Department of Education and Human Services, Lehigh University, 111 Research Drive, Bethlehem, PA 18015, USA.
J Gerontol B Psychol Sci Soc Sci. 2010 May;65B(3):296-305. doi: 10.1093/geronb/gbq001. Epub 2010 Jan 28.
Hypertension, highly prevalent and often undiagnosed among older Mexican Americans, is associated with greater limitations in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) that can lead to greater dependency for older adults. Using data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly study, the rate of increase in ADL/IADL limitations for a 7-year period was examined for 3,046 older Mexican Americans classified either as reporting hypertension at baseline, first reporting hypertension at subsequent waves, or never reporting hypertension. Latent growth models indicated increased ADL/IADL limitations over time; individuals with hypertension evidenced greater increases than those without hypertension. Age, comorbidities, and depression were positively related to greater ADL/IADL limitations at baseline for all groups; only age was consistently related to ADL/IADL change over time. Development of hypertension may increase the risk of ADL/IADL decline, but early diagnosis and treatment may attenuate this effect.
高血压在老年墨西哥裔美国人中普遍存在且常常未被诊断，与日常生活活动（ADL）和工具性日常生活活动（IADL）的更大限制相关，这可能导致老年人的依赖性增加。使用西班牙裔老年人流行病学研究中的既定人群研究的数据，检查了 3046 名被归类为在基线时报告高血压、随后的波次首次报告高血压或从未报告高血压的老年墨西哥裔美国人在 7 年内 ADL/IADL 限制的增长率。潜在增长模型表明，随着时间的推移，ADL/IADL 限制会增加；患有高血压的个体比没有高血压的个体增加得更多。所有组中，年龄、合并症和抑郁与基线时更大的 ADL/IADL 限制呈正相关；只有年龄与随时间推移的 ADL/IADL 变化始终相关。高血压的发展可能会增加 ADL/IADL 下降的风险，但早期诊断和治疗可能会减轻这种影响。
