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Try out PMC Labs and tell us what you think. Learn More. Physiotherapist admitted after a public examination by the Family Health Program. Hypertension and dizziness are highly prevalent in the elderly population and represent major health problems. Data were collected using a questionnaire covering socio-demographic information and self-reported cases of hypertension and dizziness.

The growth in the aging population and increased longevity associated with lifestyle changes affected the patterns of morbidity and mortality. Advancing age increases the risk for a of chronic diseases, and dizziness and hypertension systemic arterial hypertension; SAH have become highly prevalent among the elderly. Dizziness is the illusion of movement of the individual or his or her surrounding environment. This symptom can be caused by dysfunction of any segment of the systems related to body balance. Dizziness with a rotational character is called vertigo 1.

The dizzy patient usually reports difficulty in mental concentration, memory loss, fatigue, and falling. The physical insecurity generated by dizziness and imbalance can lead to irritability, loss of confidence, fear of going out alone, anxiety, depression, or panic and can change the routine of life and affect family, social, and professional relationships, in turn causing loss of confidence, concentration, and income 1.

Dizziness is a major cause of falls in the elderly. Hypertension is a chronic disease of multifactorial origin that is highly prevalent in Brazil and constitutes a serious risk factor for the development of cerebrovascular and heart diseases 6. High blood pressure and dizziness are often associated because a person with uncontrolled hypertension may present with dizziness; indeed, dizziness may be the only symptom of hypertension.

The objective of this study was to assess the association between dizziness and hypertension in elderly residents, including men and women, of the 5 different regions of the city of Londrina. The inclusion criteria were age over 60, either sex, independent living, a Functional Status level as proposed by Spirduso 9 of 3 or 4, and voluntary informed consent to participate in the study indicated by freely ing the consent form.

The required sample size was calculated to be individuals. The sample was increased to individuals over 60 years of age to allow for the degree of sample loss typical of studies of the elderly. The sample was chosen randomly but with consideration for the socioeconomic differences among the 5 regions of the city north, south, central, east and west.

The data collection questionnaire was devised by the authors themselves to address socio-demographic factors such as age, gender, etc. No participant's blood pressure was measured, and no other precision instrument was used; only oral reports were considered. The statistical program SPSS The study included individuals aged 60 to 97 years median, 69 years; first quartile, 64 years; third quartile, 74 years , of whom Among all of the elderly subjects, Sensory changes, decreases in visual acuity, and impairment of proprioception and the vestibular system reduce environmental stimuli and leave individuals more susceptible to falling, requiring a multifaceted approach to reducing the risk of such falls.

Integrated actions and specialized care are used to monitor the population at greatest risk and encourage them to take preventive measures to minimize the risk for future falls 11 Of the subjects with dizziness, This gender distribution agrees with studies that have shown that women are susceptible to dizziness, possibly due to hormonal changes, and also with the fact that women more often seek out health services 13 The present study examined only people over 60 years of age and found a prevalence of dizziness of Dizziness has been considered a geriatric syndrome, a multifactorial health condition resulting from the cumulative effects of deficits in multiple systems that make the elderly more vulnerable to situational challenges.

Aging causes loss of balance and changes in muscle and bone mass Falls and their consequences for the elderly have assumed epidemic dimensions in Brazil. The costs to the health system are also high 4. In summary, dizziness can cause physical, functional, and emotional changes in older people and may result in other health problems such as falls and fractures.

Therefore, both prevention and treatment are suggested for improving the quality of life of these individuals. Pharmacological treatment for dizziness should be used with caution and only for a short period of time due to its interference with the natural compensation of the central nervous system CNS.

When such treatment is appropriate, as for cases of vertigo lasting more than a few days, it must be withdrawn gradually over the course of a few days It is important to remember that the elderly more often have comorbidities and hence use multiple medications, the interactions among which can cause undesirable effects such as dizziness. Therefore, a detailed history including all medications used is an important part of the diagnostic work-up of elderly patients with dizziness. Hypertension in the elderly requires constant use of medication and can also cause dizziness.

Dizziness can sometimes be a symptom of hypertensive crisis. Therefore, dizziness may be the first warning to direct the patient or clinician to investigate the possibility of hypertension. Benign paroxysmal positional vertigo BPPV was reported to affect S czepanek et al. Therefore, primary care providers should give more attention to common vestibular disorders. Dizziness may affect the QOL of the elderly. These symptoms can generate frustration, fear of going out alone or staying home alone, worry about self-image, disturbed concentration, feelings of failure, changes in family or social relationships, and depression 21 In our survey, In a cross-sectional study with a randomized sample of people representing the adult population of the city of Campo Grande, MS, Souza et al.

Of the subjects with hypertension, only It should be kept in mind that hypertension was self-reported in our study, so it is highly probable that the of hypertensive individuals was greater than reported. The prevalence in men was Alves et al. One study comparing the frequency of vertigo in elderly patients with and without hypertension in subjects found that The use of only self-reported information about the presence of hypertension is a limitation of our study.

According to Zaitune et al. However, other studies have found that the prevalence of hypertension self-reported during an interview proved to be a valid estimate of the prevalence of hypertension in the population.

Hypertension is one of the most common diseases in the elderly and places enormous demands on the health system. Dizziness is the most frequent cause of falls in the elderly, which affects the quality of life in this population as well as imposing exorbitant costs arising from fractures. It is important to pay more attention to these conditions and to implement preventive measures and develop health promotion programs for the primary care setting. Our data show a ificant association between dizziness and hypertension as well as high prevalence rates of both hypertension and dizziness in this elderly population.

In addition to avoiding the overuse of medications and maintaining adequate control of blood pressure, special care should be taken in the differential diagnosis of dizziness associated with benign paroxysmal positional vertigo and other disorders in order to avoid dizziness and other symptoms that can lead to falls and other harm to seniors. National Center for Biotechnology Information , U. Journal List Int Arch Otorhinolaryngol v.

Int Arch Otorhinolaryngol. Find articles by Michelle Damasceno Moreira. Find articles by Celita Salmaso Trelha. Find articles by Luciana Lozza de Moraes Marchiori. Author information Article notes Copyright and information Disclaimer.

Institution: Universidade Estadual de Londrina. Received Apr 9; Accepted Nov 8. This article has been cited by other articles in PMC. Keywords: Elderly, Dizziness, Hypertension. Introduction The growth in the aging population and increased longevity associated with lifestyle changes affected the patterns of morbidity and mortality.

Open in a separate window. Figure 1. Table 1. Association between dizziness and hypertension among the elderly. Table 2. Association between dizziness and sex among the elderly. Table 3. Association between hypertension and sex among the elderly. Discussion Sensory changes, decreases in visual acuity, and impairment of proprioception and the vestibular system reduce environmental stimuli and leave individuals more susceptible to falling, requiring a multifaceted approach to reducing the risk of such falls.

Conclusions Our data show a ificant association between dizziness and hypertension as well as high prevalence rates of both hypertension and dizziness in this elderly population. References 1. Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics. BMC Fam Pract. Qualidade de vida de idosos com tontura.

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Association between complaints of dizziness and hypertension in non-institutionalized elders