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Magutah K, Mbuthia G, Akiruga JA, Haile D, Thairu K. Effect of fixed 7.5 minutes' moderate intensity exercise bouts on body composition and blood pressure among sedentary adults with prehypertension in Western-Kenya. PLOS GLOBAL PUBLIC HEALTH 2022; 2:e0000806. [PMID: 36962441 PMCID: PMC10021634 DOI: 10.1371/journal.pgph.0000806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 06/24/2022] [Indexed: 06/18/2023]
Abstract
Prehypertension is a modifiable risk factor for cardiovascular disease observed to affect an estimated 25-59% of global population and closely associated with body composition. Without appropriate interventions, one-third of individuals with prehypertension would develop full-blown hypertension within 4 years. The existing exercise recommendations need substitutes that appeal more yet accord similar or better outcomes in desire to halt this progression. This study evaluated the effect of Fixed 7.5-minute Moderate Intensity Exercise (F-7.5m-MIE) bouts on Body Composition and Blood Pressure (BP) among sedentary adults with prehypertension in Western-Kenya in a Randomized Control Trial (RCT) performed throughout the day compared to the single-continuous 30-60-minute bouts performed 3 to 5 times weekly. This RCT, with three arms of Experimental Group1 (EG1) performing the F-7.5m-MIE bouts, Experimental Group 2 (EG2) performing current World Health Organization (WHO) recommendation of ≥30-min bouts, and, control group (CG), was conducted among 665 consenting pre-hypertensive sedentary adults enrolled from western Kenya. EG1 and EG2 performed similar weekly cumulative minutes of moderate intensity exercises. Adherence was determined using activity monitors and exercise logs. Data regarding demographic characteristics, heart rate, BP, and anthropometric measures were collected at baseline and 12th week follow-up. Data regarding univariate, bivariate and multivariate (repeated measurements between and within groups) analysis were conducted using STATA version 13 at 5% level of significance. The study revealed that males (92.1% in EG1, 92% in EG2 and 96.3% in CG) and females (94.6% in EG1, 89.3% in EG2 and 95% in CG) in the three arms completed the exercise at follow-up respectively. At 12th week follow-up from all exercise groups, males' and females' measurements for waist-hip-ratio, waist-height-ratio, systolic BP (SBP), heart rate and pulse pressure showed significant drops from baseline, while diastolic BP (DBP) and body mass index (BMI) reported mixed results for males and females from the various treatments. Both treatments demonstrated favourable outcomes. However, differences in the change between baseline and endpoint yielded mixed outcomes (SBP; p<0.05 for both males and females, DBP; p<0.05 for males and females, waist-height-ratio; p = 0.01 and <0.05 for males and females respectively, waist-hip-ratio; P = 0.01 and >0.05 for males and females respectively, BMI; p>0.05 for both males and females, heart rate; p<0.05 for males and females and pulse pressure; p = 0.01 and >0.05 for males and females respectively). The study design however could not test for superiority. The study demonstrated that the F-7.5m- MIE treatment programme and the WHO recommended 3-5 times weekly bouts of 30-60 minutes regime produced comparably similar favourable outcomes in adherence and BP reductions with improved body composition. Trial registration: Trial registered with Pan African Clinical Trial Registry (www.pactr.org): no. PACTR202107584701552. (S3 Text).
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Affiliation(s)
- Karani Magutah
- Department of Medical Physiology, School of Medicine, Moi University, Eldoret, Kenya
| | - Grace Mbuthia
- College of Health Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
| | - James Amisi Akiruga
- Department of Family Medicine, Medical Education and Community Health, Moi University School of Medicine, Eldoret, Kenya
| | - Diresibachew Haile
- Department of Medical Physiology, School of Medicine, Moi University, Eldoret, Kenya
| | - Kihumbu Thairu
- Department of Medical Physiology, School of Medicine, University of Nairobi, Nairobi, Kenya
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Darsini D, Hamidah H, Notobroto HB, Cahyono EA. Health risks associated with high waist circumference: A systematic review. J Public Health Res 2020; 9:1811. [PMID: 32728557 PMCID: PMC7376462 DOI: 10.4081/jphr.2020.1811] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 06/13/2020] [Indexed: 01/03/2023] Open
Abstract
Obesity is a health disorder characterized by an increase in body weight, measured by waist circumference. High waist circumference is linked to potential development of non-communicable diseases. A systematic review study was used to explore health risks of high waist circumference through Google Scholar, Science Direct, Pubmed, and Proquest. Findings show that high waist circumference increased the risks of developing hypertension, type 2 diabetes mellitus, hypercholesterolemia, joint pain, low back pain, and hyperuricemia. It is recommended that government increase their role in raising public awareness to maintain healthy lifestyle.
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Affiliation(s)
| | | | - Hari Basuki Notobroto
- Department of Biostatistics and Population, Faculty of Public Health, Universitas Airlangga, Surabaya
| | - Eko Agus Cahyono
- Department of Nursing, Nursing Academy Dian Husada, Mojokerto, Indonesia
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Zhang X, Huang L, Peng X, Xie Y, Bao X, Huang J, Wang P. Association of handgrip strength with hypertension among middle-aged and elderly people in Southern China: A cross-sectional study. Clin Exp Hypertens 2019; 42:190-196. [DOI: 10.1080/10641963.2019.1601206] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Xiaoxia. Zhang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangdong, P. R. China
| | - Lingling. Huang
- School of Public Health, Shanghai Lida University, Shanghai, China
| | - Xin. Peng
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangdong, P. R. China
| | - Yixian. Xie
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangdong, P. R. China
| | - Xinyu. Bao
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangdong, P. R. China
| | - Junxuan. Huang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangdong, P. R. China
| | - Peixi. Wang
- General Practice Center, Nanhai Hospital, Southern Medical University, Foshan, China
- Institute of Public Health, School of Nursing, Henan University, Kaifeng, China
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Ding Y, Lin H, Zhou S, Wang K, Li L, Zhang Y, Yao Y, Gao M, Liu X, He N. Stronger Association between Insomnia Symptoms and Shorter Telomere Length in Old HIV-Infected Patients Compared with Uninfected Individuals. Aging Dis 2018; 9:1010-1019. [PMID: 30574414 PMCID: PMC6284770 DOI: 10.14336/ad.2018.0204] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Accepted: 02/04/2018] [Indexed: 12/15/2022] Open
Abstract
Growing evidence suggests that HIV infection may accelerate biological aging. Insomnia symptoms, particularly in later life, exacerbate cellular aging. We examined the association between insomnia symptoms and leukocyte telomere length (LTL), and further explored how this association was affected by HIV serostatus and age. Data were assessed from 244 HIV-infected individuals ≥40 years and 244 HIV-uninfected individuals who were frequency-matched by age, gender and education level. Insomnia symptoms were assessed by responses to four sleep-related questions covering the past month. We performed multivariable linear regression with logarithmically transformed LTL and reported exponentiated coefficients. HIV-infected individuals had shorter LTL compared to uninfected individuals (geometric mean 0.82 vs 0.89, P=0.052), and this association remained after adjustment for gender, education level, and smoking history (-7.4%, P=0.051) but markedly attenuated after additional adjustment for insomnia and depressive symptoms (-3.7%, P=0.367). Significant interactions between age group (55-82 vs 40-54 years) and insomnia symptoms on LTL were observed in the HIV-infected individuals (-28.4%, P=0.033) but not the uninfected (-17.9%, P=0.250). After stratifying by age group, LTL was independently associated with insomnia symptoms in those 55 years and older among the HIV-infected individuals (-24.5%, P=0.026) but not those 40-54 years old (-9.8%, P=0.428). Our findings suggest that elevated insomnia and depressive symptoms may partly explain the correlation between HIV serostatus and shorter LTL. Significant association between insomnia and shorter LTL observed in elderly HIV-infected but not in uninfected individuals suggest that such adverse effect may begin at an earlier age or is more pronounced in HIV-infected individuals but requires further investigation.
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Affiliation(s)
- Yingying Ding
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Haijiang Lin
- 3Taizhou City Center for Disease Control and Prevention, Taizhou City, Zhejiang, China
| | - Sujuan Zhou
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Keran Wang
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Lingling Li
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Yucheng Zhang
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Yuan Yao
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Meiyang Gao
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Xing Liu
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Na He
- 1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China.,2The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
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