Association Between Blood Pressure Indicators and Stroke in Aged Population: A Community-Based Nested Case-Control Study

Ren, Longbing; Gao, Yan; Jiang, Yuting; Wang, Gege; Li, Qi; Gu, Yongzhe; Yu, Han; Li, Jue; Zhang, Lijuan

doi:10.2147/cia.s304847

Cited by 6 publications

(7 citation statements)

References 30 publications

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“…It's possible that this finding explains why untreated hypertension is linked to both ischemic and hemorrhagic strokes. These results were inconsistent with previous literature, including Mohammed and El-Sayed [28] , Aiyagari and Gorelick [30] , Du et al [31] , and Ren et al [32] , who examined the correlation between systolic and diastolic blood pressure and the risk of stroke, and found that the risk of stroke increased with both systolic and diastolic blood pressure.…”

Section: Discussioncontrasting

confidence: 97%

Effect of abdominal massage technique on constipation for post stroke patients: As a preventive measure

Mohamed¹,

Ali²,

El-Deen³

et al. 2023

Int. J. Adv. Res. Med. Surg. Nurs.

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Background: Constipation is a prevalent complication for stroke patients, but massage therapy for the abdominal area has been demonstrated to enhance digestive functioning overall, making it both a relief and a preventative precaution. Objective: The purpose of this study was to assess the effect of abdominal massage technique as a preventive measure against constipation in post-stroke patients. Methods: This is a quasi-experimental research design of 60 adult post-stroke patients who were purposively selected and classified into two equal groups of 30 each (Study and control group). The study was conducted at the stroke department of Minia University Hospital in Minia governorate. Data was collected using three tools: a structured interview assessment sheet for socio-demographic and medical data, a tool of two parts for assessing constipation, and the abdominal massage technique. Results:The study group demonstrated a statistically significant difference in the prevention of constipation occurrence compared to the control group on the third day. Conclusion:The study findings indicate that abdominal massage can significantly reduce the incidence of constipation in post-stroke patients. Recommendation: The application of abdominal massage is an effective and safe intervention for the prevention of constipation, and it is recommended that an in-service educational training program about abdominal massage be implemented.

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Section: Discussioncontrasting

confidence: 97%

Effect of abdominal massage technique on constipation for post stroke patients: As a preventive measure

Mohamed¹,

Ali²,

El-Deen³

et al. 2023

Int. J. Adv. Res. Med. Surg. Nurs.

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“…Hypertensioninduced pathology can accelerate vascular aging and enhance the progression of atherosclerotic plaques in the main cerebral arteries, which may decrease cerebral blood flow and cause cognitive deficits in elderly individuals (Iadecola and Gottesman, 2019;Ungvari et al, 2021). When PP levels were greater than 50 or 55 mm Hg, higher PP was related to cardiovascular events (Ren et al, 2021), consistent with our results. Our results showed that a PP less than 58 mm Hg was considered to reduce the risk of MCI.…”

Section: Discussionsupporting

confidence: 90%

“…Lower PP levels are thought to decrease the risk because elderly adults are more prone to atherosclerosis and stroke. Excessive fluctuation of arterial-pressure and damaged hippocampal capillaries may cause large arteries to become stiffer and less compliant, especially among the aging population (De Montgolfier et al, 2019;Ren et al, 2021). Vascular alterations may contribute to reduced perfusion of the cerebral white matter and ultimately increase the risk of CI (Iadecola, 2017).…”

Section: Discussionmentioning

confidence: 99%

Longitudinal real world correlation study of blood pressure and novel features of cerebral magnetic resonance angiography by artificial intelligence analysis on elderly cognitive impairment

Sun

Liu²,

Zhou³

et al. 2023

Front. Aging Neurosci.

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ObjectiveThis study aims to investigate novel clinical risk factors for cognitive impairment (CI) in elderly.MethodsA total of 3221 patients (259 patients with CI and 2,962 subjects without CI) were recruited into this nested case-control study who underwent cerebral magnetic resonance angiography (MRA) from 2007 to 2021. All of the clinical data with MRA imaging were recorded followed by standardization processing blindly. The maximum stenosis score of the posterior circulatory artery, including the basilar artery, and bilateral posterior cerebral artery (PCA), was calculated by the cerebral MRA automatic quantitative analysis method. Logistic regression (LR) analysis was used to evaluate the relationship between risk factors and CI. Four machine learning approaches, including LR, decision tree (DT), random forest (RF), and support vector machine (SVM), employing 5-fold cross-validation were used to establish CI predictive models.ResultsAfter matching with age and gender, 208 CI patients and 208 control subjects were finalized the follow-up (3.46 ± 3.19 years) with mean age at 84.47 ± 6.50 years old. Pulse pressure (PP) in first tertile (<58 mmHg) (OR 0.588, 95% confidence interval (CI): 0.362–0.955) was associated with a decreased risk for CI, and ≥50% stenosis of the left PCA (OR 2.854, 95% CI: 1.387–5.872) was associated with an increased risk for CI after adjusting for body mass index, myocardial infarction, and stroke history. Based on the means of various blood pressure (BP) parameters, the performance of the LR, DT, RF and SVM models accurately predicted CI (AUC 0.740, 0.786, 0.762, and 0.753, respectively) after adding the stenosis score of posterior circulatory artery.ConclusionElderly with low pulse differential pressure may have lower risk for cognitive impairment. The hybrid model combined with the stenosis score of posterior circulatory artery, clinical indicators, and the means of various BP parameters can effectively predict the risk of CI in elderly individuals.

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“…After adjusting for relative risk factors, PP showed a strong relation in the stroke group. PP > 50 mmHg could increase stroke risk, even for patients who had normal SBP [17] Controlling blood pressure can help reduce the burden of stroke. Hypertension patients can reduce the long-term risk of stroke by controlling their blood pressure, even with short-term treatment [18].…”

Section: Risk Factorsmentioning

confidence: 99%

“…Hypertension patients can reduce the long-term risk of stroke by controlling their blood pressure, even with short-term treatment [18]. Considering the antihypertensive drugs would reduce BP, health workers should use comprehensive measurements and pay attention to the elderly with a PP higher than 50 mmHg while SBP and DBP are normal (e.g., a resting BP of 130/65 mmHg), and a closer follow-up of BP should be given to those people [17].…”

Section: Risk Factorsmentioning

confidence: 99%

Stroke in China: disease burden and attributable risk factors

Tian

2023

Second International Conference on Biological Engineering and Medical Science (ICBioMed 2022)

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Stroke is one of major challenge in healthcare systems. A comprehensive overview of trends in stroke prevalence can provide a better understanding of the burden of stroke disease. This paper summarizes the results of national wide epidemiological surveys of stroke and attributable risk factors in China. According to the analysis, the disease burden of stroke in China is increasing, with an increasing trend in incidence, prevalence, and mortality. In China, the stroke burden showed significant age differences, gender differences, geographical differences and urban-rural differences. The north-eastern and central parts of China are the regions with a higher stroke burden. Hypertension, metabolic disturbances, smoking, alcohol consumption, physical inactivity and a sedentary lifestyle are all risk factors for stroke, with hypertension being the most prevalent risk factor in many epidemiological surveys. Recent data on the burden of disease in China are scarce. It is necessary to investigate more comprehensively the burden of disease and the control of associated risk factors for stroke. There are still relatively few national surveys in China and the available data are insufficient to show changes in the burden of stroke disease over the last five years. Due to the methodological limitation in collecting epidemiological survey data, timely, accurate, high-return rate survey data is urgently needed. These results shed light on the characteristics of stroke burden and attributable risk factors, providing a valid basis for stroke prevention strategies in China.

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Association Between Blood Pressure Indicators and Stroke in Aged Population: A Community-Based Nested Case-Control Study

Cited by 6 publications

References 30 publications

Effect of abdominal massage technique on constipation for post stroke patients: As a preventive measure

Effect of abdominal massage technique on constipation for post stroke patients: As a preventive measure

Longitudinal real world correlation study of blood pressure and novel features of cerebral magnetic resonance angiography by artificial intelligence analysis on elderly cognitive impairment

Stroke in China: disease burden and attributable risk factors

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