Clinic of Internal Medicine and Cardiac Rehabilitation, Medical University of Lodz, Łódź, Poland.
Department of Cardiac Intensive Care, Medical University of Lodz, Łódź, Poland.
Psychogeriatrics. 2020 Jul;20(4):406-411. doi: 10.1111/psyg.12521. Epub 2020 Feb 4.
Dementia is a very serious problem with regard to geriatric population. In the population over the age of 80 the prevalence of dementia varies by up to 20%. It is very important to answer the question - are arterial hypertension and its duration associated with cognitive performance?
One hundred and sixty people were qualified for participation in the study, women and men, diagnosed with arterial hypertension. The patients were divided into two pairs of groups. The first pair was group 1, patients with hypertension over the age of 85 and group 2, patients with hypertension aged 75-85. The second pair was group I, patients with up to 10 years of arterial hypertension and group II, patients with over 10 years of arterial hypertension. In the study, the Mini-Mental State Examination (MMSE) was used. Interpretation of impairment depended on the obtained numerical value.
In the tested group of patients, for individual correlations it was found that age is the independent variable which significantly affects the MMSE score. It was found that the time of duration of arterial hypertension did not have impact on the MMSE.
Cognitive functions evaluated through the MMSE were correct for the entire population. The length of the course of arterial hypertension did not have a significant adverse impact on cognitive functions and on the achieved MMSE result. Significant impact of age on the lowering of MMSE results and impairment of cognitive functions was shown.
痴呆症是老年人群体中一个非常严重的问题。在 80 岁以上的人群中,痴呆症的患病率差异可达 20%。回答这个问题非常重要——动脉高血压及其持续时间是否与认知表现相关?
共有 160 名被诊断为动脉高血压的男女患者符合参与研究的条件。患者被分为两组。第一组是年龄超过 85 岁的高血压患者(组 1)和年龄在 75-85 岁的高血压患者(组 2)。第二组是高血压持续时间不超过 10 年的患者(组 I)和高血压持续时间超过 10 年的患者(组 II)。在研究中,使用了简易精神状态检查(MMSE)。根据获得的数值对损害进行解释。
在测试的患者组中,对于个体相关性,发现年龄是显著影响 MMSE 评分的自变量。研究发现,动脉高血压持续时间的长短对 MMSE 没有影响。
通过 MMSE 评估的认知功能在整个人群中是正确的。动脉高血压持续时间的长短对认知功能和 MMSE 结果没有显著的不利影响。年龄对 MMSE 结果降低和认知功能损害有显著影响。