A Comparison of Cognitive Ability in Normotensive and Hypertensive 68-Year-Old Men: Results from Population Study “Men Born in 1914,” in Malmö, Sweden

André-Petersson, Lena; Hagberg, Bo; Janzon, Lars; Steen, Göran O.

doi:10.1080/03610730109342352

Cited by 28 publications

(13 citation statements)

References 32 publications

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“…Elevated diastolic blood pressure [57] or high general blood pressure [63,73,82,86] were associated with poor linguistic performance. However, two studies [65,70] showed that poor linguistic performance was related to low blood pressure.…”

Section: Blood Pressure and Languagementioning

confidence: 99%

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Effects of Blood Pressure on Cognitive Performance: A Systematic Review

Forte

Pascalis

Favieri

et al. 2019

JCM

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Background: High blood pressure has been associated with an increased risk of developing cognitive impairment. However, this relationship is unclear. This study aims to systematically review the effects of blood pressure on executive functioning, language, memory, attention and processing speed. Methods: The review process was conducted according to the PRISMA-Statement, using the PubMed, PsycINFO, PsycARTICLES and MEDLINE databases. Restrictions were made by selecting studies, which included one or more cognitive measures and reported blood pressure recordings. Studies that included participants with medical conditions or people diagnosed with dementia, psychiatric disorders, stroke and head trauma were excluded. The review allows selecting fifty studies that included 107,405 participants. The results were reported considering different cognitive domains separately: global cognitive functioning, attention, processing speed, executive functions, memory and visuospatial abilities. Results: Higher blood pressure appears to influence cognitive performance in different domains in the absence of dementia and severe cardiovascular diseases, such as strokes. This relationship seems to be independent of demographic factors (gender and education), medical co-morbidity (diabetes), and psychiatric disorders (depression). Furthermore, it presents different patterns considering ageing. In the elderly, a sort of "cardiovascular paradox" is highlighted, which allows considering higher blood pressure as a protective factor for cognitive functioning. Conclusions: The results underline that higher blood pressure is associated with a higher risk of cognitive decline in people without dementia or stroke. These findings highlight the need to introduce early management of blood pressure, even in the absence of clinical hypertension, to prevent the risk of a decline of cognitive functioning typically associated with ageing. into dementia. Given the progressive ageing of the world population, the challenge of modern science is highlighted the factors associated with the evolution of cognitive impairment.Cognitive impairment appears to be amplified by several factors as the habit of smoking cigarettes [13,14], chronic use of alcohol [15], poor eating habits and obesity [16,17], inadequate exercise [18], chronic stress [19] or by some pathologies such as diabetes mellitus [20] or depression [21]. Moreover, the risk of cognitive impairment appears to increase in the presence of cardiovascular disorders, such as high blood pressure, cardiomyopathies, arteriosclerosis, cerebral infarcts and strokes [22]. Many studies have shown an association between vascular ageing indices, such as stiffness of the arteries and dysfunction of small vessels and cognitive decline [23]. The exposure to high blood pressure would damage the cerebral microcirculation, causing cognitive impairments [23].The mechanisms that can explain the relationship between high blood pressure and cognitive impairment are not wholly known. Some studies have shown associations be...

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Section: Blood Pressure and Languagementioning

confidence: 99%

“…Eleven studies [75,[80][81][82][83][85][86][87][88][89][90] made a comparison between hypertensive and normotensive individuals. According to the international guidelines [91,92].…”

Section: Blood Pressure Measurementsmentioning

confidence: 99%

Effects of Blood Pressure on Cognitive Performance: A Systematic Review

Forte

Pascalis

Favieri

et al. 2019

JCM

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“…Researchers focusing on the cognitive effects of controlled and uncontrolled hypertension have also shown associations between deficits in both verbal (Elias et al, 1993; Waldstein et al, 1991) and nonverbal memory (André-Petersson, Hagberg, Janzon, & Steen, 2001; Harrington et al, 2000; Swan et al, 1998) and high blood pressure in both groups. This suggests that controlled hypertension can also be associated with cognitive changes in older adults, although the extent of deficits may not be as pronounced.…”

Section: Introductionmentioning

confidence: 99%

Interactive effects of subjective memory complaints and hypertension on learning and memory performance in the elderly

Nguyen

Haws

Fitzhugh

et al. 2015

Aging, Neuropsychology, and Cognition

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This study evaluated whether the relation between subjective memory complaints and cognitive performance is influenced by the presence of hypertension in the elderly. One hundred and five healthy older adults, 70-89 years of age, with and without hypertension treatment or diagnosis, completed a scale of subjective memory complaints. Participants were divided into those with mild memory concerns and those with minimal or no complaints. All participants completed a battery of neuropsychological tests including measures of verbal and non-verbal memory. After controlling for differences in age, gender, education, and overall intellectual ability, there were significant main effects for memory concerns and significant interactions for memory complaints and hypertension on several measures of memory performance. There were no main effects for hypertension on memory performance. Simple effects analyses of the interactions showed that the hypertensive complainers demonstrated poorer performance on measures of long-term memory and greater reliance on short-term recall than the hypertensive non-complainers. There were no differences in memory performance for the non-hypertensive groups. Among healthy elderly community-dwelling adults, those with mild subjective memory complaints in the context of hypertension demonstrated greater objective cognitive difficulties than those without hypertension as well as a greater reliance on a less efficient learning strategy. These findings suggest that memory concerns in the presence of hypertension may be important when evaluating treatment efficacy in these individuals and for identifying differences in cognitive aging.

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“…destacam-se os prejuízos de memória, processamento das informações e velocidade de resposta (Harrington et al, 2000;Almeida e Flicker, 2001;Andre-Petersson et al, 2001;Asimakopoulou et al, 2002;Bennett et al, 2003;Antonelli Incalzi et al, 2003). A partir da classificação da gravidade de ICC de acordo com os critérios da New York Heart Association (NYHA), o comprometimento da memória, em especial de fixação e aprendizado (Harrington et al, 2000), nos pacientes com ICC nas classes funcionais (CF) I, II e III da NYHA vem sendo apontado consistentemente na literatura (Deary et al, 1991;Grubb et al, 2000;Glynn et al, 2002;Elias et al, 2003;Bennett e Sauve, 2003;Antonelli Incalzi et al, 2003).…”

Section: Introductionunclassified

Fatores de risco cardiovascular, declínio cognitivo e alterações cerebrais detectadas através de técnicas de neuroimagem

Alves¹,

Wajngarten²,

Filho³

2005

Rev. psiquiatr. clín.

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ResumoDiversos estudos têm demonstrado associação entre fatores de risco cardiovascular e desenvolvimento de declínio cognitivo. Também há evidências do aumento das taxas de morbimortalidade em pacientes com doenças cardiovasculares e déficit cognitivo. Dentre os fatores de risco cardiovascular, hipertensão arterial e insuficiência cardíaca apresentaram forte associação com a presença de déficit cognitivo, entretanto os mecanismos cerebrais subjacentes não foram totalmente esclarecidos. Nos pacientes cardiopatas, o prejuízo cognitivo se dá principalmente nos aspectos de memória (fixação e aprendizado) e processamento das informações. Nesse artigo, revisa-se os achados de neuroimagem observados em amostras de pacientes com fatores de risco cardiovascular com declínio cognitivo, incluindo achados regionais de anormalidades volumétricas, hiperintensidade de substância branca, acidentes vasculares silenciosos, infartos lacunares e déficits funcionais na perfusão cerebral global (associada à redução do débito cardíaco) e perfusão cerebral regional. Discute-se, também, as implicações destes achados para a fisiopatologia do declínio cognitivo e suas aplicações clínicas. Finalmente, aborda-se o potencial de utilização de novas técnicas de imagem em estudos futuros na avaliação das alterações estruturais e funcionais associadas a fatores de riscos vasculares em amostras de base populacional.

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A Comparison of Cognitive Ability in Normotensive and Hypertensive 68-Year-Old Men: Results from Population Study “Men Born in 1914,” in Malmö, Sweden

Cited by 28 publications

References 32 publications

Effects of Blood Pressure on Cognitive Performance: A Systematic Review

Effects of Blood Pressure on Cognitive Performance: A Systematic Review

Interactive effects of subjective memory complaints and hypertension on learning and memory performance in the elderly

Fatores de risco cardiovascular, declínio cognitivo e alterações cerebrais detectadas através de técnicas de neuroimagem

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