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Functio.al Capacity and Psycho.o.ial Co.relates o. Exercise in Nigerian Patients with Hypertensio.

Internatio.al Jo.rnal o. Clinical Medicine 2016年第7期7卷 464-473页

作者： taofeek o. awotidebe Victo. o. Adeyeye Rita N. Ativie Rufus A. Adedo.in Adebuso.a o. Bo.o.e Michael o. Balo.un Mukadas A. Akindele Department o. Medical Rehabilitatio. College of Health Sciences Obafemi Awolowo University Ile-Ife Nigeria Cardiac Care Unit Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife Nigeria Department o. Medical Rehabilitatio. Faculty of Health Sciences and Technology University of Nigeria Enugu Nigeria Department o. Medicine College Health Sciences Obafemi Awolowo University Ile-Ife Nigeria Department o. Physio.herapy College of Medical Sciences Bayero University Kano Kano Nigeria

o.jectives: Psycho.o.ial facto.s are impo.tant determinants o. cardio.ascular health o.tco.es in rehabilitatio.. Ho.ever, the relatio.ship between exercise perfo.mance and individual facto.s remained po.rly understo.d. This study investigated the relatio.ship between functio.al capacity and psycho.o.ial co.relates o. exercise in Nigerian patients with hypertensio.. Study Design and Setting: This quasi-experimental study recruited 120 patients with hypertensio. (≥140/90 ≤ 179/109 mmHg) fro. the Cardiac Care Unit o. a Nigerian university teaching using purpo.ive sampling technique. Functio.al capacity was assessed using the 6-minute walk test and maximum o.ygen co.sumptio. (Vo.sub>2 max) was estimated. Participants also.underwent a 30-minute self-paced walking exercise. Thereafter, psycho.o.ial co.relates o. exercise including exercise self-efficacy (ESE), so.ial suppo.t (So.), perceived exercise barrier (PEB) and so.io.eco.o.ic status (SES) were assessed using validated questio.naires. Descriptive and inferential statistics were used to.analyze data. Alpha level was set at p o. significance. Results: A majo.ity o. the participants demo.strated high ESE (75.0%), mo.erate So. (60.9%) and lo. PEB (71.7%). Mo.e than half (58.4%) o. the participants were in the middle SES. Male and female participants were co.parable in ESE sco.es (p = 0.554), So. (p = 0.362) and six-minute walk distance (6-MWD) (p = 0.194) except in bo.y mass index (p o.sub>2 max were 350.6 ± 54.7 m and 9.74 ± 1.5 ml/kg/min respectively. There were significant co.relatio.s between functio.al capacity and each o. ESE (r = 0.184;p = 0.026) and So. (r = 0.374;p = 0.021). Co.clusio.s: Psycho.o.ial co.relates o. exercise including self-efficacy and so.ial suppo.t were significantly asso.iated with functio.al capacity amo.g Nigerian patients with mild to.mo.erate hypertensio..

关键词： Functio.al Capacity Psycho.o.ial Co.relate Exercise Hypertensio.

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Co.pariso. o. Blo.d Pressure Patterns o. Teaching and No.-Teaching Staff o. a Nigerian University

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Internatio.al Jo.rnal o. Clinical Medicine 2016年第7期7卷 454-460页

作者： Rufus A. Adedo.in taofeek o. awotidebe Adedayo.o. Bo.o.e Rita N. Ativie Mukadas A. Akindele Victo. o. Adeyeye o.ubuso.a E. Jo.nso. Department o. Medical Rehabilitatio. College of Health Sciences Obafemi Awolowo University Ile-Ife Nigeria Department o. Medical Rehabilitatio. Faculty of Health Sciences and Technology University of Nigeria Enugu Nigeria Department o. Physio.herapy College Medical Sciences Bayero University Kano Kano Nigeria Cardiac Care Unit Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife Nigeria

o.jective: Differences in jo.s descriptio.s and respo.sibilities may co.tribute to.varying degree o. expo.ure to.diseases including high blo.d pressure. There is dearth o. studies co.paring blo.d pressure patterns and anthro.o.etric parameters between teaching and no.-teaching staff o. university. Therefo.e, this study was designed to.assess and co.pare the blo.d pressure and the anthro.o.etric parameters o. bo.h teaching and no.-teaching staff o. a Nigerian university. Materials and Metho.s: A cro.s-sectio.al study was co.ducted to.assess blo.d pressure pattern and anthro.o.etric parameters amo.g 324 apparently healthy teaching (n = 120) and no.-teaching (n = 202) staff o. o.afemi Awo.o.o.University, Ile-Ife, Nigeria. Anthro.o.etric parameters including height, weight and hip and waist circumferences were measured. Blo.d pressure was measured thrice during o.fice ho.rs (9.00 - 11.00 ho.rs) using standard pro.edures and hypertensio. was defined as ≥140 ≥90 mmHg. Descriptive and inferential statistics were used to.analyze the data at p o. ages o. teaching and no.-teaching staff were 46.8 ± 9.8 and 45.6 ± 10.9 years. The prevalence o. high blo.d pressure was 34.9% with a distributio. o. teaching to.no.-teaching rate o. 20.1% and 14.8% respectively. There were significant co.relatio.s between blo.d pressure and each o. weight, bo.y mass index and waist circumference in bo.h gro.ps (p o.clusio.: Prevalence o. high blo.d pressure was higher amo.g teaching than no.-teaching staff and significant co.relatio.s were fo.nd between blo.d pressure and so.e anthro.o.etric parameters. Public health including regular physical activity enlightenment pro.rammes to.reduce blo.d pressure is reco.mended.

关键词： Blo.d Pressure Anthro.o.etric Parameter Teaching No.-Teaching Staff Nigerian University

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Effects o. Cardiac Rehabilitatio. Exercise Pro.o.o.s o. Physical Functio. in Patients with Chro.ic Heart Failure: An Experience fro. a Reso.rce Co.straint Natio.

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Internatio.al Jo.rnal o. Clinical Medicine 2016年第8期7卷 547-557页

作者： taofeek o. awotidebe Rufus A. Adedo.in Michael o. Balo.un Rasaq A. Adebayo.Victo. o. Adeyeye Kayo.e I. o.e Rita N. Ativie Antho.y o. Akinto.ide Mukadas o. Akindele Department o. Medical Rehabilitatio. College of Health Sciences Obafemi Awolowo University Ile-Ife Nigeria Department o. Medicine College of Health Sciences Obafemi Awolowo University Ile-Ife Nigeria Cardiac Care Unit Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife Nigeria Department o. Physio.herapy School of Medical Sciences University of Benin Benin Nigeria Department o. Medical Rehabilitatio. College of Health Sciences and Technology University of Nigeria Enugu Campus Enugu Nigeria Department o. Physio.herapy College of Allied Health Sciences Bayero University Kano Kano State Nigeria

o.jective: This study investigated the effects o. cardiac rehabilitatio. exercise pro.o.o.s o. physical functio. (PF) in patients with chro.ic heart failure (CHF). Study Design and Setting: This rando.ized co.tro.led trial recruited 70 patients who.are in stage II CHF with ejectio. fractio. (≤40%) fro. a Nigerian university teaching ho.pital. They were rando.ly assigned into.Exercise Gro.p (EG: n = 35) o. Co.tro. Gro.p (CG: n = 35). Physical functio., activity o. daily living (ADL), distance walked in six minutes and grip strength were assessed using a validated ADL questio.naire, six minute walk test and a hand dynamo.eter respectively. In additio. to.medicatio., EG underwent aero.ic and upper extremity resistance exercises thrice weekly fo. eight weeks while CG used medicatio.s o.ly. Data were analyzed using descriptive and inferential statistics. Alpha level was at p p > 0.05). Significant impro.ements were no.iced at fo.rth week amo.g participants’ ADL (30.0% ± 6.0%), 6MWD (321.7 ± 26.3 m) and Vo.sub>2 max (8.9 ± 0.4 mL/kg/min) variables within the exercise EG but no.significant changes were o.served in the CG (p > 0.05). Participants in EG demo.strated mo.e significant impro.ements in ADL (15.0% ± 5.0%), 6MWD (406.0 ± 29.7 m) and Vo.sub>2 max (10.3 ± 0.5 mL/kg/min) (p p > 0.05). Co.clusio.s: Cardiac rehabilitatio. exercise pro.o.o.s invo.ving self-paced walking, sit-to.stand and upper extremity dynamic strength training impro.ed activity o. daily living, walking and functio.al capacity in patients with stable chro.ic heart failure.

关键词： Cardiac Rehabilitatio. Exercise Physical Functio. Heart Failure

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