Hypertension, Cognitive Decline, and Mild Cognitive Impairment Among Diverse Hispanics/Latinos: Study of Latinos-Investigation of Neurocognitive Aging Results (SOL-INCA).
J Alzheimers Dis
; 97(3): 1449-1461, 2024.
Article
em En
| MEDLINE
| ID: mdl-38250769
ABSTRACT
BACKGROUND:
Hypertension can have deleterious effects on cognitive function; however, few studies have examined its effects on cognition among Hispanics/Latinos.OBJECTIVE:
To assess associations between hypertension status with 1) change in cognitive performance, and 2) having mild cognitive impairment (MCI) among diverse Hispanics/Latinos.METHODS:
This population-based, prospective cohort, multisite study included Hispanic/Latino adults aged 45 to 72 years in enrolled in the Hispanic Community Health Study/Study of Latinos at Visit 1 (2008-2011; mean age of 63.40±8.24 years), and the Study of Latinos-Investigation of Neurocognitive Aging at Visit 2 (2016-2018), with a mean follow-up duration of 7 years (nâ=â6,173). Hypertension status was assessed at both visits normotension (no hypertension), incident hypertension (only at Visit 2), and persistent hypertension (at both visits). We examined change in cognitive performance and having MCI (only assessed at Visit 2) relative to hypertension status and adjusted for demographics and cardiovascular disease risk factors.RESULTS:
Compared to normotension, persistent hypertension was associated with significantly increased decline in verbal fluency (ß=â-0.08; CIâ=â[-0.16;-0.01]; pâ<â0.05), and processing speed (ß=â-0.11; CIâ=â[-0.20;-0.02]; pâ<â0.05). Incident hypertension was not associated with significant change in cognitive performance. Both incident (ORâ=â1.70; CIâ=â[1.16;2.50]; pâ<â0.01) and persistent hypertension (ORâ=â2.13; CIâ=â[1.57;2.88]; pâ<â0.001) were associated with significantly higher odds ratios of having MCI.CONCLUSIONS:
These findings indicate that persistent hypertension is associated with clinical impairment and domain-specific cognitive decline in middle-aged and older Hispanics/Latinos. It underscores the importance of monitoring blood pressure in routine healthcare visits beginning at midlife in this population to reduce the burden of cognitive decline.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Disfunção Cognitiva
/
Hipertensão
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Alzheimers Dis
Assunto da revista:
GERIATRIA
/
NEUROLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos