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Is Highly Variable Blood Pressure a Red Flag?

Elderly people with highly variable blood pressure measurements at home were twice as likely to develop dementia as those with more stable blood pressure.

Blood pressure does not remain constant. It changes throughout the day depending upon stress, physical activity and many other factors. But could highly variable blood pressure signal a problem?

What Are the Consequences of Highly Variable Blood Pressure?

A new study from Japan has reported that people whose blood pressure varies the most from day to day may be at greater risk for dementia as they age. The researchers used a month’s worth of home blood pressure measurements among more than 1600 older adults.

People with rollercoaster blood pressure were twice as likely to be diagnosed with dementia over the next five years. Unfortunately, researchers don’t yet know whether controlling fluctuations in blood pressure would protect the brain.

Oishi et al, Circulation, Aug. 7, 2017 

Connecting Blood Pressure and Dementia Risk:

While this is the first study we have seen to identify highly variable blood pressure as a risk factor for cognitive decline, several previous studies have revealed links between blood pressure and dementia. Extremely low blood pressure in elderly individuals seems to be linked to problems. Among very old people, high blood pressure may actually be somewhat protective. Once people reach a certain age, probably beyond 75, aggressive blood pressure control may be counterproductive.

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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