Mildly elevated blood pressure is a marker for better health status in Polish centenariansReport as inadecuate




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AGE

, 37:4

First Online: 23 December 2014Received: 20 June 2014Accepted: 04 December 2014

Abstract

The number of centenarians is projected to rise rapidly. However, knowledge of evidence-based health care in this group is still poor. Hypertension is the most common condition that leads to multiple organ complications, disability, and premature death. No guidelines for the management of high blood pressure BP in centenarians are available. We have performed a cross-sectional study to characterize clinical and functional state of Polish centenarians, with a special focus on BP. The study comprised 86 consecutive 100.9 ± 1.2 years old mean ± SD subjects 70 women and 16 men. The assessment included structured interview, physical examination, geriatric functional assessment, resting electrocardiography, and blood and urine sampling. The subjects were followed-up on the phone. Subjects who survived 180 days 83 % as compared to non-survivors had higher systolic BP SBP, diastolic BP DPB, mean arterial pressure MAP, pulse pressure PP, higher mini-mental state examination, Barthel Index of Activities of Daily Living and Lawton Instrumental Activities of Daily Living Scale scores, higher serum albumin and calcium levels, and total iron-binding capacity, while lower serum creatinine, cystatin C, folate, and C-reactive protein levels. SBP ≥140 mm Hg, DBP ≥90 mm Hg, MAP ≥100 mm Hg, and PP ≥40 mm Hg were associated with higher 180-day survival probability. Results suggest that mildly elevated blood pressure is a marker for better health status in Polish centenarians.

KeywordsCentenarians Blood pressure Cognitive performance Physical performance  Download fulltext PDF



Author: Jan Szewieczek - Jan Dulawa - Tomasz Francuz - Katarzyna Legierska - Beata Hornik - Iwona Włodarczyk-Sporek - Magdalena Ja

Source: https://link.springer.com/







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