Strulov A, Epstein L, Harth A, Tamir A
Department of Family and Community Health, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa.
Eur J Epidemiol. 1990 Jun;6(2):160-5. doi: 10.1007/BF00145789.
In order to study the epidemiology of hypertension in the elderly and its relationship to other disease situations, a study was performed on 815 institutionalized elderly people indicating a statistically significant decrease of both systolic and diastolic blood pressure with age. There is a difference between the population originating in Europe and America and those from Asia and Africa; in the latter group the blood pressure values were significantly higher, specially in females. The prevalence of hypertension as a disease does not differ between younger and older age groups. The lower prevalence in the population studied (28.1%) when compared to data in the literature which indicates prevalence of about 40%, might be due to the fact that the institution population live under sheltered conditions and close medical follow up. In conclusion hypertension in the elderly serves as a major risk factor for several disease situations thus leading to a better survival for those with lower values of blood pressure.
为研究老年人高血压的流行病学及其与其他疾病状况的关系，对815名入住机构的老年人进行了一项研究，结果表明收缩压和舒张压均随年龄增长而有统计学意义的下降。源自欧美的人群与来自亚非的人群存在差异；在后一组中，血压值明显更高，尤其是女性。高血压作为一种疾病在年轻和老年人群中的患病率没有差异。与文献中约40%的患病率数据相比，本研究人群中较低的患病率（28.1%）可能是由于机构人群生活在有庇护的条件下且有密切的医疗随访。总之，老年人高血压是几种疾病状况的主要危险因素，因此血压值较低者生存状况更好。
