Orthostatic hypotension was associated with a greater risk of immediate standing balance impairment compared to those without OH (OR 3.44; 95% CI 1.26-9.33; P<0.05).
Cross-Sectional (n=176)
Are uncontrolled hypertension and orthostatic hypotension associated with standing balance impairment in elderly hypertensive patients?
In elderly hypertensive patients, both orthostatic hypotension and uncontrolled hypertension are significantly associated with immediate standing balance impairment, highlighting the importance of careful blood pressure management to potentially reduce fall risk.
Odds Ratio: 3.44 (95% CI 1.26–9.33)
valor p: p=<0.05
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.
Shen et al. (Fri,) conducted a cross-sectional in Hypertension (n=176). Orthostatic hypotension vs. No orthostatic hypotension was evaluated on Immediate standing balance impairment (OR 3.44, 95% CI 1.26-9.33, p=<0.05). Orthostatic hypotension was associated with a greater risk of immediate standing balance impairment compared to those without OH (OR 3.44; 95% CI 1.26-9.33; P<0.05).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: