HAC (Russian)
RSCI (Russian)
EBSCO
DOI (USA)
Ulrichsweb (Ulrich’s Periodicals Directory)
Scientific Indexing Services

The cognitive domain of individual viability in elderly patients with hypertension

DOI: https://doi.org/10.29296/25877305-2021-09-19
Issue: 
9
Year: 
2021

Associate Professor O. Belousova(1), MD; Associate Professor O. Osipova(1), MD; M. Chupakha(1);
E. Voronina(2, 3), Candidate of Medical Sciences; Professor A. Ilnitski(1, 4), MD; E. Korshun(4), Candidate
of Medical Sciences (1)Belgorod State National Research University (2)Kuzbass Ministry of Social Protection
of the Population, Kemerovo (3)Gerontology Research Medical Center, Moscow (4)Academy of Postgraduate
Education, Federal Research and Clinical Center, Federal Biomedical Agency of Russia, Moscow

A comprehensive clinical and organizational geriatric study was performed; continuous selection of patients aged 45 to 74 years was used to identify 3 groups differentiated by age and disability. The study revealed that the cognitive domain made the maximum (25.4%) contribution to the preservation of individual viability. In addition, the cognitive domain of individual viability was formed in the presence of insufficiently corrected hypertension and atherogenic changes of blood serum.

Keywords: 
neurology
cardiology
hypertension
cognitive domain
dyslipidemia
elderly age
individual viability



References: 
  1. Vahnina N.V. Kognitivnye narushenija i ih lechenie u bol'nyh s arterial'noj gipertenziej. Meditsinskij sovet. 2014; 5: 30–6 [Vakhnina N.V. Cognitive impairments and their treatment in patients with arterial hypertension. Medical Council. 2014; 5: 30–6 (in Russ.)]. DOI: 10.21518/2079-701X-2014-5-30-37
  2. Eremina O.V. Kognitivnye narushenija u bol'nyh arterial'noj gipertenziej. Diss. … kand. med. nauk. Irkutsk, 2007; s. 150 [Eremina O.V. Kognitivnye narusheniya u bol’nykh arterial’noi gipertenziei. Diss. … kand. med. nauk. Irkutsk, 2007; p. 150 (in Russ.)].
  3. Zaharov V.V., Jahno N.N. Kognitivnye rasstrojstva v pozhilom i starcheskom vozraste: Metodicheskoe posobie dlja vrachej. M., 2005; s. 36 [Zakharov V.V., Yakhno N.N. Cognitive Disorders in Old and Old Age: A Methodological Guide for Physicians. M., 2005; p. 36 (in Russ)].
  4. Il'nitskij A.N., Pozdnjakova N.M., Proschaev K.I. i dr. Geriatricheskij podhod v sovremennom zdravoohranenii. Glavvrach. 2016; 10: 35–41 [Ilnitskiy A.N., Pozdnyakova N.M., Proshchaev K.I. et al. Geriatric approach in modern health care. Chief physician. 2016; 10: 35–41 (in Russ.)].
  5. Il'nitskij A.N., Proschaev K.I., Olenskaja T.L. i dr. Rannee vyjavlenie i profilaktika dementsii u grazhdan pozhilogo vozrasta v praktike uchrezhdenij sotsial'noj zaschity. Metodicheskie rekomendatsii. Belgorod, 2017; s. 41 [Ilnitskiy A.N., Proshchaev K.I., Olenskaya T.L. et al. Early detection and prevention of dementia in elderly citizens in the practice of social protection institutions. Methodical recommendations. Belgorod, 2017; p. 41 (in Russ.)].
  6. Koroleva M.V., Il'nitskij A.N., Kudashkina E.V. i dr. Kompleksnaja kognitivnaja reabilitatsija pozhilyh patsientov s metabolicheskim sindromom. Sovremennye problemy zdravoohranenija i meditsinskoj statistiki. 2019; 4: 139–55 [Koroleva M.V., Ilnitskiy A.N., Kudashkina E.V. et al. Complex cognitive rehabilitation of elderly patient with metabolic syndrome. Modern problems of health care and medical statistics. 2019; 4: 139–55 (in Russ.)]. DOI: 10.24411/2312-2935-2019-10086
  7. Natsional'nyj institut starenija. Vysokoe krovjanoe davlenie svjazano s kognitivnym snizheniem [Natsional’nyi institut stareniya. Vysokoe krovyanoe davlenie svyazano s kognitivnym snizheniem (in Russ.)]. URL: https://www.nia.nih.gov/news/high-blood-pressure-linked-cognitive-decline
  8. Ostroumova T.M., Parfenov V.A., Ostroumova O.D. Arterial'naja gipertenzija i kognitivnye narushenija: vzgljad s pozitsij dokazatel'noj meditsiny. Nevrologija, nejropsihiatrija, psihosomatika. 2017; 9 (4): 70–6 [Ostroumova T.M., Parfenov V.A., Ostroumova O.D. Hypertension and cognitive impairment: the standpoint of evidence-based medicine. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, neuropsychiatry, psychosomatics. 2017; 9 (4): 70–6 (in Russ.)]. DOI: 10.14412/2074-2711-2017-4-70-76
  9. Alagiakrishnan K., Mah D., Gyenes G. Cardiac rehabilitation and its effects on cognition in patients with coronary artery disease and heart failure. Exp Rev Cardiovasc Ther. 2018; 16 (9): 645–52. DOI: 10.1080/14779072.2018.1510318
  10. Anton S.D., Woods A.J., Ashizawa T. et al. Successful aging: Advancing the science of physical independence in older adults. Ageing Res Rev. 2015; 24: 304–27. DOI: 10.1016/j.arr.2015.09.005
  11. Aronow W.S. Hypertension and cognitive impairment. Ann Transl Med. 2017; 5 (12): 259. DOI: 10.21037/atm.2017.03.99
  12. Forsund L.H., Grov E.K., Helvik A.S. et al. The experience of lived space in persons with dementia: a systematic meta-synthesis. BMC Geriatr. 2018; 18 (1): 33. DOI: 10.1186/s12877-018-0728-0
  13. Fujiwara T., Hosid S., Kanegae H. et al. Excessive blood pressure variability is associated with memory impairment in very elderly patients. J Clin Hypertens. 2018; 20 (4): 637–44. DOI: 10.1111/jch.13231
  14. Kennelly S.P., Lawlor B.A., Kenny R.A. Blood pressure and dementia – a comprehensive review. Ther Adv Neurol Disord. 2009; 2 (4): 241–60. DOI: 10.1177/1756285609103483
  15. Komori T., Eguchi K., Saito T. et al. Increased blood pressure is associated with mild cognitive impairment in patients with heart failure. Am J Hypertens. 2016; 29 (2): 194–201. DOI: 10.1093/ajh/hpv086
  16. Prince M.J. World Alzheimer Report 2015: The Global Impact of Dementi [Internet]. 2015. Available at: https://www.alz.co.uk/research/world-report-2015
  17. Shenkin S.D., Harrison J.K., Wilkinson T. et al. Systematic reviews: guidance relevant for studies of older people. Age Ageing. 2017; 46 (5): 722–8. DOI: 10.1093/ageing/afx105
  18. Skoog I., Lernfelt B., Landahl S. et al. 15-year longitudinal study of blood pressure and dementia. Lancet. 1996; 347: 1141–5. DOI: 10.1016/s0140-6736(96)90608-x
  19. Skoog I. The assotiation between midlife blood pressure levels and late-life cognitive function. Biomed Pharmacother. 1997; 51 (9): 367–75.