論文

2020年5月1日

Day-to-day blood pressure variability is associated with lower cognitive performance among the Japanese community-dwelling oldest-old population: the SONIC study

Hypertension Research
  • Kayo Godai
  • Mai Kabayama
  • Yasuyuki Gondo
  • Saori Yasumoto
  • Toshiaki Sekiguchi
  • Tomoko Noma
  • Kentaro Tanaka
  • Eri Kiyoshige
  • Yuya Akagi
  • Ken Sugimoto
  • Hiroshi Akasaka
  • Yoichi Takami
  • Yasushi Takeya
  • Koichi Yamamoto
  • Yasumichi Arai
  • Yukie Masui
  • Tatsuro Ishizaki
  • Kazunori Ikebe
  • Michihiro Satoh
  • Kei Asayama
  • Takayoshi Ohkubo
  • Hiromi Rakugi
  • Kei Kamide
  • Kazuya Taira
  • Werayuth Srithumsuk
  • Nonglak Klinpudtan
  • Naoko Wada
  • Atsuko Higuchi
  • Serina Yokoyama
  • Satomi Maeda
  • Motonori Nagasawa
  • Taku Fujimoto
  • Kennichi Matsuda
  • Taiji Ogawa
  • Masahiro Kitamura
  • Yoshinobu Maeda
  • 全て表示

43
5
開始ページ
404
終了ページ
411
記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/s41440-019-0377-5

Although high blood pressure (BP) and BP variability have been reported to be associated with cognitive impairment, few studies have investigated the association between home BP (HBP) and cognitive function in the oldest-old. The aim of this study was to evaluate whether the value of and the day-to-day variability in HBP was associated with cognitive function in a Japanese community-dwelling oldest-old population. Among 111 participants aged 85–87 years, cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). HBP was measured two times every morning for a median of 30 days. The value of and variability in HBP were calculated as the average and coefficient of variation (CV) of the measurements, respectively. The associations of HBP variability with MoCA-J were examined using multiple linear regression models. Of 111 participants, 47.7% were men, and 64.0% were taking medications for hypertension. The mean HBP was 141.9 ± 14.8/72.2 ± 8.4 mmHg, and the mean CV of HBP was 6.7 ± 1.9/6.8 ± 2.4. The mean total MoCA-J score was 22.9 ± 3.5. The MoCA-J score was significantly lower with increasing CVs of both systolic BP (b = −0.36, p = 0.034) and diastolic BP (b = −0.26, p = 0.046) after adjustment for possible confounding factors. The value of HBP was not associated with MoCA-J. In the community-dwelling oldest-old population, higher day-to-day HBP variability, but not the value of HBP, was associated with cognitive impairment. When measuring HBP, attention should be paid not only to the values but also to their variations.

リンク情報
DOI
https://doi.org/10.1038/s41440-019-0377-5
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31853044
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85077069067&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85077069067&origin=inward
ID情報
  • DOI : 10.1038/s41440-019-0377-5
  • ISSN : 0916-9636
  • eISSN : 1348-4214
  • PubMed ID : 31853044
  • SCOPUS ID : 85077069067

エクスポート
BibTeX RIS