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June 12, 2017Age and AgeingOpen Access

Increased diastolic blood pressure is associated with MRI biomarkers of dementia-related brain pathology in normative ageing

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Why the study?

Are diastolic and systolic blood pressure components associated with MRI biomarkers of dementia-related brain pathology in older adults?

Population

227 members of the Aberdeen 1936 Birth Cohort between ages 64 and 68 years.

Design

Cohort

Follow-up

4 years (between ages 64 and 68 years)

Key result

Higher diastolic blood pressure predicted increased white matter hyperintensities (β=0.13, P=0.044) and smaller hippocampi (β=-0.25, P=0.006) in older adults.

Authors

CMChristopher J. McNeilPMPhyo Kyaw MyintASAnca‐Larisa Sandu

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Overview

Suggests diastolic BP control may mitigate structural brain aging; leaves open whether targeted diastolic.

Study Design

Type

Cohort (n=227)

Structured PICO

Are diastolic and systolic blood pressure components associated with MRI biomarkers of dementia-related brain pathology in older adults?

P
Population
227 older adults aged 64 to 68 years from the Aberdeen 1936 Birth Cohort, assessed for blood pressure and brain MRI to evaluate brain ageing.
E
Exposure
Diastolic and systolic blood pressure and their visit-to-visit variability (assessed biennially between 64 and 68 years)
O
Outcome
White matter hyperintensities (WMH) abundance and hippocampal volume on brain MRI at 68 yearssurrogate

Main Result

Effect estimate: β = 0.13 for WMH; β = -0.25 for hippocampal volume

p-value: p=0.044 for WMH; 0.006 for hippocampal volume

Increased diastolic blood pressure is associated with MRI biomarkers of cerebrovascular and Alzheimer's diseases, highlighting the importance of individual BP components in brain aging.

Cite This Study

McNeil et al. (2017) conducted a cohort in Brain ageing (n=227). Diastolic and systolic blood pressure and their visit-to-visit variability was evaluated on White matter hyperintensity (WMH) abundance and hippocampal volume (β = 0.13 for WMH; β = -0.25 for hippocampal volume, p=0.044 for WMH; 0.006 for hippocampal volume). Higher diastolic blood pressure predicted increased white matter hyperintensities (β=0.13, P=0.044) and smaller hippocampi (β=-0.25, P=0.006) in older adults.

synapsesocial.com/papers/6a882f9eb0d802598bf4e00dhttps://doi.org/10.1093/ageing/afx102
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