Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients

Shanshan Shen,1 Ting He,1 Jiaojiao Chu,1 Jin He,2 Xujiao Chen1 1Department of Geriatrics, Zhejiang Hospital, Hangzhou, 2Department of Neurology, Fuyuan Hospital of Yiwu, Jinhua, People’s Republic of China Objective: To investigate the associations among uncontrolled hypertension, orthost...

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Autores principales: Shen SS, He T, Chu JJ, He J, Chen XJ
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:8c4fd3f0937747dab620cb5906ec57642021-12-02T00:05:46ZUncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients1178-1998https://doaj.org/article/8c4fd3f0937747dab620cb5906ec57642015-05-01T00:00:00Zhttps://www.dovepress.com/uncontrolled-hypertension-and-orthostatic-hypotension-in-relation-to-s-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Shanshan Shen,1 Ting He,1 Jiaojiao Chu,1 Jin He,2 Xujiao Chen1 1Department of Geriatrics, Zhejiang Hospital, Hangzhou, 2Department of Neurology, Fuyuan Hospital of Yiwu, Jinhua, People’s Republic of China Objective: To investigate the associations among uncontrolled hypertension, orthostatic hypotension (OH), and standing balance impairment in the elderly hypertensive patients referred to comprehensive geriatric assessment (CGA).Methods: In a cross-sectional study, a total of 176 elderly hypertensive patients who underwent CGA were divided into OH group (n=36) and non-OH group (n=140) according to blood pressure measurement in the supine position, after immediate standing up, and after 1 minute and 3 minutes of standing position. Uncontrolled hypertension was defined as blood pressure of ≥140/90 mmHg if accompanied by diabetes mellitus (DM) or chronic kidney disease (CKD), or ≥150/90 mmHg if no DM and no CKD. Standing balance, including immediate standing balance and prolonged standing balance, was assessed in side-by-side and tandem stance.Results: Neither uncontrolled hypertension nor OH was associated with prolonged standing balance impairment in elderly hypertensive patients (P>0.05). Blood pressure decrease after postural change was significantly associated with immediate standing balance impairment in side-by-side and tandem stance (P<0.05). Patients with OH were at greater risk of immediate standing balance impairment in both side-by-side and tandem stance than those without OH (odds ratio [OR] 3.44, 95% confidence interval [CI] 1.26–9.33, P<0.05; OR 3.14, 95% CI 1.14–8.64, P<0.01). Furthermore, uncontrolled hypertension was associated with immediate standing balance impairment in side-by-side stance (OR 2.96, 95% CI 1.31–6.68, P<0.05).Conclusion: Uncontrolled hypertension, OH, and blood pressure decrease after postural change were associated with immediate standing balance impairment, and therefore, a better understanding of the underlying associations might have major clinical value. Keywords: hypertension, orthostatic hypotension, balance, elderlyShen SSHe TChu JJHe JChen XJDove Medical Pressarticlehypertensionorthostatic hypotensionbalanceelderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 897-906 (2015)
institution DOAJ
collection DOAJ
language EN
topic hypertension
orthostatic hypotension
balance
elderly
Geriatrics
RC952-954.6
spellingShingle hypertension
orthostatic hypotension
balance
elderly
Geriatrics
RC952-954.6
Shen SS
He T
Chu JJ
He J
Chen XJ
Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients
description Shanshan Shen,1 Ting He,1 Jiaojiao Chu,1 Jin He,2 Xujiao Chen1 1Department of Geriatrics, Zhejiang Hospital, Hangzhou, 2Department of Neurology, Fuyuan Hospital of Yiwu, Jinhua, People’s Republic of China Objective: To investigate the associations among uncontrolled hypertension, orthostatic hypotension (OH), and standing balance impairment in the elderly hypertensive patients referred to comprehensive geriatric assessment (CGA).Methods: In a cross-sectional study, a total of 176 elderly hypertensive patients who underwent CGA were divided into OH group (n=36) and non-OH group (n=140) according to blood pressure measurement in the supine position, after immediate standing up, and after 1 minute and 3 minutes of standing position. Uncontrolled hypertension was defined as blood pressure of ≥140/90 mmHg if accompanied by diabetes mellitus (DM) or chronic kidney disease (CKD), or ≥150/90 mmHg if no DM and no CKD. Standing balance, including immediate standing balance and prolonged standing balance, was assessed in side-by-side and tandem stance.Results: Neither uncontrolled hypertension nor OH was associated with prolonged standing balance impairment in elderly hypertensive patients (P>0.05). Blood pressure decrease after postural change was significantly associated with immediate standing balance impairment in side-by-side and tandem stance (P<0.05). Patients with OH were at greater risk of immediate standing balance impairment in both side-by-side and tandem stance than those without OH (odds ratio [OR] 3.44, 95% confidence interval [CI] 1.26–9.33, P<0.05; OR 3.14, 95% CI 1.14–8.64, P<0.01). Furthermore, uncontrolled hypertension was associated with immediate standing balance impairment in side-by-side stance (OR 2.96, 95% CI 1.31–6.68, P<0.05).Conclusion: Uncontrolled hypertension, OH, and blood pressure decrease after postural change were associated with immediate standing balance impairment, and therefore, a better understanding of the underlying associations might have major clinical value. Keywords: hypertension, orthostatic hypotension, balance, elderly
format article
author Shen SS
He T
Chu JJ
He J
Chen XJ
author_facet Shen SS
He T
Chu JJ
He J
Chen XJ
author_sort Shen SS
title Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients
title_short Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients
title_full Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients
title_fullStr Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients
title_full_unstemmed Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients
title_sort uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/8c4fd3f0937747dab620cb5906ec5764
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AT chujj uncontrolledhypertensionandorthostatichypotensioninrelationtostandingbalanceinnbspelderlyhypertensivepatients
AT hej uncontrolledhypertensionandorthostatichypotensioninrelationtostandingbalanceinnbspelderlyhypertensivepatients
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