Standing up slowly antagonises initial blood pressure decrease in older adults with orthostatic hypotension
| Autor: | Jantsje H. Pasma, Andrea B. Maier, Marijke C. Trappenburg, Carel G. M. Meskers, Oscar J de Vries, Esmee M. Reijnierse, Eline S de Bruïne |
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| Přispěvatelé: | VU University medical center, Internal medicine, APH - Aging & Later Life, Amsterdam Movement Sciences - Rehabilitation & Development, AMS - Mobility and Ageing, Rehabilitation medicine, Amsterdam Gastroenterology Endocrinology Metabolism, Neuromechanics, AMS - Ageing and Morbidity |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Aging Supine position Time Factors Cross-sectional study 030204 cardiovascular system & hematology Orthostatic/physiopathology Orthostatic vital signs Hypotension Orthostatic 0302 clinical medicine 80 and over Outpatient clinic Blood Pressure/physiology Aged 80 and over education.field_of_study Orthostatic hypotension Clinical Practice Older adults Cardiology Blood pressure Female Hypotension 0305 other medical science medicine.medical_specialty Posture/physiology Population Posture Diastole Stance 03 medical and health sciences Blood Pressure Determination/methods SDG 3 - Good Health and Well-being 030502 gerontology Internal medicine medicine Humans education Accidental Falls/prevention & control Aged Standing up slowly business.industry Blood Pressure Determination Aging/physiology Cross-Sectional Studies Hypotension Orthostatic/physiopathology Physical therapy Accidental Falls Geriatrics and Gerontology business Continuously measured blood pressure |
| Zdroj: | Gerontology, 63(2), 137-143. S. Karger AG Gerontology: international journal of experimental, clinical, behavioral, regenerative and technical gerontology, 63(2) De Bruïne, E S, Reijnierse, E M, Trappenburg, M C, Pasma, J H, De Vries, O J, Meskers, C G M & Maier, A B 2017, ' Standing Up Slowly Antagonises Initial Blood Pressure Decrease in Older Adults with Orthostatic Hypotension ', Gerontology, vol. 63, no. 2, pp. 137-143 . https://doi.org/10.1159/000450642 de Bruïne, E S, Reijnierse, E M, Trappenburg, M C, Pasma, J H, de Vries, O J, Meskers, C G M & Maier, A B 2017, ' Standing Up Slowly Antagonises Initial Blood Pressure Decrease in Older Adults with Orthostatic Hypotension ', Gerontology, vol. 63, no. 2, pp. 137-143 . https://doi.org/10.1159/000450642 |
| ISSN: | 0304-324X |
| DOI: | 10.1159/000450642 |
| Popis: | Background: Orthostatic hypotension (OH) is common in older adults and associated with increased morbidity and mortality, loss of independence and high health-care costs. Standing up slowly is a recommended non-pharmacological intervention. However, the effectiveness of this advice has not been well studied. Objectives: The aim of this study was to investigate whether standing up slowly antagonises posture-related blood pressure (BP) decrease in a clinically relevant population of geriatric outpatients. Methods: In this cross-sectional study, 24 community-dwelling older adults referred to a geriatric outpatient clinic and diagnosed with OH were included. BP was measured continuously during 3 consecutive transitions from supine to standing position during normal, slow and fast transition. Results: The relative BP decrease at 0-15 s after slow transition was significantly lower than after normal transition (p = 0.003 for both systolic BP and diastolic BP) and fast transition (p = 0.045 for systolic BP; diastolic BP: non-significant). The relative diastolic BP decrease at 60-180 s after normal transition was significantly lower than after fast transition (p = 0.029). Conclusion: Standing up slowly antagonises BP decrease predominantly during the first 15 s of standing up in a clinically relevant population of geriatric outpatients diagnosed with OH. Results support the non-pharmacological intervention in clinical practice to counteract OH. |
| Databáze: | OpenAIRE |
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