The association of pulse pressure change with memory decline in middle‐aged and older adults
Background Less is known regarding the association of pulse pressure (PP) with memory function. This study aimed to characterize long‐term patterns of PP in middle‐aged and older adults and explore their impact on subsequent change in memory function. Methods Data from the English Longitudinal Study...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2023-02, Vol.71 (2), p.423-431 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
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| creator | Liu, Mengli Tian, Huimin Sun, Shuqin Tian, Xiaocao Wang, Weijing Wu, Yili |
| description | Background
Less is known regarding the association of pulse pressure (PP) with memory function. This study aimed to characterize long‐term patterns of PP in middle‐aged and older adults and explore their impact on subsequent change in memory function.
Methods
Data from the English Longitudinal Study of Ageing (ELSA, 2004–2018), were analyzed. Totally, 3587 dementia‐free participants with three measurements of BP were included. All three visits of PP (2004–2012) were used to characterize longitudinal patterns of PP by group‐based trajectory modeling (GBTM). Generalized estimating equation (GEE) models were fitted to explore the impact of PP trajectories on change in memory over a subsequent 6‐year period (2012–2018).
Results
Using GBTM, three distinct trajectories of PP were identified: low‐stable (38.1%), moderate‐stable (48.6%), and elevated‐increasing group (13.3%). GEE model suggested that memory declined over a 6‐year period in all PP trajectories (all Ptime |
| doi_str_mv | 10.1111/jgs.18095 |
| format | Article |
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Less is known regarding the association of pulse pressure (PP) with memory function. This study aimed to characterize long‐term patterns of PP in middle‐aged and older adults and explore their impact on subsequent change in memory function.
Methods
Data from the English Longitudinal Study of Ageing (ELSA, 2004–2018), were analyzed. Totally, 3587 dementia‐free participants with three measurements of BP were included. All three visits of PP (2004–2012) were used to characterize longitudinal patterns of PP by group‐based trajectory modeling (GBTM). Generalized estimating equation (GEE) models were fitted to explore the impact of PP trajectories on change in memory over a subsequent 6‐year period (2012–2018).
Results
Using GBTM, three distinct trajectories of PP were identified: low‐stable (38.1%), moderate‐stable (48.6%), and elevated‐increasing group (13.3%). GEE model suggested that memory declined over a 6‐year period in all PP trajectories (all Ptime <0.001). The overall interactions between patterns of PP changes and time with memory were statistically significant (χ2interaction = 20.69, p = 0.002). Compared to participants in the low‐stable group, those in the moderate‐stable and elevated‐increasing group exhibited a faster decline in memory.
Conclusions
Longitudinal patterns of moderate‐stable and elevated‐increasing PP were associated with an accelerated decrease in memory. Controlling BP instability may be a promising interventional strategy for preventing cognitive decline among older adults.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.18095</identifier><identifier>PMID: 36289057</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Aged ; Aging - psychology ; Blood Pressure ; Cognitive ability ; Cognitive Dysfunction ; Dementia disorders ; Elder care ; group‐based trajectory modeling ; Humans ; Longitudinal Studies ; longitudinal study ; Memory ; Memory Disorders ; Middle Aged ; Older people ; pulse pressure ; Statistical analysis ; trajectories</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2023-02, Vol.71 (2), p.423-431</ispartof><rights>2022 The American Geriatrics Society.</rights><rights>2023 American Geriatrics Society and Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3135-bb1c172462607379d4fe58b91f11d0d8360492192751a8fb694b0036930cae293</cites><orcidid>0000-0002-5289-2552</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.18095$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.18095$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36289057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Mengli</creatorcontrib><creatorcontrib>Tian, Huimin</creatorcontrib><creatorcontrib>Sun, Shuqin</creatorcontrib><creatorcontrib>Tian, Xiaocao</creatorcontrib><creatorcontrib>Wang, Weijing</creatorcontrib><creatorcontrib>Wu, Yili</creatorcontrib><title>The association of pulse pressure change with memory decline in middle‐aged and older adults</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Background
Less is known regarding the association of pulse pressure (PP) with memory function. This study aimed to characterize long‐term patterns of PP in middle‐aged and older adults and explore their impact on subsequent change in memory function.
Methods
Data from the English Longitudinal Study of Ageing (ELSA, 2004–2018), were analyzed. Totally, 3587 dementia‐free participants with three measurements of BP were included. All three visits of PP (2004–2012) were used to characterize longitudinal patterns of PP by group‐based trajectory modeling (GBTM). Generalized estimating equation (GEE) models were fitted to explore the impact of PP trajectories on change in memory over a subsequent 6‐year period (2012–2018).
Results
Using GBTM, three distinct trajectories of PP were identified: low‐stable (38.1%), moderate‐stable (48.6%), and elevated‐increasing group (13.3%). GEE model suggested that memory declined over a 6‐year period in all PP trajectories (all Ptime <0.001). The overall interactions between patterns of PP changes and time with memory were statistically significant (χ2interaction = 20.69, p = 0.002). Compared to participants in the low‐stable group, those in the moderate‐stable and elevated‐increasing group exhibited a faster decline in memory.
Conclusions
Longitudinal patterns of moderate‐stable and elevated‐increasing PP were associated with an accelerated decrease in memory. Controlling BP instability may be a promising interventional strategy for preventing cognitive decline among older adults.</description><subject>Aged</subject><subject>Aging - psychology</subject><subject>Blood Pressure</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction</subject><subject>Dementia disorders</subject><subject>Elder care</subject><subject>group‐based trajectory modeling</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>longitudinal study</subject><subject>Memory</subject><subject>Memory Disorders</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>pulse pressure</subject><subject>Statistical analysis</subject><subject>trajectories</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MFO3DAQxnGrApWF9tAXQJZ6gUNgxo4T-1itKBQhcYBeGznxZNerJF7sjdDe-gh9xj4JoUs5IOGLLz_9NfoY-4JwhtM7Xy3SGWow6gOboZIiUzmqPTYDAJHpAvMDdpjSCgAFaP2RHchCaAOqnLFf90viNqXQeLvxYeCh5euxS8TXkVIaI_FmaYcF8Ue_WfKe-hC33FHT-YG4H3jvnevo7-8_dkGO28Hx0DmK3Lqx26RPbL-1U-3zy3_Efn6_uJ9fZTe3lz_m326yRqJUWV1jg6XIC1FAKUvj8paUrg22iA6clgXkRqARpUKr27oweQ0gCyOhsSSMPGInu-46hoeR0qbqfWqo6-xAYUyVKIVRQgj5TL--oaswxmG6blJlCSrXiJM63akmhpQitdU6-t7GbYVQPY9eTaNX_0af7PFLcax7cq_y_8oTON-BR9_R9v1SdX15t0s-AUAdinA</recordid><startdate>202302</startdate><enddate>202302</enddate><creator>Liu, Mengli</creator><creator>Tian, Huimin</creator><creator>Sun, Shuqin</creator><creator>Tian, Xiaocao</creator><creator>Wang, Weijing</creator><creator>Wu, Yili</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5289-2552</orcidid></search><sort><creationdate>202302</creationdate><title>The association of pulse pressure change with memory decline in middle‐aged and older adults</title><author>Liu, Mengli ; Tian, Huimin ; Sun, Shuqin ; Tian, Xiaocao ; Wang, Weijing ; Wu, Yili</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3135-bb1c172462607379d4fe58b91f11d0d8360492192751a8fb694b0036930cae293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Aging - psychology</topic><topic>Blood Pressure</topic><topic>Cognitive ability</topic><topic>Cognitive Dysfunction</topic><topic>Dementia disorders</topic><topic>Elder care</topic><topic>group‐based trajectory modeling</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>longitudinal study</topic><topic>Memory</topic><topic>Memory Disorders</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>pulse pressure</topic><topic>Statistical analysis</topic><topic>trajectories</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Mengli</creatorcontrib><creatorcontrib>Tian, Huimin</creatorcontrib><creatorcontrib>Sun, Shuqin</creatorcontrib><creatorcontrib>Tian, Xiaocao</creatorcontrib><creatorcontrib>Wang, Weijing</creatorcontrib><creatorcontrib>Wu, Yili</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Mengli</au><au>Tian, Huimin</au><au>Sun, Shuqin</au><au>Tian, Xiaocao</au><au>Wang, Weijing</au><au>Wu, Yili</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association of pulse pressure change with memory decline in middle‐aged and older adults</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2023-02</date><risdate>2023</risdate><volume>71</volume><issue>2</issue><spage>423</spage><epage>431</epage><pages>423-431</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><abstract>Background
Less is known regarding the association of pulse pressure (PP) with memory function. This study aimed to characterize long‐term patterns of PP in middle‐aged and older adults and explore their impact on subsequent change in memory function.
Methods
Data from the English Longitudinal Study of Ageing (ELSA, 2004–2018), were analyzed. Totally, 3587 dementia‐free participants with three measurements of BP were included. All three visits of PP (2004–2012) were used to characterize longitudinal patterns of PP by group‐based trajectory modeling (GBTM). Generalized estimating equation (GEE) models were fitted to explore the impact of PP trajectories on change in memory over a subsequent 6‐year period (2012–2018).
Results
Using GBTM, three distinct trajectories of PP were identified: low‐stable (38.1%), moderate‐stable (48.6%), and elevated‐increasing group (13.3%). GEE model suggested that memory declined over a 6‐year period in all PP trajectories (all Ptime <0.001). The overall interactions between patterns of PP changes and time with memory were statistically significant (χ2interaction = 20.69, p = 0.002). Compared to participants in the low‐stable group, those in the moderate‐stable and elevated‐increasing group exhibited a faster decline in memory.
Conclusions
Longitudinal patterns of moderate‐stable and elevated‐increasing PP were associated with an accelerated decrease in memory. Controlling BP instability may be a promising interventional strategy for preventing cognitive decline among older adults.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>36289057</pmid><doi>10.1111/jgs.18095</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5289-2552</orcidid></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2023-02, Vol.71 (2), p.423-431 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aging - psychology Blood Pressure Cognitive ability Cognitive Dysfunction Dementia disorders Elder care group‐based trajectory modeling Humans Longitudinal Studies longitudinal study Memory Memory Disorders Middle Aged Older people pulse pressure Statistical analysis trajectories |
| title | The association of pulse pressure change with memory decline in middle‐aged and older adults |
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