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The British Journal of Psychiatry (2000) 176: 464-467
© 2000 The Royal College of Psychiatrists


Low blood pressure and risk of depression in the elderly

A prospective community-based study

SABRINA PATERNITI, MD, MARIE-HÉLÈNE VERDIER-TAILLEFER, MD, CATHERINE GENESTE, MD, JEAN-CLAUDE BISSERBE, MD and ANNICK ALPÉROVITCH, MD

Institut National de la Santé et de le Recherche Medicale, Hôpital Fernand Widal, Paris, France

Declaration of interest The project was partly funded by a grant from the Merck, Sharp and Dohme-Chibret Company and EISAI (France).

Correspondence: Dr Sabrina Paterniti, INSERM U360, Hôpital La Salpêtrière, 75651 Paris Cedex 13, France. Tel: 0083 1 42162554; Fax: 0033 1 42162541

Background The relationship between depression and low blood pressure is unclear.

Aims To examine the temporal relation between low blood pressure and depression in a two-year follow-up.

Method The study group consisted of 1389 subjects aged 59-71 years; 1272 (92%) were examined after two years. Subjects completed the Center for Epidemiological Studies—Depression (CES—D) and the Spielberger inventory scales to assess depressive and anxiety symptoms respectively. Data were collected on socio-demographic characteristics, smoking and drinking habits, medical history, drug use and blood pressure measures.

Results Among 1112 subjects who were considered as non-depressed at baseline, logistic regression models showed that low diastolic blood pressure (DBP) and decrease of blood pressure were predictors of high depressive symptomatology at follow-up. Baseline high CES—D scores did not predict low blood pressure two years after.

Conclusions In our study, low blood pressure was a risk factor for, but not a consequence of, high depressive symptomatology.




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