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

Author

Listed:
  • Naoko Sagawa

    (University of Pittsburgh)

  • Zachary A. Marcum

    (University of Washington)

  • Robert M. Boudreau

    (University of Pittsburgh)

  • Joseph T. Hanlon

    (University of Pittsburgh
    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
    University of Pittsburgh)

  • Elsa S. Strotmeyer

    (University of Pittsburgh)

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

Suggested Citation

  • 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 , 2018. "Low blood pressure levels for fall injuries in older adults: the Health, Aging and Body Composition Study," European Journal of Ageing, Springer, vol. 15(3), pages 321-330, September.
    • Handle: RePEc:spr:eujoag:v:15:y:2018:i:3:d:10.1007_s10433-017-0449-9
    DOI: 10.1007/s10433-017-0449-9
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    References listed on IDEAS

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    1. Tsang, Eric W. K., 2014. "Old and New," Management and Organization Review, Cambridge University Press, vol. 10(03), pages 390-390, November.
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