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Study of Severity of Syndrome-X on Lung Function Impairment in Indian Population 印度人群肺功能损害X综合征严重程度的研究
Pub Date : 2021-07-29 DOI: 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。
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引用次数: 0
Physiology Practicals by Health Science Students in COVID-19 Pandemic 健康科学专业学生在COVID-19大流行中的生理实践
Pub Date : 2021-07-29 DOI: 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 ...
冠状病毒病(COVID-19)是一种大流行。这已经蔓延到世界上许多国家,hACE2是一个重要的基因,整个人群都容易感染sars - cov -2印度政府已采取行动控制COVID-19的传播。中央和邦政府正在采取若干措施控制感染的蔓延。阅读更多…
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引用次数: 0
Clinical and Research Opportunities for Budding Physiologists in India 印度崭露头角的生理学家的临床和研究机会
Pub Date : 2021-07-29 DOI: 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.
人们对生理学及其相关分支的领域选择和职业发展的认识越来越高。尽管有许多可用的资源,但仍然需要适当的指导和指导,这是建立一个好的生理学家职业生涯所必需的。随着当今世界转化研究的进步,各个领域对生理学家的需求很高,年轻的学术生理学家受到激励,让他们参与到这些研究活动中来。这些研究工作不仅使他们在职业生涯中取得进步,而且各种研究项目的集体努力有助于改善生理学家的健康状况和整体福祉。年轻的生理学家在印度和国外都有更多的机会获得资助、建立实验室并与临床医生、流行病学家和基础科学家合作进行高质量的研究。在这篇综述中,我们将总结生理学主要领域的各个分支,并讨论在学术、工业和其他科学领域的研究机会和工作。最终,生理学家与药理学家、内科医生、营养师、健身教练、动物学家、临床医生和学者的研究工作和合作,有望为成功的研究者带来许多满足感,改善学术环境和学术机构的产出,最终提高人类的整体健康水平。
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引用次数: 0
Sympathovagal imbalance, cardiometabolic risks and hypertension status are linked to depression in women having risk factors for pregnancy-induced hypertension 交感神经迷走神经失衡、心脏代谢风险和高血压状态与妊娠高血压危险因素妇女的抑郁症有关
Pub Date : 2021-07-29 DOI: 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.
背景与目的:妊娠是一种发生心血管、自主神经、血液动力学和心理变化的生理状态。据报道,产前期间压力和抑郁的发生率增加。妊娠期高血压(PIH)的自主性变化及其在抑郁症中的功能障碍有充分的记录。然而,没有关于交感迷走神经失衡(SVI)和心脏代谢改变对PIH应激和抑郁的影响的报告。方法:在这项病例对照研究中,我们评估和分析了有PIH风险的孕妇(n=62)和正常健康孕妇(n=68)的心血管自主功能,包括心率变异性(HRV)和心脏代谢风险(CMR)。感知压力量表(PSS-10)和生活质量(QoL)用于评估抑郁症状和感知压力。HRV和CMR参数与PSS相关。分别进行多元回归分析,研究它们与PSS的关系。进行Logistic回归以确定PSS对高血压/高血压前期状态的预测。结果:与对照组相比,妊高征风险受试者的心率和血压升高,HRV降低,胰岛素抵抗标志物、动脉粥样硬化脂质分布、炎症标志物、氧化应激和血管内皮功能障碍增加。SVI参数、心迷走神经调节和CMR降低与PSS显著相关。PSS可独立预测研究组的高血压前期/高血压状态。结论:本研究结果表明,PIH存在相当大的SVI和CMR。抑郁症似乎是PIH中SVI和迷走神经调节降低的主要原因,而退行性炎症和血管内皮功能障碍可能是抑郁症介导的PIH SVI的潜在机制。
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引用次数: 0
Adrenergic Storm Induced Warburg Effect in COVID-19 新冠肺炎肾上腺素风暴引起的Warburg效应
Pub Date : 2021-04-19 DOI: 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.
目前,新冠肺炎疾病没有可用的治疗方案,最重要的是,新冠肺炎的潜在病理生理学尚不清楚。在这篇文章中,我提出了一个观点,解释了新冠肺炎的潜在病理生理学,并在此基础上提出了新冠肺炎的治疗方案。我认为肾上腺素能风暴诱导的Warburg效应(有氧糖酵解)可能是新冠肺炎病情的潜在机制。我建议在新冠肺炎早期使用α1肾上腺素能受体阻滞剂,在晚期使用β-肾上腺素能受体阻断剂,以抑制肾上腺素能风暴并逆转新冠肺炎条件下的Warburg效应。
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引用次数: 0
Cardiovascular Responses to Submaximal Exercise Stress Test in Adolescents with High Visceral Fatness 高内脏脂肪青少年对亚最大运动压力测试的心血管反应
Pub Date : 2021-04-19 DOI: 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.
背景与目的:内脏脂肪本身与未来发生高血压的风险相关。印度青少年内脏肥胖呈上升趋势。尽管如此,已知亚洲印度人比外周脂肪更倾向于中心脂肪沉积。同时,在印度18-19岁青少年中,内脏脂肪与心血管运动反应的关系目前尚未得到很好的描述。因此,进行了本研究。方法:采用横断面研究方法,对18-19岁年龄组120名非运动员(男60名,女60名)晚期印度青少年进行研究。采用欧姆龙hbf302体脂分析仪,采用生物电阻抗技术测定内脏脂肪(VF)和其他体成分。参与者根据他们的内脏脂肪水平被定制为两组(0-9:正常VF组;bbb90 9:高VF组)。运动试验采用跑步机运动试验,遵循标准布鲁斯方案。在布鲁斯方案的每个阶段结束时检查心血管反应性(心率、收缩压和舒张压)。结果:在不同阶段的跑步机运动测试中,高VF组的收缩压和舒张压反应均有所增加。然而,在高VF组中,男女均未观察到异常反应性。结论:在跑步机运动应激试验中,高内脏脂肪青少年的血压反应性高于正常内脏脂肪青少年,这主要是由于他们的静息血压高。正常内脏脂肪的青少年比高内脏脂肪的印度青少年能够跨越更多的布鲁斯阶段。与全身脂肪相比,内脏脂肪对运动期间收缩压、舒张压等基线心血管参数以及血压参数的影响更大。
{"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}
引用次数: 0
Physiological Facets of Jet Lag: Melatonin is the Key Ruler 时差反应的生理方面:褪黑激素是关键规则
Pub Date : 2021-04-19 DOI: 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.
迅速地从地球的一个地区转移到另一个地区是最令人兴奋的事情。然而,时差是这种长途旅行中最令人沮丧的部分。时差发生在我们的内部时钟在短时间内穿越几个时区而不同步的时候。时差不是荣誉的象征,而是一个重大的现代问题。因此,有必要了解如何在不依赖安眠药的情况下应对时差反应。褪黑素已被证明是一种更好、更安全的治疗时差的药物。这篇综述是一个普遍感兴趣的话题,并讨论了时差的原因和影响。它还特别强调了使用适时的外源性褪黑素来克服时差的方法。
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引用次数: 1
Increased High Frequency Compared to Low Frequency Power in Heart Rate Variability in Parkinsonism 帕金森病患者心率变异性的高频功率与低频功率相比增加
Pub Date : 2021-04-19 DOI: 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.
帕金森病的心率变异性(HRV)降低,这可能是运动活动减少的结果,也是心血管自主神经功能障碍的标志。晚期帕金森综合征患者的日间低频功率和高频功率下降。在这种情况下,低频率(LF)降低,但发现高频率(HF)与LF相比非常高,这需要解释。在这种情况下,庞加莱图上的多裂模式增加了SD1,SD1与HF相似,因此HF增加。如果我们在分析时从录音中删除早搏,然后绘制庞加莱图,这将是一种正常的鱼雷模式,在这种情况下,HF值将像LF一样降低,就像帕金森病中通常发现的那样,这将真正反映由于自主效应引起的HRV值。当庞加莱图是鱼雷图时,HRV报告应被解释为自主神经功能障碍,因为其他模式可能意味着某种内在的心脏病。
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引用次数: 0
Association of Body Mass Index, Menstrual Flow, Socio-economic and Educational Status with Psychological Stress Levels in Young Age Students 青年学生体质指数、月经流量、社会经济和教育状况与心理压力水平的关系
Pub Date : 2021-04-19 DOI: 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.
背景和目的:在评估大学生心理健康的不同方面后,确定与学生感知压力存在相关的因素的作用。评估和了解青年学生的心理不适,减轻其负担。方法:共招募291名符合入选标准的学生,并获得该机构的伦理批准。获得了书面同意,并向所有参与者保证他们的身份将保密。研究参与者被要求匿名填写一份问卷,其中包括月经问题、社会经济状况、教育状况和感知压力量表。结果:在291名受访者中,27.15%的学生是医学生,31.62%的学生是护理生,23.02%的学生是理疗生,18.21%的学生是艺术和科学生。53.26%为一年级和二年级学生。27.15%的学生的家庭收入在20000至49999卢比之间,24.4%的学生家庭收入在10000至1999卢比之间。27.15%的学生家长是毕业生,大多数家长(67.35%)是自营职业者。结论:本研究揭示了社会经济地位(SES)、体重指数(BMI)、月经问题和心理压力之间的关系,这在一定程度上可以解释情绪性饮食作为克服心理压力的应对策略。
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引用次数: 0
Improvement in Fetomaternal Outcomes and Cardiovascular Health in Gestational Diabetes Mellitus following a Short-course Yoga Therapy 短期瑜伽治疗对妊娠期糖尿病胎儿结局和心血管健康的改善
Pub Date : 2021-04-19 DOI: 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.
背景和目的:尽管瑜伽对GDM胎儿结局的影响已经在早期进行了评估,但尚未研究完整的心脏代谢概况和胎儿结局。此外,还没有关于GDM患者在分娩前进行短期瑜伽治疗的报道。因此,在本研究中,评估了结构化短期瑜伽模块对GDM患者心脏代谢风险、胎儿结局和身心健康的影响。方法:共有21名被诊断为GDM的孕妇在分娩前入住三级护理医院产科病房进行研究。计算了身高、体重和BMI等人体测量指标。记录心脏代谢风险(CMR)参数,如心率(HR)、收缩压(SBP)和舒张压(DBP),并计算速率-压力乘积(RPP)。采用感知压力量表(PSS)评分和生活质量(QoL)评分两种问卷对患者的身心健康状况进行评估。参与者每天接受包括基本体式和缓慢调息在内的瑜伽治疗,时间表一直持续到分娩。瑜伽治疗至少持续7天,最多持续10天。比较了瑜伽前后的各项参数。将心肌工作压力的标志物RPP与各种参数进行相关性,以评估压力和代谢状态与心血管(CV)风险的关系。结果:与瑜伽前评估相比,瑜伽干预后的BHR、SBP、DBP、RPP显著降低(P=0.000)。瑜伽干预后血糖也显著下降(P=0.001)。瑜伽干预前后PSS和生活质量的比较显示,瑜伽干预后压力水平显著降低(P=0.000),生活质量显著改善(P=0.0000)。RPP与PSS显著相关。结论:在GDM患者中,瑜伽练习约一周,包括基础体式和缓慢调息,可显著降低血糖和压力水平,改善胎儿预后。GDM患者的心肌工作压力可能与其心理压力有关。
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引用次数: 2
期刊
International journal of clinical and experimental physiology
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