title: Association between hypertension status and the screening test for frailty in elderly community-dwelling Japanese.
abstract: To clarify the possible association of frailty with hypertension prevalence, treatment and blood pressure (BP) control in the elderly, we conducted a screening survey of 1091 elderly community-dwelling subjects aged ≥65 years, using data from public health check-ups and frailty was determined by a 25-item questionnaire, the Basic Checklist for Frailty (BCF). The significance of differences in the association of BCF categories or BCF items with each hypertension status was analyzed using multiple logistic regression analysis after adjusting for age, sex and possible confounding underlying chronic conditions. A total of 63% of subjects were hypertensive (BP≥140/90 mm Hg), and of those, 85% were receiving antihypertensive treatment, and 56.0% of those receiving treatment had controlled BP (<140/90 mm Hg). BCF categories that showed an independent association with hypertension status were 'impaired walking status' and absence of 'impaired nutritional status' for prevalence of hypertension, 'impaired instrumental activity of daily living status' and 'impaired nutritional status' for untreated hypertension among hypertensives and 'impaired oral function' for BP-uncontrolled hypertension among treated hypertensives. In addition, BCF items that showed an independent association were 'inability to walk for more than 15 min without rest' and absence of 'Body mass index (BMI) <18.5 kg m(-2') for prevalence of hypertension, 'weight loss of more than 2-3 kg in the past 6 months' for untreated hypertension, and 'difficulty eating hard food' for BP-uncontrolled hypertension. These observations indicate that assessment of these specified frailty categories and/or items may be useful for evaluating hypertension status in elderly community-dwelling subjects.
authors: Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.
authors: Yumi
authors: Y
authors: Koizumi
authors: Yuko
authors: Y
authors: Hamazaki
authors: Masashi
authors: M
authors: Okuro
authors: Osamu
authors: O
authors: Iritani
authors: Hiroshi
authors: H
authors: Yano
authors: Toshihiro
authors: T
authors: Higashikawa
authors: Kunimitsu
authors: K
authors: Iwai
authors: Shigeto
authors: S
authors: Morimoto
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People; D005260:Female; D016330:Frail Elderly; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000453:epidemiology*; D016015:Logistic Models; D008297:Male; D015995:Prevalence