Table 4. Epidemiological studies of hypotension and cognitive decline.
| Study name | n, age (years) | Follow-up (years) | Outcomes | BP measures | Covariates | Associations with cognitive tasks |
|---|---|---|---|---|---|---|
| ARIC84 | 12,702, 50–60 | 12 | Neuropsychological tests | OH, HTN | D, E, RF | OH associated with worse cognition (Digit Symbol Substitution and Word Fluency tests) |
| MPP86 | 722 men, 50–55 | 20 | Cardiac disease stroke, mortality | OH, HTN | D, RF | OH associated with increased age, low body mass, HTN, antihypertensive treatment, DM, smoking, coronary events, stroke, and all-cause mortality |
| Helsinki Ageing Study87 | 650, 75–85 | 10 | MMSE | OH, HTN | D, RF | Low BP associated with MMSE <24; HTN unrelated to cognition |
Abbreviations: ARIC, Atherosclerosis Risk in Communities; BP, blood pressure; D, demographic variables; DM, diabetes mellitus; E, education; HTN, hypertension; OH, orthostatic hypotension; MPP, Malmö Preventive Project; MMSE, minimental state examination; RF, risk factors (BMI, DM, HTN, cholesterol, smoking).