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ArticleHypertension research : official journal of the Japanese Society of Hypertension2020

The association of blood pressure with physical frailty and cognitive function in community-dwelling septuagenarians, octogenarians, and nonagenarians: the SONIC study.

Mai Kabayama, Kei Kamide, Yasuyuki Gondo, Yukie Masui, Takeshi Nakagawa, Madoka Ogawa, Saori Yasumoto, Hirochika Ryuno, Yuya Akagi, Eri Kiyoshige and 13 more

Abstract read
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In one paragraph

Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Association between salt intake and blood pressure among community-dwelling older adults based on their physical frailty status.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  6. Review
  7. Pulse pressure tells the story of sarcopenia.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Hypertension facilitates age-related diseases. ~ Is hypertension associated with a wide variety of diseases?~.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  12. Observational
  13. Article
  14. Article
  15. Current topics of frailty in association with hypertension and other medical conditions.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  16. Hypertension, the decline of activities of daily living (ADL) and frailty.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Review
  17. Article
  18. Article
  19. Blood pressure, frailty status, and all-cause mortality in elderly hypertensives; The Nambu Cohort Study.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  20. The relationship between blood pressure and cognitive function.International journal of cardiology. Cardiovascular risk and prevention · 2021
    Article
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

23 authors.

Mai KabayamaDepartment of Health Sciences, Osaka University Graduate School of Medicine, Suita, Japan. kabayama@sahs.med.osaka-u.ac.jp.
Kei KamideDepartment of Health Sciences, Osaka University Graduate School of Medicine, Suita, Japan.
Yasuyuki GondoDepartment of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human Sciences, Suita, Japan.
Yukie MasuiDepartment of Gerontology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Takeshi NakagawaResearch Institute, National Center for Geriatrics and Gerontology, Obu, Japan.
Madoka OgawaDepartment of Gerontology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Saori YasumotoDepartment of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human Sciences, Suita, Japan.
Hirochika RyunoDepartment of Nursing, Kobe University Graduate School of Health Sciences, Kobe, Japan.
Yuya AkagiDepartment of Health Sciences, Osaka University Graduate School of Medicine, Suita, Japan.
Eri KiyoshigeDepartment of Health Sciences, Osaka University Graduate School of Medicine, Suita, Japan.
Kayo GodaiDepartment of Health Sciences, Osaka University Graduate School of Medicine, Suita, Japan.
Ken SugimotoDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Hiroshi AkasakaDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Yoichi TakamiDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Yasushi TakeyaDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Koichi YamamotoDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Kazunori IkebeDepartment of Prosthodontics and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Japan.
Hiroki InagakiDepartment of Gerontology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Peter MartinDepartment of Human Development and Family Studies, Iowa State University, Ames, IA, USA.
Yasumichi AraiCenter for Supercentenarian Medical Research, Keio University School of Medicine, Tokyo, Japan.
Tatsuro IshizakiDepartment of Gerontology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Hiromi RakugiDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
SONIC study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the association of systolic blood pressure (SBP) level with physical frailty and cognitive function in community-dwelling older Japanese. Using the 'Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians' survey as the baseline, we performed a cross-sectional analysis of people aged 70 ± 1 (n = 1000), 80 ± 1 (n = 978), and 90 ± 1 (n = 272) years. Medical histories and medications were collected via interviews conducted by medical professionals. Blood pressure (BP), grip strength, gait speed, and cognitive function were examined on site. Trend analysis and multiple regression analysis were used to determine the association of the SBP level with physical frailty and cognitive function. The principal finding was that the association of SBP with physical frailty and cognitive function varied depending on characteristics such as age, physical and cognitive function, and antihypertensive medication use. A lower SBP level was associated with a higher prevalence of physical frailty only among 80-year-olds who were on antihypertensive medication. A significant association was found between higher SBP and lower cognitive function among 70-year-olds, while among 90-year-olds, the opposite was found. No association was found among participants who were 80 years old or among participants of all ages without antihypertensive medication. Our finding that an inverted association between SBP and geriatric syndrome exists suggests that the treatment of older patients must be individualized to prevent geriatric syndrome.

Indexed as

Blood PressureAgedAged, 80 and overAge FactorsAntihypertensive AgentsCognitionCross-Sectional StudiesFemaleFrailtyHumansHypertensionMaleProspective StudiesAntihypertensive AgentsBlood pressureCognitive functionCommunity-dwelling older populationHypertensionPhysical frailty

Identifiers

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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.