The Relation of Hypertension to Changes in ADL/IADL Limitations of Mexican American Older Adults
The Relation of Hypertension to Changes in ADL/IADL Limitations of Mexican American Older Adults
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DOI：
10.1093/geronb/gbq001
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发表时间：
2010-05-01
影响因子：
6.2
通讯作者：
Margrett, Jennifer A.
中科院分区：
文献类型：
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作者：
Caskie, Grace I. L.;Sutton, MaryAnn C.;Margrett, Jennifer A.
高血压在老年墨西哥裔美国人中非常普遍，而且常常未被诊断出来，它与日常生活活动 (ADL) 和日常生活工具性活动 (IADL) 的更大限制有关，这可能导致老年人更加依赖。使用西班牙裔老年人流行病学研究的数据，对 3,046 名墨西哥裔美国人的 7 年期间 ADL/IADL 限制的增加率进行了检查，这些墨西哥裔美国人被分类为基线报告高血压、在后续波次首次报告高血压或从未报告高血压。潜在增长模型表明 ADL/IADL 限制随着时间的推移而增加；患有高血压的人比没有高血压的人增加得更多。所有组的年龄、合并症和抑郁症均与基线时较高的 ADL/IADL 限制呈正相关；只有年龄与 ADL/IADL 随着时间的推移而变化始终相关。高血压的发生可能会增加 ADL/IADL 下降的风险，但早期诊断和治疗可能会减弱这种影响。
Hypertension, highly prevalent and often undiagnosed among older Mexican Americans, is associated with greater limitations in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) that can lead to greater dependency for older adults. Using data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly study, the rate of increase in ADL/IADL limitations for a 7-year period was examined for 3,046 older Mexican Americans classified either as reporting hypertension at baseline, first reporting hypertension at subsequent waves, or never reporting hypertension. Latent growth models indicated increased ADL/IADL limitations over time; individuals with hypertension evidenced greater increases than those without hypertension. Age, comorbidities, and depression were positively related to greater ADL/IADL limitations at baseline for all groups; only age was consistently related to ADL/IADL change over time. Development of hypertension may increase the risk of ADL/IADL decline, but early diagnosis and treatment may attenuate this effect.