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Hypertension is also a preventable risk factor for cognitive decline.
, are there any differences in the effects of different age and duration of hypertension on cognitive function? A new study published in the Journal of Hypertension, part of the American Heart Association (AHA), provides us with new information.
that high blood pressure at any age, no matter how long it lasts, can accelerate cognitive decline.
Screenshot Source: Hypertension The study, from the Brazilian team, included information on 7,063 subjects through the ELSA-Brazil team, which analyzed the association between high blood pressure, prehypertension, age of diagnosis, course of illness, and blood pressure control and cognitive decline.
The subjects were 58.9 years old on average when they joined the study between 2008 and 2010, and were considered normal for blood pressure based on uniform blood pressure measurements and the collection of hypertension history: systolic blood pressure ≤120 mmHg, espressosis ≤80 mmHg, and people who did not take antihypertensive drugs.
systolic pressure of 120 mmHg-139 mmHg, or diastolic pressure of 80 mmHg - 89 mmHg, and not taking antihypertensive drugs, is considered high blood pressure (prehypertension).
systolic ≥ 140 mmHg or espressopressurized ≥90 mmHg, or are taking antihypertensive medication, defined as hypertension.
study baselines and between 2012 and 2014, they underwent two cognitive function assessments, including different breakdowns of memory, language fluency, speed of response, and attention.
analysis first confirmed that hypertension, prehypertension and blood pressure control were different independent predictors of cognitive decline after adjusting for other potential influence factors.
hypertension and prehypertension were associated with a decrease in overall cognitive function scores over the next four years.
hypertension is associated with memory loss, and prehypertension is associated with poor language fluency.
cognitive function in the individual receiving treatment, baseline blood pressure control was better, and the decline in overall cognitive function and memory tests was slower.
cognitive decline was faster than in people with normal blood pressure (blue), hypertension (green) and prehypertension (red).
(Photo Source: References) Further analysis shows that hypertension at different age of diagnosis is associated with cognitive decline.
when high blood pressure is ≥ 55 years old is associated with lower overall cognitive function and memory, and when high blood pressure is diagnosed, the age of 55 is associated with poor memory.
, however, the duration of hypertension was not associated with a decline in any indicator of cognitive function.
means that even for a short period of time, high blood pressure can affect the rate at which a person's cognitive function declines.
this was unexpected for the research team.
we initially expected that the negative effects of high blood pressure on cognitive function would be more pronounced at a young age. "But our results suggest that the accelerated decline of cognitive function is similar whether high blood pressure starts in middle age or in old age, and that effective treatment can reduce or prevent this accelerated decline in cognitive function," said Professor Sandhi M. Barreto of the University of Brazil's Minas Gerais, author of the
study.
team acknowledged that the study also had limitations, such as short follow-up times and self-reporting of diagnostic information about confirmed hypertension before the study.
Summary, Professor Sandhi M. Barreto said, "In addition to other proven benefits of blood pressure control, our findings highlight the importance of timely diagnosis and control of hypertension in patients of any age to prevent or slow cognitive decline."
stressed the importance of maintaining low blood pressure levels through the lifetime, as even prehypertension is associated with decreased cognitive function.
" References: sara Teles de Menezes, et al., (2020). Hypertension, Prehypertension, and Hypertension Control, Association With Decline in Cognitive Performance in the ELSA-Brasil Cohort. Hypertension, DOI: 10.1016/S0140-6736(18)31928-7 [2] High blood pressure at any age, no matter how long you have it, may speed cognitive decline. Retrieved December 15 2020, from . . . cardiovascular disease. Retrieved December 15 2020, from。