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Titolo:
Divergent effects of beta-blocker therapy on self-estimated and objectively scored activities of daily living
Autore:
Kamiyama, T; Muratani, H; Kimura, Y; Fukiyama, K; Omae, T;
Indirizzi:
Univ Ryukyus, Sch Med, Dept Internal Med 3, Nishihara, Okinawa 9030125, Japan Univ Ryukyus Nishihara Okinawa Japan 9030125 hara, Okinawa 9030125, Japan Natl Cardiovasc Ctr, Suita, Osaka 5658565, Japan Natl Cardiovasc Ctr Suita Osaka Japan 5658565 Suita, Osaka 5658565, Japan
Titolo Testata:
Hypertension research
fascicolo: 2, volume: 22, anno: 1999,
pagine: 85 - 93
SICI:
0916-9636(199907)22:2<85:DEOBTO>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; MILD HYPERTENSION; TRIAL;
Keywords:
elderly patient; physical functions; mental and cognitive functions; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Muratani, H Univ Ryukyus, Sch Med, Dept Internal Med 3, 207 Uehara, Nishihara, Okinawa9030125, Japan Univ Ryukyus 207 Uehara Nishihara Okinawa Japan 9030125 Japan
Citazione:
T. Kamiyama et al., "Divergent effects of beta-blocker therapy on self-estimated and objectively scored activities of daily living", HYPERTENS R, 22(2), 1999, pp. 85-93

Abstract

To identify factors that influence changes in the activities of daily living (ADL) assessed by a standardized scoring system, ADL-20, and factors affecting the self-estimate of the changes in ADL, we conducted a 1-yr follow-up study of 1,163 outpatients aged 50 yr or older. The follow-up rate was 83.1%. A decrease in the ADL score was associated with advancing age and a lower prescription rate of beta-blockers. Analysis of the modalities of ADL revealed an association between a decreasing mobility score and a lower prescription rate of beta-blockers. In patients with impaired ADL at the time of enrollment, worsening of the ADL score was also associated with a lower baseline ADL score and a history of cardiovascular events. The prescriptionrate of diuretics was lower in patients who exhibited an improvement in ADL score. There was a considerable dissociation between the self-estimate ofchanges in ADL and the actual change in ADL-20 score. In more than 60% of patients with impaired baseline ADL, the self-estimate of changes was worsethan the actual change in the ADL score. The "worse-than-actual" self estimate of changes in ADL was associated with a higher prescription rate of beta-blockers. Thus, a history of cardiovascular events accelerates the aging-related deterioration of ADL. The use of a beta-blocker may worsen the self-estimate of the changes in ADL, while the actual ADL is preserved or slightly improved during beta-blocker therapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 08:54:59