Showing that elevated systolic blood pressure (150 or greater) and diastolic blood pressure (90 or greater) correlated with a substantially higher likelihood of dying for those with normal grip strength, which is 26 kilograms or more for men and 16 kilograms or more for women, the new study suggests that an elderly patient's level of physical functionality should be considered in determining whether anti-hypertensive therapy is warranted.
Six years after being surveyed, 25 percent of the elderly people involved in the study had died.
Grip strength, easily measured by an inexpensive device known as a dynamometer, is a common way to gauge functionality in the elderly. Another often-used measuring stick is walking speed.
"Both measures are markers of functional status, a multidimensional concept. Considering both might be better than considering each measure alone for identifying subgroups of elders for whom high blood pressure is potentially beneficial," Wu was quoted as saying in a news release from OSU.
"We did three analyses. One was to look at gait speed to separate people into two groups, normal and slow. The second part was grip strength -- weak grip and normal grip. Third, we looked at the combinations, and the strongest inverse association between high blood pressure and mortality was for slow walkers with weak grip strength."
The findings suggest that treating high blood pressure in older patients should not follow a one-size-fits-all approach. When an older person is still functioning at a high level physically, high blood pressure indicates mortality risk; however, when the person is not physically robust, high blood pressure is not a marker for mortality risk.
【国际英语资讯:Elevated blood pressure found not mortality risk for elderly with weak grip】相关文章:
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2020-09-15
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