Heart Rate Responses at Rest, during Exercise and after Exercise Periods in Relation to Adiposity Levels among Young Nigerian Adults.

Background: There is a dearth of comparative studies on heart rate (HR) abnormalities at rest, chronotropic responses during submaximal exercise, and such responses during recovery from submaximal exercise between healthy-weight and overweight/obese young adults. Methods: Eighty healthy young adults (30 men and 50 women) aged 19 to 33 years participated in the present study. A symptom-limited, submaximal, cycle ergometer exercise test of intensity targeted at 60% to 70% of the subject's age-predicted maximum HR was performed. The HR, blood pressure, and minute ventilation were measured at rest and during exercise. Post-exercise, HR was first measured at 1 minute of recovery and then every 2 minutes until the 5th minute. Results: Our results showed significantly higher resting HR (P<0.001), lower percentage HR reserve during exercise (P<0.001), and slower HR recovery after exercise (P<0.05, P<0.01, or P<0.001) in overweight/obese men and women than in the non-overweight/obese controls. The prevalence of high resting HR, submaximal chronotropic incompetence, and blunted HR recovery were more common in the overweight/obese individuals than in the healthy-weight controls. Peak VO2 and ventilatory equivalent for oxygen were associated with resting HR, exercise HR parameters, and post-exercise HR recovery indices in both men and women. Conclusion: High resting HR, submaximal chronotropic incompetence, and blunted HR recovery in overweight/obese individuals in this study may be attributed to poor cardiorespiratory fitness and low respiratory efficiency.

Seizure frequency and risk of cognitive impairment in people living with epilepsy in a sub-urban community in South Eastern Nigeria.

This study is aimed at assessing the impact of seizure frequency on the cognitive performance of epileptic adult patients in a rural community in South Eastern Nigeria. A total of 51 patients with epilepsy (33 males and 18 females) with a mean age of 30.7 ±â€¯12.1 years and 51 age and sex matched controls participated in this study. The cognitive performances of the people with epilepsy and controls were assessed using the Community Screening Interview for Dementia (CSID) and the computerized cognitive assessment test battery, the FePsy. The control group performed better in almost all the neurocognitive tests compared with the low seizure frequency (LSF) and high seizure frequency (HSF) groups. Analysis of covariance revealed that patients with LSF performed better (p = 0.04) in visual reaction time - dominant hand (VRT-D) compared with the HSF group. There was lack of significant differences in mean total CSID scores and mean sub-total scores for language, memory, orientation, attention, constructional praxis, auditory reaction time-dominant hand and non-dominant hand, VRT - non-dominant hand and figure recognition. HSF patients indicated significantly greater prevalence (80% vs. 20%; p = 0.020) and risk (OR, 8.0; 95% CI, 1.8-33.8)) of memory impairment, but not in the other neurocognitive domains compared with the LSF group. In conclusion, the present study indicated that adults with epilepsy performed poorly in a wide range of neurocognitive variables compared with the controls. However, no significant adverse effects of high seizure frequency were observed on almost all the neurocognitive variables.

Prostate-specific antigen and its derivatives in young adults occupationally exposed to quarry pollutants in southeastern Nigeria.

To evaluate the level of total prostate-specific antigen (PSA) and effect of duration of exposure to pollutants in quarry workers, 5 mls of blood sample was collected from participants: 72 male quarry workers exposed to quarry pollutants and 72 unexposed controls. PSA estimations were done using the principle of ELISA. Mean total PSA, free PSA, and free-total PSA ratio levels of quarry workers did not differ from those of controls and was below the cutoff for the risk of prostate diseases. Higher mean total PSA and free PSA were observed in workers exposed for > 3 years compared to the unexposed control and workers exposed for ≤ 3 years. Age-adjusted linear regression indicated significant association (R = 0.515; p < .001) between the duration of exposure and total PSA level in quarry workers. This study suggests that longer duration of exposure to the quarry pollutants may elevate PSA level if precautions are not taken to minimize dose of exposure.

Photometric facial analysis of the Igbo Nigerian adult male.

BACKGROUND: A carefully performed facial analysis can serve as a strong foundation for successful facial reconstructive and plastic surgeries, rhinoplasty or orthodontics. AIM: The purpose of this study is to determine the facial features and qualities of the Igbo Nigerian adult male using photometry. MATERIALS AND METHODS: One hundred and twenty subjects aged between 18 and 28 years were studied at the Anambra State University, Uli, Nigeria. The frontal and right lateral view photographs of their faces were taken and traced out on tracing papers. On these, two vertical distances, nasion to subnasal and subnasale to menton, and four angles, nasofrontal (NF), nasofacial, nasomental (NM) and mentocervical, were measured. RESULTS: The result showed that the Igbo Nigerian adult male had a middle face that was shorter than the lower one (41.76% vs.58.24%), a moderate glabella (NF=133.97°), a projected nose (NM=38.68°) and a less prominent chin (NM=125.87°). CONCLUSION: This study is very important in medical practice as it can be used to compare the pre- and post-operative results of plastic surgery and other related surgeries of the face.

Association of heart rate recovery after exercise with indices of obesity in healthy, non-obese adults.

We aimed at determining whether body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) are associated with heart rate recovery (HRR) and to demonstrate which of the three indices of obesity, is the strongest predictor of HRR in apparently healthy non-obese adults. Three hundred and twenty-five subjects aged 18-66 years participated in the study. Anthropometric indices were measured, and subjects performed cycle ergometer exercise at 75-85% maximum heart rate. Heart rate (HR) was measured during the last minute of exercise and in the first minute of post-exercise recovery. A partial correlation test and a multiple linear regression analysis, after adjusting for age and peak oxygen uptake indicated that the best predictors of HRR were BMI in males and WHR in females. The present data suggest that, HRR is independently related to indices of obesity-BMI, WC, and WHR and strengthen the usefulness of these anthropometric indices in predicting cardiovascular risks. In addition, the findings suggest that BMI in men and WHR in women best express the relationship between obesity and cardiovascular risks.

Independent Multiple Correlates of Post-Exercise Systolic Blood Pressure Recovery in Healthy Adults.

The aim of the present study was to evaluate the independent relationships of systolic blood pressure recovery (SBPR) with age, sex, body mass index (BMI), waist circumference (WC), resting heart rate (HR), physical activity, and cigarette smoking in healthy adults. Subjects performed cycle ergometer exercise at progressive incremental workloads until subjects reached 80% of their age-predicted maximum HR. Blood pressure (BP) was measured before exercise (after 10 and 15 minutes of rest), during exercise (at 2-minute intervals), immediately after exercise (within the first minute) and subsequently at 2-minute intervals until recovery to baseline. The ratio of third-minute SBP relative to first-minute post-exercise SBP was used as the SBPR variable. Our results indicated independent correlations (p<0.05) between SBPR and age, resting HR, physical activity and cigarette smoking (r =0.473; 0.192; -0.262; 0.102 respectively in males and r =0.113; 0.315; -0.637; 0.104 respectively in females). BMI associated positively (r =0.106; p<0.01) with SBPR in males but not in females (r =0.092), while WC was predictive of SBPR in females (r =0.212; p<0.01) but not in males (r =0.005). Age in men and physical activity in females were the strongest predictors of SBPR. The present findings in which SBPR is associated with risk factors of cardiovascular abnormalities strengthen the previously reported significance of SBPR after exercise test as a prognostic tool for the evaluation of cardiovascular abnormalities. Additionally, it may help clinicians to define and interpret the mechanisms behind changes in postexercise SBP responses in adults in future investigations.

Influence of age on blood pressure recovery after maximal effort ergometer exercise in non-athletic adult males.

This study investigated whether age influences blood pressure recovery after maximal exercise in adult males. Forty healthy, non-athletic adult males (20 young, aged 22 +/- 3.46 years and 20 older, aged 48 +/- 6.91 years) participated in the study. Subjects performed a maximal-effort ergometer exercise test. Peak oxygen uptake (VO2max) was measured during the exercise protocol; heart rate (HR) and blood pressure (BP) were measured before exercise, during exercise (at 2-min intervals), and at the first minute of post-exercise recovery and subsequently at 2-min intervals until the recovery of BP. Results indicated that young adults had lower systolic blood pressure (SBP) recovery ratio (P < 0.05), lower SBP recovery time (P < 0.001), higher SBP% decline in 1, and 3 min (P < 0.001), and higher DBP% decline in 1, and 3 min (P < 0.05, <0.001) than the older adults, thus indicating faster BP recovery in young than older adults. A bivariate correlation test, revealed significant associations (P < 0.001, <0.01) between age and BP recovery parameters: percentage SBP decline in 1 and 3 min (27 and 39%), percentage DBP decline in 1 and 3 min (14 and 26%), third minute SBP ratio (22%), and SBP recovery time (72%). After controlling for factors affecting BP recovery such as resting SBP, percentage HR decline, VO2max and delta SBP, the observed correlations reduced in SBP recovery time (29%; P < 0.002) but disappeared (P > 0.01) in the other BP recovery parameters. These data indicate the need to take into account, factors affecting BP recovery when interpreting the effect of age on BP responses after exercise in future investigations.

Age-Related Differences in Systolic Blood Pressure Recovery after a Maximal-Effort Exercise Test in Non-Athletic Adults.

The present study investigated the rate of systolic blood pressure recovery (SBPR) amongst three male age groups. Ninety-six apparently healthy, non-athletic adult males (48 young [23.91±4.58 years], 32 middle-aged [41.78±5.98 years] and 16 elderly [62.87±2.57 years]) participated in the study. Subjects performed a maximal-effort ergometer exercise test. Maximal oxygen uptake (VO2max) was measured during the exercise protocol; heart rate (HR) and SBP were measured before exercise (after 10 and 15 minutes of rest), during exercise (at 2-minute intervals), and at the first minute of post-exercise recovery and subsequently at 2-minute intervals until the recovery of SBP. Results showed that third-minute SBP ratio relative to 1 minute of recovery (SBPRy) was significantly lower (p<0.01; p<0.001) in the young (0.87± 0.06) when compared to middle aged (0.91 ± 0.05) and elderly adults (0.93 ± 0.04). Using bivariate correlation analysis, VO2max and %HR decline at 1 minute and 3 minutes of recovery, correlated with SBPRy in all age groups but after controlling for their confounders, only %HR decline in 3 min remained significantly correlated with SBPR in all the age groups. This study therefore showed age differences in SBPR after exercise with younger adults indicating faster recovery than older adults. After controlling for factors influencing SBPR, %HR decline in 3 min of recovery appeared to be a stronger contributor to age differences in SBPR than %HR decline in 1 min and VO2max. The reported data indicate the need to take age into account when interpreting SBPR after exercise during physical assessment of healthy individuals.