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Commentary on: Murray MD, Hendrie HC, Lane KA, et al. Antihypertensive Medication and Dementia Risk in Older Adult African Americans with Hypertension: A Prospective Cohort Study. J Gen Intern Med. 2018 Apr;33:455–462.
Implications for practice and research
Treatment for hypertension to target blood pressure in community-dwelling African–Americans aged over 65 was associated with a reduced incidence of all-cause dementia.
This study provides further suggestion that lower blood pressure in late middle-age is associated with a reduced risk of developing dementia in later life.
There is no indication on the basis of these findings to modify current guidance on blood pressure management in older people.
Interpretation of this study’s findings is hampered by methodological issues. Future research examining the association between antihypertensive use and incident dementia should adopt an approach which avoids these complexities.
High blood pressure is very common amongst older adults,1 with blood pressure increasing into middle age and then falling towards the end of …
Funding This report is independent research supported by the National Institute for Health Research (NIHR Doctoral Research Fellowship, Dr Jane Masoli), DRF-2014-07-177).
Disclaimer The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health.
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.