Pub Date : 2021-07-29DOI: 10.5530/ijcep.2021.8.2.17
P. Choudhary, M. Jaipal
Background and Aim: Syndrome-X and impaired lung functions both have been associated with an increased jeopardy of coronary heart disease (CHD) in the middle aged Indian population. The aim of present study was to investigate the Severity of Syndrome-X on Lung Function Impairment in Indian Population. Methods: This cross sectional study was done among 200 syndrome-X patients at C. U. Shah Medical College, Gujarat, India for the period of three years from July 2012 to June 2015. They were divided into three groups on basis of presence of numbers of components of Syndrome-X. Syndrome-X was defined, National cholesterol Education Program’s-Adult Treatment Panel III Criteria. Anthropometric measurements, blood pressure and lung functions were measured. Fasting blood samples were analyzed to measured glucose, triglyceride and high-density lipoprotein (HDL-c) cholesterol. Statistical analysis was done by SPSS windows version 20.0 software. Results: The prevalence of components in syndrome-X patients was 48.5% with 3, 33.5% with 4 and 18% with 5 components of syndrome-X. The lung functions variables (FVC; P<0.05, FEV1; P<0.001, FEV3; P<0.05, FEFR; P<0.001 and FEF25-75%; P<0.0001) were significantly decreases in patients having 4 or 5 components of syndrome-X as compared to patients having 3 components. Conclusion: It is concluded from present study that the frequency of components of syndrome-X was significantly associated with lung functions impairment. Therefore, this study suggests that lung function test may be useful as an additional evaluation for the syndrome–X in a clinical practice.
背景和目的:在印度中年人群中,x综合征和肺功能受损都与冠心病(CHD)的危险增加有关。本研究的目的是调查x综合征对印度人群肺功能损害的严重程度。方法:本横断面研究于2012年7月至2015年6月在印度古吉拉特邦c.u. Shah医学院对200例x综合征患者进行了为期三年的研究。他们被分为三组的基础上存在的成分的数量综合症- x。根据国家胆固醇教育计划成人治疗小组III标准定义了x综合征。测量了人体测量、血压和肺功能。分析空腹血液样本,测量葡萄糖、甘油三酯和高密度脂蛋白(HDL-c)胆固醇。采用SPSS windows 20.0软件进行统计分析。结果:x综合征患者中3组成分的患病率为48.5%,4组成分的患病率为33.5%,5组成分的患病率为18%。肺功能变量(FVC;P < 0.05,残;FEV3 P < 0.001;FEFR P < 0.05;P<0.001, fef25 ~ 75%;P<0.0001),与具有3个成分的患者相比,具有4个或5个成分的患者显著降低。结论:本研究得出x综合征各成分出现频率与肺功能损害显著相关。因此,本研究提示肺功能测试可能在临床实践中作为x综合征的附加评估有用。
{"title":"Study of Severity of Syndrome-X on Lung Function Impairment in Indian Population","authors":"P. Choudhary, M. Jaipal","doi":"10.5530/ijcep.2021.8.2.17","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.2.17","url":null,"abstract":"Background and Aim: Syndrome-X and impaired lung functions both have been associated with an increased jeopardy of coronary heart disease (CHD) in the middle aged Indian population. The aim of present study was to investigate the Severity of Syndrome-X on Lung Function Impairment in Indian Population. Methods: This cross sectional study was done among 200 syndrome-X patients at C. U. Shah Medical College, Gujarat, India for the period of three years from July 2012 to June 2015. They were divided into three groups on basis of presence of numbers of components of Syndrome-X. Syndrome-X was defined, National cholesterol Education Program’s-Adult Treatment Panel III Criteria. Anthropometric measurements, blood pressure and lung functions were measured. Fasting blood samples were analyzed to measured glucose, triglyceride and high-density lipoprotein (HDL-c) cholesterol. Statistical analysis was done by SPSS windows version 20.0 software. Results: The prevalence of components in syndrome-X patients was 48.5% with 3, 33.5% with 4 and 18% with 5 components of syndrome-X. The lung functions variables (FVC; P<0.05, FEV1; P<0.001, FEV3; P<0.05, FEFR; P<0.001 and FEF25-75%; P<0.0001) were significantly decreases in patients having 4 or 5 components of syndrome-X as compared to patients having 3 components. Conclusion: It is concluded from present study that the frequency of components of syndrome-X was significantly associated with lung functions impairment. Therefore, this study suggests that lung function test may be useful as an additional evaluation for the syndrome–X in a clinical practice.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42322037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-29DOI: 10.5530/ijcep.2021.8.2.23
Y. Kattimani, M. Math, R. Khadkikar
Sir, The coronavirus disease (COVID-19) is a pandemic. This has spread to many countries in the world, The hACE2 is an essential gene and the entire human population is susceptible to SAR-CoV-2 infection.[1] The Government of India has taken actions to control the spread of COVID-19. The central and state governments are taking several measures for the control of spread of Infection. Read More ...
{"title":"Physiology Practicals by Health Science Students in COVID-19 Pandemic","authors":"Y. Kattimani, M. Math, R. Khadkikar","doi":"10.5530/ijcep.2021.8.2.23","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.2.23","url":null,"abstract":"Sir, \u0000The coronavirus disease (COVID-19) is a pandemic. This has spread to many countries in the world, The hACE2 is an essential gene and the entire human population is susceptible to SAR-CoV-2 infection.[1] The Government of India has taken actions to control the spread of COVID-19. The central and state governments are taking several measures for the control of spread of Infection. Read More ...","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43769756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-29DOI: 10.5530/ijcep.2021.8.2.13
K. Udupa, Mrudula Kambhampati, T. Sathyaprabha
There has been increased awareness about choosing the field and career progress in Physiology and its related branches. In spite of the many available resources, there exists a need for proper mentoring and guidance that is required to build up a good career as a physiologist. There is a high demand for physiologists in various fields with the advances in translational research in today’s world and young academic Physiologists are stimulated to get them involved in such research activities. These research works not only bring them forward in their careers but also collective efforts from various such research projects help to improve the health conditions and overall well-being of Physiologists. There is increased opportunity both in India and abroad for the young Physiologists to obtain grants, establish laboratory and collaborate with clinicians, epidemiologists and basic scientists to perform quality research. In this review, we will summarize various subdivisions of the major field of physiology and also discuss on the research opportunities, jobs in academic, industry and other scientific fields. Ultimately, the research works and collaboration of physiologists with pharmacologists, physicians, dietitians, fitness coaches, zoologists, clinicians and academicians would hopefully provide lots of satisfaction to the successful investigators, enhanced academic environment and output of the academic institutions ultimately resulting in improvement of overall health of humanity.
{"title":"Clinical and Research Opportunities for Budding Physiologists in India","authors":"K. Udupa, Mrudula Kambhampati, T. Sathyaprabha","doi":"10.5530/ijcep.2021.8.2.13","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.2.13","url":null,"abstract":"There has been increased awareness about choosing the field and career progress in Physiology and its related branches. In spite of the many available resources, there exists a need for proper mentoring and guidance that is required to build up a good career as a physiologist. There is a high demand for physiologists in various fields with the advances in translational research in today’s world and young academic Physiologists are stimulated to get them involved in such research activities. These research works not only bring them forward in their careers but also collective efforts from various such research projects help to improve the health conditions and overall well-being of Physiologists. There is increased opportunity both in India and abroad for the young Physiologists to obtain grants, establish laboratory and collaborate with clinicians, epidemiologists and basic scientists to perform quality research. In this review, we will summarize various subdivisions of the major field of physiology and also discuss on the research opportunities, jobs in academic, industry and other scientific fields. Ultimately, the research works and collaboration of physiologists with pharmacologists, physicians, dietitians, fitness coaches, zoologists, clinicians and academicians would hopefully provide lots of satisfaction to the successful investigators, enhanced academic environment and output of the academic institutions ultimately resulting in improvement of overall health of humanity.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47937784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-29DOI: 10.5530/ijcep.2021.8.2.15
G. Pal, S. Habeebullah, M. Subha, P. Pal
Background and Aim: Pregnancy is a physiological state in which there are cardiovascular, autonomic, hemodynamic and psychological changes. Increase in incidence of stress and depression in antenatal period has been reported. Autonomic changes in pregnancy-induced hypertension (PIH) and its dysfunction in depression are well documented. However, there is no report of contribution of sympathovagal imbalance (SVI) and cardiometabolic alterations to stress and depression in PIH. Methods: In this case-control study, we assessed and analyzed cardiovascular autonomic functions including heart rate variability (HRV) and cardiometabolic risks (CMR) between pregnant women having risks of PIH (n=62) and normal healthy pregnant women (n=68). The perceived stress scale (PSS-10) and Quality of Life (QoL) were used to evaluate depressive symptoms and perceived stress. The HRV and CMR parameters were correlated with PSS. Multiple regression analysis was performed individually to study their association with PSS. Logistic regression was done to determine the prediction of hypertension/prehypertension status by PSS. Results: There was increase in heart rate and blood pressure, decreased HRV and increased markers of insulin resistance, atherogenic lipid profile, markers of inflammation, oxidative stress and vascular endothelial dysfunction in PIH risk subjects compared to control subjects. Parameters of SVI and decreased cardiovagal modulation and CMR were significantly correlated and associated with PSS. PSS had independent prediction of prehypertension/hypertension status in the study group. Conclusion: Findings of the present study indicate that there is considerable SVI and CMR in PIH. It appears that depression is the major cause of SVI and decreased cardiovagal modulation in PIH, and retrograde inflammation and vascular endothelial dysfunction could be the potential mechanisms of depression mediated SVI in PIH.
{"title":"Sympathovagal imbalance, cardiometabolic risks and hypertension status are linked to depression in women having risk factors for pregnancy-induced hypertension","authors":"G. Pal, S. Habeebullah, M. Subha, P. Pal","doi":"10.5530/ijcep.2021.8.2.15","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.2.15","url":null,"abstract":"Background and Aim: Pregnancy is a physiological state in which there are cardiovascular, autonomic, hemodynamic and psychological changes. Increase in incidence of stress and depression in antenatal period has been reported. Autonomic changes in pregnancy-induced hypertension (PIH) and its dysfunction in depression are well documented. However, there is no report of contribution of sympathovagal imbalance (SVI) and cardiometabolic alterations to stress and depression in PIH. Methods: In this case-control study, we assessed and analyzed cardiovascular autonomic functions including heart rate variability (HRV) and cardiometabolic risks (CMR) between pregnant women having risks of PIH (n=62) and normal healthy pregnant women (n=68). The perceived stress scale (PSS-10) and Quality of Life (QoL) were used to evaluate depressive symptoms and perceived stress. The HRV and CMR parameters were correlated with PSS. Multiple regression analysis was performed individually to study their association with PSS. Logistic regression was done to determine the prediction of hypertension/prehypertension status by PSS. Results: There was increase in heart rate and blood pressure, decreased HRV and increased markers of insulin resistance, atherogenic lipid profile, markers of inflammation, oxidative stress and vascular endothelial dysfunction in PIH risk subjects compared to control subjects. Parameters of SVI and decreased cardiovagal modulation and CMR were significantly correlated and associated with PSS. PSS had independent prediction of prehypertension/hypertension status in the study group. Conclusion: Findings of the present study indicate that there is considerable SVI and CMR in PIH. It appears that depression is the major cause of SVI and decreased cardiovagal modulation in PIH, and retrograde inflammation and vascular endothelial dysfunction could be the potential mechanisms of depression mediated SVI in PIH.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46502163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.5530/ijcep.2021.8.1.10
N. Vasanthakumar
At present, there is no treatment option available for COVID-19 condition and most importantly the underlying pathophysiology in COVID-19 is not known. In this article, I had given a viewpoint that explains the underlying pathophysiology in COVID-19 and based on it proposed treatment options for COVID-19. I propose that the adrenergic storm-induced Warburg effect (aerobic glycolysis) may be the underlying mechanism in the COVID-19 condition. I propose alpha1 adrenergic blockers in the early phase and beta-adrenergic blockers in the late phase of COVID-19 to inhibit the adrenergic storm and reverse the Warburg effect in COVID-19 condition.
{"title":"Adrenergic Storm Induced Warburg Effect in COVID-19","authors":"N. Vasanthakumar","doi":"10.5530/ijcep.2021.8.1.10","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.1.10","url":null,"abstract":"At present, there is no treatment option available for COVID-19 condition and most importantly the underlying pathophysiology in COVID-19 is not known. In this article, I had given a viewpoint that explains the underlying pathophysiology in COVID-19 and based on it proposed treatment options for COVID-19. I propose that the adrenergic storm-induced Warburg effect (aerobic glycolysis) may be the underlying mechanism in the COVID-19 condition. I propose alpha1 adrenergic blockers in the early phase and beta-adrenergic blockers in the late phase of COVID-19 to inhibit the adrenergic storm and reverse the Warburg effect in COVID-19 condition.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48822170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.5530/ijcep.2021.8.1.4
Shweta M Parikh, S. Singh, H. Shah
Background and Aim: Visceral adiposity per se was associated with risk of developing hypertension in future. There is escalating trend of visceral obesity in Indian adolescents. Nonetheless, the Asian Indian population is known to have an affinity for central fat deposition than peripheral fat. Meanwhile, the association of visceral adiposity and cardiovascular response to exercise in Indian adolescents of 18-19 years’ age group has not been well described so far. Therefore, the present study was undertaken. Methods: A Cross-sectional study was conducted on 120 non-athletes’ (60 males and 60 females) late Indian Adolescents of 18-19 years’ age group. Visceral Fat (VF) and Other Body composition were measured by Bioelectrical Impedance technique using Omron HBF 302 body fat analyzer. The participants were customized into two groups based on their Visceral Fat Level (0-9: Normal VF group; > 9: High VF group). Exercise Testing was done by treadmill exercise test following standard Bruce protocol. Cardiovascular reactivity (Heart Rate, Systolic and Diastolic Blood Pressure) was checked at the end of each stage of Bruce Protocol. Results: Increased SBP and DBP responses to treadmill exercise tests at different stages were seen in high VF groups in both the genders. However, no abnormal reactivity was observed in high VF groups of both the genders. Conclusion: During treadmill exercise stress test, high blood pressure reactivity was seen in high visceral fat adolescents as compared to normal visceral fat adolescents, which was primarily due to their high resting blood pressure. Adolescents with normal visceral fat were competent to cross more number of Bruce stages than high visceral fat Indian adolescents. Visceral fat had a stronger influence on baseline cardiovascular parameters like systolic and diastolic blood pressure as well as blood pressure parameter during exercise than total body fat.
{"title":"Cardiovascular Responses to Submaximal Exercise Stress Test in Adolescents with High Visceral Fatness","authors":"Shweta M Parikh, S. Singh, H. Shah","doi":"10.5530/ijcep.2021.8.1.4","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.1.4","url":null,"abstract":"Background and Aim: Visceral adiposity per se was associated with risk of developing hypertension in future. There is escalating trend of visceral obesity in Indian adolescents. Nonetheless, the Asian Indian population is known to have an affinity for central fat deposition than peripheral fat. Meanwhile, the association of visceral adiposity and cardiovascular response to exercise in Indian adolescents of 18-19 years’ age group has not been well described so far. Therefore, the present study was undertaken. Methods: A Cross-sectional study was conducted on 120 non-athletes’ (60 males and 60 females) late Indian Adolescents of 18-19 years’ age group. Visceral Fat (VF) and Other Body composition were measured by Bioelectrical Impedance technique using Omron HBF 302 body fat analyzer. The participants were customized into two groups based on their Visceral Fat Level (0-9: Normal VF group; > 9: High VF group). Exercise Testing was done by treadmill exercise test following standard Bruce protocol. Cardiovascular reactivity (Heart Rate, Systolic and Diastolic Blood Pressure) was checked at the end of each stage of Bruce Protocol. Results: Increased SBP and DBP responses to treadmill exercise tests at different stages were seen in high VF groups in both the genders. However, no abnormal reactivity was observed in high VF groups of both the genders. Conclusion: During treadmill exercise stress test, high blood pressure reactivity was seen in high visceral fat adolescents as compared to normal visceral fat adolescents, which was primarily due to their high resting blood pressure. Adolescents with normal visceral fat were competent to cross more number of Bruce stages than high visceral fat Indian adolescents. Visceral fat had a stronger influence on baseline cardiovascular parameters like systolic and diastolic blood pressure as well as blood pressure parameter during exercise than total body fat.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45041506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.5530/ijcep.2021.8.1.2
Aparna A Mulgund, N. Puranik
It’s the most exciting thing to move around from one section of the globe to the other part, swiftly. However, Jet lag is the most frustrating component of such long journeys. Jet lag happens when our internal clock is desynchronized by travelling across several time zones in a short time. Jet lag is not a badge of honour, but a significant modern problem. Hence, it’s worth understanding the means to handle Jet lag without counting on sleeping pills. Melatonin has proven to be a better and safer treatment for Jet lag. This review is a general topic of interest and talks over the causes, and implications of Jet lag. It also gives special emphasis on the method to use judiciously timed exogenous melatonin to conquer the jet lag.
{"title":"Physiological Facets of Jet Lag: Melatonin is the Key Ruler","authors":"Aparna A Mulgund, N. Puranik","doi":"10.5530/ijcep.2021.8.1.2","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.1.2","url":null,"abstract":"It’s the most exciting thing to move around from one section of the globe to the other part, swiftly. However, Jet lag is the most frustrating component of such long journeys. Jet lag happens when our internal clock is desynchronized by travelling across several time zones in a short time. Jet lag is not a badge of honour, but a significant modern problem. Hence, it’s worth understanding the means to handle Jet lag without counting on sleeping pills. Melatonin has proven to be a better and safer treatment for Jet lag. This review is a general topic of interest and talks over the causes, and implications of Jet lag. It also gives special emphasis on the method to use judiciously timed exogenous melatonin to conquer the jet lag.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49514785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.5530/IJCEP.2021.8.1.9
R. Jasrotia, P. Dubey, Arvind Kanchan, N. John
Heart rate variability (HRV) decreases in Parkinson’s disease which could be a consequence of reduced motor activity besides being a marker of cardiovascular dysautonomia. The diurnal low frequency power and high frequency power decrease in advanced Parkinsonism. In this case, there is decreased low frequency (LF) but high frequency (HF) is found to be very high compared to LF, which needs explanation. Multiple lobed pattern on Poincare plot in this case increases SD1, which has an analogy to HF, therefore HF is increased. If we remove premature beats from the recording while analysing, and then frame Poincare plot, it would be a normal torpedo pattern and HF value will be decreased in this case like LF, as is normally found in Parkinsonism, which would truly reflect the HRV values due to autonomic effects. HRV report should be interpreted for autonomic dysfunction when Poincare plot is torpedo pattern as other patterns may signify some intrinsic disease of heart.
{"title":"Increased High Frequency Compared to Low Frequency Power in Heart Rate Variability in Parkinsonism","authors":"R. Jasrotia, P. Dubey, Arvind Kanchan, N. John","doi":"10.5530/IJCEP.2021.8.1.9","DOIUrl":"https://doi.org/10.5530/IJCEP.2021.8.1.9","url":null,"abstract":"Heart rate variability (HRV) decreases in Parkinson’s disease which could be a consequence of reduced motor activity besides being a marker of cardiovascular dysautonomia. The diurnal low frequency power and high frequency power decrease in advanced Parkinsonism. In this case, there is decreased low frequency (LF) but high frequency (HF) is found to be very high compared to LF, which needs explanation. Multiple lobed pattern on Poincare plot in this case increases SD1, which has an analogy to HF, therefore HF is increased. If we remove premature beats from the recording while analysing, and then frame Poincare plot, it would be a normal torpedo pattern and HF value will be decreased in this case like LF, as is normally found in Parkinsonism, which would truly reflect the HRV values due to autonomic effects. HRV report should be interpreted for autonomic dysfunction when Poincare plot is torpedo pattern as other patterns may signify some intrinsic disease of heart.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43103323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.5530/ijcep.2021.8.1.3
Panneerselvam Periasamy, Suganthi V Suganthi, Ponmurugan Karuppiah, S. Subramanian, S. Gunasekaran, Ramamoorthy Easwaarisiva
Background and Aim: To determine the role of factors linked to the presence of perceived stress in students, after evaluating different aspects of mental health in college students. To evaluate and understand the psychological discomfort and reduce burden of it among young aged students. Methods: A total of 291 students fulfilling the inclusion criteria were recruited and Ethical approval was obtained from the institution. Written consent was obtained and all the participants were assured that their identity would be kept confidential. The study participants were asked to complete a questionnaire anonymously consisting of menstrual problems, socio-economic status, educational status and perceived stress scale. Results: Among 291 respondents of this study, 27.15% students are medical students and 31.62% are nursing students, 23.02% of the students are physiotherapy students and 18.21% are Art and science students. 53.26% are 1st and 2nd year students. 27.15% of the students have their family income between Rs. 20,000 – 49,999 and 24.4% of the students have their family income between Rs.10,000-19,999. 27.15% of the student’s head of their families are graduates and majority of the head of their families (67.35%) are self-employed. Conclusion: This study reveals the relationship between socio-economic status (SES), Body Mass Index (BMI), menstrual problems and psychological stress, which can explain partly due to emotional eating as a coping strategy to overcome the psychological stress.
{"title":"Association of Body Mass Index, Menstrual Flow, Socio-economic and Educational Status with Psychological Stress Levels in Young Age Students","authors":"Panneerselvam Periasamy, Suganthi V Suganthi, Ponmurugan Karuppiah, S. Subramanian, S. Gunasekaran, Ramamoorthy Easwaarisiva","doi":"10.5530/ijcep.2021.8.1.3","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.1.3","url":null,"abstract":"Background and Aim: To determine the role of factors linked to the presence of perceived stress in students, after evaluating different aspects of mental health in college students. To evaluate and understand the psychological discomfort and reduce burden of it among young aged students. Methods: A total of 291 students fulfilling the inclusion criteria were recruited and Ethical approval was obtained from the institution. Written consent was obtained and all the participants were assured that their identity would be kept confidential. The study participants were asked to complete a questionnaire anonymously consisting of menstrual problems, socio-economic status, educational status and perceived stress scale. Results: Among 291 respondents of this study, 27.15% students are medical students and 31.62% are nursing students, 23.02% of the students are physiotherapy students and 18.21% are Art and science students. 53.26% are 1st and 2nd year students. 27.15% of the students have their family income between Rs. 20,000 – 49,999 and 24.4% of the students have their family income between Rs.10,000-19,999. 27.15% of the student’s head of their families are graduates and majority of the head of their families (67.35%) are self-employed. Conclusion: This study reveals the relationship between socio-economic status (SES), Body Mass Index (BMI), menstrual problems and psychological stress, which can explain partly due to emotional eating as a coping strategy to overcome the psychological stress.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43488895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.5530/ijcep.2021.8.1.5
M. Renugasundari, G. Pal, L. Chaturvedula, N. Nanda, K. Harichandrakumar, Lakshmanan Vidyalakshmi
Background and Aim: Though the effects of yoga on fetomaternal outcomes in GDM have been assessed earlier, a complete cardiometabolic profile and fetomaternal outcomes have not been studied yet. Also, there is no report of practice of a short course yoga therapy administered prior to parturition in GDM patients. Therefore, in the present study, effects of a structured short-course yoga module on cardiometabolic risks, fetomaternal outcomes and psychophysical health in GDM were assessed. Methods: A total of 21 pregnant women diagnosed to have GDM, admitted to Obstetrics Ward of tertiary care hospital prior to their delivery were recruited for the study. Anthropometric indices such as height, weight and BMI were calculated. Cardiometabolic risk (CMR) parameters such as heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded, and rate pressure product (RPP) was calculated. The psychophysical health was assessed by using two questionnaires such as Perceived Stress Scale (PSS) scoring and Quality of Life (QoL) scoring. The participants were provided yoga therapy consisting of basic asanas and slow pranayamas daily and the schedule continued till their delivery. Yoga therapy was administered for a minimum of seven days and maximum of ten days. All the parameters before and after yoga were compared. Correlation of RPP, the marker of myocardial work stress was done with various parameters to assess the association of stress and metabolic status with the cardiovascular (CV) risk. Results: There was a significant decrease (P=0.000) in BHR, SBP, DBP, RPP after yoga intervention when compared to the pre-yoga assessment. There was also a significant decrease (P=0.001) in blood glucose after yoga intervention. The comparison of PSS and QoL before and after yoga intervention revealed a significant reduction in stress level (P=0.000) and improvement in QoL (P=0.000) after yoga intervention. RPP was significantly correlated with PSS. Conclusion: Practice of yoga for about one week consisting of basic asanas and slow pranayama significantly decreases blood glucose and stress levels and improves fetomaternal outcomes in GDM patients. The myocardial work stress in GDM patients could be linked to the psychological stress in them.
{"title":"Improvement in Fetomaternal Outcomes and Cardiovascular Health in Gestational Diabetes Mellitus following a Short-course Yoga Therapy","authors":"M. Renugasundari, G. Pal, L. Chaturvedula, N. Nanda, K. Harichandrakumar, Lakshmanan Vidyalakshmi","doi":"10.5530/ijcep.2021.8.1.5","DOIUrl":"https://doi.org/10.5530/ijcep.2021.8.1.5","url":null,"abstract":"Background and Aim: Though the effects of yoga on fetomaternal outcomes in GDM have been assessed earlier, a complete cardiometabolic profile and fetomaternal outcomes have not been studied yet. Also, there is no report of practice of a short course yoga therapy administered prior to parturition in GDM patients. Therefore, in the present study, effects of a structured short-course yoga module on cardiometabolic risks, fetomaternal outcomes and psychophysical health in GDM were assessed. Methods: A total of 21 pregnant women diagnosed to have GDM, admitted to Obstetrics Ward of tertiary care hospital prior to their delivery were recruited for the study. Anthropometric indices such as height, weight and BMI were calculated. Cardiometabolic risk (CMR) parameters such as heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded, and rate pressure product (RPP) was calculated. The psychophysical health was assessed by using two questionnaires such as Perceived Stress Scale (PSS) scoring and Quality of Life (QoL) scoring. The participants were provided yoga therapy consisting of basic asanas and slow pranayamas daily and the schedule continued till their delivery. Yoga therapy was administered for a minimum of seven days and maximum of ten days. All the parameters before and after yoga were compared. Correlation of RPP, the marker of myocardial work stress was done with various parameters to assess the association of stress and metabolic status with the cardiovascular (CV) risk. Results: There was a significant decrease (P=0.000) in BHR, SBP, DBP, RPP after yoga intervention when compared to the pre-yoga assessment. There was also a significant decrease (P=0.001) in blood glucose after yoga intervention. The comparison of PSS and QoL before and after yoga intervention revealed a significant reduction in stress level (P=0.000) and improvement in QoL (P=0.000) after yoga intervention. RPP was significantly correlated with PSS. Conclusion: Practice of yoga for about one week consisting of basic asanas and slow pranayama significantly decreases blood glucose and stress levels and improves fetomaternal outcomes in GDM patients. The myocardial work stress in GDM patients could be linked to the psychological stress in them.","PeriodicalId":92049,"journal":{"name":"International journal of clinical and experimental physiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49322131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}