmHg; after = 114 ± 8 mmHg; DBP: before = 82 ± 11 mmHg; after = 74 ± 6 mmHg) and AL (SBP: before = 122 ± 15 mmHg; after = 115 ± 10 mmHg; DBP: before = 81 ± 11 mmHg; after = 76 ± 10 mmHg). There was a statistically significant increase in PTR in CC (PTR: before = 14.67 ± 3.06 mmHg·min-1·L; after = 15.57 ± 2.84 mmHg·min-1·L) and a statistically significant decrease in PTR and LF after TC (PTR: before = 15.85 ± 4.48 mmHg·min-1·L; after = 13.48 ± 4.55 mmHg·min-1·L; LF: before = 400.86 ± 376.68 ms²; after = 212.05 ± 252.19 ms²). We can conclude that both HT and AL cause hypotension in PLHIV. Both interventions can be applied to this population in order to improve cardiovascular health. [ABSTRACT FROM AUTHOR]

Objective: to analyze nurses' perceptions about Home Blood Pressure Monitoring in the context of Primary Health Care. Methods: a descriptive, qualitative study, carried out in seven Family Health Care Units in Belém, Pará, in which 14 nurses, who worked in the HiperDia Program participated. Data collection was conducted from January to March 2017, through individual semi-structured interviews, using a script prepared by the researchers. The interviews were recorded, transcribed, and submitted to content analysis technical procedures. Results: four thematic categories emerged, addressing knowledge about Home Blood Pressure Monitoring, the proceedings, and strategies in the management of people with hypertension, the importance of monitoring, the resources and methods for diagnosing the disease, and the difficulties in carrying out this monitoring. Conclusion: the nurses acknowledged the relevance of Home Blood Pressure Monitoring in the actions carried out by their teams, highlighting the use of this method in preventing complications of hypertension. However, they emphasized that effectiveness involves the use of an adequate device, which is not available in the services. [ABSTRACT FROM AUTHOR]

Background. Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the Americas, and hypertension is the most significant modifiable risk factor. However, hypertension control rates remain low, and CVD mortality is stagnant or rising after decades of continuing reduction. In 2016, the World Health Organization (WHO) launched the HEARTS technical package to improve hypertension control. The Pan American Health Organization (PAHO) designed the HEARTS in the Americas Initiative to improve CVD risk management, emphasizing hypertension control, to date implemented in 21 countries. Methods. To advance implementation, an interdisciplinary group of practitioners was engaged to select the key evidence-based drivers of hypertension control and to design a comprehensive scorecard to monitor their implementation at primary care health facilities (PHC). The group studied high-performing health systems that achieve high hypertension control through quality improvement programs focusing on specific process measures, with regular feedback to providers at health facilities. Findings. The final selected eight drivers were categorized into five main domains: (1) diagnosis (blood pressure measurement accuracy and CVD risk evaluation); (2) treatment (standardized treatment protocol and treatment intensification); (3) continuity of care and follow-up; (4) delivery system (team-based care, medication refill), and (5) system for performance evaluation. The drivers and recommendations were then translated into process measures, resulting in two interconnected scorecards integrated into the HEARTS in the Americas monitoring and evaluation system. Interpretation. Focus on these key hypertension drivers and resulting scorecards, will guide the quality improvement process to achieve population control goals at the participating health centers in HEARTS implementing countries. [ABSTRACT FROM AUTHOR]

For the university extension to occur, it is necessary to establish a target population to which extension actions will be directed. However, these actions tend to spread beyond the community by forming knowledge multipliers in the served population. This study aimed to report the experience of the contribution of extension actions beyond the target audience when working on health-related topics such as the use of medicinal plants and teas and Systemic Arterial Hypertension with caregivers of People with Disabilities (PwD). This extension project worked with fifteen caregivers of PwD based on themes suggested by them. In the medicinal plants and teas activity, the methodologies used were the box of myths and truths, conversation wheel, bingo game, and distribution of folders. For the activity on hypertension, we used "brainstorm," blood pressure measurement, and distribution of folders. These actions were carried out in 3 meetings between March and May 2019. As a result, 11 to 16 caregivers (one casual) and 2 to 3 employees from the partner institution participate in the meetings. It was observed that the active methodologies used were important for learning and fixing the contents addressed, according to the words of the caregivers themselves. The actions allowed the caregivers to share what they learned, taking this knowledge to friends and family, as well as the employees of the partner institution who participated, characterizing the contribution of the project beyond the target audience. [ABSTRACT FROM AUTHOR]

Introduction: Systemic Arterial Hypertension (SAH) is a chronic non-communicable disease, characterized by sustained elevation of blood pressure. The absence of studies that address aspects related to SAH in military personnel from the southern region of Brazil led to the investigation of their current situation. Objective: To evaluate the prevalence of SAH and associated factors in the population of Military Personnel of the Brazilian Army of the Garrison of Santa Maria-RS. Materials and methods: Cross-sectional study consisting of 234 soldiers of both sexes, from Military Organizations of the Brazilian Army of Rio Grande do Sul, Santa Maria-RS, tracked from June to November 2019. Data collection was carried out through sociodemographic questionnaire, assessment, blood pressure measurement and analysis of electronic medical records. The classification for SAH was recommended by the 8th Brazilian Guidelines on Arterial Hypertension. Results: The mean age was 35.3±8.8 years, most were male, married, without children, living with others, with complete higher education, in the square, and exercising bureaucratic activities. A greater number were overweight, non-smokers, consumed alcoholic beverages, and engaged in physical activity, in the aerobic modality. The prevalence of SAH was 27.7% in the studied sample. Anthropometric evaluation showed that hypertensive individuals had higher weight (p=0.040) and waist circumference (p=0.031) measurements. With results similar to those of other Brazilian studies, the prevalence of SAH was high. Furthermore, the results indicate that anthropometric and lifestyle factors are related to the occurrence of SAH. [ABSTRACT FROM AUTHOR]

The practice of group-oriented walking is increasingly intensified in communities, especially with elderly, in which the benefits of daily activities and other parameters that influence the quality of life of these patients. This study aimed to identify, evaluate and compare the functional capacity of two elderly groups practitioners and non-practitioners physical activity in Farroupilha-RS. We evaluated 30 elderly women allocated in two groups, according to the practice or not of regular physical exercise. Six minute walk test (6MWT) was performed according to ATS protocol (2002), which also includes measurement of blood pressure (BP), heart rate (HR), respiratory rate (RR) and peripheral saturation (SpO2). Statistical analyses was performed using SPSS Statistic Data 21 (StatisticalPackage for Social Sciences), through Student's test, Mann-Whitney and qui-square test, considering p-value=0.05. There were differences between GCAN and GCON regarding initial systolic blood pressure (p-value=0.05), final systolic blood pressure (p-valeu=0.01) and final SpO2 (p-value=0.01). In conclusion guided walking proved to be effective in reducing blood pressure levels and peripheral saturation and the study was equivalent to other studies related to the distance covered in the 6MWT. [ABSTRACT FROM AUTHOR]

The current study analyzed the association between health promotion actions and lifestyle in male adults, students form municipality of Maracanaú-Ceará. A total of 246 were surveyed over a 5-month period, assessing sociodemographic items, clinical items, participation in health promotion actions and it was also applied an instrument named Fantastic Lifestyle (Estilo de Vida Fantástico, in the original). The results shown that the majority of the sample ranged between 20 and 22 years and studied in the third high-school level and monthly income up to two minimum wage. Out of the total sample only 61 individuals reported to have participated in health promotion actions addressing smoking, dieting and physical exercising. The majority (n=170) classified the Fantastic Lifestyle (FL) as positive. There was an association between rating in the FL and reading texts about health, being influenced to non-alcoholism and blood pressure measurements. The final regression model showed that reading about health contributes to men's health. It is concluded that perceptions about the health and disease are fundamental determinants of the success of health promotion actions. [ABSTRACT FROM AUTHOR]

Currently, chronic degenerative such as systematic arterial hypertension (SAH) has represented a global public health problem. In this context, SAH diagnosed when blood pressure levels remain chronically elevated above the cut categorizations attributed to normality, represents an increased risk regarding events and cardiac involvement. Individuals who have access to higher education have, hypothetically, privileged socioeconomic and cultural levels are expected to have satisfactory living habits categorized as satisfactory and it is believed that such habits contribute to a prophylactic and treatment effect concerning blood pressure levels. Thus, the purpose of the present study was to identify the prevalence of systemic arterial hypertension in Physical Education undergraduate students at Rio de Janeiro Public University. To this end, the sample size was calculated and 290 subjects participated in the study. Each subject had their blood pressure measured twice by the oscillometric method with a minimum interval of 10-minutes among the measurements. The descriptive statistics indicates a prevalence of 12.4% of systemic arterial hypertension in this population. This value may not be neglected in view of the young and possible active character of this population. [ABSTRACT FROM AUTHOR]

This study aimed to compare the aerobic fitness, heart rate and blood pressure in women of different ages and nutritional status. The convenience sample consisted of 102 women, aged between 25 and 64 years. Body weight and height were measured to determine the Body Mass Index (BMI). Systolic blood pressure (SBP) and diastolic (DBP) at rest and after exercise were measured using a mercury sphygmomanometer. Since the maximum oxygen uptake (VO2 max) was assessed by applying a stress test performed (protocol Ellestad). For statistical analysis we used the one-way ANOVA, p < 0.05. The results showed that the variables of BMI, SBP rest, DAP rest, DAP after exercise and VO2 max, the lower age groups showed better results compared with groups of old age (p < 0.05). Regarding the nutritional status, the variables SBP and DBP at rest and after exercise were higher for women with overweight/obesity, giving the following average, compared to normal weight individuals (p < 0.05). As for the maximum oxygen uptake values was higher women with normal weight (p < 0.05). In conclusion, was found that advancing age and overweight/obesity in women can contribute to a decrease in aerobic fitness and increased SBP and DBP at rest and after exercise. [ABSTRACT FROM AUTHOR]

Introduction - The measurement of blood pressure (BP) using automatic devices is often performed in clinical practice and self-measurement allowing the acquisition of reliable information for the diagnosis, monitoring and treatment of hypertension. However not all of the automated devices available in the market are validated in accordance with the existing protocols for this purpose. The purpose of this study was to confirm the validation of the automatic measuring device of the BP, OMRON® M6 Comfort, according to the "European Society of Hypertension International Protocol revision 2010 for the validation of blood pressure measuring devices in adults". Methodology - The study involved 33 subjects, in each one of them, 9 sequential measurements of BP were performed, in the left arm, with the aneroid sphygmomanometer alternating with the automatic device. Afterwards, the differences on the values obtained by the different devices were evaluated, for systolic blood pressure (SBP) and diastolic (DBP), and these differences were then classified into three levels (≤ 5, ≤ 10 or ≤ 15 mmHg). The number of differences at each level was compared to the number required by the protocol (phase 1.1). For each subject the number of differences with values ≤ 5 mmHg was also determined. At least 24 of the 33 subjects should have 2 or 3 differences with values ≤ 5 mmHg and a maximum of 3 of the 33 subjects may have all differences with values > 5 mmHg (phase 1.2). Results - The device OMRON M6 Comfort ® was approved in phases 1.1 and 1.2 for SBP and DBP. The average difference between measurements of BP, as determined by automatic and manual devices, was -0.82 ± 5.62 mmHg for SBP and 2.14 ± 5.15 mmHg for DBP. Conclusion - The device OMRON M6 Comfort® is valid for measuring BP in adults, according to the ESH International Protocol of 2010. [ABSTRACT FROM AUTHOR]

L-arginine supplementation has been proposed to improve endothelial. The hypothesis that L-arginine also improves post-exercise hypotension (PEH) in hypertensive individuals was tested in this study. Physically active hypertensive women were divided into supplemented (SUP) (n = 12, 50 ± 1.8 years) and placebo (PLA) (n = 14, 51.5 ± 1.6 years) groups performing two walking sessions at moderate intensity with interval of 32 days between sessions. Blood samples were collected and blood pressure (BP) was measured before and after exercise. In the period between sessions, they remained physically active and received daily 6g of L-arginine or placebo. PLA showed no change in serum nitrite/nitrate concentration and blood pressure at rest or in response to exercise. SUP showed increased basal nitrite/ nitrate plasma concentration (26.6 ± 2 to 44.6 ± 4μM, p < .05), which was followed by reduction of basal BP (137/86.2 to 125.8/79mmHg, p < .05). The exercise performed before supplementation did not change the serum nitrite/nitrate concentration. After supplementation, the exercise promoted increases in levels from 44.6 ± 4 to 51.8 ± 6μM (p < .05). However, it did not change the PEH. L-arginine supplementation improves the nitrite/nitrate production and decreases the resting BP, but does not change the PEH in hypertensive middle-aged women. [ABSTRACT FROM AUTHOR]

The aim of this study was compare the cardiopulmonary, analgesic and sedative effects of different doses of tramadol in bitches undergoing to ovariohysterectomy. Twenty four adult crossbreed bitches were randomly assigned to three treatments of 8 animals and received intravenously (IV) tramadol 1, 2 or 4mg kg-1 (T1, T2 and T4, respectively). Pre-anesthetic medication was acepromazine (0.05mg kg-1 IV). Anesthesia was induced with propofol (4mg kg-1 IV) and maintained with isoflurane delivered in oxygen. Tramadol was administered 5 minutes before surgical incision in all groups. Heart rate, respiratory rate, rectal temperature, systolic blood pressure, degree of analgesia and sedation, serum cortisol concentration and adverse effects were measured. Mild changes were observed in cardiopulmonary variables in all treatments. The pain score was lower in T4 in the 3rd hour after surgery in relation to other treatments. Sedation degree was not different among the treatments. The serum cortisol did not differ among the groups. In conclusion, different doses of tramadol promoted similar analgesic effects, with mild sedative and cardiopulmonary effects. However, high incidence of vomiting was observed with tramadol at 4mg kg-1 in bitches undergoing ovariohysterectomy. [ABSTRACT FROM AUTHOR]

The increase in obesity prevalence in adolescents has been contributing to earlier hypertension. Objective: To verify nutritional status and blood pressure levels in adolescents, and the relationship among these factors. Methods: Descriptive cross sectional study conducted in two public schools at Cubatão city, Brazil. 704 adolescents between 10 and 15 years old, 333 boys and 371 girls participated in this study. Nutritional status assessment was taken by body mass index for age and gender. Blood pressure was measured by auscultation technique, and the values obtained were assessed in accordance to height and gender percentile of the adolescents. Statistical analysis was made by proportion of subjects with overweight or obesity, and with blood pressure alterations. Chi-square test was used to verify proportion differences of blood pressure alterations between normal weight and overweight subjects, as well as Odds Ratio and 95% CI. It was adopted statistic significance to p < 0.05. Results: Nutritional status assessment showed that 13.64% of adolescents were overweight and 10.37% were obese. About blood pressure alterations, 12.65% of adolescents presented High Normal blood pressure and 9.52% Hypertension. Overweight adolescents presented significantly high proportion of blood pressure alterations: χ² = 15.39 (p = 0.00008); OR = 2.23 (CI% = 1.47 - 3.37). Conclusion: The results showed high proportion of overweight and blood pressure alterations, and relation among these variables. [ABSTRACT FROM AUTHOR]

Direct measurement of blood pressure (BP) can be done by different methods. The most traditional is Doppler ultrasonography, but, recently, the oscillometric method has become more common. The purpose of this study was to evaluate the use of the oscillometric system in measuring systolic, diastolic and mean BP in healthy rabbits. The oscillometric system proved to be an efficient method to acquire BP data and provided the following results: 145,78 ± 34,71 mmHg for systolic BP, 86,10 ± 19,83 mmHg for diastolic BP and 104,80 ± 19,40 mmHg for mean BP. Systolic BP was similar to those described as normal using the Doppler system. [ABSTRACT FROM AUTHOR]

The feline hypertrophic cardiomyopathy may occur secondary to systemic hypertension. Thus, the objective of this study was to evaluate the blood pressure by Doppler sphygmomanometry method in order to compare the values obtained from cats with hypertrophy and healthy cats. [ABSTRACT FROM AUTHOR]