Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis

Background: Previous systematic reviews report that arterial hypertension (AHT) is associated with lower performance in cognition in the elderly. However, some studies show that with higher blood pressure, a better cognitive performance is obtained. Objective: The aim of this study was to determine...

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Main Authors:	José Miguel Sánchez-Nieto, Uriel Dagoberto Rivera-Sánchez, Víctor Manuel Mendoza-Núñez
Format:	article
Language:	EN
Published:	MDPI AG 2021
Subjects:	high blood pressure aging cognitive memory Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Online Access:	https://doaj.org/article/b079d6f43348490fa127d3e1494e4e9c
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spelling	oai:doaj.org-article:b079d6f43348490fa127d3e1494e4e9c2021-11-25T16:57:35ZRelationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis10.3390/brainsci111114452076-3425https://doaj.org/article/b079d6f43348490fa127d3e1494e4e9c2021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1445https://doaj.org/toc/2076-3425Background: Previous systematic reviews report that arterial hypertension (AHT) is associated with lower performance in cognition in the elderly. However, some studies show that with higher blood pressure, a better cognitive performance is obtained. Objective: The aim of this study was to determine the relationship between AHT with cognitive performance in the elderly. Methods: the review involved a search on PubMed, Scopus and PsycINFO databases from January 1990 to March, 2020 to identify the relationship among AHT and cognitive performance in older people. Results: 1170 articles were identified, 136 complete papers were reviewed, a qualitative analysis of 26 studies and a quantitative analysis of eight studies were carried out. It was found that people with AHT have a lower performance in processing speed SMD = 0.40 (95% CI: 0.25, 0.54), working memory SMD = 0.28 (95% CI: 0.15, 0.41) in short-term memory and learning SMD = −0.27 (95% CI: −0.37, −0.17) and delayed recall SMD = −0.20 (95% CI: −0.35, −0.05). Only one study found that higher blood pressure was associated with better memory performance. Conclusion: Our results suggest that high blood pressure primarily affects processing speed, working memory, short-term memory and learning and delayed recall.José Miguel Sánchez-NietoUriel Dagoberto Rivera-SánchezVíctor Manuel Mendoza-NúñezMDPI AGarticlehigh blood pressureaging cognitivememoryNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1445, p 1445 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	high blood pressure aging cognitive memory Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	high blood pressure aging cognitive memory Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 José Miguel Sánchez-Nieto Uriel Dagoberto Rivera-Sánchez Víctor Manuel Mendoza-Núñez Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis
description	Background: Previous systematic reviews report that arterial hypertension (AHT) is associated with lower performance in cognition in the elderly. However, some studies show that with higher blood pressure, a better cognitive performance is obtained. Objective: The aim of this study was to determine the relationship between AHT with cognitive performance in the elderly. Methods: the review involved a search on PubMed, Scopus and PsycINFO databases from January 1990 to March, 2020 to identify the relationship among AHT and cognitive performance in older people. Results: 1170 articles were identified, 136 complete papers were reviewed, a qualitative analysis of 26 studies and a quantitative analysis of eight studies were carried out. It was found that people with AHT have a lower performance in processing speed SMD = 0.40 (95% CI: 0.25, 0.54), working memory SMD = 0.28 (95% CI: 0.15, 0.41) in short-term memory and learning SMD = −0.27 (95% CI: −0.37, −0.17) and delayed recall SMD = −0.20 (95% CI: −0.35, −0.05). Only one study found that higher blood pressure was associated with better memory performance. Conclusion: Our results suggest that high blood pressure primarily affects processing speed, working memory, short-term memory and learning and delayed recall.
format	article
author	José Miguel Sánchez-Nieto Uriel Dagoberto Rivera-Sánchez Víctor Manuel Mendoza-Núñez
author_facet	José Miguel Sánchez-Nieto Uriel Dagoberto Rivera-Sánchez Víctor Manuel Mendoza-Núñez
author_sort	José Miguel Sánchez-Nieto
title	Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis
title_short	Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis
title_full	Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis
title_fullStr	Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis
title_full_unstemmed	Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis
title_sort	relationship between arterial hypertension with cognitive performance in elderly. systematic review and meta-analysis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b079d6f43348490fa127d3e1494e4e9c
work_keys_str_mv	AT josemiguelsancheznieto relationshipbetweenarterialhypertensionwithcognitiveperformanceinelderlysystematicreviewandmetaanalysis AT urieldagobertoriverasanchez relationshipbetweenarterialhypertensionwithcognitiveperformanceinelderlysystematicreviewandmetaanalysis AT victormanuelmendozanunez relationshipbetweenarterialhypertensionwithcognitiveperformanceinelderlysystematicreviewandmetaanalysis
_version_	1718412857381486592

Relationship between Arterial Hypertension with Cognitive Performance in Elderly. Systematic Review and Meta-Analysis

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