Age-related effects of blood pressure on everyday cognitive function in community-dwelling women

Yeung, Sophie E.; Thornton, Wendy Loken

doi:10.1080/13825585.2011.609882

Cited by 15 publications

(17 citation statements)

References 66 publications

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“…The presence of a relationship between high blood pressure and cognitive impairment appears to be confirmed by studies comparing hypertensives and normotensives. In these studies, people with hypertension showed a higher decline of global cognitive functioning [72,75,88] than normotensive.…”

Section: Blood Pressure and Global Cognitive Functioningmentioning

confidence: 97%

“…However, in some cases, studies showed inconsistent results. On the one hand, high blood pressure was associated with worse cognitive performance [41,67,68,72,73,78]. A poor performance was also associated with higher systolic blood pressure [43,48,62,66,69], or with higher diastolic blood pressure only [44,47].…”

Section: Blood Pressure and Global Cognitive Functioningmentioning

confidence: 99%

“…The studies showed a variable percentage of men between 17 [53] and 69 [67]. In some cases, samples size were composed only by women [72] and in other cases, there were samples of only men [43,47,65,80,83,84]. Four studies have made a gender comparison [56,63,71,85].…”

Section: Demographic Featuresmentioning

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 Global Cognitive Functioningmentioning

confidence: 97%

Section: Blood Pressure and Global Cognitive Functioningmentioning

confidence: 99%

See 1 more Smart Citation

Effects of Blood Pressure on Cognitive Performance: A Systematic Review

Forte

Pascalis

Favieri

et al. 2019

JCM

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show abstract

“…The Everyday Problem Solving (EPS) test consisted of eight interpersonal vignettes derived from previous literature [50, 66, 67] and applied in various older adult studies [46, 48, 51, 52, 57, 68]. Problems are “ill-structured” to allow for generation of multiple responses (e.g., “A person who lives alone wants to see her children more frequently.…”

Section: Methodsmentioning

confidence: 99%

“…Ill-structured measures rely more on response fluency demands in addition to functional crystallized knowledge [51]. Previous work revealed specific associations between low OBP and decreased performance on ill-structured everyday problems in older women [52]. The current study incorporated both ill- and well-structured tasks to broadly assess everyday cognition.…”

Section: Introductionmentioning

confidence: 99%

“Do it-yourself”: Home blood pressure as a predictor of traditional and everyday cognition in older adults

Yeung

Thornton

2017

PLoS ONE

Self Cite

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BackgroundHypertension guidelines recommend home blood pressure (HBP) monitoring in adjunct to office blood pressure (OBP) for its greater reproducibility and prognostic utility in the prevention of cardiovascular outcomes, especially stroke. To date, the relationship between HBP and cognitive function remains unexplored.MethodsWe examined HBP as a cognitive predictor in a multi-ethnic group of community-dwelling adults aged 60 and over (N = 133) using neuropsychological measures and analyzed the data using multiple regression analyses. We also employed “everyday cognition” measures that have been found to have higher prognostic utility for real-world functioning than traditional cognitive tasks.ResultsGood to perfect HBP monitoring compliance over seven days was achieved by 88.7% of the participants with superior reliability (ICC≥.96) to office readings. Higher home systolic BP and pulse pressure predicted worse processing speed, executive function, and everyday cognitive function, whereas lower home diastolic BP predicted worse everyday cognition. Office readings were similarly associated with everyday cognitive function but with no other cognitive measures.ConclusionOur findings are the first to validate HBP as a predictor of neuropsychological function in older adults beyond cognitive screening. Differential relationships among blood pressure variables and specific cognitive domains were observed. With proper standardization and training, we demonstrated that HBP can be obtained in a multi-ethnic community-dwelling older adult cohort. Our findings emphasize the importance of employing blood pressure and cognitive measures that are adequately sensitive to detect vascular-related cognitive impairment in a relatively healthy population. Implications regarding proper HBP measurement for hypertension management, cognitive health, and everyday function are discussed.

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Cognitive function and associated factors among postmenopausal women with hypertension and natural menopause in Taiwan

Chou¹,

Chien²,

Lin

et al. 2021

Geriatric Nursing

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Age-related effects of blood pressure on everyday cognitive function in community-dwelling women

Abstract: These results support that blood pressure may be an important predictor of everyday cognitive abilities in older age. Potential implications for real-world functioning are discussed.

Cited by 15 publications

References 66 publications

Effects of Blood Pressure on Cognitive Performance: A Systematic Review

Effects of Blood Pressure on Cognitive Performance: A Systematic Review

“Do it-yourself”: Home blood pressure as a predictor of traditional and everyday cognition in older adults

Cognitive function and associated factors among postmenopausal women with hypertension and natural menopause in Taiwan

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