Citation

Madden KM, Feldman B, Meneilly GS. Can. J. Aging 2019; ePub(ePub): 1-7.

Affiliation

Gerontology and Diabetes Research Laboratory,Division of Geriatric Medicine,Department of Medicine,University of British Columbia,Vancouver,British Columbia.

Copyright

(Copyright © 2019, Cambridge Press)

DOI

10.1017/S0714980818000752

PMID

31084627

Abstract

ABSTRACTThe magnitude of the postprandial hypotensive (PPH) response has been shown to be an independent risk factor for falls, fractures, and death. Despite this well-established risk, meal tests are rarely done in the falls clinic setting because of logistical issues. In order to better target potential PPH patients among older falling adults, this study examines which subject characteristics are associated with larger PPH responses. A total of 52 falls clinic patients (mean age 77.8 ± 0.9 years, 29 women, 23 men) were recruited for a 90 minute meal test. Significant variables were then entered into a stepwise multivariate linear model containing age, sex, presence of diabetes, presence of hypertension, baseline systolic blood pressure (SBP), and the orthostatic drop in SBP. Although further work is required, our study suggests that men, patients with higher blood pressure, and patients with an orthostatic drop might be more likely to have higher postprandial hemodynamic responses.

Language: en

Keywords

aging; chutes; falls; hypotension postprandiale; postprandial hypotension; syncope; vieillissement