Physical performance changes as clues to late-life blood pressure changes with advanced age: the osteoporotic fractures in men study

•Higher physical function is associated with higher BP in older men over time•In men with CVD, better grip strength and chair stand is linked to higher BP.•Better physical performance may help stabilize BP in older men, especially with CVD. This study examined whether changes in late-life physical performance are associated with contemporaneous changes in blood pressure (BP) in older men. prospective cohort study over 7 years. Physical performance (gait speed, grip strength, chair stand performance) and clinic-measured BP at baseline and at least one follow-up (year 7 or 9) were assessed in 3,135 men aged ≥65 y enrolled in the Osteoporotic Fractures in Men Study (MrOS). Generalized estimating equation analysis of multivariable models with standardized point estimates (β [95% CI]) described longitudinal associations between physical performance and BP changes in participants overall, and stratified by baseline cardiovascular disease (CVD), antihypertensive medication use (none, ≥1), and enrollment age (