Hypertension Treatment and Concern About Falling: Baseline Data from the Systolic Blood Pressure Intervention Trial

Berlowitz, Dan R.; Breaux-Shropshire, Tonya L.; Foy, Capri G.; Gren, Lisa H.; Kazis, Lewis E.; Lerner, Alan J.; Newman, Jill C.; Powell, J.R.; Riley, William T.; Rosman, Robert T; Wadley, Virginia G.; Williams, Julie

doi:10.1111/jgs.14441

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…Yet little is known about concern regarding falling and the impact of intensive therapy in older hypertension patients. We previously demonstrated that concern about falling was highly prevalent among older hypertension patients . We now used longitudinal data from SPRINT to supply additional information about this common concern.…”

Section: Discussionmentioning

confidence: 99%

“…Concern about falling in performing each of seven items is rated on a 1 (not at all concerned) to 4 (very concerned) scale (Supplementary Table S1). Scores can range from 7 to 28; 8 to 10 is considered mild concern, and 11 or higher is moderate to severe concern . Evaluations of the FES‐I report good reliability and validity .…”

Section: Methodsmentioning

confidence: 99%

“…Study methods for SPRINT and the measure of FSE were previously described. 12,13 Briefly, SPRINT is a multicenter randomized controlled trial comparing a standard care strategy targeting an SBP of 140 mm Hg with an intensive care strategy targeting 120 mm Hg. The study population consisted of patients 50 years or older with a screening visit SBP between 130 and 180 mm Hg.…”

Section: Methodsmentioning

confidence: 99%

“…Less is known on concern about falling in older people with hypertension. Using baseline data from SPRINT, we showed that 47.2% of older hypertension patients have some concern about falling . However, neither lower blood pressures nor more antihypertensive medications was associated with greater concern.…”

mentioning

confidence: 93%

“…Using baseline data from SPRINT, we showed that 47.2% of older hypertension patients have some concern about falling. 12 However, neither lower blood pressures nor more antihypertensive medications was associated with greater concern. It is unknown whether intensive blood pressure therapy results in increased concern about falling.…”

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confidence: 97%

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Impact of Intensive Blood Pressure Therapy on Concern about Falling: Longitudinal Results from the Systolic Blood Pressure Intervention Trial (SPRINT)

Berlowitz

Foy

Conroy

et al. 2019

J American Geriatrics Society

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OBJECTIVES Concern about falling is common among older hypertension patients and could impact decisions to intensify blood pressure therapy. Our aim was to determine whether intensive therapy targeting a systolic blood pressure (SBP) of 120 mm Hg is associated with greater changes in concern about falling when compared with standard therapy targeting an SBP of 140 mm Hg. DESIGN Subsample analysis of participants randomized to either intensive or standard therapy in the Systolic Blood Pressure Intervention Trial (SPRINT). SETTING Approximately 100 outpatient sites. PARTICIPANTS A total of 2313 enrollees in SPRINT; participants were all age 50 or older (mean = 69 y) and diagnosed with hypertension. MEASUREMENTS Concern about falling was described by the shortened version of the Falls Efficacy Scale International as measured at baseline, 6 months, 1 year, and annually thereafter. RESULTS Concern about falling showed a small but significant increase over time among all hypertension patients. No differences were noted, however, among those randomized to intensive vs standard therapy (P = .95). Among participants younger than 75 years, no increase in concern about falling over time was noted, but among participants aged 75 years and older, the mean falls self‐efficacy score increased by .3 points per year (P < .0001). No differences were observed between the intensive and standard treatment groups when stratified by age (P = .55). CONCLUSION Intensive blood pressure therapy is not associated with increased concern about falling among older hypertension patients healthy enough to participate in SPRINT. J Am Geriatr Soc 68:614–618, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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confidence: 93%

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confidence: 97%

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