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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/12986

Title: Orthostatic blood pressure variability is associated with lower visual contrast sensitivity function: Findings from The Irish Longitudinal Study on Aging
Authors: Bhuachalla, Bláithín Ní
McGarrigle, Christine A.
O'Leary, Neil
Akuffo, Kwadwo Owusu
Peto, Tunde
Beatty, Stephen
Kenny, Rose Anne
Keywords: Eye
Contrast sensitivity
Blood pressure variability
End-organ damage
Orthostatic hypotension
Orthostatic hypertension
Issue Date: 2019
Publisher: Experimental Gerontology
Citation: Experimental Gerontology, 119 (2019) 14–24
Abstract: Background: Hypertension is established to cause vascular end-organ damage. Other forms of dysregulated blood pressure (BP) behaviour, such as orthostatic hypotension have also been associated with cardiovascular (CV) events. The eye is potentially vulnerable to dysregulated systemic BP if ocular circulation autoregulation is impaired. We investigated whether phenotypes of abnormal BP stabilisation after orthostasis, an autonomic stressor, had a relationship with contrast sensitivity (CS), an outcome measure of subtle psychophysical visual function. Methods: This was a cross-sectional study from wave 1 of The Irish Longitudinal Study on Ageing (TILDA). From beat-to-beat orthostatic BP (BP), measured by digital photoplethysmography during active stand, 4 phenotypes have been defined 1) normal stabilisation 2) orthostatic hypotension, 3) orthostatic hypertension 4) BP variability. Contrast sensitivity was measured using a Functional Visual Analyzer. Multivariable linear regression models investigated the relationship between orthostatic BP phenotypes and contrast sensitivity in 4289 adults aged ≥50 years adjusting for, demographics, cardiovascular risk factors, self-reported eye pathologies, objective hypertension and antihypertensives. A sensitivity analysis adjusted for age-related macular degeneration, glaucoma, diabetic retinopathy and maculopathy identified on retinal photographs. Finally models were compared, adjusting for alternative measures of cataract versus not, to examine the potential effect of cataract on any associations. Results: Systolic orthostatic BP variability was associated with worse contrast sensitivity, in the primary and the sensitivity analysis. Adjusting for alternative measures of clinical cataract attenuated the association by 18%. Conclusions: Orthostatic BP variability is associated with worse contrast sensitivity, independent of hypertension and retinal pathology and may be a cardiovascular biomarker of early ocular pathology.
Description: An article published by Experimental Gerontology, 119 (2019) 14–24
URI: http://hdl.handle.net/123456789/12986
Appears in Collections:College of Science

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