家庭血压测量的一致性和认知障碍
Satoshi Hoshide1, Masafumi Nishizawa2, Hiroshi Kanegae3
1Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.
概括
老年人缺乏遵守家庭血压 (BP) 监测指令的人更有可能经历认知障碍. 一致的血压测量与老年人更好的认知功能有关.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 认知功能自然会随着年龄的增长而下降,影响老年人的自我管理能力.
- 轻度认知障碍 (MCI) 在执行常规健康任务方面存在挑战,例如药物坚持和监测.
研究的目的:
- 检查在老年临床人群中遵守规定的家庭血压 (BP) 监测计划和认知功能之间的关系.
- 为了评估家庭血压测量的日数和日本版本蒙特利尔认知评估 (MoCA-J) 的得分之间的关联.
主要方法:
- 对303名健行老年患者 (平均年龄为77.3岁) 的分析,评估了MoCA-J得分.
- 参与者接受了一种特定的家庭血压监测方案 (晚上,每天两次,持续五天) 的指导,其中至少有一次是早上的测量.
- 统计分析考虑了人口统计和临床因素,包括年龄,性别,BMI,生活方式,心血管疾病,血压读数和抗高血压药物的使用.
主要成果:
- 家庭血压测量的日数较多独立地与较高的总MoCA-J得分相关 (估计=0.82,P<0.001).
- 不遵守家庭血压监测 (测量不到5天) 独立地与较低的总MoCA-J得分相关 (估计=-2.56,P=0.001).
- 对家庭血压监测的不良遵守与MoCA-J (OR=3.32,P=0.001) 最低四分位数中得分的更高可能性有显著联系.
结论:
- 对指导的家庭血压监测的不良遵守与老年患者的认知障碍显著相关.
- 坚持自我管理任务,如家庭血压监测,可以作为老年人认知状态的指标.
- 研究结果强调了监测老年患者的守的重要性,这可能是认知健康的标志物.
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