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Describes a methodological study to evaluate the quality of care for an elderly population in the treatment of hypertension from a fairly simple analysis of medical records in primary care, with or without the use of additional information from patients, and shows how this type of data can be used to point out shortcomings in primary care. The data derive from a community survey of elderly people in one area of Jerusalem and relied on personal interviews, blood pressure measurements and an analysis of medical records over a period of four years. The measures used are: the percentage of persons without blood pressure (BP) measurement in a given year; the maximum “gap” between consecutive BP measurements in a given year; the rate of BP measurement per clinic visit; the percentage of hypertensives treated; and the percentage of hypertensives under control. The prevalence rates for hypertension in this elderly population vary between 40 per cent and 59 per cent according to the definition used. Using a simple and straightforward analysis of sick‐fund records several shortcomings in the surveillance and control of hypertension were detected. Calculation of the percentage of untreated hypertensives required a separate information source ‐ the screening. A BP survey is an important complement to an analysis of records. An ongoing evaluation of the quality of care of hypertensives in an elderly population should be based on screening, interviews with patients and analysis of the physician′s records. These provide an overall picture of the care in each medical practice enabling the physician to improve the quality of care provided to his or her patients.

The purpose of this paper is to study the superior relationship among the parameters of age, casual blood pressure and 24‐hour ambulatory blood pressure with left atrial and ventricular structure and left ventricular filling function in systolic hypertensives (SH).

A total of 30 male and seven female patients aged from 46‐74 (averaged at 59±7) years with stage I∼II systolic hypertension were studied. The criterion of the subjects was SBP ≥ 160 mmHg and DBP < 95 mmHg or SBP ≥ 2 × (DBP‐15 mmHg) and DBP≥95 mmHg. The parameters acted as independent variables were: age, casual systolic and diastolic blood pressure (CSBP and CDBP) and 24‐hour ambulatory systolic and diastolic blood pressure (ASBP24 and ADBP24). The parameters acted as dependent variables were ratio of the early rapid filling peak flow velocity and late atrial contractive filling peak flow velocity below the mitral valve on the pulsed‐wave spectral Doppler echocardiography (LAD/AoD). The collected data were analyzed via the superior grey relational analyses.

The results showed that the superior grey relational order in independent variables was ASBP24 > ADBP24 > CSBP > CDBP > age and the superior grey relational order in dependent variables was LAD/AoD > MVe/a > LVMI.

Among the independent variables ASBP24 is the most important factor of affecting the cardiac structure and function in SH. The first cardiac variation in SH is the left atrial structure affected by the independent variables. After that left ventricular diastolic dysfunction and the left ventricular hypertrophic changes take place in succession.

The purpose of this study is to evaluate the effects of flaxseed (L. usitatissimum [Linn]) on blood pressure, redox status markers and acetylcholinesterase enzyme activity in ouabain-induced hypertension in normal Wistar rats.

Male Wistar rats weighing 250 ± 7 g (n = 24) fed with an experimental diet containing 20 per cent casein were divided into three groups (n = 8) and received a daily subcutaneous injection of either 0.9 per cent saline solution (T group) or 10 µg/kg/day of ouabain diluted in saline solution-treated Oub-Lu or not with 1 per cent of flaxseed (L. usitatissimum) mixed in the diet for 21 days.

The results showed that treatment with flaxseed had a significant effect (p < 0.05) in decreasing systolic, diastolic blood pressure, mean arterial pressure and the heart rate in hypertensive rats. Total and non-HDL cholesterol levels were reduced by –26 and –35 per cent; p = 0.04, respectively. Concentrations of thiobarbituric acid-reactive substances were significantly decreased by –85 and –42 per cent (p = 0.001 and p = 0.04), respectively in the plasma and heart. Nitric oxide levels were increased in the aorta (+ 63 per cent; p = 0.001). Moreover, in the heart and aorta, a significant increase was noted in the thiol contents (+81 and +69 per cent; p = 0.001, respectively), glutathione peroxidase (+50 per cent; p = 0.03 and p = 0.01, respectively) and acetylcholinesterase activities (75 and +19 per cent, respectively; p = 0.001 and p = 0.04).

These results suggest hypotensive, cardiomoderating and antioxidant effects of flaxseed in ouabain-induced hypertension in the rat. In addition, it promotes a significant increase of the acetylcholinesterase activity in tissues.

Although Black individuals are disproportionately affected by hypertension as evidenced by higher prevalence and lower control rates, few studies have investigated this disparity from the lens of those most affected by this condition. This chapter explores how Black men make sense of their hypertension and how they negotiate this condition within their everyday lives, illuminating how racism and power dynamics embedded within their environments affect their experiences living with hypertension.

Critical Race Theory tenets were utilized alongside a narrative design to elicit stories of hypertension experiences of four Black men living in Ontario, Canada. Eight semistructured in-depth interviews were conducted, transcribed, and thematically analyzed to illuminate how participants create meaning in regard to their hypertension.

Participants’ experiences with discrimination, isolation, and migration raise awareness of how power relations embedded within social, political, and historical contexts can affect hypertension experiences.

The findings of this study are bounded by its narrative context, and the characteristics of the individuals who shared their experiences.

This study highlights the importance of how discussions concerning hypertensive minority men should be broadened to include the voices of such men, as well as the structures that discriminate against and oppress minority individuals.

There is a global increase in the prevalence of metabolic syndrome (MetS) with relative paucity of data on the burden of this syndrome in developing countries like Nigeria. This study evaluated the prevalence of MetS among apparently healthy subjects in Nigeria.

A population-based cross-sectional study was conducted with 550 (249 men, 301 women) healthy subjects recruited using multi-stage technique. Anthropometric measurements were taken using standard procedures and instruments. Systolic and diastolic blood pressure was measured in all the subjects. Blood samples were collected from selected subjects and analyzed for hematological variables.

The prevalence of MetS was 36.8 per cent using the IDF criteria and 34.6 per cent using the NCEP-ATP III criteria. In all, 1.64 per cent (9) of respondents were underweight, 22.55 per cent (124) were of normal body mass index, 49.64 per cent (273) were overweight and 26.17 per cent (144) were obese. The mean waist circumference and waist to hip ratio for male and female were 83.27 ± 2.6 cm and 0.84 ± 0.1 and 86.22 ± 13.9 cm and 0.84 ± 0.1, respectively. Total cholesterol was elevated in 16.04 per cent of the respondents, low high-density lipoprotein cholesterol was observed in 41.83 per cent of the respondents. High values of triglycerides were observed in 5.79 per cent of respondents. Elevated low-density lipoprotein cholesterol was observed in 40.85 per cent of the respondents. This study showed that a huge burden of MetS exists among the study population.

The cross-sectional design of this study limits inference regarding causality and effects. Also, there was no controlled case in the study.

There is the need for accurate knowledge of the MetS of the population to inform public health policy for mitigation.

MetS has been described as a global time bomb, with a quarter of the world’s adults estimated to be having the condition. It will place a burden on social services if a lot of working population are forced to retire early due to MetS.

The findings are pointers to the probable magnitude of the co-morbid factors of cardiovascular diseases as encapsulated in the MetS in our environment.

The purpose of this study was to examine the effect of family involvement in the educational sessions and follow-up meetings on compliance with the low-salt diet for hypertensive older adults.

Randomized controlled trial was used in this study with a total of 30 hypertensive older adults divided into two groups (n = 15). The intervention group involved one family member during the educational sessions and follow-up meetings. Conversely, no family member was involved in the control group.

The intervention group showed a significant (p < 0.05) increase in compliance level on the attitude (knowledge) and subjective norm (psychomotor and family support) subscales. The perceived obstacle subscale and the salt concentration in food and urine excretion significantly decreased both after educational sessions and follow-up meetings (p < 0.05). However, the control group did not.

A relatively small number of samples would have affected the results, but in this study, randomization was applied in sample collection.

By encouraging the involvement of family members in the educational sessions and follow-up meetings, it could enhance compliance of low-salt diet among hypertensive older adults.

The findings and outputs provide a combination of family involvement and the Geragogy learning model through educational sessions and follow-up meetings that could enhance a low-salt diet adherence among older adults with hypertension in the community.

This review aims to describe the effectiveness of education with the transtheoretical model (TTM)-based on the self-care behavior of hypertension patients.

A systematic literature search was carried out on four databases: PubMed, Science Direct, Cochrane and Grey literature to identify studies reported in English which were published in the last ten years. The literature search was conducted from November 13 to December 10, 2020.

Based on the six studies that have been analyzed, TTM is effective in changing the stage of change and behavior of hypertension patients. These behavioral changes have an impact on the patient's controlled blood pressure. Various types of TTM-based educational interventions can be used, but the tailored behavior intervention is the most appropriate one with a minimum intervention duration of six months. Educational intervention is carried out through combine counseling and education using electronic media.

This review presents the effectiveness of transtheoretical-based health education in changing the self-care behavior of hypertension patients accompanied by evidence-based on its implementation. There is a high and unclear risk of bias on several items influence this systematic outcome. Nevertheless, this review can still provide an overview of the effectiveness of education based on the TTM in hypertension patients about the quality results of the reviewed studies.

Awareness of potential health impact and variations in key risk factors for chronic disease are important considerations in multi‐site, workplace physical activity interventions. This study seeks to examine associations and site variations between workday step counts, sitting times, waist circumference and blood pressure in three universities.

Participants were white‐collar, university employees (172 women and 44 men; aged 41.0±10.3 years) from Barcelona, Spain (n=81), Brisbane, Australia (n=71) and Leeds, UK (n=64). Workday step counts and sitting times (five days) and waist circumference and blood pressure were assessed and compared against health‐related thresholds. Step counts were classified into tertiles and differences in sitting time, waist circumference and blood pressure were compared across tertiles using ANOVA, as were site variations in key variables.

Daily step counts were inversely associated with sitting times (p<0.05), women's waist circumference (p<0.05) and systolic (p<0.01) and diastolic (p<0.05) blood pressure. Activity rates – relative to the public health criterion of 10,000 daily steps – were lower in Brisbane (16 per cent) and Leeds (15 per cent), compared with Barcelona (47 per cent). Barcelona employees also sat less (p<0.001), had lower men's and women's waist circumference (p<0.01) and lower women's diastolic blood pressure (p<0.001).

The small number of male participants precluded meaningful analyses for men.

The findings evidence the health benefits of workplace walking in the samples and highlight the need to account for variations in multi‐site, multi‐national interventions.

The health of people living in prisons (PLP) frequently remains marginalised in national development discourse, particularly in resource-constrained settings like Ghana. This study aims to determine the prevalence of cardiovascular disease (CVD) risk factors among PLP at a prison facility in the Northern Region of Ghana.

A cross-sectional study involving 134 male persons in prison, aged 18–79 years, was conducted to assess their dietary habits, tobacco use, alcohol consumption, sleep behaviour and physical activity practices. Serum lipid profile, fasting blood glucose (FBG), blood pressure (BP) and body mass indices of participants were also measured.

Almost half (48.1%) of the participants had abnormal lipid levels. Those with FBG in the diabetes range (= 7.0 mmol/l) constituted 3.9%, while 16.7% were in the impaired FBG range (6.1–6.9 mmol/l). Participants with BP within the pre-hypertension range were 54.5%. The majority of participants (92%) had a low daily intake of fruits and vegetables. Few participants were active smokers (5%) and alcohol users (2%). The average sleep duration at night among the participants was 5.54 ± 2.07 h. The majority (74%) of the participants were sedentary. About a quarter of the participants (24.6%) had overweight/obesity.

This study highlights the CVD risks among PLP. Findings suggest the need for targeted interventions, such as dietary and lifestyle modification strategies, regular physical activity and routine screening for diabetes, dyslipidaemia and hypertension. These interventions within the prison space could significantly improve the cardiovascular health of PLP in resource-limited settings.

The purpose of this paper is to evaluate a mail‐based educational intervention to improve knowledge of blood pressure and cholesterol values among members of a large insurance population.

As part of the 2004 health risk appraisal (HRA) follow‐up program, 48,429 members of WEA Trust received at least two mailings for the mail‐based blood pressure and cholesterol intervention. These members then completed a follow‐up HRA in 2006. Change in the knowledge and risks of blood pressure and cholesterol values were analyzed among two‐time participants. A survey was also completed six to nine months after the first mailing to study participants' awareness and perception of the program.

The 2004 and 2006 two‐time HRA participants showed a 13.9 percentage point gain (p<0.05) and 12.2 percentage point gain (p<0.05) in people who knew their blood pressure and cholesterol values, respectively, as well as a significant increase in the percent of people taking medication or under medical care for their blood pressure (+2.9 for overall and +11.3 for BP≥140/90 population; p<0.05) or cholesterol conditions (+3.8 for overall and +11.4 for cholesterol≥240 population; p<0.05). Among those who knew their values (BP or cholesterol) in both 2004 and 2006, there was a 3.9 percentage point increase (p<0.05) in the number of people with normal BP (BP<120/80 mmHg) and a 4.8 percentage point increase (p<0.05) in the number of people with normal cholesterol (cholesterol <200 mg/dL) in 2006. The majority (83 percent) of survey respondents found the materials useful for improving health and 22 percent contacted a physician because of the information they received.

This relatively low‐cost and easily implemented educational intervention was successful in increasing knowledge of blood pressure and cholesterol values, taking control of blood pressure and cholesterol risks and in encouraging appropriate follow‐up with a physician.

Knowledge of blood pressure and cholesterol numbers are an important first step in raising awareness of a person's health risks and disease status.