Elevated BP at young, middle age impacts brain ageing

People with elevated blood pressure that falls within the normal recommended range are at risk of accelerated brain ageing, according to a study by The Australian National University.

The ANU team, in collaboration with colleagues in Australia, New Zealand and Germany, examined more than 2000 brain scans of 686 healthy individuals aged 44 to 76.

The blood pressure of the participants was measured up to four times across a 12-year period. The brain scan and blood pressure data were used to determine a person’s brain age, which is a measure of brain health.

The research found that participants with an elevated blood pressure, but within the normal range, also had older looking brains and were at risk of health problems such as heart disease, stroke and dementia. Optimal blood pressure helps our brains stay at least six months younger than our actual age, according to the researchers.

The researchers are now calling for national health guidelines to be updated to reflect their important findings.

The findings have been published in Frontiers in Aging Neuroscience. “This thinking that one’s brain becomes unhealthy because of high blood pressure later in life is not completely true. It starts earlier, and it starts in people who have normal blood pressure,” said Professor Nicolas Cherbuin, Head of the ANU Centre for Research on Ageing, Health and Wellbeing.

Normal blood pressure is defined by pressure below 120/80, whereas an optimal and healthier blood pressure is closer to 110/70.

The new research comes after a large international study found the number of people over 30 with high blood pressure has doubled globally.

Cardiologist and co-author of the study Professor Walter Abhayaratna said if we maintain optimal blood pressure our brains will remain younger and healthier as we age.

“It’s important we introduce lifestyle and diet changes early on in life to prevent our blood pressure from rising too much, rather than waiting for it to become a problem,” he said.

“Compared to a person with a high blood pressure of 135/85, someone with an optimal reading of 110/70 was found to have a brain age that appears more than six months younger by the time they reach middle age.”

Lead author Professor Cherbuin said the findings highlight a particular concern for young people aged in their 20s and 30s because it takes time for the effects of increased blood pressure to impact the brain.

“By detecting the impact of increased blood pressure on the brain health of people in their 40s and older, we have to assume the effects of elevated blood pressure must build up over many years and could start in their 20s. This means that a young person’s brain is already vulnerable,” he said.

Professor Abhayaratna said the research findings show the need for everyone, including young people, to check their blood pressure regularly.

“Australian adults should take the opportunity to check their blood pressure at least once a year when they see their GP, with an aim to ensure that their target blood pressure is closer to 110/70, particularly in younger and middle-age groups,” he said.

“If your blood pressure levels are elevated, you should take the opportunity to speak with your GP about ways to reduce your blood pressure, including the modification of lifestyle factors such as diet and physical activity.”

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