Blood pressure associates with standing balance in elderly outpatients.

<h4>Objectives</h4>Assessment of the association of blood pressure measurements in supine and standing position after a postural change, as a proxy for blood pressure regulation, with standing balance in a clinically relevant cohort of elderly, is of special interest as blood pressure ma...

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Autores principales:	Jantsje H Pasma, Astrid Y Bijlsma, Janneke M Klip, Marjon Stijntjes, Gerard Jan Blauw, Majon Muller, Carel G M Meskers, Andrea B Maier
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1996728dbb594379935af91aad804d4f
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spelling	oai:doaj.org-article:1996728dbb594379935af91aad804d4f2021-11-25T06:00:41ZBlood pressure associates with standing balance in elderly outpatients.1932-620310.1371/journal.pone.0106808https://doaj.org/article/1996728dbb594379935af91aad804d4f2014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0106808https://doaj.org/toc/1932-6203<h4>Objectives</h4>Assessment of the association of blood pressure measurements in supine and standing position after a postural change, as a proxy for blood pressure regulation, with standing balance in a clinically relevant cohort of elderly, is of special interest as blood pressure may be important to identify patients at risk of having impaired standing balance in routine geriatric assessment.<h4>Materials and methods</h4>In a cross-sectional cohort study, 197 community-dwelling elderly referred to a geriatric outpatient clinic of a middle-sized teaching hospital were included. Blood pressure was measured intermittently (n = 197) and continuously (subsample, n = 58) before and after a controlled postural change from supine to standing position. The ability to maintain standing balance was assessed during ten seconds of side-by-side, semi-tandem and tandem stance, with both eyes open and eyes closed. Self-reported impaired standing balance and history of falls were recorded by questionnaires. Logistic regression analyses were used to examine the association between blood pressure and 1) the ability to maintain standing balance; 2) self-reported impaired standing balance; and 3) history of falls, adjusted for age and sex.<h4>Results</h4>Blood pressure decrease after postural change, measured continuously, was associated with reduced ability to maintain standing balance in semi-tandem stance with eyes closed and with increased self-reported impaired standing balance and falls. Presence of orthostatic hypotension was associated with reduced ability to maintain standing balance in semi-tandem stance with eyes closed for both intermittent and continuous measurements and with increased self-reported impaired standing balance for continuous measurements.<h4>Conclusion</h4>Continuous blood pressure measurements are of additional value to identify patients at risk of having impaired standing balance and may therefore be useful in routine geriatric care.Jantsje H PasmaAstrid Y BijlsmaJanneke M KlipMarjon StijntjesGerard Jan BlauwMajon MullerCarel G M MeskersAndrea B MaierPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e106808 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jantsje H Pasma Astrid Y Bijlsma Janneke M Klip Marjon Stijntjes Gerard Jan Blauw Majon Muller Carel G M Meskers Andrea B Maier Blood pressure associates with standing balance in elderly outpatients.
description	<h4>Objectives</h4>Assessment of the association of blood pressure measurements in supine and standing position after a postural change, as a proxy for blood pressure regulation, with standing balance in a clinically relevant cohort of elderly, is of special interest as blood pressure may be important to identify patients at risk of having impaired standing balance in routine geriatric assessment.<h4>Materials and methods</h4>In a cross-sectional cohort study, 197 community-dwelling elderly referred to a geriatric outpatient clinic of a middle-sized teaching hospital were included. Blood pressure was measured intermittently (n = 197) and continuously (subsample, n = 58) before and after a controlled postural change from supine to standing position. The ability to maintain standing balance was assessed during ten seconds of side-by-side, semi-tandem and tandem stance, with both eyes open and eyes closed. Self-reported impaired standing balance and history of falls were recorded by questionnaires. Logistic regression analyses were used to examine the association between blood pressure and 1) the ability to maintain standing balance; 2) self-reported impaired standing balance; and 3) history of falls, adjusted for age and sex.<h4>Results</h4>Blood pressure decrease after postural change, measured continuously, was associated with reduced ability to maintain standing balance in semi-tandem stance with eyes closed and with increased self-reported impaired standing balance and falls. Presence of orthostatic hypotension was associated with reduced ability to maintain standing balance in semi-tandem stance with eyes closed for both intermittent and continuous measurements and with increased self-reported impaired standing balance for continuous measurements.<h4>Conclusion</h4>Continuous blood pressure measurements are of additional value to identify patients at risk of having impaired standing balance and may therefore be useful in routine geriatric care.
format	article
author	Jantsje H Pasma Astrid Y Bijlsma Janneke M Klip Marjon Stijntjes Gerard Jan Blauw Majon Muller Carel G M Meskers Andrea B Maier
author_facet	Jantsje H Pasma Astrid Y Bijlsma Janneke M Klip Marjon Stijntjes Gerard Jan Blauw Majon Muller Carel G M Meskers Andrea B Maier
author_sort	Jantsje H Pasma
title	Blood pressure associates with standing balance in elderly outpatients.
title_short	Blood pressure associates with standing balance in elderly outpatients.
title_full	Blood pressure associates with standing balance in elderly outpatients.
title_fullStr	Blood pressure associates with standing balance in elderly outpatients.
title_full_unstemmed	Blood pressure associates with standing balance in elderly outpatients.
title_sort	blood pressure associates with standing balance in elderly outpatients.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/1996728dbb594379935af91aad804d4f
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Blood pressure associates with standing balance in elderly outpatients.

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