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- Papp, M.E., et al.
(author)
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Effects of yogic exercises on physical capacity and health in patients with obstructive pulmonary disease
- 2016
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In: Book of Abstracts. ; , s. 693-693
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Conference paper (other academic/artistic)abstract
- Background and Aim: Yogic exercises have been shown to increase functional capacity and decrease symptoms in patients with obstructive pulmonary diseases. However, the knowledge regarding physiological and mental effects of hatha yogic exercises and breathing exercises over longer time periods in patients with obstructive pulmonary diseases remains limited. The aim of this study was to investigate the effects of hatha yoga (HY) compared to an individual program of strength and endurance training (IT) on functional capacity, pulmonary function, perceived exertion, disease specific symptoms and oxygen saturation in patients with obstructive pulmonary diseases. Methods: 36 patients (23 women, median age = 64, age range: 40–84 yrs) were randomized into HY (n = 19) or IT (n = 17). Both HY and IT involved a 12-week program. Functional capacity (estimated from a 6 minute walk test (6MWT), spirometry, oxygen saturation, perceived exertion and a disease specific chronic respiratory questionnaire (CRQ) were measured at baseline, at 12 weeks and at 6 months. Results: Significant improvements emerged within each group on 6MWT (HY, baseline: 593.5±116.4, after 12 weeks: 626.2±111.6, p = 0.014; IT, baseline 502.3±136.3, after 12 weeks: 544.8±138.5, p= 0.002). for IT but not HY, these improvements sustained at 6 months. CRQ showed significant improvement in the domain mastery for the HY group and in all domains in the IT group. Conclusions: Twelve weeks of HY and IT improved functional capacity in both groups with no significant between group effects. However, at the 6-month follow-up effects sustained in the IT but not in the HY group. The IT group, showed self-reported disease-specific improvements across all domains while HY group showed improvements in the mastery domain only. This suggests that both IT and HY have positive short-term effects while IT has long-term effects on functional capacity.
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| 3. |
- Carlsson, A C, et al.
(author)
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Poor self-rated health is not associated with a high total allostatic load in type 2 diabetic patients--but high blood pressure is
- 2011
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In: Diabetes & Metabolism. - : Elsevier BV. - 1262-3636 .- 1878-1780. ; 37:5, s. 446-51
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Journal article (peer-reviewed)abstract
- OBJECTIVE: Allostatic load has been linked to self-rated health (SRH), cardiovascular disease and mortality in non-diabetic individuals. The aim of this study was to construct an allostatic load score and to find any correlations with SRH. METHODS: The subjects included in the study came from a randomized, controlled trial of type 2 diabetes. Blood samples were drawn, urine was collected for 24h, and questionnaires, including SRH, were filled out on three occasions: at baseline; after the 10-week intervention; and at a follow-up 3 months after the intervention. Allostatic load was estimated using a wide range of variables, including systolic and diastolic blood pressure, pulse pressure, cortisol, catecholamines, HbA(1c), insulin, plasma glucose and waist circumference. RESULTS: There was no association between SRH and allostatic load. However, three other components were significantly correlated with allostatic load at the baseline investigation and the two follow-up investigations - namely, systolic blood pressure, diastolic blood pressure and HbA(1c). CONCLUSION: The absence of an association between allostatic load and SRH in diabetic individuals contrasts with previous findings in non-diabetic women, and shows that it is hazardous to apply findings in one population to another, especially diabetic and non-diabetic populations.
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| 5. |
- Rasjö Wrååk, G., et al.
(author)
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Nurse-led empowerment strategies for patients with hypertension : A questionnaire survey
- 2015
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In: International Nursing Review. - : Wiley. - 0020-8132 .- 1466-7657. ; 62:2, s. 187-195
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Journal article (peer-reviewed)abstract
- Background: Hypertension is common and may lead to cerebrovascular and cardiovascular events and mortality. District nurses frequently encounter patients requiring blood pressure monitoring, lifestyle counsel and support. Empowerment as a method enables patients to both increase their control over their health and improve it. Aim: This study aims to describe the effects of the counsel and support from district nurses to patients with hypertension. Methods: A randomized controlled intervention trial. Questionnaires were answered by patients with hypertension before and after the intervention comprising district nurses' counsel and support based upon empowerment. A specially developed card for blood pressure monitoring was also used. Results: Blood pressure decreased in intervention and the control groups. The intervention group experienced significantly improved health, with better emotional and physical health, and reduced stress. Living habits did not change significantly in either group. Satisfaction with knowledge of hypertension increased significantly in both groups. The intervention group reported that their care was based upon their health needs. Limitations: Conducting large multi-centre studies with long follow-ups is complicated and results sometimes have a tendency to decline with time. A shorter follow-up might have shown a greater difference between the groups. Conclusion: Nursing interventions through district nurses' counsel and support with empowerment improved patients' health. More research is needed to evaluate nursing interventions' effect on hypertension. Implications for nursing and health policy: This study highlighted that district nurses' counsel and support increased patients' health and decreased stress by focusing on empowerment.
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| 6. |
- Wallen, E. Flygare, et al.
(author)
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High prevalence of diabetes mellitus, hypertension and obesity among persons with a recorded diagnosis of intellectual disability or autism spectrum disorder
- 2018
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In: Journal of Intellectual Disability Research. - : WILEY. - 0964-2633 .- 1365-2788. ; 62:4, s. 269-280
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Journal article (peer-reviewed)abstract
- Background: Obesity and lack of physical activity are frequently reported in persons with intellectual disability (ID) or autism spectrum disorder (ASD). We hypothesised a higher prevalence of diabetes and hypertension in this population.Method: We used administrative data for all primary and specialist outpatient and inpatient healthcare consultations for people with at least one recorded diagnosis of diabetes mellitus, hypertension or obesity from 1998 to 2015. Data were drawn from the central administrative database for Stockholm County, Sweden. It was not possible to separate data for type 1 and type 2 diabetes. We stratified 26988 individuals with IDs or ASD into three groups, with Down syndrome treated separately, and compared these groups with 1996140 people from the general population.Results: Compared with the general population, men and women with ID/ASD had 1.6-3.4-fold higher age-adjusted odds of having a registered diagnosis of obesity or diabetes mellitus, with the exception of diabetes among men with Down syndrome. A registered diagnosis of hypertension was only more common among men with ID/ASD than in the general population.Conclusions: Diabetes and blood pressure health screening, along with efforts to prevent development of obesity already in childhood, are necessary for individuals with IDs and ASD. We believe that there is a need for adapted community-based health promotion programmes to ensure more equitable health for these populations.
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| 7. |
- Wändell, P.E., et al.
(author)
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Effects of tactile massage on metabolic biomarkers in patients with type 2 diabetes
- 2013
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In: Diabetes & Metabolism. - : Elsevier. - 1262-3636 .- 1878-1780. ; 39:5, s. 411-417
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Journal article (peer-reviewed)abstract
- Aim: Tactile massage (TM) is a gentle and superficial form of massage. A pilot study of patients with type 2 diabetes in primary care reported a reduction of 0.8% in glycosylated haemoglobin (HbA1c), whereas a randomized study comparing the effects of 10 weeks of TM once per week with relaxation exercises performed once per week as per instructions on a CD found no effects of TM on HbA1c in an intention-to-treat analysis. However, a significant reduction in waist circumference (WC) was found between the groups. Methods: This was a secondary per-protocol analysis of the effect of TM (n = 21) compared with relaxation (n = 25) on other metabolic biomarkers. Anthropometrics (BMI and WC) and metabolic factors (B HbA1c, S IGF, fS insulin, S adiponectin, S leptin and fP ghrelin) were assessed, insulin resistance (IR) was determined by modified homoeostasis model assessment (HOMA2-IR) using fP glucose and fS insulin, and ratios of adiponectin-to-leptin, adiponectin-to-HOMA-IR, adiponectin-to-WC and adiponectin-to-HbA1c were calculated at baseline, and at 10 weeks and 6 months after the intervention. Results: Significant results adjusted for age, gender and changes in lifestyle and medical factors were shown for WC in women (-6.2 cm [95% CI: -10.4, -1.9]), but not in men. In addition, improvements in the TM group were found for adiponectin and ratios of adiponectin-to-leptin and adiponectin-to-HbA1c levels. Conclusion: Our data indicate that TM therapy may affect metabolic markers in type 2 diabetes despite the lack of significant effects on HbA1c. The clinical implications of our findings need to be evaluated in further studies. © 2013 Elsevier Masson SAS. All rights reserved.
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