高血压对老年人单一和双重任务条件下的身体和认知表现的影响
Daniel Estévez-Caro1, María Melo-Alonso1, Miguel A Hernández-Mocholí1,2
1Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Science, University of Extremadura, 10003 Cáceres, Spain.
Journal of cardiovascular development and disease
|October 28, 2025
概括
高血压 (HTN) 损害身体功能,增加老年人的身体认知干扰,特别是在双重任务活动期间. 这些发现凸显了HTN对步态和下肢力量的影响.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 心血管健康 心血管健康
背景情况:
- 高血压 (HTN) 与认知能力下降有关,高达40%的人患有轻度认知障碍或阿尔茨海默病.
- 了解HTN对老年人身体和认知功能的影响对于有针对性的干预至关重要.
研究的目的:
- 为了比较高血压和没有高血压的老年人的身体和认知表现.
- 在单任务 (ST) 和双任务 (DT) 条件下评估性能.
主要方法:
- 一项涉及46名老年人的横截面研究,均分为非HTN和HTN组.
- 通过SPPB,HGS,TUG和L-Test评估身体功能;在DT期间使用MoCA和算术任务评估认知功能.
- 统计分析包括沙皮罗-威尔克,曼-惠特尼U和独立样本t测试.
主要成果:
- 在ST条件下的MoCA和体力表现 (SPPB,TUG,L-Test) 中,HTN和非HTN组之间发现了显著的差异.
- 在DT条件下,在TUG,L-Test和SPPB (包括3米步行和STS组件) 中存在差异.
- 在SPPB双重任务成本的显著差异表明在HTN组中存在更大的物理认知干扰.
结论:
- 患有HTN的个体表现出身体表现受损,特别是在DT条件下,并增加了身体认知干扰.
- 虽然静态平衡和握力没有受到影响,但步态 (TUG,L-Test) 和下肢力量 (STS) 显示出显著的差异.
- 这些发现强调了HTN对老龄人口的功能移动性和认知运动整合的有害影响.
相关概念视频
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
462
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
462
01:30Cognitive Development During Adulthood
768
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
768
01:28Hypertension I: Introduction
729
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
729
01:18Hypertension and Regulation of Blood Pressure
3.7K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.7K
01:23Hypertension V: Nursing Management
353
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
353
01:29Hypertension II: Pathophysiology
771
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
771