CORRELATES OF POSTURAL HYPOTENSION IN A COMMUNITY SAMPLE OF ELDERLY BLACKS AND WHITES
CORRELATES OF POSTURAL HYPOTENSION IN A COMMUNITY SAMPLE OF ELDERLY BLACKS AND WHITES
复制标题
DOI：
10.1111/j.1532-5415.1991.tb03593.x
复制
发表时间：
1991-06-01
影响因子：
6.3
通讯作者：
WAGNER, EH
中科院分区：
文献类型：
--
作者：
STROGATZ, DS;KEENAN, NL;WAGNER, EH
体位性低血压被认为在老年人中普遍存在，但很少针对这种情况进行社区研究。此外，尽管高血压和中风的种族差异已有充分记录，但对黑人的体位性低血压知之甚少。对两个农村混血乡镇的一项调查中的 659 名老年人（大于或等于 60 岁）参与者的数据进行了分析，以描述体位性低血压的频率和相关性。 659 名成年人中，有 12% 在从坐姿变为站立时收缩压下降了 10 mmHg 或更多（无法进行仰卧测量）。这种程度的体位性低血压在白人中的发生率是黑人的两倍（14.5% vs 7.5%，P = 0.01）。体位性低血压与坐位血压升高相关，并且与抗高血压药物和体型瘦削呈正相关，但在统计学上不显着。在调整这些和其他危险因素后，种族和体位性低血压之间的关联仍然存在（OR = 2.2，95% CI：1.2,4.0）。
Postural hypotension is thought to be prevalent among the elderly, but few community-based studies of this condition have been conducted. In addition, little is known about postural hypotension in blacks despite well documented racial differences in hypertension and stroke. Data on 659 elderly (greater-than-or-equal-to 60 years of age) participants in a survey of two rural, biracial townships were analyzed to describe the frequency and correlates of postural hypotension. Twelve percent of the 659 adults experienced a drop of 10 mmHg or greater in systolic blood pressure on going from sitting to standing (supine measures were not available). This degree of postural hypotension was twice as common for whites as for blacks (14.5% vs 7.5%, P = 0.01). Postural hypotension was associated with elevated sitting blood pressure and showed positive but statistically non-significant relationships with anti-hypertensive medications and leanness. The association between race and postural hypotension persisted after adjusting for these and other risk factors (OR = 2.2, 95% CI:1.2,4.0).