Prevalence and associative factors of orthostatic hypotension in older adults: Results from the Well-being of the Singapore Elderly (WiSE) study. (September 2017)

• Record Type: Journal Article
• Authors: Ong, Hui Lin; Abdin, Edimansyah; Seow, Esmond; Pang, Shirlene; Sagayadevan, Vathsala; Chang, Sherilyn; Vaingankar, Janhavi Ajit; Chong, Siow Ann; Subramaniam, Mythily
• Is Part Of: Archives of gerontology and geriatrics. Volume 72(2017)
• Page Start: 146
• Page End: 152
• Publication Date: 2017-09
• Subjects: OH Orthostatic hypotension -- WiSE Well-being of the Singapore Elderly -- GMS Geriatric Mental State -- CSI'D Community Screening Instrument for Dementia – participant -- CSI'D informant Community Screening Instrument for Dementia – informant -- COGSCORE Global cognitive score -- RELSCORE Informant's observations of cognitive and functional decline in the participant; Orthostatic hypotension -- Blood pressure -- Aging -- Epidemiology -- Dementia -- Singapore; Aging -- Periodicals; Geriatrics -- Periodicals; Gerontology -- Periodicals; Electronic journals; 305.26
• DOI: 10.1016/j.archger.2017.06.004
• Languages: English
• ISSNs: 0167-4943

Abstract

Highlights: Prevalence of Orthostatic Hypotension among Singapore older adults was 7.8%. Adults in the oldest age group (85+) were more likely to have orthostatic hypotension than those in the younger age group (60–74). Older adults with Hypertension were more likely to have orthostatic hypotension than those who did not have hypertension. Older adults with dementia were more likely to have orthostatic hypotension than those with normal cognition. Abstract: Background: Orthostatic hypotension (OH) is commonly reported among older adults and is associated with an increased risk of mortality. This study aimed to describe the prevalence and investigate the possible associations between OH with sociodemographic variables, chronic medical conditions, health service utilisation, dementia and cognitive status among older adults residing in Singapore. Methods: Data was collected from 2266 participants aged 60 years and older who participated in the Well-being of the Singapore Elderly (WiSE) study in 2013. Face-to-face interviews were conducted and data collected includes sociodemographic information, blood pressure measurements, medical history, health services utilisation, and cognitive status. Results: The prevalence of OH among older adults in Singapore was 7.8%. OH was highest in participants aged 85 years and above (OR: 2.33; 1.26–4.30; p = 0.007) compared to those aged 75–84 years (OR: 1.76; 1.08-2.85; p = 0.023). Participants with hypertension were more likely to have OH (OR: 3.03; 1.56–5.88, p = 0.001) than those without hypertension. Those with dementia were also more likely to have OH than those with normal cognitive status (p = 0.007). Conclusions: Older age, hypertension, and dementia were independently associated with OH in the older adult population in Singapore. Interventions such as home safety assessment and preventive measures should be implemented to improve older adult's functional capacity and quality of life to prevent injury.