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Target systolic blood pressure (SBP) recommendations have ranged from <150 mm Hg for older adults to <120 mm Hg for cardiovascular risk reduction. Black people may have more risks associated with hypertension. To investigate associations among SBP, cognition, and race, researchers analyzed 10-year data from 1657 older adults (mean age, 74 years; 47.3% nonwhite race) receiving hypertension treatment and participating in the Health Aging and Body Composition study. Outcomes included mean scores of global cognition with the Modified Mini-Mental State Examination (3MSE) and a test of visuomotor speed, attention, set-shifting, and memory with the Digit Symbol Substitution Test (DSST).
Mean baseline cognitive scores were 89.8 for the 3MSE and 34.3…