Mañana, JUEVES, 24 DE ABRIL, el sistema se apagará debido a tareas habituales de mantenimiento a partir de las 9 de la mañana. Lamentamos las molestias.
Social support and ambulatory blood pressure in older people
Entity
UAM. Departamento de Medicina Preventiva y Salud Pública y MicrobiologíaPublisher
Lippincott Williams & Wilkins, Ltd.Date
2016-01-01Citation
10.1097/HJH.0000000000001036
Journal of Hypertension 34.10 (2016): 2045-2052
ISSN
0263-6352 (print); 1473-5598 (online)DOI
10.1097/HJH.0000000000001036Funded by
Data collection was funded by Fondo de Investigacion Sanitaria (FIS) grants 09/1626 and 12/1166 (Ministry of Health of Spain and FEDER/FSE) and by the Catedra UAM de Epidemiologia y Control del Riesgo Cardiovascular. Specific funding for this analysis was obtained from FIS grant PI13/02321Editor's Version
http://dx.doi.org/10.1097/HJH.0000000000001036Subjects
Ambulatory blood pressure; Blood pressure; Elderly; Social support; MedicinaNote
This is a non-final version of an article published in final form in Journal of Hypertension 34.10 (2016): 2045-2052. http://dx.doi.org/10.1097/HJH.0000000000001036Rights
© 2016 Wolters Kluwer Health, Inc. All rights reserved.Abstract
Objective: Social support has been associated with greater nocturnal decline (dipping) in blood pressure (BP) in younger and middle-Aged individuals. However, it is uncertain if aggregated measures of social support are related to ambulatory SBP in older adults, where high SBP is frequent and clinically challenging. Methods: We studied 1047 community-living individuals aged at least 60 years in Spain. Twenty-four-hour ambulatory BP was determined under standardized conditions. Social support was assessed with a seven-item questionnaire on marital status, cohabitation, frequency of contact with relatives, or with friends and neighbors, emotional support, instrumental support, and outdoor companionship. A social support score was built by summing the values of the items that were significantly associated with SBP variables, such that the higher the score, the better the support. Results: Participants' mean age was 71.7 years (50.8% men). Being married, cohabiting, and being accompanied when out of home were the support items significantly associated with SBP variables. After adjustment for sociodemographic (age, sex, education), behavioral (BMI, alcohol, tobacco, salt consumption, physical activity, Mediterranean diet score), and clinical variables [sleep quality, mental stress, comorbidity, BP medication, and ambulatory BP levels and heart rate (HR)], one additional point in the social support score built with the abovementioned three support variables, was associated with a decrease of 0.93mmHg in night-Time SBP (P=0.039), totaling 2.8mmHg decrease for a score of 3 vs. 0. The three-item social support score was also inversely associated with the night/day SBP ratio (β=-0.006, P=0.010). Conclusion: In older adults, social support is independently associated with lower nocturnal SBP and greater SBP dipping. Further research is needed in prospective studies to confirm these results
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Google Scholar:Sánchez Martínez, Mercedes
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López García, Esther
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Guallar Castillón, María Pilar
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Cruz, Juan J.
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Orozco, Edilberto
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García García-Esquinas, Esther
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Rodríguez Artalejo, Fernando
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Banegas Banegas, José Ramón
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