Lower systolic blood pressure is associated with greater mortality in people aged 85 and older.

Abstract:

OBJECTIVES:To investigate the association between blood pressure and mortality in very old people. DESIGN:Population-based cohort study. SETTING:County of Västerbotten, Sweden. PARTICIPANTS:Half of all subjects aged 85 and all of those aged 90 and 95 and older (N=348) in one urban and five rural municipalities in the north of Sweden. MEASUREMENTS:Among others, supine blood pressure, Mini-Mental State Examination, Barthel Index of activities of daily living, Mini Nutritional Assessment, and body mass index. Information on diagnoses, medications, and 4-year mortality was collected. Associations between blood pressure and mortality were investigated using Cox regression analyses, controlling for a number of diagnoses and health factors. RESULTS:Baseline systolic blood pressure (SBP), diastolic blood pressure, and pulse pressure were all inversely associated with mortality within 4 years according to univariate analysis. SBP was the strongest predictor. In Cox regression analyses, low SBP (

journal_name

J Am Geriatr Soc

authors

Molander L,Lövheim H,Norman T,Nordström P,Gustafson Y

doi

10.1111/j.1532-5415.2008.01948.x

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

1853-9

issue

10

eissn

0002-8614

issn

1532-5415

pii

JGS1948

journal_volume

56

pub_type

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