Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Blood pressure in centenarians in Poland

Abstract

The objective of the study is assessment of the prevalence and type of hypertension in centenarians in Poland. The investigations included 92 people who had turned 100 years of age, who, within the protocol of the Project of Investigation Polish Centenarians, underwent genetic, anthropometric, psychological and sociological examinations, and whose cardiovascular system was assessed. In the present analysis, we are analysing data concerning their blood pressure (BP) assessed by several measurements (3–6) with the mercury sphygmomanometer on both arms in sitting (if possible) or lying position performed during one visit. Hypertension was diagnosed when average BP value exceeded 160/95 or 140/90 mmHg. The average of age was 101.2 years (range 100–111 years), the respective values for BP were: systolic 146.7 mmHg (99–213 mmHg), diastolic BP—80.3 mmHg (55–114 mmHg) and pulse pressure (PP) 66.4 mmHg (31–129 mmHg). Hypertension diagnosed based on the criterion 160/95 mmHg was found in 29% of subjects, and according to the recent WHO criterion (140/90 mmHg) in 65% of subjects. PP exceeded 65 mmHg in 44.6%, and was above 50 mmHg in 91% subjects. In conclusion, hypertension occurs less frequently in centenarians, than in the entire population of old people, but it nevertheless cannot be considered a rare condition.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. Perutz MF . Long live the Queen's subjects. Philos Trans R Soc London B 1997; 352: 1919–1920.

    Article  CAS  Google Scholar 

  2. Beregi E, Klinger A . Health and living conditions of centenarians in Hungary. Int Psychogeriatr 1989; 1: 195–200.

    Article  CAS  Google Scholar 

  3. Burt VL et al. Prevalence of hypertension in the US adult population. Hypertension 1995; 25: 305–313.

    Article  CAS  Google Scholar 

  4. Joffres MR et al. Awareness, treatment, and control of hypertension in Canada. Am J Hypertens 1997; 10: 1097–1102.

    Article  CAS  Google Scholar 

  5. Franke H, Bracharz H, Gall L . Heart and circulation in centenarians. Studies in 148 persons over the age of 100 years in the German Federal Republic. Munch Med Wochenschr 1973; 115: 85–94.

    CAS  PubMed  Google Scholar 

  6. Franke H, Schramm A . Heart and circulation in very old age. Aktuelle Gerontol 1980; 10: 137–147.

    CAS  PubMed  Google Scholar 

  7. Franke H . Cardiovascular findings in patients over 100. Z Kardiol 1985; 74(Suppl 7): 55–63.

    PubMed  Google Scholar 

  8. Mari D, Maestroni AM . Centenarians in Milan. Ann Ital Med Int 1995; 10: 46–48.

    CAS  PubMed  Google Scholar 

  9. Andersen-Ranberg K et al. Declining physical abilities with age: a cross-sectional study of older twins and centenarians in Denmark. Age Ageing 1999; 28: 373–377.

    Article  CAS  Google Scholar 

  10. Deiana L et al. The Sardinia Study of extreme longevity. Aging (Milano) 1999; 11: 142–149.

    CAS  Google Scholar 

  11. Jumabay M et al. Ambulatory blood pressure monitoring in uygur centenarians. Circ J 2002; 66: 75–79.

    Article  Google Scholar 

  12. Kocemba J, Gryglewska B, Klich A, Grodzicki T . Ciśnienie tętnicze krwi i częstość nadciśnienia wśród starszych wiekiem mieszkańców Krakowa. Fol Med Cracoviens 1988; XXIX: 141–152.

    Google Scholar 

  13. Blacher J et al. Pulse pressure—not mean pressure—determines cardiovascular risk in older hypertensive patients. Arch Intern Med 2000; 160: 1085–1089.

    Article  CAS  Google Scholar 

  14. Staessen JA et al. Risk of untreated and treated isolated systolic hypertension in the elderly: meta-analysis of outcome trials. Lancet 2000; 355: 865–872.

    Article  CAS  Google Scholar 

  15. Franklin SS et al. Is pulse pressure useful in predicting coronary heart disease? The Framingham Heart Study. Circulation 1999; 100: 354–360.

    Article  CAS  Google Scholar 

  16. Gasowski J et al. Pulsatile blood pressure component as predictor of mortality in hypertension: a meta-analysis of clinical trial control groups. J Hypertens 2002; 20: 145–151.

    Article  CAS  Google Scholar 

  17. Bertinieri G et al. 24-h blood pressure profile in centenarians. J Hypertens 2002; 20: 1765–1769.

    Article  CAS  Google Scholar 

  18. Gueyffier F et al. Antihypertensive drugs in very old people: a subgroup meta-analysis of randomised controlled trials. INDANA Group. Lancet 1999; 353: 793–796.

    Article  CAS  Google Scholar 

  19. Hajar I, Miller K, Hirth V . Age-related bias in the management of hypertension: a national survey of physicians's opinions on hypertension in elderly adults. J Gerontol A Biol Sci Med Sci 2002; 57: M487–M491.

    Article  Google Scholar 

  20. Applegate WB, Davis BR, Black RH . Prevalance of postural hypotension at baseline in the systolic hypertension in the elderly program (SHEP). J Am Geriatr Soc 1992; 39: 1057–1065.

    Article  Google Scholar 

  21. Alli C, Avanzini P, Bettelli G . Prevalance and variability of orthostatic hypotension in the elderly. Results of the ‘Italian Study on blood pressure in the elderly (SPAA)’. Eur Heart J 1992; 13: 178–182.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported by a Grant PBZ-KBN-022/PO5/1999 ‘Genetic and environmental factors of longevity’ of the State Committee for Scientific Research (KBN) coordinated by the International Institute of Molecular and Cell Biology in Warsaw.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J Życzkowska.

Additional information

Conflicts of interest: None

Rights and permissions

Reprints and permissions

About this article

Cite this article

Życzkowska, J., Klich-Rączka, A., Mossakowska, M. et al. Blood pressure in centenarians in Poland. J Hum Hypertens 18, 713–716 (2004). https://doi.org/10.1038/sj.jhh.1001728

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1001728

Keywords

This article is cited by

Search

Quick links