Publications by authors named "Niegowska J"

Objective: The study aims to compare the effectiveness of individual and group nutrition education methods in improving key anthropometric and biochemical markers in drug-treated, overweight-obese hypertensive adults.

Methods: The randomized trial included 170 patients with pharmacologically well-controlled primary hypertension and body mass index (BMI) ≥ 25 kg/m. For six months, the patients received six sessions, either one-to-one individual nutrition education (IE, = 89) or group education (GE, = 81), developed by dietitians.

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Background/aims: Benefits resulting from weight loss and dietary approaches to stop hypertension (DASH) diet in the treatment of arterial hypertension led to a search for a better therapy that would include psychological factors. The present study aimed to assess the relationship between the personality traits included in the Big Five personality traits and the effectiveness of treatment for weight loss in patients with essential hypertension and excessive body weight.

Methods: The study involved 84 patients with essential hypertension, overweight or obesity, managed by a hypertensiologist.

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Introduction: Hyperuricemia and gout are a growing health problem worldwide. Their etiology is complex, and usually caused by excessive production of uric acid and/or impaired excretion. Some drugs used in the treatment of high blood pressure furthermore increase the risk of hyperuricemia.

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Background And Aim: The aim of the study was to assess the impact of individualised nutritional intervention based on the DASH diet (Dietary Approaches to Stop Hypertension) on the nutritional status, blood pressure, and selected biochemical parameters of obese/overweight patients with primary arterial hypertension.

Methods: A total of 131 participants were randomised to the DASH intervention group (DIG; n = 69, 33 males) or the control group (CG; n = 62, 32 males). A three-month nutritional intervention was carried out in the DIG group, while the control group received only standard recommendations.

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Background: Iron deficiency may impair aerobic performance. This study aimed to determine whether treatment with intravenous iron (ferric carboxymaltose) would improve symptoms in patients who had heart failure, reduced left ventricular ejection fraction, and iron deficiency, either with or without anemia.

Methods: We enrolled 459 patients with chronic heart failure of New York Heart Association (NYHA) functional class II or III, a left ventricular ejection fraction of 40% or less (for patients with NYHA class II) or 45% or less (for NYHA class III), iron deficiency (ferritin level <100 microg per liter or between 100 and 299 microg per liter, if the transferrin saturation was <20%), and a hemoglobin level of 95 to 135 g per liter.

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Background: Arterial hypertension concerns about 40% of adult population in Poland. WOBASZ study shows that vast majority of hypertonics in Poland are treated unsuccessfully. The aim of study was to compare the effectiveness of hypertension treatment by specialist in different payment status outpatient clinics in 2 periods: 1996-2000 (A) and 2001-2006 (B).

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Unlabelled: 42 men, aged 19-35 years (mean 26.3), with mild or moderate essential hypertension (DBP 95-110 mmHg), were treated with telmisartan (40 mg or 80 mg ) once daily in the morning (6 and 7 a.m.

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Unlabelled: Epidemiological studies shows high percent of hypertension cases are not covered as well as level of hypertension control is not satisfactory. The aim of this study was assessment of basic level of knowledge concerning hypertension in group of basic health care physicians.

Material And Methods: 846 practice family physicians were included in this study.

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Background: The pathogenesis of essential hypertension (EH) is a complex multifactorial process. Little is known about the association between pregnancy and blood pressure fluctuation in women with EH. In this study we wanted to evaluate the relationship between the blood pressure (BP) and plasma renin activity (PRA) as well as serum and urine aldosterone (ALDO) levels in pregnant women with essential hypertension.

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I studied 84 pregnant women with mild to moderate essential hypertension, aged 22-40 (average of 29.5 + 5.4 years).

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Unlabelled: I studied levels of blood pressure on 120 healthy primigravides aged between 22-40 years during physiological pregnancy. Blood pressure had been taken by standard methods (mercury sphygmomanometer). 60 of these women had a positive family history of hypertension and 60 pregnancies were with no family history of hypertension.

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This study compared the efficacy and tolerability of eplerenone and enalapril in 499 patients with stage 1 or 2 hypertension who were randomized to receive eplerenone or enalapril for 6 months in a 3-step titration-to-effect study. After 6 months, patients whose diastolic blood pressure (BP) was <90 mm Hg had their dosages down-titrated were followed for an additional 6 months. Diastolic BP was the primary end point.

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The main purpose of this study is to estimate the influence of taking a number of placebo tablets to obtain hypotensive effects and some psychological parameters with essential hypertension. 197 patients (102F/95M) aged between 18-80 years (average age 52.3) with essential hypertension were included in the research in two outpatients clinics.

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The greatest belief that the group of patients with primary hypertension is heterogeneous and the progress which took place in the last few years in the research study concerning primary hypertension induced to recapitulation of the given data to asses the influence of the primary hypertension on the pregnant woman and the fetus. The study presented with clinical data claims that 50% of women with mild and moderate primary hypertension showed spontaneous reduction of blood pressure levels in the first months of pregnancy. The results should be taken under consideration when treating the hypertension.

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30 patients with primary mild to moderate hypertension (DBP 95-110 mm Hg) were treated with long acting diltiazem (120 or 240 mg) once daily in the morning (7.00-8.00 a.

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Objective: To compare the efficacy and tolerability of angiotensin II (Ang II) antagonist losartan and the beta-blocker atenolol in the treatment of patients with isolated systolic hypertension (ISH) after 16 weeks of treatment.

Methods: A double-blind, randomized, multi-country study was carried out in 273 patients with ISH. Patients with a sitting systolic blood pressure (SiSBP) of 160-205 mmHg, and a sitting diastolic blood pressure (SiDBP) < 90 mmHg at screening and at placebo baseline were subjected to a 4-week placebo period and then randomly grouped to receive 50 mg losartan or 50 mg atenolol once daily for 16 weeks.

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The authors studied a sensory intensity response to sodium chloride (NaCl) and a sensory hedonic response to salt in suprathreshold concentrations in 120 healthy primigravidas (age: 20-40) during three trimesters of physiological pregnancy, and in 22 healthy nonpregnant women of the same age examined on the 7th or 8th day of the menstrual cycle. In all the periods covered by the study, pregnant women have manifested a tendency to a lower intensity response to all concentrations in comparison with nonpregnant women. The weakening of the response has become statistically significant in the second trimester--with respect to low concentrations, and at the final stage of pregnancy--with respect to medium concentrations.

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The aim of the study was the estimation of the lipid profile and prevalence of dyslipoproteinemia in patients with essential hypertension. The study group consisted of 108 outpatients (61 men and 47 women) with mild to moderate hypertension (HT), aged 35-64, who did not receive antihypertensive drugs for at least four weeks. The matched controls (MC) were randomly chosen for each HT patient from population of Warsaw inhabitants, covered by Pol-MONICA II screen.

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A comparative studies on the effect of propranolol and acebutolol on blood pressure, cardiac function, blood serum lipids and lipoproteins were carried out in 48 patients with the primary hypertension double-blind method was applied. Tested drugs were given for 12 weeks. It was found, that both drugs are potent and comparable hypotensive agents normalizing blood pressure in the majority of treated patients.

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Fourteen male patients with mild hypertension, aged between 20 and 46 years (mean = 32.4 years) measured their arterial blood pressure thrice daily for 6 weeks. Prior to and after this period psychological tests were carried out, including Gough's ACL test and Spielberger's STAI questionnaire.

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Indapamide--a non-thiazide diuretic agent--was given to 28 patients with mild and moderate hypertension in a daily dose of 2.5 mg for 12 weeks. Statistically significant decrease in both systolic and diastolic blood pressure and complete normalization of the arterial blood pressure were achieved in 82% of the treated patients.

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The aim of the study was to assess the usefulness of 24-hour blood pressure (BP) and heart rate (HR) monitoring in patients with "resistant" hypertension. 30 patients (44.1 +/- 9.

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The aim of the study was to evaluate the usefulness of 24-hour automatic recording of blood pressure and cardiac rhythm in patients with borderline hypertension. The study was performed in 50 patients aged 38.8 +/- 13.

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