Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study

Background: Orthostatic hypotension (OH) in the elderly is an important health challenge that poses a significant burden. We sought to determine the prevalence and correlates of OH in an elderly population-based study. Methods: This study was conducted within the framework of the Amirkola Health and...

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Main Authors: Mehdi Safarpour, Akbar Fotouhi, Seyed Reza Hosseini, Masume Mohamadzade, Ali Bijani
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2019-10-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/899
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author Mehdi Safarpour
Akbar Fotouhi
Seyed Reza Hosseini
Masume Mohamadzade
Ali Bijani
author_facet Mehdi Safarpour
Akbar Fotouhi
Seyed Reza Hosseini
Masume Mohamadzade
Ali Bijani
author_sort Mehdi Safarpour
collection DOAJ
description Background: Orthostatic hypotension (OH) in the elderly is an important health challenge that poses a significant burden. We sought to determine the prevalence and correlates of OH in an elderly population-based study. Methods: This study was conducted within the framework of the Amirkola Health and Ageing Project (AHAP) on 1,588 elderly individuals aged ≥60 years. The baseline measurement was performed from April 2011 to July 2012. The relationships between OH (dependent variable) and age, sex, diabetes, hypertension, and cognitive status (independent variables) were investigated by logistic regression. Results: The mean age of the participants was 69.37±7.42 years (men: 69.96±7.68 y, women: 68.66±7.02 y). The prevalence of OH was 10.7%: 8.4% in the male and 13.7% in the female patients. In the final model, hypertension (OR=2.4, 95% CI: 1.6–3.7), diabetes (OR=1.3, 95% CI: 1.0–1.9), age (OR=2.9, 95% CI: 1.7–4.8), and female sex (female [OR=1.6, 95% CI: 1.1–2.3]) were significantly correlated with OH. Conclusion: The prevalence of OH in our elderly subjects increased with age. Additionally, the older participants with diabetes and hypertension had a higher likelihood of having this OH.
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spelling doaj.art-a9da417127854b48bbe7c69b439038c22022-12-22T03:18:41ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712019-10-0114410.18502/jthc.v14i4.2000Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) StudyMehdi Safarpour0Akbar Fotouhi1Seyed Reza Hosseini2Masume Mohamadzade3Ali Bijani4Department of Disease Prevention and Control, Health Deputy, Babol University of Medical Sciences, Babol, Iran.Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Department of Community Medicine, School of Medicine, Babol University of Medical Sciences, Babol, Iran.Department of Disease Prevention and Control, Health Deputy, Babol University of Medical Sciences, Babol, Iran.Children’s Non-Communicable Diseases Research Center, Babol University of Medical Sciences, Babol, Iran.Background: Orthostatic hypotension (OH) in the elderly is an important health challenge that poses a significant burden. We sought to determine the prevalence and correlates of OH in an elderly population-based study. Methods: This study was conducted within the framework of the Amirkola Health and Ageing Project (AHAP) on 1,588 elderly individuals aged ≥60 years. The baseline measurement was performed from April 2011 to July 2012. The relationships between OH (dependent variable) and age, sex, diabetes, hypertension, and cognitive status (independent variables) were investigated by logistic regression. Results: The mean age of the participants was 69.37±7.42 years (men: 69.96±7.68 y, women: 68.66±7.02 y). The prevalence of OH was 10.7%: 8.4% in the male and 13.7% in the female patients. In the final model, hypertension (OR=2.4, 95% CI: 1.6–3.7), diabetes (OR=1.3, 95% CI: 1.0–1.9), age (OR=2.9, 95% CI: 1.7–4.8), and female sex (female [OR=1.6, 95% CI: 1.1–2.3]) were significantly correlated with OH. Conclusion: The prevalence of OH in our elderly subjects increased with age. Additionally, the older participants with diabetes and hypertension had a higher likelihood of having this OH.https://jthc.tums.ac.ir/index.php/jthc/article/view/899Hypotension; orthostaticAgedPrevalence
spellingShingle Mehdi Safarpour
Akbar Fotouhi
Seyed Reza Hosseini
Masume Mohamadzade
Ali Bijani
Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study
Journal of Tehran University Heart Center
Hypotension; orthostatic
Aged
Prevalence
title Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study
title_full Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study
title_fullStr Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study
title_full_unstemmed Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study
title_short Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study
title_sort predictors of orthostatic hypotension in the elderly results from the amirkola health and ageing project ahap study
topic Hypotension; orthostatic
Aged
Prevalence
url https://jthc.tums.ac.ir/index.php/jthc/article/view/899
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