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September 25, 2019The Journal of Physical Fitness and Sports MedicineOpen Access

Advancing age was significantly associated with increased blood pressure and arterial stiffness and decreased physical fitness, although nonagenarians maintained relatively lower arterial stiffness.

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Why the study?

Less is known about physiological characteristics such as arterial stiffness in old-old adults (aged ≥75 years), particularly those aged >85 years.

Population

559 Japanese community dwellers aged >65 y in Osaka and Kawakami Village, Nara

Comparison

Old-old (age ≥75 y) vs young-old (age 65-74 y) adults

Design

Cross-sectional observational study

Key result

Advancing age was significantly associated with increased blood pressure and arterial stiffness and decreased physical fitness, although nonagenarians maintained relatively lower arterial stiffness.

Authors

MNMasato NishiwakiNONoriko OgawaCNChika Nanayama

Discussion

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Member takes

Overview

Supports monitoring vascular health with age; leaves open whether preserved stiffness in nonagenarians reflects selection or modifiable factors.

Study Design

Type

Cross-Sectional (n=559)

Multicenter

Yes

Structured PICO

P
Population
559 community-dwelling older Japanese adults aged 65 to 94 years assessed for blood pressure, arterial stiffness, and physical fitness in a cross-sectional study.
O
Outcome
Characteristics of blood pressure (systolic, diastolic, mean, pulse pressure), arterial stiffness (brachial-ankle pulse wave velocity [baPWV] and cardio-ankle vascular index [CAVI]), and physical fitness (handgrip strength, walking speed, sit-and-reach, pegboard tests)surrogate

Main Result

p-value: p=<0.001

Arterial stiffness and blood pressure increase with advancing age in older adults, but nonagenarians may maintain longevity characteristics of lower arterial stiffness and higher physical fitness.

Limitations

  • Few participants were aged >85 years.
  • The cross-sectional study design limited the ability to determine cause-and-effect relationships among aging, blood pressure, arterial stiffness, and physical fitness.
  • Few participants were aged >85 years
  • Cross-sectional design cannot determine cause-and-effect relationships among aging, BP, arterial stiffness, and physical fitness

Cite This Study

Nishiwaki et al. (2019) conducted a cross-sectional in Aging (n=559). Advancing age vs. Younger age groups (e.g., 65-74 years) was evaluated on Trends in blood pressure, arterial stiffness, and physical fitness with advancing age (p=<0.001). Advancing age was significantly associated with increased blood pressure and arterial stiffness and decreased physical fitness, although nonagenarians maintained relatively lower arterial stiffness.

synapsesocial.com/papers/6a9d59d3fa7e3bbd20d9a714https://doi.org/10.7600/jpfsm.8.187
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Also Consider

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

  1. 1Attenuated Age‐Related Increases in Arterial Stiffness in Japanese and American Women2015 · 13 citations
  2. 2ARTERIAL STIFFNESS ASSESSED BY BRACHIAL–ANKLE PULSE WAVE VELOCITY PREDICTS FUNCTIONAL DEPENDENCY IN COMMUNITY-DWELLING OLDER JAPANESE ADULTS: THE WAKAYAMA STUDY2026
  3. 3Correlation of functional fitness with arterial stiffness in community middle-aged and older women2016
  4. 4Determinants of Arterial Stiffness and Vascular Aging in the Older Adult2020 · 5 citations
  5. 5Changes in Ankle Brachial Pulse Wave Velocity during a Five-Year Follow-up Period in Older Japanese Adults: Sub-analysis Results of the Health Research Volunteer Study in Japan2013 · 13 citations