CORRELATES OF POSTURAL HYPOTENSION IN A COMMUNITY SAMPLE OF ELDERLY BLACKS AND WHITES

被引:39
作者
STROGATZ, DS
KEENAN, NL
BARNETT, EM
WAGNER, EH
机构
[1] SUNY ALBANY, SCH PUBL HLTH, ALBANY, NY 12222 USA
[2] UNIV N CAROLINA, SCH PUBL HLTH, CHAPEL HILL, NC 27514 USA
[3] GRP HLTH COOPERAT PUGET SOUND, SEATTLE, WA USA
关键词
D O I
10.1111/j.1532-5415.1991.tb03593.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Postural hypotension is thought to be prevalent among the elderly, but few community-based studies of this condition have been conducted. In addition, little is known about postural hypotension in blacks despite well documented racial differences in hypertension and stroke. Data on 659 elderly (greater-than-or-equal-to 60 years of age) participants in a survey of two rural, biracial townships were analyzed to describe the frequency and correlates of postural hypotension. Twelve percent of the 659 adults experienced a drop of 10 mmHg or greater in systolic blood pressure on going from sitting to standing (supine measures were not available). This degree of postural hypotension was twice as common for whites as for blacks (14.5% vs 7.5%, P = 0.01). Postural hypotension was associated with elevated sitting blood pressure and showed positive but statistically non-significant relationships with anti-hypertensive medications and leanness. The association between race and postural hypotension persisted after adjusting for these and other risk factors (OR = 2.2, 95% CI:1.2,4.0).
引用
收藏
页码:562 / 566
页数:5
相关论文
共 32 条
[1]   RACIAL-DIFFERENCES IN BLOOD-PRESSURE AND FOREARM VASCULAR-RESPONSES TO THE COLD FACE STIMULUS [J].
ANDERSON, NB ;
LANE, JD ;
MURANAKA, M ;
WILLIAMS, RB ;
HOUSEWORTH, SJ .
PSYCHOSOMATIC MEDICINE, 1988, 50 (01) :57-63
[2]   RACIAL-DIFFERENCES IN STRESS-INDUCED CARDIOVASCULAR REACTIVITY AND HYPERTENSION - CURRENT STATUS AND SUBSTANTIVE ISSUES [J].
ANDERSON, NB .
PSYCHOLOGICAL BULLETIN, 1989, 105 (01) :89-105
[3]  
CAIRD FI, 1973, BRIT HEART J, V35, P527
[4]   THE ASSOCIATION OF POSTURAL CHANGES IN SYSTOLIC BLOOD-PRESSURE AND MORTALITY IN PERSONS WITH HYPERTENSION - THE HYPERTENSION DETECTION AND FOLLOW-UP PROGRAM EXPERIENCE [J].
DAVIS, BR ;
LANGFORD, HG ;
BLAUFOX, MD ;
CURB, JD ;
POLK, BF ;
SHULMAN, NB .
CIRCULATION, 1987, 75 (02) :340-346
[5]   IS THERE A BLACK HYPERTENSION [J].
FALKNER, B .
HYPERTENSION, 1987, 10 (06) :551-554
[6]  
FLAMENBAUM W, 1985, J CLIN HYPERTENS, V75, P24
[7]  
Fleiss JL., 1981, STAT METHODS RATES P, V2
[8]   CARDIOVASCULAR-RESPONSE DURING POSTURAL CHANGE IN THE ELDERLY [J].
GOLDSTEIN, IB ;
SHAPIRO, D .
JOURNALS OF GERONTOLOGY, 1990, 45 (01) :M20-M25
[9]   VASOMOTOR TONE IN AGED [J].
GORGY, AN ;
DAVID, SB ;
FRIEDMAN, SA .
ARCHIVES OF NEUROLOGY, 1973, 29 (06) :439-440
[10]  
Hall WD, 1985, HYPERTENSION BLACKS