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October 5, 2021Frontiers in Aging NeuroscienceOpen Access

Optimal Blood Pressure Keeps Our Brains Younger

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Why the study?

Elevated blood pressure is a risk factor for cognitive decline and dementia, but when it starts impacting cerebral health is less clear.

Does increasing blood pressure accelerate brain aging in cognitively intact individuals?

Population

335 middle-age (44-46 years) and 351 older-age (60-64 years) cognitively intact individuals

Comparison

Changes in blood pressure over time

Design

Longitudinal cohort study

Follow-up

12 years

Key result

Every 10 mmHg increase in mean arterial pressure above 90 mmHg was associated with a 65.7-day higher estimated brain age in cognitively intact adults.

Authors

NCNicolas CherbuinEWErin WalshMSMarnie Shaw

Discussion

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Overview

BP changes may link to poorer brain health from middle age; leaves open need for prospective trials before practice implications.

Study Design

Type

Cohort (n=686)

Structured PICO

Does increasing blood pressure accelerate brain aging in cognitively intact individuals?

P
Population
686 cognitively intact middle-aged and older adults were followed for up to 12 years with multiple MRI scans to assess the relationship between blood pressure and brain age.
E
Exposure
Increasing blood pressure over time (observational)
O
Outcome
Brain health assessed using a machine learning approach to produce an estimate of 'observed' age (BrainAGE) over 12 yearssurrogate

Main Result

Effect estimate: 0.018 years higher BrainAGE per 1 mmHg increase in mean arterial pressure (95% CI 0.008-0.029)

p-value: p=<0.001

Increasing blood pressure, even below the hypertensive range, is associated with accelerated brain aging and poorer brain health over a 12-year period.

Limitations

  • Lack of data for early adulthood
  • Sub-optimal precision of brachial blood pressure measurements
  • Possible impact of unmeasured confounding factors
  • Punctual nature of the assessments
  • Self-reported BMI may not have been completely accurate

Cite This Study

Cherbuin et al. (2021) conducted a cohort in Elevated blood pressure (n=686). Elevated blood pressure vs. Optimal blood pressure was evaluated on BrainAGE (estimated brain age minus chronological age) (0.018 years higher BrainAGE per 1 mmHg increase in mean arterial pressure, 95% CI 0.008-0.029, p=<0.001). Every 10 mmHg increase in mean arterial pressure above 90 mmHg was associated with a 65.7-day higher estimated brain age in cognitively intact adults.

synapsesocial.com/papers/6a62ac34fcd714155f098bf3https://doi.org/10.3389/fnagi.2021.694982
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Also Consider

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

  1. 1Association of Peripheral Blood Pressure with Grey Matter Volume in 19- to 40-Year-Old Adults2017 · 6 citations
  2. 2High-normal blood pressure progression to hypertension in the Framingham Heart Study.1991 · 169 citations
  3. 3Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1·25 million people2014 · 1,661 citations
  4. 4Lifetime Risk of Stroke and Coronary Heart Disease Deaths According to Blood Pressure Level2018 · 42 citations
  5. 5Cohort Profile: The PATH through life project2011 · 244 citations