Evidence map›Paper›PMID 29105991›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2018

Hypertension and frailty in older adults.

Ivan Aprahamian, Eduardo Sassaki, Marília F Dos Santos, Rafael Izbicki, Rafael C Pulgrossi, Marina M Biella, Ana Camila N Borges, Marcela M Sassaki, Leonardo M Torres, Ícaro S Fernandez and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  7. Brazilian Guidelines of Hypertension - 2025.Arquivos brasileiros de cardiologia · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Ivan AprahamianDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.ORCID 0000-0003-3806-7895
Eduardo SassakiDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Marília F Dos SantosDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Rafael IzbickiDepartment of Statistics, Federal University of São Carlos, São Carlos, Brazil.
Rafael C PulgrossiDepartment of Statistics, Federal University of São Carlos, São Carlos, Brazil.
Marina M BiellaDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Ana Camila N BorgesDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Marcela M SassakiDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Leonardo M TorresDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Ícaro S FernandezDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Olívia A PiãoDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Paula L M CastroDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Pedro A FonteneleDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Mônica S YassudaDepartment of Neurology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Faculdade de Medicina de Jundiaí · BRUniversidade de São Paulo · BRUniversidade Federal de São Carlos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between hypertension and frailty syndrome in older adults remains unclear. There is scarce information about the prevalence of hypertension among frail elderly patients or on its relationship with frailty. Up to one quarter of frail elderly patients present without comorbidity or disability, yet frailty is a leading cause of death. The knowledge and better control of frailty risk factors could influence prognosis. The present study evaluated: (1) the prevalence of hypertension in robust, prefrail, and frail elderly; and (2) factors that might be associated with frailty including hypertension. A cross-sectional study was conducted in 619 older adults at a university-based outpatient center. Study protocol included sociodemographic data, measures of blood pressure and body mass index, frailty screening according to the internationally validated FRAIL (fatigue, resistance, ambulation, illnesses, and loss of weight) scale, number of comorbidities, drug use assessment, physical activity, cognitive status, and activities of daily living. Ordinal logistic regression was used to evaluate factors associated with frailty. Prevalence of hypertension and frailty was 67.3% and 14.8%, respectively, in the total sample. Hypertension was more prevalent in the prefrail (72.5%) and frail (83%) groups than among controls (51.7%). Hypertension, physical activity, number of prescribed drugs, and cognitive performance were significantly associated with frailty status. Hypertension presented an odds ratio of 1.77 towards frailty (95% confidence interval, 1.21-2.60; P = .002). Hypertension was more prevalent in frail elderly patients and was significantly associated with frailty. Intensive control of hypertension could influence the trajectory of frailty, and this hypothesis should be explored in future prospective clinical trials.

Indexed as

FrailtyHypertensionMass ScreeningAgedAged, 80 and overBlood Pressure DeterminationBrazilComorbidityCross-Sectional StudiesFemaleFrail ElderlyGeriatric AssessmentHumansMalePrevalencePrognosiselderlyfrailtyhypertension

Identifiers

PMID29105991
PMCPMC8031203
OpenAlexW2767618030

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.