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September 10, 2002Neurology

Ambulatory blood pressure and brain atrophy in the healthy elderly

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Why the study?

Does higher ambulatory blood pressure and its variability associate with brain atrophy in healthy elderly individuals?

Population

155 healthy men and women, divided into younger (56 to 66 years old) and older (67 to 80 years old) subgroups

Comparison

Ambulatory blood pressure vs Lower blood pressure levels and lower blood…

Design

Cross-sectional

Key result

Higher ambulatory blood pressure levels and greater BP variability within the upper normal range were associated with smaller brain volumes and larger ventricles in healthy elderly individuals.

Authors

IGIris B. GoldsteinGBGeorge BartzokisDGDonald Guthrie

Discussion

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Member takes

Overview

Should not yet change BP targets in healthy elderly; hypothesis-generating for ambulatory monitoring and brain atrophy.

Study Design

Type

Cross-Sectional (n=155)

Structured PICO

Does higher ambulatory blood pressure and its variability associate with brain atrophy in healthy elderly individuals?

P
Population
155 healthy men and women, divided into younger (56 to 66 years old) and older (67 to 80 years old) subgroups
I
Intervention
Ambulatory blood pressure (casual and 24-hour, including waking and sleep SBP/DBP variability)
C
Comparator
Lower blood pressure levels and lower blood pressure variability
O
Outcome
Brain atrophy (MRI volume measurements of total brain and lateral and third ventricles normalized to intracranial volume)surrogate

Even in healthy individuals without diagnosed hypertension, higher blood pressure levels within the upper normal range and greater BP variability are associated with increased brain atrophy.

Cite This Study

Goldstein et al. (2002) conducted a cross-sectional in Healthy elderly individuals (n=155). Ambulatory blood pressure was evaluated on MRI volume measurements of total brain and lateral and third ventricles. Higher ambulatory blood pressure levels and greater BP variability within the upper normal range were associated with smaller brain volumes and larger ventricles in healthy elderly individuals.

synapsesocial.com/papers/6a1719a287c007abbc0558c1https://doi.org/10.1212/wnl.59.5.713
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ambulatory blood pressure and the brain2005 · 108 citations
  2. 2Blood Pressure, Aging, Vascular Disease, and Their Effects on Brain Volume2009 · 3 citations
  3. 3ASSOCIATION OF AMBULATORY BLOOD PRESSURE VARIABILITY WITH BRAIN ATROPHY IN HYPERTENSIVE PATIENTS2026
  4. 4Lower Blood Pressure Is Associated With Smaller Subcortical Brain Volumes in Older Persons2015 · 29 citations
  5. 5Increased diastolic blood pressure is associated with MRI biomarkers of dementia-related brain pathology in normative ageing2017 · 30 citations