Article

Relationship between low blood pressure and depressive symptomatology in older people.

Center on Aging, and Department of Medicine, University of Texas Medical Branch, Galveston 77555-0664, USA.
Journal of the American Geriatrics Society (impact factor: 3.74). 03/2000; 48(3):250-5. pp.250-5
Source: PubMed

ABSTRACT To determine if low blood pressure is associated with a definable constellation of somatic and psychological symptoms in older persons.
A population-based study.
In-home interviews in five southwestern states.
A total of 2723 Mexican Americans aged 65 or older not living in institutions.
Blood pressure, Center for Epidemiologic Studies Depression Scale (CES-D), global self-rating of health, and self-esteem.
Bivariate analyses indicate a significant relationship between low blood pressure and increased depressive symptomatology; for example, systolic hypotensive subjects scored a CES-D mean of 12.07 +/- .67 compared to 8.99 +/- .95 for normotensives (P < .01). Regression analyses supported these findings when controlling for confounders such as gender, age, and use of antihypertensive medications. Subjects with low blood pressure also scored lower on self-esteem and global self-reported health and reported more days waking up feeling tired.
These data support the existence of a relationship between low blood pressure and higher levels of depressive symptomatology as well as a constellation of somatic and psychosocial symptoms.

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Keywords

2723 Mexican Americans
 
antihypertensive medications
 
Blood pressure
 
data support
 
days waking
 
depressive symptomatology
 
Epidemiologic Studies Depression Scale
 
In-home interviews
 
low blood pressure
 
lower
 
older
 
older persons
 
psychological symptoms
 
self-esteem
 
significant relationship
 
southwestern states
 
systolic hypotensive subjects