Key result
Hypertension (OR 2.4; 95% CI 1.6-3.7), increasing age, diabetes, and female sex were significantly correlated with a higher likelihood of orthostatic hypotension in elderly individuals.
Why the study?
Orthostatic hypotension in the elderly is an important health challenge posing a significant burden, prompting the determination of its prevalence and correlates in a population-based study.
Cross-Sectional (n=1,588)
Odds Ratio: 2.4 (95% CI 1.6–3.7)
In an elderly population, orthostatic hypotension has a prevalence of 10.7% and is significantly associated with older age, female sex, hypertension, and diabetes.
May warrant OH screening in elderly hypertensives or diabetics; leaves open causal links and intervention effects.
Background: Orthostatic hypotension (OH) in the elderly is an important health challenge that poses a significant burden. We sought to determine the prevalence and correlates of OH in an elderly population-based study. Methods: This study was conducted within the framework of the Amirkola Health and Ageing Project (AHAP) on 1,588 elderly individuals aged ≥60 years. The baseline measurement was performed from April 2011 to July 2012. The relationships between OH (dependent variable) and age, sex, diabetes, hypertension, and cognitive status (independent variables) were investigated by logistic regression. Results: The mean age of the participants was 69.37±7.42 years (men: 69.96±7.68 y, women: 68.66±7.02 y). The prevalence of OH was 10.7%: 8.4% in the male and 13.7% in the female patients. In the final model, hypertension (OR=2.4, 95% CI: 1.6–3.7), diabetes (OR=1.3, 95% CI: 1.0–1.9), age (OR=2.9, 95% CI: 1.7–4.8), and female sex (female [OR=1.6, 95% CI: 1.1–2.3]) were significantly correlated with OH. Conclusion: The prevalence of OH in our elderly subjects increased with age. Additionally, the older participants with diabetes and hypertension had a higher likelihood of having this OH. J Teh Univ Heart Ctr 2019;14(4):165-170 This paper should be cited as: Safarpour M, Fotouhi A, Hosseini SR, Mohamadzade M, Bijani A. Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study. J Teh Univ Heart Ctr 2019;14(4): 165-170
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Safarpour et al. (2019) conducted a cross-sectional in Orthostatic hypotension (n=1,588). Hypertension was evaluated on Orthostatic hypotension (OR 2.4, 95% CI 1.6-3.7). Hypertension (OR 2.4; 95% CI 1.6-3.7), increasing age, diabetes, and female sex were significantly correlated with a higher likelihood of orthostatic hypotension in elderly individuals.
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