Prevalence of Postural Hypotension at Baseline in the Systolic Hypertension in the Elderly Program (SHEP) Cohort

Abstract

Somewhat different persons were defined as having PH based upon the 1 minute and 3 minute standing measures of BP, and prevalence estimates of PH can vary depending on whether one or more intervals of measurement are used. Cross-sectional data analysis indicated that PH, in healthy community-dwelling older persons with ISH, may not be associated with a history of disorders or problems usually thought to be related to PH. However, prospective data are needed to determine the prognostic significance of PH, and whether one or multiple measurements carry more significance.

Prevalence and correlates of orthostatic hypotension in middle-aged men and women in Korea: the Korean Health and Genome Study

“…[1][2][3]5,6,10,11,13,14 In the current report, lower BMI was positively related to an excess in the odds of OH. Although findings were adjusted for age, hypertension, diabetes, cigarette smoking, total cholesterol, HDL cholesterol, and triglycerides, other unknown comorbidities in leaner individuals are likely to have contributed to this finding.…”

“…4,5,8,9,13 In the ARIC study, those with OH were more likely to smoke cigarettes, 1,2 whereas others found no significant relation with smoking. 4,13 In the Korean Health and Genome Study, OH was also unrelated to smoking. If smoking were a factor in Korea, one might have expected a much higher prevalence of OH in men than in women.…”

“…In the Systolic Hypertension in the Elderly Project (SHEP) 13 and the Cardiovascular Health Study, 4 no significant differences were observed in the prevalence of OH between ethnic groups, mainly composed of Caucasian and Black individuals. In a survey in two rural communities, however, prevalence of OH was twice as common in elderly Caucasians as compared to Blacks, 14 while in the ARIC study, 1,2 systolic OH was observed to be higher in Blacks than in Caucasians.…”

“…Most studies of OH have focused on the elderly, [3][4][5][6][8][9][10][11][12][13][14][15] where reported prevalence ranges from 5 to 30%. Unfortunately, the use of different methods to define OH makes it difficult to compare study findings.…”

“…[1][2][3][4][5][6][7] Depending on how OH is measured, however, prevalence can range markedly from 5 to 30%, [3][4][5][6][7][8][9][10][11][12][13][14][15] making it difficult to describe cross-cultural variation or to identify effects that may be associated with OH. 1,2,4,14,15 Low rates of coronary heart disease in Asia vs the US and Western Europe suggest that the prevalence and correlates of OH may also be different through associations with risk factors that are culturally unique.…”