THE RELATIONSHIP BETWEEN AMBULATORY BLOOD PRESSURE VARIATION AND SYMPTOMS OF DEPRESSION AND SLEEP DISTURBANCE IN COMMUNITY-DWELLING ELDERLY PERSONS WITH INDEPENDENT ACTIVITIES OF DAILY LIVING

• WATANABE Takemasa

  Department of Hygiene and Public Health, Osaka Medical University

• MATSUURA Takamaro

  Goshiki Health Welfare Center

• WATANABE Misuzu

  Department of Hygiene and Public Health, Osaka Medical University

• DOTE Tomotaro

  Department of Hygiene and Public Health, Osaka Medical University

• SIMIZU Hiroyasu

  Department of Hygiene and Public Health, Osaka Medical University

• KONO Koichi

  Department of Hygiene and Public Health, Osaka Medical University

Bibliographic Information

Other Title

• 生活自立高齢者における日常生活時血圧変動と抑うつ症状，睡眠状況との関連
• セイカツ ジリツ コウレイシャ ニ オケル ニチジョウ セイカツジ ケツアツ ヘンドウ ト ヨクウツ ショウジョウ スイミン ジョウキョウ ト ノ カンレン

Abstract

Objective To clarify the relationship between ambulatory blood pressure variation and symptoms of depression and sleep disturbance in community-dwelling elderly persons with independent activities of daily living.<br/>Methods The subjects were 41 volunteers in a health education class for the elderly in a rural community. We carried out: (1) an interview about symptoms of depression using the Geriatric Depression Scale (GDS), competence of daily living, subjective daily sleep complaints and past history of disease,; (2) ambulatory blood pressure measurements over 24 hours with a portable device,; (3) sleep-awake judgment by wrist actigrams,; and (4) instructions for self-records of his/her life activities.<br/>Results (1) The average value for 24 hour-mean diastolic blood pressure was significantly higher in subjects undergoing hypertension treatment.<br/>(2) No significant relationship was observed between subjective sleep disturbance and ambulatory blood pressure variation.<br/>(3) No significant relationship was observed between objective sleep disturbance assessed by wrist-actigraphy and ambulatory blood pressure variation.<br/>(4) Severe depression was related to a lower degree of night decrease in both systolic and diastolic blood pressure in subjects undergoing hypertension treatment, while it was associated with higher average values for 24 hour- and awaking-mean systolic and diastolic blood pressure in subjects not receiving such treatment.<br/>Conclusions In community-dwelling elderly persons with independent activities of daily living, severer depression was associated with the higher mean blood pressure in subjects not taking medicine for hypertension and with a low degree of night decrease in diastolic blood pressure in those receiving hypertension treatment, while no significant relationship was observed between sleep disturbance and ambulatory blood pressure variation.

Journal

• Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH)

  Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH) 49 (3), 178-187, 2002

  Japanese Society of Public Health

Keywords

• Community-dwelling elderly
• Ambulatory blood pressure variation
• Symptoms of depression
• Sleep disturbance
• Independent activities of daily living

Details

• CRID: 1390282680483386624
• NII Article ID: 10008647046
• NII Article ID: 10012524195
• NII Book ID: AN00189323
• DOI: 10.11236/jph.49.3_178
• ISSN: 21878986
• ISSN: 05461766
• NDL BIB ID: 6129030
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I6129030
• Web Site: https://search.jamas.or.jp/link/ui/2002215010
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed