Cognitive function and blood pressure control in elderly hypertensive individuals

Ciencia e Saude Coletiva

article

Luz, Alyne Leal de Alencar¹  Silva-Costa, Aline²  Barbosa, Elizabeth Leite³  Marques, Larissa Pruner³  Souto, Ester Paiva³  Griep, Rosane Harter³ 

[1] Universidade Estadual do Piauí;Universidade Federal do Triângulo Mineiro;Fundação Oswaldo Cruz

关键词: Elderly;    Cognition;    Aging;    Hypertension;    Family Health Strategy Primary healthcare;   

DOI  :  10.1590/1413-81232022276.18382021

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This article aims to estimate the prevalence of cognitive impairment and analyze its association with blood pressure control in elderly hypertensive individuals. Cross-sectional study of 383 elderly hypertensive individuals in the state of Piauí, Brazil. The authors collected sociodemographic and clinical data, performed blood pressure measurement, and assessed cognitive function using the Montreal Cognitive Assessment (MoCA) test. Poisson regression with robust variance was used. Overall prevalence of cognitive impairment was 74.4%, higher in the age group 80 years and over and among older persons with less schooling. Prevalence of uncontrolled blood pressure was 61.6%, with a higher proportion in the elderly with cognitive impairment. An association was observed between cognitive impairment and uncontrolled blood pressure (aPR: 3.98; 95%CI = 2.51-6.33). The significant association between cognitive function and blood pressure control suggest that cognitive impairment is an important risk factor for uncontrolled blood pressure in older persons. The inclusion of screening measures for possible cognitive deficits may be useful for better monitoring blood pressure levels among elderly hypertensive individuals.

【 授权许可】

CC BY