Low blood pressure levels for fall injuries in older adults: the Health, Aging and Body Composition Study

Naoko Sagawa, Zachary A. Marcum, Robert M. Boudreau, Joseph T. Hanlon, Steven M. Albert, Celia O’Hare, Suzanne Satterfield, Ann V. Schwartz, Aaron I. Vinik, Jane A. Cauley, Tamara B. Harris, Anne B. Newman and Elsa S. Strotmeyer ()
Additional contact information
Naoko Sagawa: University of Pittsburgh
Zachary A. Marcum: University of Washington
Robert M. Boudreau: University of Pittsburgh
Joseph T. Hanlon: University of Pittsburgh
Steven M. Albert: University of Pittsburgh
Celia O’Hare: University of Dublin
Suzanne Satterfield: University of Tennessee Health Science Center
Ann V. Schwartz: University of California San Francisco
Aaron I. Vinik: Eastern Virginia Medical School
Jane A. Cauley: University of Pittsburgh
Tamara B. Harris: National Institute On Aging, National Institute of Health
Anne B. Newman: University of Pittsburgh
Elsa S. Strotmeyer: University of Pittsburgh

European Journal of Ageing, 2018, vol. 15, issue 3, No 10, 330 pages

Abstract: Abstract Fall injuries cause morbidity and mortality in older adults. We assessed if low blood pressure (BP) is associated with fall injuries, including sensitivity analyses stratified by antihypertensive medications, in community-dwelling adults from the Health, Aging and Body Composition Study (N = 1819; age 76.6 ± 2.9 years; 53% women; 37% black). Incident fall injuries (N = 570 in 3.8 ± 2.4 years) were the first Medicare claims event from clinic visit (7/00–6/01) to 12/31/08 with an ICD-9 fall code and non-fracture injury code, or fracture code with/without a fall code. Participants without fall injuries (N = 1249) were censored over 6.9 ± 2.1 years. Cox regression models for fall injuries with clinically relevant systolic BP (SBP; ≤ 120, ≤ 130, ≤ 140, > 150 mmHg) and diastolic BP (DBP; ≤ 60, ≤ 70, ≤ 80, > 90 mmHg) were adjusted for demographics, body mass index, lifestyle factors, comorbidity, and number and type of medications. Participants with versus without fall injuries had lower DBP (70.5 ± 11.2 vs. 71.8 ± 10.7 mmHg) and used more medications (3.8 ± 2.9 vs. 3.3 ± 2.7); all P

Keywords: Fall injury; Low blood pressure; Diastolic blood pressure; Polypharmacy (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s10433-017-0449-9

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