Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes

Objective This study aims to explore the current cognitive status and identify risk factors associated with cognitive function in Tibetan hypertensive patients living at various altitudes.Methods The Simple Mental Status Scale (MMSE) was used to evaluate the cognitive function of 611 Tibetan hyperte...

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Main Authors: Long Yin, Xiaoming Zhang, Huijuan Zhang, Ruizhen Li, Jing Zeng, Kaixuan Dong, Yi Wang, Xinghui Li
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Clinical and Experimental Hypertension
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10641963.2024.2393331
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author Long Yin
Xiaoming Zhang
Huijuan Zhang
Ruizhen Li
Jing Zeng
Kaixuan Dong
Yi Wang
Xinghui Li
author_facet Long Yin
Xiaoming Zhang
Huijuan Zhang
Ruizhen Li
Jing Zeng
Kaixuan Dong
Yi Wang
Xinghui Li
author_sort Long Yin
collection DOAJ
description Objective This study aims to explore the current cognitive status and identify risk factors associated with cognitive function in Tibetan hypertensive patients living at various altitudes.Methods The Simple Mental Status Scale (MMSE) was used to evaluate the cognitive function of 611 Tibetan hypertensive patients at various altitudes in Gannan Tibetan Autonomous Prefecture. Afterward, we conducted an analysis to identify the factors influencing their cognitive function.Results The study found that the prevalence of cognitive dysfunction was 22.3%, with a higher incidence at high altitude (group D 29.0%) compared to low altitude (group A 16.0%). The study conducted a binary logistic regression analysis to identify the risk factors for cognitive dysfunction. The analysis revealed that altitude, age, body mass index, marital status, education, income level, and blood pressure control level were all significant risk factors. After controlling for age, body mass index, marital status, educational level, income level, and blood pressure control level, the risk of developing cognitive dysfunction was 2.773 times higher (p < .05) for individuals in group C at high altitude and 2.381 times higher (p < .05) for individuals in group D at high altitude compared to those in group A at low altitude.Conclusions Altitude plays a role in the development of cognitive dysfunction in hypertensive patients. Tibetan hypertensive patients living at high altitudes may be at a higher risk of cognitive dysfunction compared to those living at lower altitudes. Therefore, interventions should be targeted to prevent or mitigate potential cognitive impairment.
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spelling doaj-art-8fa7bcdf278d4f4296cedba405a56e982025-08-20T02:49:05ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062024-12-0146110.1080/10641963.2024.2393331Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudesLong Yin0Xiaoming Zhang1Huijuan Zhang2Ruizhen Li3Jing Zeng4Kaixuan Dong5Yi Wang6Xinghui Li7The First Clinical Medical College, Lanzhou University, Lanzhou, ChinaDepartment of Cardiology, Gansu Provincial Hospital, Lanzhou, ChinaDepartment of Cardiology, Gansu Provincial Hospital, Lanzhou, ChinaDepartment of Cardiology, Gansu Provincial Hospital, Lanzhou, ChinaDepartment of Cardiology, Gansu Provincial Hospital, Lanzhou, ChinaThe First Clinical Medical College, Lanzhou University, Lanzhou, ChinaThe First Clinical Medical College, Lanzhou University, Lanzhou, ChinaThe First Clinical Medical College, Lanzhou University, Lanzhou, ChinaObjective This study aims to explore the current cognitive status and identify risk factors associated with cognitive function in Tibetan hypertensive patients living at various altitudes.Methods The Simple Mental Status Scale (MMSE) was used to evaluate the cognitive function of 611 Tibetan hypertensive patients at various altitudes in Gannan Tibetan Autonomous Prefecture. Afterward, we conducted an analysis to identify the factors influencing their cognitive function.Results The study found that the prevalence of cognitive dysfunction was 22.3%, with a higher incidence at high altitude (group D 29.0%) compared to low altitude (group A 16.0%). The study conducted a binary logistic regression analysis to identify the risk factors for cognitive dysfunction. The analysis revealed that altitude, age, body mass index, marital status, education, income level, and blood pressure control level were all significant risk factors. After controlling for age, body mass index, marital status, educational level, income level, and blood pressure control level, the risk of developing cognitive dysfunction was 2.773 times higher (p < .05) for individuals in group C at high altitude and 2.381 times higher (p < .05) for individuals in group D at high altitude compared to those in group A at low altitude.Conclusions Altitude plays a role in the development of cognitive dysfunction in hypertensive patients. Tibetan hypertensive patients living at high altitudes may be at a higher risk of cognitive dysfunction compared to those living at lower altitudes. Therefore, interventions should be targeted to prevent or mitigate potential cognitive impairment.https://www.tandfonline.com/doi/10.1080/10641963.2024.2393331AltitudesTibetanshypertensioncognitive dysfunctionMMSE
spellingShingle Long Yin
Xiaoming Zhang
Huijuan Zhang
Ruizhen Li
Jing Zeng
Kaixuan Dong
Yi Wang
Xinghui Li
Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes
Clinical and Experimental Hypertension
Altitudes
Tibetans
hypertension
cognitive dysfunction
MMSE
title Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes
title_full Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes
title_fullStr Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes
title_full_unstemmed Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes
title_short Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes
title_sort analysis of the current status and associated risk factors of cognitive function in tibetan hypertensive patients at various altitudes
topic Altitudes
Tibetans
hypertension
cognitive dysfunction
MMSE
url https://www.tandfonline.com/doi/10.1080/10641963.2024.2393331
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