Open AccessLocomotive syndrome is associated with large blood pressure variability in elderly hypertensives: the Japan Ambulatory Blood Pressure Prospective (JAMP) substudy
Author(s) -
Imaizumi Yuki,
Eguchi Kazuo,
Murakami Takeshi,
Saito Tomohiro,
Hoshide Satoshi,
Kario Kazuomi
Publication year - 2017
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12946
Subject(s) - medicine , ambulatory blood pressure , blood pressure , ambulatory , quartile , psychosocial , prospective cohort study , cardiology , depression (economics) , physical therapy , confidence interval , psychiatry , economics , macroeconomics
Chronic pain, represented by locomotive syndrome ( LS ), and psychosocial factors are possible factors of blood pressure (BP) variability ( BPV ). The authors tested the hypothesis that there are links among LS , depression, and BPV . In 85 Japanese elderly hypertensive patients with normal daily activities, the authors performed ambulatory BP monitoring, determined the LS scale ( LSS ), and administered the Self‐Rating Questionnaire for Depression ( SRQD ). The LSS score but not the SRQD score was associated with the standard deviation ( SD ) and coefficient of variation ( CV ) of daytime systolic BP ( SBP ) and SD of nighttime SBP (all P <.05). Higher LSS score (in quartiles) was associated with a higher SD of daytime SBP ( P =.041), even after adjusting for covariates. Regarding the components of the LSS score, movement‐related difficulty and usual care difficulty were associated with the SD and CV of daytime SBP . In elderly hypertensive patients, the LSS score was associated with exaggerated systolic BPV . The LS state could be an important determinant of systolic BPV .