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  • Cold weather may raise blood pressure in elderly

    LONDON, Jan 12 (Reuters) - Cold weather may raise old people's blood pressure and increase the risk that they will suffer stroke, heart attack or kidney failure, French researchers said on Monday.

    Previous research has shown that blood pressure changes with the seasons, but few studies have looked specifically at old people, Annick Alperovitch of the National Institute of Health and Medical Research in Paris and colleagues said.

    "Although our study does not demonstrate a causal link between blood pressure and external temperature, the observed relationship nevertheless has potentially important consequences for blood pressure management in the elderly," they wrote in the Archives of Internal Medicine.

    High blood pressure, or hypertension, can lead to stroke, heart failure, heart attack and kidney failure. It affects more than a billion adults worldwide.

    The French team looked at the relationship between blood pressure and temperature in more than 8,800 men and women aged 65 or older. The volunteers were from three cities and had their blood pressure measured at regular intervals in 1999 and again two years later.

    Both systolic and diastolic blood pressures differed across the four seasons and during varying outdoor temperatures. High blood pressure -- defined as a systolic reading of 160 or higher or a diastolic reading above 95 -- was detected in about a third of the volunteers during winter and a quarter in summer.

    On average, each person's blood pressure fell between the initial and follow-up measurements, with the decrease strongly correlated with outdoor temperature, the researchers said.

    Average systolic blood pressure was 5 millimeters of mercury higher in winter than in summer, they added.

    "The higher the temperature at follow-up compared with baseline, the greater the decrease in blood pressure," the researchers wrote.

    The researchers said they did not know the reason for this, but thought a hormone linked to stress that is released in cold weather might raise blood pressure by speeding the heart.

    The findings suggest that doctors should consider closer monitoring of elderly patients on high blood pressure medicine when the temperature falls, they added.

    "(The study) may explain well-established seasonal variations in illness and death from stroke, aneurysm ruptures and other vascular diseases," they wrote. (Reporting by Michael Kahn; editing by Maggie Fox and Tim Pearce)

    "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

  • #2
    Re: Cold weather may raise blood pressure in elderly

    Abstract below. Note the temperature range 7.9 to 21.2 C.

    Winterpeg has a sizeable immigrant population, Europe, Africa and Asia, that are currently enduring -39C with windchill as they wait for the bus home today.

    J.

    ____________________________

    Relationship Between Blood Pressure and Outdoor Temperature in a Large Sample of Elderly Individuals
    The Three-City Study

    Annick Alp?rovitch, MD; Jean-Marc Lacombe, MSc; Olivier Hanon, MD; Jean-Fran?ois Dartigues, MD; Karen Ritchie, PhD; Pierre Ducimeti?re, PhD; Christophe Tzourio, MD


    Arch Intern Med. 2009;169(1):75-80.

    Background Seasonal variations of blood pressure?related diseases have been described in several populations. However, few studies have examined the seasonal variations of blood pressure in the elderly, a segment of the population particularly exposed to vascular diseases. The association of blood pressure with season and outdoor temperature was examined in 8801 subjects 65 years or older from the Three-City study, a population-based longitudinal study.

    Methods Blood pressure was measured at baseline and 2-year follow-up examinations. Daily outdoor temperature measured at 11 AM was provided by the local meteorological offices.

    Results Both systolic and diastolic blood pressure values differed significantly across the 4 seasons and across the quintiles of the distribution of outdoor temperature. Systolic blood pressure decreased with increasing temperature, with an 8.0?mm Hg decrease between the lowest (<7.9?C) and the highest (21.2?C) temperature quintile. Intraindividual differences in blood pressure between follow-up and baseline examinations were strongly correlated with differences in outdoor temperature. The higher the temperature at follow-up compared with baseline, the greater the decrease in blood pressure. Longitudinal changes in blood pressure according to difference in outdoor temperature were larger in subjects 80 years or older than in younger participants.

    Conclusions Outdoor temperature and blood pressure are strongly correlated in the elderly, especially in those 80 years or older. During periods of extreme temperatures, a careful monitoring of blood pressure and antihypertensive treatment could contribute to reducing the consequences of blood pressure variations in the elderly.


    Author Affiliations: Institut National de la Sant? et de la R?cherche M?dicale (INSERM) U708, Paris, France (Drs Alp?rovitch, Hanon, and Tzourio and Mr Lacombe); UPMC Univ Paris06 (Drs Alp?rovitch and Tzourio and Mr Lacombe); Department of Geriatrics, H?pital Broca, Paris (Dr Hanon); INSERM U593 and Universit? Bordeaux 2, Bordeaux, France (Dr Dartigues); INSERM U888, Montpellier, France (Dr Ritchie); and INSERM U780 and Universit? Paris 11, Villejuif, France (Dr Ducimeti?re).

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