1.Issues on Blood Pressure Values in Local Residents and Necessity of Community Pharmacist’s Support for Hypertensive Residents
Masahiro YAMADA ; Koji TOKUMO ; Yasuhiro HIRATA ; Daiju TSUCHIYA ; Masahiro OKADA ; Jun KAMISHIKIRYO ; Hiroshi ONOUE ; Nobuhiro NAGASAKI ; Masakazu HIROSE ; Eijiro KOJIMA ; Itsuko YOKOTA ; Narumi SUGIHARA
Japanese Journal of Social Pharmacy 2024;43(1):12-21
Health support activities for residents were held three times during a period from June, 2016 to November, 2017. The residents registered in order to participate through 11 community pharmacies. Participant’s blood pressure values were measured at the venue of health support activities by pharmacists. The blood pressure values in 66 of the 106 participants were analyzed, excluding 40 participants receiving medical treatment. The rate of participants with hypertension, systolic blood pressure (SBP)≧140 mmHg or diastolic blood pressure (DBP)≧90 mmHg, was 32% (21/66). Of those with hypertension, 43% (9/21) had hypertension of a high risk level, SBP≧160 mmHg or DBP≧100 mmHg. Pharmacists provided lifestyle counseling and encouraged them to make changes in order to achieve tighter blood pressure control. The data of their blood pressure values were provided to community pharmacies for continuing support of their blood pressure control. With the pharmacist’s support, the median value of blood pressure of participants who had hypertension decreased in the second event. In addition, 50% (3/6) of participants who attended the second event with hypertension of high risk level, visited the hospital for a consultation with a doctor after getting pharmacist’s advice. These results indicate that greater access to community pharmacists improved blood pressure control of residents with hypertension. However, there were many residents who consider it difficult to use pharmacies without a prescription. Hence, friendly relationship to residents on their utilizing pharmacies is needed for providing them lifestyle counseling such as preventing hypertension by pharmacists.
2.Convenience of “Loco-check” Combination in Quick Screening of Latent Preliminary Group of Locomotive Syndrome by Measurement of Handgrip Strength: Secondary Analysis of the Previous Report
Koji TOKUMO ; Toshimichi KAJIHARA ; Tsuyoshi ISHIBASHI ; Takehiko TAKAMOTO ; Chiaki ISHII ; Masakazu HIROSE ; Jun KAMISHIKIRYO ; Shuso TAKEDA ; Yuko SARUHASHI ; Nobuhiro NAGASAKI ; Tetsuro TANAKA ; Eijiro KOJIMA ; Kengo BANSHOYA ; Masahiro YAMADA ; Itsuko YOKOTA ; Shinya OKAMOTO ; Masahiro OKADA ; Narumi SUGIHARA
Japanese Journal of Social Pharmacy 2022;41(2):133-140
As a screening tool for detecting latent pre-locomotive syndrome (latent pre-LS) in women over the age of 40, measuring handgrip strength with a cut-off value of 26 kg was proposed in a previous report. However, this screening method missed 22% of latent pre-LS. It would be beneficial to screen almost persons with latent pre-LS in community pharmacies. In this study, it was investigated whether screening using the combination of measuring handgrip strength and the questionnaire, “Loco-check,” which was proposed by the Japanese Orthopaedic Association, improved the detection of latent pre-LS in the same group mentioned above. Combining only one of the “Loco-check” questions, “I cannot put on a pair of socks while standing on one leg,” with the measurement of handgrip strength with the cut-off value of 26 kg, the detection of latent pre-LS was increased to 90.2%. The odds ratio was 9.72 in logistic regression analysis. Using the combination of the measurement of handgrip strength and the response to one question is both rapid and convenient. Therefore, in this study, this screening combination is proposed to be a useful tool in community pharmacies for detecting early latent pre-LS.