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Tytuł:
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Hypertension Treatment and Concern About Falling: Baseline Data from the Systolic Blood Pressure Intervention Trial.
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Autorzy:
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Berlowitz, Dan R.
Breaux‐Shropshire, Tonya
Foy, Capri G.
Gren, Lisa H.
Kazis, Lewis
Lerner, Alan J.
Newman, Jill C.
Powell, James R.
Riley, William T.
Rosman, Robert
Wadley, Virginia G.
Williams, Julie A.
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Temat:
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PSYCHOLOGY
CLINICAL drug trials
QUALITY of life
BLOOD pressure measurement
CHI-squared test
COGNITIVE testing
ALCOHOL drinking
ACCIDENTAL falls in old age
FISHER exact test
HYPERTENSION
ANTIHYPERTENSIVE agents
RESEARCH methodology
MEDICAL cooperation
MULTIVARIATE analysis
PATIENT compliance
QUESTIONNAIRES
RESEARCH
COMORBIDITY
MULTIPLE regression analysis
SECONDARY analysis
BODY mass index
PATIENTS' attitudes
DESCRIPTIVE statistics
OLD age
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Źródło:
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Journal of the American Geriatrics Society; Nov2016, Vol. 64 Issue 11, p2302-2306, 5p, 3 Charts
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Objectives To determine the extent of concern about falling in older adults with hypertension, whether lower blood pressure ( BP) and greater use of antihypertensive medications are associated with greater concern about falling, and whether lower BP has a greater effect on concern about falling in older and more functionally impaired individuals. Design Secondary analysis involving cross-sectional study of baseline characteristics of participants enrolled in the Systolic Blood Pressure Intervention Trial ( SPRINT). Setting Approximately 100 outpatient sites. Participants SPRINT enrollees aged 50 and older (mean age 69) diagnosed with hypertension (N = 2,299). Measurements Concern about falling was determined using the shortened version of the Falls Efficacy Scale International as measured at the baseline examination. Results Mild concern about falling was present in 29.3% of participants and moderate to severe concern in 17.9%. Neither low BP (systolic BP<120 mmHg, diastolic BP <70 mmHg) nor orthostatic hypotension was associated with concern about falling ( P > .10). Participants with moderate to severe concern about falling were taking significantly more antihypertensive medications than those with mild or no concern. After adjusting for baseline characteristics, no associations were evident between BP, medications, and concern about falling. Results were similar in older and younger participants; interactions between BP and age and functional status were not significantly associated with concern about falling. Conclusion Although concern about falling is common in older adults with hypertension, it was not found to be associated with low BP or use of more antihypertensive medications in baseline data from SPRINT. [ABSTRACT FROM AUTHOR]
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