Cognitive function and blood pressure control in elderly hypertensive individuals.

Cien Saude Colet

Laboratório de Educação em Ambiente e Saúde, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.

Published: June 2022

AI Article Synopsis

  • The study estimates the prevalence of cognitive impairment among 383 elderly hypertensive individuals in Piauí, Brazil, finding a high prevalence of 74.4%, especially in those over 80 and with lower education levels.
  • A significant portion, 61.6%, had uncontrolled blood pressure, with this group having a higher rate of cognitive impairment.
  • The research highlights a strong association between cognitive impairment and uncontrolled blood pressure, suggesting screening for cognitive deficits could enhance blood pressure management in elderly patients.

Article Abstract

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.

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Source
http://dx.doi.org/10.1590/1413-81232022276.18382021DOI Listing

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