High blood pressure has gained a reputation as a quiet murderer by causing heart attack, heart failure and stroke.
It was also a suspect of dementia. Some studies suggested the correlation with low blood pressure and less dementia cases, but they were too small and too short to lend statistical significance to the link. It is also mentioned that people with unprocessed high blood pressure have a 42% higher risk of dementia.
Now a New research published on Monday at Nature Medicine Intensive blood pressure control reported that the dementia risk was 15% and cognitive impairment decreased by 16%. The large -scale cluster random trial in China once again revealed the role of the “village doctor”, a local term for community health workers who surpassed general treatment.
Dan Jones, former president of the American Heart Association, said, “This is a very important study. He is not involved in new research.” This is very important for people to motivate people to control blood pressure and focus. ”
The trial included about 34,000 people over 40 years old in China where hypertension was not treated. More than half of people were treated by community health workers who started with blood pressure drugs, and they adjusted the drug and dose to reach the goal of bringing blood pressure to less than 130/80 mm HG. These non -physicists also provided discounts to participants with free anti -blood pressure agents and coached home blood pressure monitoring, lifestyle changes (for example, weight loss, dietary reduction, alcohol restriction) and drug compliance.
The entire village was in the arbitration group or control group, and the members received general treatment from the medical service provider and reached a more humble target blood pressure of less than 140/90 mm HG. Those who have more intensive guidance in the arbitration village have taken three different blood pressure drugs than those in the control village.
Four years later, the arbitration group achieved better blood pressure, 15% reduction in dementia, and 16% reduction in cognitive impairment.
Jiang HE, a doctor and epidemiologist at UT Southwestern, told STAT by email, “Our study provides powerful evidence that supports the major prevention of dementia by reporting a significant significant decrease in all causative risks related to the treatment of surrogate.
Non -doctors’ social medical services were noted before they succeeded in controlling blood pressure and reducing the risk of cardiovascular disease. It is well trained but not MD, but thousands of people who have hypertension in rural areas. lance 2022 Jamagi heart studies In 2024, he focused on cardiovascular risks.
The village doctor is considered a key player in a low income, and Jones editorial Appeared with Jama Cardiology Paper.
“The focus of the reservoir source setting will be a recommendation that can be understood when high blood pressure control speed is much better in high resource settings such as the United States.
Almost half of the American adults have a blood pressure higher than 130/80 mm HG, of which 3/4 are disease control and prevention centers. Say. Like Chinese village doctors, community health agents have lowered blood pressure among certain population in New York. 2023 Study preview. But efforts in Maryland and Pennsylvania were mixed. 2024 Study Reported.
The next research stage can be a longer research in another population with more frequent cognitive evaluation, the author and external experts in the paper suggested.
Richard Oakley, the head of the research and innovation of Alzheimer’s society in the UK, said, “This four -year research cannot say whether the benefits will continue in the long run.” “A single behavior that can prevent dementia is not guaranteed, but we know that what is good for your heart is often good for your head.”
The strength of the research that establishes the cause and effect is a correlation, which helps to solidify the previous development.
Jones said, “I need a lot of money, but I need a lot of money, but I think that if you get the results of this study and the outlocking the meaning for young people and middle -aged patients, you think that the effect can actually be an amazing thing.”
The scope of the application for chronic health problems is supported by subsidies. Bloomberg charity. Ours Financial supporter It is not involved in decisions for journalism.
