Influencing factors of wide pulse pressure in an elderly Chinese population: A cross‐sectional study

Abstract

Blood pressure and pulse pressure (PP) had their own characteristics in the elderly population. This cross‐sectional study including 5030 elderly participants was conducted to describe the distribution of blood pressure and wide PP in the elderly population and find influencing factors of wide PP. Wide PP was defined as PP equal to or more than 65 mmHg, and was classified three types as low systolic blood pressure (SBP) and low diastolic blood pressure (DBP) (LSLD), high SBP and low DBP (HSLD), and high SBP and high DBP (HSHD). Using multivariate logistic regression models to analyze the associations of demographic factors, health‐related factors and lifestyle factors with different wide PP types. The associations of lifestyles with wide PP by gender were estimated by subgroup analyses. Among 5030 elderly participants, 2727 (54.2%) participants had wide PP. Logistic regression models showed older age (OR = 2.48, 95%CI: 2.14‐2.88), female (OR = 1.31, 95%CI: 1.07‐1.60), not married (OR = 1.26, 95%CI: 1.07‐1.49), having chronic diseases (OR = 1.28, 95%CI: 1.09‐1.50), current alcohol drinker (OR = 1.29, 95%CI: 1.11‐1.50) were positively associated, and higher body height (OR = .78, 95%CI: .62‐.99), higher education level (OR = .60, 95%CI: .43‐.82), current smoker (OR = .79, 95%CI: .64‐.97) were negatively associated with wide PP. Among three different types of wide PP including LSLD, HSLD, HSHD, these factors had different effects. Subgroup analyses found that only among male, current smoker was negatively associated and current alcohol drinker was positively associated with wide PP.

Pulse pressure and its association with body composition among Chinese men and women without diagnosed hypertension: the China Kadoorie Biobank

“…The average of the two measured PP was used for the analysis. As in most previous studies, wide PP was defined as PP above 65 mmHg [ 7 , 17 ].…”

“…In China, several regional surveys with limited sample sizes and different age coverages reported different prevalence rates of wide PP. For instance, a study among Han Chinese aged 18–74 years in Hebei, Zhejiang, and Guangxi Provinces reported a prevalence of 6.7% [ 6 ], whereas the Yiwu Elderly Cohort Study among 5030 adults older than 65 years living in Jiangsu Province reported 54.2% participants as wide PP [ 7 ]. However, there is insufficient information from large-scale nationwide studies on the age-specific and sex-specific distributions of PP among the Chinese population.…”

Association of Wide Pulse Pressure with Coronary Collateral Flow in Patients with ST- Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention

“…Hypertension (HT) was de ned as SBP ≥ 140 mmHg or DBP ≥ 90 mmHg or the use of antihypertensive medications [16]. Clinically signi cant WPP was identi ed as PP ≥ 65 mmHg [5]. Current smokers or individuals with a history of tobacco use were classi ed as smokers.…”

“…The difference between systolic blood pressure (SBP) and diastolic blood pressure (DBP), known as pulse pressure (PP), represents the maximal and minimum pressure alterations during blood circulation [4]. The normal PP value is approximately 40 mmHg, while PP 65 mmHg is considered as wide PP (WPP) [5]. WPP has been shown to be associated with chronic disease such as diabetes mellitus (DM), stroke and chronic kidney disease (CKD) [6][7][8].…”

Pengembangan Instrumen Deteksi Kemunduran Bio, Psiko, Sosio, Spiritual pada Pasien Lanjut Usia

“…Penelitian lain menunjukkan bahwa lansia dengan tekanan sistolik 130 mmHg atau lebih tinggi memiliki kinerja fisik yang lebih baik dibandingkan dengan mereka yang memiliki TD lebih rendah. Temuan ini menunjukkan bahwa penurunan TD yang berlebihan dapat merusak pada lansia dengan fungsi fisik atau kognitif yang memburuk (Yang et al, 2022). TD yang rendah dapat menyebabkan perfusi yang tidak memadai dari organ-organ sentral, yang paling penting adalah jantung, yang melakukan perfusi selama diastolik.…”