Journal of Epidemiology and Public Health (JEPH)
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Associations between Physical Activity, Depression, and Quality of Life in Elderly: Meta-Analysis
Get PDFBackground: The aging process is associated with a greater prevalence of long-term health problems. One of them is a significant increase in problems including mental health problems in the elderly demographic. The World Health Organization (WHO) estimates that about one in every ten elderly people suffer from depres
A Meta-Analysis: Correlation between Hypertension of Comorbidity on Mortality in Patients with COVID-19
Get PDFBackground: SARS-CoV-2 is a new type of coronavirus that has never been previously identified in humans. In severe cases of COVID-19 it can cause pneumonia, acute respiratory syndrome, kidney failure, and even death. Hypertension causes a number of pathophysiological changes in the cardiovascular system such as left ventricular hypertrophy and fibrosis. This can make a hypertensive heart particularly vulnerable to SARS-CoV-2.
This study aims to analyze and estimate the effect of comorbid hypertension on mortality in COVID-19 patients.Subjects and Method: This was a systematic review and meta-analysis conducted with PRISMA flow diagram. Article searches through journal databases include: Google Scholar, PubMed, Science Direct, and Springer Link by selecting articles published in 2020 and 2021. The keywords used are “Hypertension” OR “Hypertensive Patient” OR “Blood Pressure”, “Systolic Pressure” OR “Diastolic Pressure” AND “Mortality”, OR “death” OR “loss” AND “COVID-19” OR “SARS-COV-2” OR “coronavirus” AND “multivariate”.
The inclusion criteria were full paper articles with observational research methods, the results of the analysis used the aOR value, the exposure given was comorbid hypertension, the research subjects were COVID-19 patients, with mortality outcomes. Eligible articles were analyzed using the Revman 5.3 app.
Results: A meta-analysis of 18 articles showed that confirmed COVID-19 patients who had comorbid hypertension had a 1.27 times risk of mortality compared to those without comorbid hypertension and were statistically significant (aOR= 1.27; 95% CI= 1.14 to 1.41; p <0.001).Conclusion: Comorbid Hypertension affects the mortality of COVID-19 patients
The Effect of Acupuncture Therapy on Reducing Blood Pressure in Hypertension Patients: Meta-Analysis
Get PDFBackground: Acupuncture is a traditional Chinese medicine for treating ailments, including diseases of the cardiovascular system, such as hypertension. Acupuncture modulates neurohumoral regulatory systems and cardiovascular function. This study aims to estimate the effectiveness of acupuncture therapy in reducing blood pressure in hypertensive patients.
Subjects and Method: This was a systematic review and meta-analysis, with PICO, namely Population= hypertension cases aged 20-80 years. Intervention= acupuncture therapy. Comparison= Sham/ Placebo/ No Treatment Acupuncture. Outcome = Blood pressure. The articles used in this study were obtained from several databases including Google Scholar, MEDLINE/ PubMed, Science Direct, Hindawi, BMC, Europe PMC and Springer Link. These articles were collected for 1 month. The keywords to search for articles were as follows: “acupuncture”, “hypertension”, “randomized controlled trial”, “hypertension randomized controlled trial”, “acupuncture randomized controlled trial”, “acupuncture for primary hypertension”, “acupuncture for hypertension essential” AND “acupuncture for blood pressure”. The articles included in this study are full text articles with a randomized controlled trial study design. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager application (RevMan) 5.3.
Results: A total of 9 articles were reviewed in this meta-analysis. Articles are from Boston, Germany, Korea, China, India and Taiwan. The study showed that acupuncture therapy was able to reduce systolic blood pressure with the Standardized Mean Different by 0.54 compared to sham acupuncture /placebo/no treatment (SMD= 0.54; 95% CI= -1.04 to -0.04; p<0.05). Acupuncture reduced diastolic blood pressure 0.49 units (SMD= 0.49; 95% CI= -0.99 to 0.02; p>0.05) compared to sham acupuncture/ placebo, but it was statistically non significant.
Conclusion: Acupuncture can reduce systolic blood pressure, but it is less significant in reducing diastolic blood pressure in hypertensive patients
Effects of Aerobic Exercise and Yoga Breathing Exercise (Pranayama) on Blood Pressure in Hypertensive Patients
Get PDFBackground: Uncontrolled hypertension or high blood pressure is a major risk factor for cardiovascular disease. Non-pharmacological treatment has become an important part of hypertension management. Aerobic exercise and yoga breathing exercise (pranayama) are types of non-pharmacological treatment that have an effect on lowering blood pressure. This study aims to examine the effect of aerobic exercise and yoga breathing exercise (pran
Meta Analysis the Effect of Intervention Based School toward Nutrition on Body Mass Index
Get PDFBackground: Body mass index (BMI) is a metric used to define anthropometric charact
Meta-Analysis the Association between Chronic Obstructive Pulmonary Disease Comorbidity and COVID-19 Mortality
Get PDFdisease that hit the world community at the end of 2019. The risk of death from COVID-19 is highly dependent on age and previous health conditions. COVID-19 severe and critical symptoms are more commonly found in older patients and patients who have chronic como
Risk Factor Analysis of Family Characteristics and Health History of Children Under Five on the Incidence of Stunting in Sidenreng Rappang, South Sulawesi, Indonesia
Get PDFBackround: Stunting was one of the global nutritional problems that are still widely found, especially in developing countries. in Asia, 87 million children were stunted. This study aimed to look at the risk of family characteristics and health history on the incidence of stunting.Subjects dan Method: This was a case-control study conducted in the Sidenreng Rappang district. The dependent variables were family characteristics consisting of maternal education and household members and health history consisting of LBW and infectious diseases. The ind
The Effectiveness of Ivermectin on the Risk of Mortality in COVID-19 Patients: A Meta Analysis
Get PDFBackground: The Coronavirus Disease 2019 (COVID-19) has become the highest priority of global pandemic. New and repurposed drugs are being tested on mild to moderate levels of COVID-19 to help suppress transmission of the virus. Ivermectin is one of the repurposed drugs with known safety records with more than 2.5 billion doses dispensed in the past. This study aims to estimate the effectiveness of ivermectin in reducing the risk of mortality in COVID-19 patients based on the results of a number of previous similar studies.Subjects and Method: This study is a systematic review and meta-analysis. This study used secondary data in the form of data from previous study results. A systematic and comprehensive database search was carried out through several databases including: PubMed, Science Direct, Google Scholar, and Springer Link. Analysis of this study was using RevMan 5.3 software. This study used the eligibility criteria with the PICO model, populations: covid-19 patients, intervention: ivermectin administration, comparison: patients without ivermectin, outcome: mortality in COVID-19 patients. The inclusion criteria used were full paper in English and Indonesian with a randomized controlled trial, including the number of deaths, and the primary study was conducted in a hospital. The keywords used to search the database wer
A Meta-Analysis of the Effects of Secondhand Smoke Exposure toward the Incidence of Pneumonia in Children Under Five
Get PDFBackground: Pneumonia is an acute respir
Exploring Doctors' Willingness of Providing Service on COVID 19: A Case Study in Bangladesh
Get PDFBackground: Doctors were doing the hardest to deal with COVID-19 emergency medication deliberately when Bangladesh experienced doctors' shortage along with a high mortality rate fo