title: Mildly elevated blood pressure is a marker for better health status in Polish centenarians.
abstract: The number of centenarians is projected to rise rapidly. However, knowledge of evidence-based health care in this group is still poor. Hypertension is the most common condition that leads to multiple organ complications, disability, and premature death. No guidelines for the management of high blood pressure (BP) in centenarians are available. We have performed a cross-sectional study to characterize clinical and functional state of Polish centenarians, with a special focus on BP. The study comprised 86 consecutive 100.9 ± 1.2 years old (mean ± SD) subjects (70 women and 16 men). The assessment included structured interview, physical examination, geriatric functional assessment, resting electrocardiography, and blood and urine sampling. The subjects were followed-up on the phone. Subjects who survived 180 days (83 %) as compared to non-survivors had higher systolic BP (SBP), diastolic BP (DPB), mean arterial pressure (MAP), pulse pressure (PP), higher mini-mental state examination, Barthel Index of Activities of Daily Living and Lawton Instrumental Activities of Daily Living Scale scores, higher serum albumin and calcium levels, and total iron-binding capacity, while lower serum creatinine, cystatin C, folate, and C-reactive protein levels. SBP ≥140 mm Hg, DBP ≥90 mm Hg, MAP ≥100 mm Hg, and PP ≥40 mm Hg were associated with higher 180-day survival probability. Results suggest that mildly elevated blood pressure is a marker for better health status in Polish centenarians.
authors: Department of Geriatrics, School of Health Sciences in Katowice, SUM, Katowice, Poland, jszewieczek@sum.edu.pl.
authors: Jan
authors: J
authors: Szewieczek
authors: Jan
authors: J
authors: Dulawa
authors: Tomasz
authors: T
authors: Francuz
authors: Katarzyna
authors: K
authors: Legierska
authors: Beata
authors: B
authors: Hornik
authors: Iwona
authors: I
authors: Włodarczyk-Sporek
authors: Magdalena
authors: M
authors: Janusz-Jenczeń
authors: Agnieszka
authors: A
authors: Batko-Szwaczka
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000369:Aged, 80 and over; D015415:Biomarkers / Q000378:metabolism; D001794:Blood Pressure / Q000502:physiology*; D003071:Cognition / Q000502:physiology; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D008136:Longevity / Q000502:physiology*; D008297:Male; D011044:Poland
chemical_list: D015415:Biomarkers
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