Aggressive blood pressure treatment does not increase fall risk after all, study says

Share this article:


Taking aggressive measures to lower older adults' blood pressure may not increase their risk of falls, contrary to conventional wisdom, according to recently published research findings.

The idea that intensive treatment of hypertension could actually lead to low blood pressure that puts seniors at risk of falls is a “commonly cited concern,” the investigators stated. However, “few rigorous studies” have examined the issue.

The researchers compared the number of self-reported falls in two groups of participants with type 2 diabetes. One group was receiving intensive hypertension treatment, and the other was receiving a more standard treatment. The intensive group was more commonly prescribed “all classes of medications,” especially thiazide diuretics, the investigators noted. There were about 3,100 participants in total, and the mean age was 62.

The group in intensive treatment did not experience more falls or fall-related fractures than the other group over an average follow-up period of about five years, the study authors found. Results did not differ based on patient age.

The study participants were all enrolled in the Action to Control Cardiovascular Risk in Diabetes trial, testing a variety of treatments. This means they were observed more closely than patients in clinical practice, which could have affected the results of the hypertension study, the authors acknowledged.

Full findings appear in the Journal of General Internal Medicine.
Share this article:

More in News

CDC issues new guidelines on pneumococcal vaccine, says LTC flu vaccination rates remain low

CDC issues new guidelines on pneumococcal vaccine, says ...

Long-term care workers continued to have low rates of flu vaccination last season, despite there being 92% vaccination coverage overall among physicians and nurses, the Centers for Disease Control and ...

AL operators accused of withholding $2M in unpaid overtime, minimum wages ...

Four California assisted living operators are facing eight felony charges related to wage theft, tax and insurance violations, according to local reports.

Three states to examine risk, reform in Medicaid project

Alabama, Washington and Nevada are participating in a yearlong Medicaid project that could help share risk between states and the federal government, the National Governors Association said this week.