The Effects of Short-Term Blood Pressure Variability and Nighttime Blood Pressure Levels on Cognitive Function
We investigated the relationship between 24-h blood pressure (BP) and cognitive function. We performed the Hasegawa Dementia Scale Revised (HDSR), the Mini-Mental State Examination (MMSE), and the Raven’s Coloured Progressive Matrices Test (RCPM) in 88 subjects (71±9 years) with no history of stroke...
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| Veröffentlicht in: | Hypertension Research 2001, Vol.24(1), pp.19-24 |
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| creator | KANEMARU, Akiko KANEMARU, Kazutomi KUWAJIMA, Iwao |
| description | We investigated the relationship between 24-h blood pressure (BP) and cognitive function. We performed the Hasegawa Dementia Scale Revised (HDSR), the Mini-Mental State Examination (MMSE), and the Raven’s Coloured Progressive Matrices Test (RCPM) in 88 subjects (71±9 years) with no history of stroke. Ambulatory BP was non-invasively measured using a TM2421 for 24h in all patients. Whereas 90% of the scores converged into a narrow range between 25 and 30 points in the HDSR and the MMSE tests, the RCPM score was widely distributed, ranging from 9 to 36 points. The subjects were therefore divided into three groups of ≥25, 26-30, and 31-36 according to their RCPM scores. Subjects with lower scores were significantly associated with increased short-term BP variability during the daytime (p |
| doi_str_mv | 10.1291/hypres.24.19 |
| format | Article |
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We performed the Hasegawa Dementia Scale Revised (HDSR), the Mini-Mental State Examination (MMSE), and the Raven’s Coloured Progressive Matrices Test (RCPM) in 88 subjects (71±9 years) with no history of stroke. Ambulatory BP was non-invasively measured using a TM2421 for 24h in all patients. Whereas 90% of the scores converged into a narrow range between 25 and 30 points in the HDSR and the MMSE tests, the RCPM score was widely distributed, ranging from 9 to 36 points. The subjects were therefore divided into three groups of ≥25, 26-30, and 31-36 according to their RCPM scores. Subjects with lower scores were significantly associated with increased short-term BP variability during the daytime (p<0.05) and had a tendency toward higher nighttime SBP (p=0.05) compared with those with higher scores. Increased short-term variability of daytime BP and high nighttime systolic BP were associated with cognitive impairment as assessed by the RCPM. The RCPM, which can assess the capacity for judgment through visual information processing, may detect earlier stages of cognitive impairment related to high BP. To prevent a deterioration of cognitive function, strict control of nighttime BP and suppression of short-term BP variability are thus necessary. (Hypertens Res 2001; 24: 19-24)</description><identifier>ISSN: 0916-9636</identifier><identifier>EISSN: 1348-4214</identifier><identifier>DOI: 10.1291/hypres.24.19</identifier><identifier>PMID: 11213025</identifier><language>eng</language><publisher>England: The Japanese Society of Hypertension</publisher><subject>Aged ; blood pressure ; Blood Pressure - physiology ; Blood Pressure Monitoring, Ambulatory ; Circadian Rhythm - physiology ; Cognition - physiology ; cognitive function ; Female ; Humans ; Male ; Neuropsychological Tests ; nighttime ; Psychiatric Status Rating Scales ; variability</subject><ispartof>Hypertension Research, 2001, Vol.24(1), pp.19-24</ispartof><rights>2001 by the Japanese Society of Hypertension</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c574t-7d4a4b2a1dfd5d0c903e01de83d417ec81a9b77cb781f6b29d94ddce9536213f3</citedby><cites>FETCH-LOGICAL-c574t-7d4a4b2a1dfd5d0c903e01de83d417ec81a9b77cb781f6b29d94ddce9536213f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11213025$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KANEMARU, Akiko</creatorcontrib><creatorcontrib>KANEMARU, Kazutomi</creatorcontrib><creatorcontrib>KUWAJIMA, Iwao</creatorcontrib><title>The Effects of Short-Term Blood Pressure Variability and Nighttime Blood Pressure Levels on Cognitive Function</title><title>Hypertension Research</title><addtitle>Hypertension Research</addtitle><description>We investigated the relationship between 24-h blood pressure (BP) and cognitive function. We performed the Hasegawa Dementia Scale Revised (HDSR), the Mini-Mental State Examination (MMSE), and the Raven’s Coloured Progressive Matrices Test (RCPM) in 88 subjects (71±9 years) with no history of stroke. Ambulatory BP was non-invasively measured using a TM2421 for 24h in all patients. Whereas 90% of the scores converged into a narrow range between 25 and 30 points in the HDSR and the MMSE tests, the RCPM score was widely distributed, ranging from 9 to 36 points. The subjects were therefore divided into three groups of ≥25, 26-30, and 31-36 according to their RCPM scores. Subjects with lower scores were significantly associated with increased short-term BP variability during the daytime (p<0.05) and had a tendency toward higher nighttime SBP (p=0.05) compared with those with higher scores. Increased short-term variability of daytime BP and high nighttime systolic BP were associated with cognitive impairment as assessed by the RCPM. The RCPM, which can assess the capacity for judgment through visual information processing, may detect earlier stages of cognitive impairment related to high BP. To prevent a deterioration of cognitive function, strict control of nighttime BP and suppression of short-term BP variability are thus necessary. (Hypertens Res 2001; 24: 19-24)</description><subject>Aged</subject><subject>blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Circadian Rhythm - physiology</subject><subject>Cognition - physiology</subject><subject>cognitive function</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Neuropsychological Tests</subject><subject>nighttime</subject><subject>Psychiatric Status Rating Scales</subject><subject>variability</subject><issn>0916-9636</issn><issn>1348-4214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0M9r2zAYxnExVtas223notNOc6pXln_o2Ia2G4RtsGxXIUuvYxXbSiW5kP9-Lg5d2UU66MMX9BDyCdgauISr7ngIGNdcrEG-ISvIRZ0JDuItWTEJZSbLvDwn72N8YIzXhYR35ByAQ854sSLjrkN627ZoUqS-pb86H1K2wzDQm957S3_O8TgFpH90cLpxvUtHqkdLv7t9l5Ib8H-4xSfs59hIN34_uuSekN5No0nOjx_IWav7iB9P9wX5fXe723zNtj_uv22ut5kpKpGyygotGq7BtrawzEiWIwOLdW4FVGhq0LKpKtNUNbRlw6WVwlqDssjL-WdtfkE-L91D8I8TxqQGFw32vR7RT1FVrKilZGKGXxZogo8xYKsOwQ06HBUw9byvWvZVXCiQM788dadmQPsPnwadwfUCHmLSe3wBOiRnenxdWw6QL2-m00HhmP8FQKSRJA</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>KANEMARU, Akiko</creator><creator>KANEMARU, Kazutomi</creator><creator>KUWAJIMA, Iwao</creator><general>The Japanese Society of Hypertension</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>7X8</scope></search><sort><creationdate>2001</creationdate><title>The Effects of Short-Term Blood Pressure Variability and Nighttime Blood Pressure Levels on Cognitive Function</title><author>KANEMARU, Akiko ; KANEMARU, Kazutomi ; KUWAJIMA, Iwao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c574t-7d4a4b2a1dfd5d0c903e01de83d417ec81a9b77cb781f6b29d94ddce9536213f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>blood pressure</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Circadian Rhythm - physiology</topic><topic>Cognition - physiology</topic><topic>cognitive function</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Neuropsychological Tests</topic><topic>nighttime</topic><topic>Psychiatric Status Rating Scales</topic><topic>variability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KANEMARU, Akiko</creatorcontrib><creatorcontrib>KANEMARU, Kazutomi</creatorcontrib><creatorcontrib>KUWAJIMA, Iwao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension Research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KANEMARU, Akiko</au><au>KANEMARU, Kazutomi</au><au>KUWAJIMA, Iwao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effects of Short-Term Blood Pressure Variability and Nighttime Blood Pressure Levels on Cognitive Function</atitle><jtitle>Hypertension Research</jtitle><addtitle>Hypertension Research</addtitle><date>2001</date><risdate>2001</risdate><volume>24</volume><issue>1</issue><spage>19</spage><epage>24</epage><pages>19-24</pages><issn>0916-9636</issn><eissn>1348-4214</eissn><abstract>We investigated the relationship between 24-h blood pressure (BP) and cognitive function. We performed the Hasegawa Dementia Scale Revised (HDSR), the Mini-Mental State Examination (MMSE), and the Raven’s Coloured Progressive Matrices Test (RCPM) in 88 subjects (71±9 years) with no history of stroke. Ambulatory BP was non-invasively measured using a TM2421 for 24h in all patients. Whereas 90% of the scores converged into a narrow range between 25 and 30 points in the HDSR and the MMSE tests, the RCPM score was widely distributed, ranging from 9 to 36 points. The subjects were therefore divided into three groups of ≥25, 26-30, and 31-36 according to their RCPM scores. Subjects with lower scores were significantly associated with increased short-term BP variability during the daytime (p<0.05) and had a tendency toward higher nighttime SBP (p=0.05) compared with those with higher scores. Increased short-term variability of daytime BP and high nighttime systolic BP were associated with cognitive impairment as assessed by the RCPM. The RCPM, which can assess the capacity for judgment through visual information processing, may detect earlier stages of cognitive impairment related to high BP. To prevent a deterioration of cognitive function, strict control of nighttime BP and suppression of short-term BP variability are thus necessary. (Hypertens Res 2001; 24: 19-24)</abstract><cop>England</cop><pub>The Japanese Society of Hypertension</pub><pmid>11213025</pmid><doi>10.1291/hypres.24.19</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Hypertension Research, 2001, Vol.24(1), pp.19-24 |
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| language | eng |
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| source | J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged blood pressure Blood Pressure - physiology Blood Pressure Monitoring, Ambulatory Circadian Rhythm - physiology Cognition - physiology cognitive function Female Humans Male Neuropsychological Tests nighttime Psychiatric Status Rating Scales variability |
| title | The Effects of Short-Term Blood Pressure Variability and Nighttime Blood Pressure Levels on Cognitive Function |
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