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Related Experiment Videos

Blood pressure variation in the institutionalized elderly.

Gillian H Ice1, Gary D James, Douglas E Crews

  • 1Department of Social Medicine, Ohio University College of Osteopathic Medicine, Athens, Ohio, USA.

Collegium Antropologicum
|September 17, 2003
PubMed
Summary

Ambulatory blood pressure (ABP) in elders is influenced by daily factors. Location, posture, mood, and activity significantly affect blood pressure (BP) in long-term care settings.

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Area of Science:

  • Gerontology
  • Cardiovascular Health
  • Health Services Research

Background:

  • Ambulatory blood pressure (ABP) monitoring is established for assessing stress responses.
  • Limited data exists on factors influencing blood pressure (BP) in elderly populations, especially in institutional settings.

Purpose of the Study:

  • To investigate variations in BP among elders residing in two distinct long-term care environments.
  • To identify environmental and activity-related factors affecting BP in older adults.

Main Methods:

  • Utilized ABP monitoring for approximately 24 hours on 27 nursing home (NH) residents and 29 independent living (IL) residents.
  • Transformed individual BP readings to z-scores and analyzed data using ANOVA.
  • Examined associations between BP and factors including location, posture, mood, and activity.

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Main Results:

  • Systolic BP in IL residents was significantly associated with posture, mood, and activity.
  • Systolic BP in NH residents was significantly associated with location and activity.
  • Diastolic BP in IL residents was associated with posture and activity.
  • No significant differences were found in the effects of location, posture, and activity across the two settings.

Conclusions:

  • Posture, mood, and activity are key determinants of BP variability in elders within long-term care.
  • Understanding these factors can inform interventions to manage BP in institutionalized older adults.
  • Further research is needed to explore the specific mechanisms linking these factors to BP changes in elders.