How should I write correctly: during the day or during the day? Intensive exercise or strong lymphatic massage contribute to weight gain. Daily weight fluctuations - what is the norm

We asked Karen Ansel, a recognized New York City dietitian and representative of the American Dietetic Association, to give us a little advice on five topical issues weight measurements.

How to weigh yourself correctly?

To get the right information, to note the right trends in weight fluctuations, you need to consider the following.

The process is unified, that is, the weight is checked at the same time. It is advisable to weigh yourself in the same clothes on an empty stomach after going to the toilet;
Weigh yourself on the same scale. They must be accurate to 100 g;

Interpret your results correctly. If you notice weight gain, it may be due to fluid buildup. There may be swelling. Special attention is focused on this, since the reliability of all measurements depends on edema. Do you know exactly where more swelling accumulates? Lower back, eyes, legs? Be sure to watch this part of the body. Do not exhaust yourself, it is better to postpone the weighing if swelling is visible.
Pay attention not so much to the indicators of the dial of the scales, but to the indicators of the volume of your figure. If the waist circumference decreases, this indicates that fat begins to “leave” from the body. Waist size is a true indicator when observing the reduction of body fat. achieve accurate results will allow weekly measurement of the waist at three points: in the navel, as well as 5 cm above or below it. Now, even when the scales show you weight gain, be sure that fat leaves your body!

Before you get "fake" numbers about your weight, you should know the facts and myths about what affects your weight.

1. Is it true that our weight is less in the morning?

In general, yes, because the weight is added from recently undigested food. During the day, as you eat and drink, these foods (liquid) add to your weight - at least until they are digested and excreted.

A glass of water alone adds 200g. Since you don't eat or drink throughout the night (unless, of course, you don't have snacks at midnight), your body has a chance to get rid of extra fluid (after the morning toilet). So, it is advisable to weigh yourself in the morning ... after going to the toilet.

2. Is our weight less after going to the toilet?

Yes, this is an objective reason! We will explain it for those who are not squeamish. When you empty your intestines, you will weigh 200-300 grams less.

3. Do we really weigh more when we get wet?

Girls need not be afraid to weigh themselves with wet head. Any water on our body is not considered to be more than one or two ounces (20 grams).

4. Does clothing matter when weighing?

Is it important when weighing the fact: putting on or taking off underwear, or should we be completely naked? Actually, no. The important thing is to stay at the same weight day after day, you need to choose the form of weighing for yourself. Are you in clothes or underwear- doesn't matter. But tight jeans, heavy belts, shoes can really add weight.

If you want to weigh yourself fully dressed, then you can subtract from half to 0.5 to 1 kg (depending on what you are wearing), so you get a "net" weight.

5. Do muscles weigh more than fat?

Muscles weigh more than fat. So, if you gain muscle without losing body fat, you will end up weighing more. Ideally, you would like to gain muscle and still lose body fat, so the scale on the scale shouldn't change much if you really strengthen your physical health and your body.

6. Lost weight - is it lost fat?

Lost weight is lost water, lost carbohydrates and lost fats. The proportion of fat lost in the total weight lost is not large, only about 10%. So, for a busy day, office worker can lose 560 g of weight, of which only 56 g will be fat.

7. Does weight change after salty foods and alcohol?

The ability to retain water increases dramatically after eating salty foods or alcohol. To remove one gram of salt from the body, it must be dissolved in about one hundred milliliters of water. If you ate ten grams of salt, and this salt is superfluous, then one liter of water will inevitably linger, and for some time you will weigh one kilogram more.

Incidentally, the body complete man badly removes salt and water, in any case worse than the bad one. Moreover, this delay can either increase or decrease. Accordingly, the weight will either increase or decrease.

8. Does weight fluctuate seasonally?

In the autumn winter period the body of any person strives to gain weight, so the “golden season” is coming for those who want to get better. On the contrary, people who decide to lose weight in autumn and winter will face additional difficulties in the form of a natural desire of the body to stock up on nutrients for the winter. In the spring-summer season, everything happens the other way around - the body seeks to remove all the excess that has accumulated during the difficult winter period. Therefore, it is easier for a person to get rid of toxins and extra pounds. On the other hand, in spring and summer it is hard to gain muscle mass Therefore, those who are recovering should not set ambitious goals for themselves.

9. How does weight depend on stress?

Often severe stress, such as loss loved one, divorce or session, causes weight loss. Sometimes weight loss occurs so rapidly that a person loses 3-4 kilograms per week. This is due to a number of reasons. First of all, a stressed person literally forgets about food without feeling hungry.

Nervous, people begin to twitch, make a lot of senseless movements, become fussy, which also increases calorie consumption. There is evidence that nervous state by itself increases energy costs. When stress increases the production of hormones responsible for metabolism. For example, in a state of fear, excitement or excitement, the body produces the hormone adrenaline, which speeds up metabolism. This leads to an acceleration of the heartbeat, an increase in the metabolic rate and, accordingly, the consumption of additional calories.

Of course, this does not mean that in order to lose weight, you need to start worrying and getting nervous. Prolonged negative emotions lead a person into a state of stress, which causes accumulation excess weight and development of obesity. It's all about the hormone cortisol, secreted by the adrenal glands during stress - it contributes to the deposition of fat, unfortunately, mainly in the abdomen. In addition, cortisol raises blood sugar levels, leading to the production of additional insulin and weight gain. It doesn't even need to be said that stressful situations most often cause overeating and, as a rule, make you forget about your usual sports and active species recreation.

10. Weight gain and the female cycle: is there an addiction?

Weight gain before menstruation is due to female hormones. Estrogen promotes salt retention in the body, which in turn means water retention. Women trying to lose weight should not weigh themselves in the week before the start of the cycle (or for some 7-10 days, and also after the 5-day end), as gaining weight can ruin your mood, even if you know it's not fat .

The ideal solution is to get on the scale no more than once a month, say on the last day of your cycle. Then you will get the right idea about moving towards the cherished goal of losing weight.

11. Does weighing affect our mood?

Yes! But if the number on the scale affects your day emotionally, then throw the scale out of the house. Still can't rid yourself of daily habit weighing? Please note that weight can fluctuate up to 2 kg per day (give or take) between when you go to the toilet or eat salty food.

12. How does load affect weight?

Strong massage or intense exercise with the effect of lymphatic drainage contribute to an increase in body weight. This is due to the appearance of temporary swelling. Please note that when positive events at physical activity not noted immediately, this does not mean that they do not exist.

13. How do carbohydrates affect weight? About glycogen deposits

An important element of unstable weight is the amount of carbohydrates consumed yesterday. So, if the day before the girl treated herself to a chocolate bar, the dial will show a confident weight gain. Experts explain this by the accumulation of reserves - carbohydrates in the form of glycogen. Each gram of deposits after the sweet holds 3 g of fluid in the body.

14. Intense exercise or strong lymphatic massage contribute to weight gain.

Yes it is. The reason for this is temporary swelling.

15. Some medications can also affect body weight.

Yes, that's right. Some of them retain water in the body, others increase appetite. People who take medications for diabetes, migraine, blood pressure, and seizures may experience weight gain of about a couple of kilograms per month.

16. The amount of food consumed in some cases leads to weight gain.

Yes, food consumed can weigh up to a kilogram a day. Some experts argue that even drinking 2 glasses of water adds 500 g of body weight. The body directs calories from food to maintain energy or saves it until the “next use”.

17. Do you gain weight if you eat carbohydrates

Carbohydrates - this element is found in rice, pasta, and other starchy foods. 1 g of carbohydrates stores 3 g of water in the body. That is why when eating a meal with a high percentage of carbohydrates, body weight increases due to the accumulation of water, not fat.

Do you agree with these facts? Have you experienced strong weight fluctuations?

During the day, a person's weight fluctuates by an average of one to three kilograms. This is due to meals and water, bowel movements and loss of fluid during breathing and sweating. And sometimes weight fluctuations are explained by the inaccuracy of household scales. But the most common cause of grief associated with weighing is water retention in the tissues.

A person who strives to lose weight by climbing the scales every time hopes to see his weight there less than the day before. If these numbers are large, then inevitably Bad mood, despair, accusing oneself of lack of will and weakness of character.

In order not to be disappointed, very often losing weight subordinates all their activities main goal- see weight loss. Denies himself fluids, avoids large amounts of food, even if it is vegetables, food is low-calorie and healthy. Sits in the sauna. And what is completely unacceptable, he uses diuretics and laxatives. That is, it does everything that either does not contribute to weight loss in any way, or directly prevents it.

Therefore, both the weighing procedure and the interpretation of the result are very serious things. You should approach them armed special knowledge and skills. So, according to experts, you need to take into account several important points.

First, we are not weighing the mass of fat, but total mass placed on the scales of the object, including the water accumulated in the tissues, the contents Bladder and intestines, the weight of clothes and other things.

Secondly, even with a very well-chosen and well-chosen regimen of weight loss, the reduction in fat mass rarely exceeds one kilogram per week. Therefore, if you lost a whole kilogram in a day, then you should not think that all this kilogram is fat. And vice versa, if you gained a kilogram in a day, do not despair. Gaining a kilogram of fat in a day is almost impossible.

Thirdly, the results of weighing sometimes depend on your position on the scale platform, whether you are standing on one leg or two. To eliminate these inaccuracies, choose a balance that is accurate to at least 100 grams. Better if it were electronic scales. When checking, pay attention to whether you managed to get the same result when weighing again, does the result depend on whether you are standing straight on the scale or leaning to the side?

The most common cause of all the frustration associated with weighing is water retention in the tissues. And there are a number of situations when fluid in the body is retained for a very long time. high probability. These are the situations.

Use large quantities salty and spicy food. Salt(sodium) in the body is present in the form of a so-called isotonic solution with an approximate concentration of 0.9-1%. That is, each extra gram of salt, before it leaves the body, will hold 100 ml of water. Accordingly, 10 g of salt will already hold a liter of water, and this will ensure an increase in weight by a whole kilogram. For reference, 10 g of salt is contained in 100 g of salted and 50 g of dried fish.

Fluid retention due to alcohol use. Same situation. Alcohol and its decay products require dilution with water to some less toxic concentrations.

Many women experience an increase in the accumulation of water in the second phase of the menstrual-ovarian cycle, one to two weeks before the next period. Sometimes weight fluctuations cycle-related are very significant and reach 3-5 kilograms. interesting moment, the result of a short, for example, weekly course of weight loss very often depends on the phase of the cycle in which this weight loss began. If immediately after the end of menstruation, then the effect can be two times greater than if you took up yourself a week before they began.

Condition after sudden intense exercise. In this situation, fluid retention may also be observed, associated with swelling of overtrained muscles. It often happens that a person, starting to lose weight, at the same time begins to fulfill both a too harsh dietary regimen and a too rigid training regimen. He hopes that the weight with this combination will go away twice as fast. But it often turns out to be disappointing - in the first days, despite the inhuman living conditions, the weight either does not decrease at all, or decreases very slowly.

Periodic fluctuations in pressure during the day is a common occurrence, depending on a number of factors. With constant monitoring of indicators blood pressure, you must follow the rules of measurement. The change in this indicator depends on the time of day, psychological state patient and age, so if the measurements are high, it may have happened under the influence external factors and not because of illness.

How is it changing human blood pressure within 24 hours?

A person does not always feel that the value of blood pressure is overestimated, not knowing about the formation of a deviation. Hypertension in the absence of proper treatment causes concomitant chronic diseases when the symptoms are more active. Hypertension is diagnosed on early stages if the pressure values are periodically monitored. Blood pressure indicators during the day depend on many factors: the position of the body during the measurement, the state of the person and the time of day. In order for the measurements to be as accurate as possible, they are made at the same time of day, in a familiar environment. If the conditions are similar every day, the biorhythms of the body adapt to them.

Blood pressure changes due to a number of factors:

Enter your pressure

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the value rises in the morning when the patient is in a horizontal position;
during the day the pressure drops;
in the evening the values increase;
at night, when a person is calmly resting, the pressure drops.

This explains why measurements must be taken at the same time, and it is pointless to compare morning and evening numbers. Sometimes there is an increase in pressure when measured in a hospital or clinic. This is due to nervousness, fear or stress in front of the “white coats”, and as a result, the pressure rises slightly.

Causes of strong jumps in blood pressure

Blood pressure is the most important indicator health, which reflects the work of cardio-vascular system.

Causes of blood pressure drops in a person during the day:

excessive consumption of coffee, tea, alcohol;
vegetative-vascular dystonia;
overwork, stress;
endocrine disorders;
climate or weather change;
pathology of the cervical vertebrae.

Stress, fatigue, lack of sleep, worries and excessive loads At work - common causes changes in blood pressure and hypertensive crises. This is typical for women - more emotional and unstable compared to men. chronic stress, constant pressure surges over time provoke the development of a primary form of hypertension, which requires medical treatment.

Changes from endocrine system also cause BP fluctuations. Women are especially susceptible to this before menopause or menstruation. In the second part of the cycle, fluid in the body is retained, and excessive emotionality, characteristic of this period, also contributes to an increase in pressure. Unstable pressure arises as a result pathological changes in the adrenal glands.

Excitement, impatience, constipation or freezing in a standing position can affect the performance. The readings increase if the person needs to urinate or when the room is cold. Often the value is distorted under the influence of electromagnetic fields, so it is not recommended to keep the phone near the tonometer. The pressure should stabilize if a person takes a few deep breaths before measuring.

By evening, the indicators increase, and at night the pressure decreases. This should be taken into account both when measuring and when taking antihypertensive drugs.

Measuring and monitoring indicators

24-hour blood pressure monitoring will help identify a hidden threat, select the right drug.

For getting exact values Blood pressure, it is necessary to adhere to certain measurement rules. Blood pressure fluctuates throughout the day, and in hypertensive patients these differences are much higher. If necessary, blood pressure is monitored in calm state, in motion, after physical or emotional stress. Measurement of blood pressure at rest allows you to evaluate the effect on blood pressure medicines. Blood pressure is better controlled on both arms, as the values are different. It is better to measure on the hand where the indicators are higher.

Conditions necessary to obtain the most accurate results:

Half an hour before the measurement, do not eat, do not smoke, do not be exposed to hypothermia and do not play sports.
Measurements should be made sitting or lying down, having previously relaxed for 5 minutes.
In a sitting position, lean on the back of a chair, as self-holding the back leads to a slight increase HELL.
If a person lies, the arm is located along the body, then a roller is placed under the elbow so that the arm is at the level of the thoracic region.
Do not speak or move while taking measurements.
When taking a series of measurements, pause between measurements for 15 seconds or longer, optimally - 1 minute.
Between measurements, the cuff is loosened slightly.

If you are used to weighing yourself every morning, then you have probably noticed that the numbers on the scales sometimes fluctuate greatly from day to day. And you ask yourself: "Why are the pounds growing every day?" or, conversely, "Hurrah! I've lost weight!" Sometimes the reasons for daily fluctuations in weight are obvious. For example, you ate a lot at dinner, which resulted in an increase in the morning, or you were exercising intense workout and sweated heavily - the loss of fluid led to a decrease in weight. But there are other reasons why weight can change every day.

If you are trying to lose weight and/or are working on changing your body (strength training), you may think that daily gains and responses are related to burning or gaining fat mass. This may be. But more often than not, other, less obvious factors contribute to weight fluctuations.

Daily weight fluctuations - what is the norm?

In a recent interview on how to withdraw excess liquid from the body, Dr. Kathleen Vine, an endocrinologist, said that daily weight fluctuations of around 2 kg are typical for most people, but weight can vary even by as much as 9 kg - it depends on total body volumes. So why can weight change so much every day? And what causes such daily changes, frustrating all aspirants to lose weight? Let's take a closer look at all these factors.

Salt

Salty foods can cause fluid retention in the body. This delay leads to an increase in weight from tens of grams to several kilograms. Some people are especially sensitive to salty foods, their body retains much more fluid than other people.

Think you don't eat a lot of salt? Not many of us probably use the salt shaker at every meal. But often salt is hidden in the most unexpected places. Sausage, ready-made frozen dishes, savory sauces often contain excess salt. And even if you cook yourself, you may not realize how much more salt you put in your food.

Thus, your daily weight changes may simply be fluid retention.

Carbohydrates

If you love bread, pasta, rice, and other starchy carbohydrates, then weight fluctuations can be directly related to eating these types of carbohydrates. For every gram of carbohydrate, the body retains 3 grams of water - so it saves a source of energy. For this reason, after eating a starchy meal, you may notice an increase - only it is not associated with fat at all, but with fluid retention. In addition, many processed starchy foods (chips, crackers, etc.) also contain a lot of salt. And here the weight gain will be much greater, because water will be retained in the body from both salt and carbohydrates.

food weight

The very eating of food leads to weight gain while this food passes through the digestive tract and is digested. The food we eat can vary in weight from a few grams per meal to several kilograms per day. Liquid in food also causes weight gain: often, after a hearty meal, it is the liquid that causes the numbers on the scale to increase. According to some experts, drinking two cups of water - from drinks or food - increases weight by 500 g.

So what happens to that weight from food and liquids? No, this weight does not automatically stick to your thighs. Calories from food and drink either go to the body's work processes or are stored for later use. Waste is processed and excreted in urine and stool.

Excreta

Sometimes the weight on the scale fluctuates due to bowel movements. Have you ever wondered how much it weighs? In one study, scientists found that the body can produce between 125 and 170 grams of stool per day. It's even less than a kilo. What is the conclusion? It is unlikely that you will see serious fluctuations in weight from a chair. In addition, even after going to the toilet, unprocessed food will still remain in the body. digestive tract. Normal physiological fecal transit time varies from 40 to 60 hours, optimal time- 24-48 hours. This time is shortened if you eat enough fiber foods.

Fitness

Exercise can cause sweating and fluid weight loss. Fitness experts roughly estimate that average person loses approximately 700 g to 1.2 kg of fluid per 1 hour of training, especially intense cardio training. But, of course, these figures can vary greatly depending on the air temperature and other factors. And the sweat removed with training cannot give a serious plumb. Why? Because the fluid excreted through exercise needs to be replenished. So if you're weighing yourself after a workout and you're noticing weight loss, it's time to consider increasing your fluid intake.

Other forms of exercise can also cause daily weight fluctuations. Any shape strength training cause fluid retention in the muscles. Why is this happening? By doing weight training, you create microtrauma in the muscles - water is used to heal damaged muscles. Through this process, the muscles become bigger and stronger.

Medications

Certain drugs are ways to cause weight gain. Some cause appetite, others cause fluid retention, and some affect how the body consumes and stores glucose, leading to fat deposits around the waist. If you are taking medications for diabetes, hypertension, depression, seizures, or migraines, you may notice a weight gain of several kilograms per month. Someone gains a couple of kilos for a year-long course of treatment, while others can gain even ten kilograms in a few months.

If you notice a sudden increase in the numbers on the scale after starting treatment with a new drug, do not stop taking it right away. Instead, discuss the situation with your doctor. Sometimes weight gain from medication normal phenomenon, but often this is a symptom that something is wrong.

Menstrual cycle

Most women notice bloating before or right during their period due to fluid retention. Studies have shown that fluid retention is at its peak on the first day of menstruation. And on the decline - in the middle of the follicular phase (in the middle of the cycle), after which fluid retention gradually increases over a period of about 11 days.

The authors of a broad, long-term (1 year) study found that fluid retention was not associated with changes in ovarian hormones. But other studies have linked fluctuations in estradiol and progesterone (ovarian hormones) to changes in women like overeating and emotional overeating. So even if weight gain is not caused hormonal changes, That increased appetite before menstruation makes you eat more than usual, which causes fluid retention and weight gain due to taking a large number food and drinks.

If you want to lose weight during your period, it is important to be careful and manage PMS symptoms - excessive appetite, emotional gluttony. A few days of eating high-calorie, fatty foods can nullify all efforts in regular proper nutrition.

Alcohol

Alcohol is a diuretic, so often after drinking it you can notice a plumb line and frequent trips to the toilet. Studies have shown that as early as 20 minutes after drinking alcohol, there is a desire to urinate, which leads to loss and imbalance of fluid in the body. But this same imbalance can also lead to fluid retention from drinks and food. Salty snacks are often consumed in excess with alcohol, which also retains fluid. Ultimately, the next day after the holidays and parties, there is still an increase more often than a plumb line.

When does weight return to normal?

As we can see, there are many reasons for daily weight changes. Most of these changes are related to natural functions organism. So there really is no "normal" or "real" weight - it changes all the time. And it's understandable to worry about small changes in weight day by day is not worth it.

When should you start worrying about weight fluctuations? If the numbers on the scale continue to increase or remain at a peak for more than 5-7 days, this may indicate health problems or simply gained body weight (fat or muscle). And, since fat and muscle are completely different things, gaining weight is not necessarily a bad thing.

And it should also be remembered that it is better not to weigh yourself every day, but once every 1-2 weeks. This way you can be sure that you are tracking weight changes most accurately. If you are losing weight, then clothes are the most accurate indicator of your success - from it you will always understand whether you have lost weight or gained it.

Epstein M. Alcohol's impact on kidney function. Alcohol health and research world. 1997;21(1):84–92. https://www.ncbi.nlm.nih.gov/pubmed/15706766

Hildebrandt B, Racine S, Keel P, et al. The effects of ovarian hormones and emotional eating on changes in weight preoccupation across the menstrual cycle. The International journal of eating disorders. 2014;48(5):477–86. https://www.ncbi.nlm.nih.gov/pubmed/24965609.

Timm DA, Thomas W, Boileau TW, et al. Polydextrose and soluble corn fiber increase Five-Day fecal wet weight in healthy men and women. The Journal of Nutrition. 2013;143(4):473–478. doi:10.3945/jn.112.170118. http://jn.nutrition.org/content/143/4/473.short.

White CP, Hitchcock CL, Vigna YM, Prior JC. Fluid retention over the menstrual cycle: 1-Year data from the prospective ovulation cohort. 2011;2011. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154522/

Blood pressure is an indicator that changes constantly throughout the day.

And it depends not only on the state of health of the patient, but also on many external factors.

Let's see how it goes diurnal change blood pressure, how this indicator can be tracked, and most importantly, how it can be influenced.

The blood pressure of each person is subject to the daily, or circadian rhythm. If every day the mode of work and rest for a person is approximately the same, then the peaks and drops in the level of blood pressure are almost identical, and, speaking in medical terms, are predictable.

Changes in blood pressure during the day are observed approximately as follows: in the morning, the level of blood pressure rises slightly, during the day there is a decline, in the evening there is an increase in indicators, and at night, at rest, blood pressure falls again.

How does blood pressure change during the day? The peak of indicators is usually observed from 8 to 9 in the morning, and also around 19.00 in the evening. From 24:00 to 04:00 there are minimum numbers that grow until 09:00.

Specialists in cardiovascular pathologies say: pressure should be measured in the same position, at the same time of day, ideally in a familiar environment. These factors are fundamental.

, overwork;
abrupt change of weather;
alcohol consumption;
serious physical activity;
vegetative-vascular dystonia;
endocrine disorders;
severe cold in the room;
constipation, desire to urinate;
the menstrual cycle in a woman (in the second half of it, fluid accumulates in the body, emotionality seriously increases, which can lead to an increase in the analyzed indicator);
impatience or excitement felt by a person;
some other factors.

How to take measurements?

Before consulting a doctor about jumps in blood pressure levels, it is necessary to take measurements for at least one week. To build a correct picture of the disease, it is extremely important to monitor the patient's condition as reliably as possible.

You need to keep a diary in which to record the readings of the tonometer in the morning and evening hours for 1-2 weeks (it is extremely important to make observations at the same time).

How to measure blood pressure correctly

Brief instruction:

you need to sit down at the table, placing your hand on a flat surface at the level of the heart, rest your back on the back of the chair, trying to keep the body straight (“falling apart” on the chair is not necessary);
free your hand so that nothing presses it down (even a rolled up shirt sleeve can distort the accuracy of the results);
make a measurement, during which you can not move, talk, worry, etc.

Before starting the measurement, it is extremely important to calm down, try to forget about everything that is to come / happened during the day. An hour and a half before the procedure, it is forbidden to eat, smoke, drink tea and coffee, engage in heavy physical labor, run or walk fast.

Coming to the doctor's office, most patients notice that the pressure is higher than usual. This is manifested by the so-called “fear of white coats”, that is, for 99% of adults, a meeting with a doctor is a serious stress.

What is daily monitoring?

Ambulatory blood pressure monitoring (ABPM) is a procedure that allows you to track how a person's pressure changes during the day.

Such a study is carried out in cases where standard measurements do not allow us to identify exactly at what time the patient has jumps in blood pressure levels.

This is extremely important in the treatment of not only hypertension, but also many other cardiovascular pathologies.

Compared to standard two-three measurements during the day, ABPM is considered not only more effective way monitoring the patient's condition, but also more reliable.

Indications for daily monitoring:

the need for selection efficient scheme taking antihypertensive drugs;
analysis of the effectiveness of the treatment;
clarification of the reasons why there is no effect of the ongoing antihypertensive treatment;
choice right way delivery in women in the third trimester with a diagnosis of hypertension;
the patient has concomitant diseases: diabetes, vegetative-vascular disorders, etc.;
identification of systemic hypotension;
forecasting for possible development diseases of the heart and blood vessels;
selection adequate therapy with a heart attack, a tendency to hypertensive crises etc.

The method is used in children from seven years of age if it is necessary to identify the causes frequent fainting, hypertension, hypotension, cardiac arrhythmia.t

How is SMAD performed?

The patient comes to the hospital, the doctor sets up a measuring device with a monitor, gives recommendations and lets the patient go home exactly for a day.

The measurements are taken in automatic mode(the standard daily interval is a quarter of an hour, the night interval is half an hour), practically no manipulations by the patient are required.

There are few rules: the hand must be held vertically along the body, a warning signal is made before the measurement begins, so the person has time to stop and take the desired position.

You need to sleep at night so that lack of sleep does not distort the readings. In addition, it is forbidden to look at the results produced by the device, in order to avoid unnecessary stress.

A day later, you need to visit the doctor again so that he removes the device, analyzes the results, selects a treatment regimen, and most importantly, evaluates and analyzes your personal circadian rhythm.

Sometimes the procedure is carried out for a different period of time, for example, 12 hours.

It is obligatory to keep a diary during the day, in which it is worth noting all the important facts in a state of health, for example, the time of occurrence, taking a pill for pressure, or otherwise.

Pregnant women need to be in the hospital for the day during which monitoring will be carried out. Often, an ECG procedure is performed in addition to build a more accurate picture.

A Few Important Facts

Let's list a few important facts about SMAD:

ABPM procedure is not carried out in the following cases: serious mental disorders; skin diseases; prone to bruising caused by blood problems; damage to the arteries or veins in the arms, making monitoring impossible;
direction for daily monitoring can be obtained from a cardiologist, in his absence - from a therapist;
if the doctor insists on ABPM, you should not refuse in any case. This is one of the most effective procedures, which gives a real picture of the state of the human cardiovascular system.

Scientists have been able to prove that the same " The biological clock”, which also includes daily fluctuations in blood pressure, are inherited by a person.