Key result
Intermittent orthostatic hypotension links to overall stability during closed-eye standing in older hypertensive adults.
Why the study?
The study investigated the association of orthostatic hypotension with functional position change and balance in older adults with hypertension.
Is orthostatic hypotension associated with impaired functional position change and balance in older adults with hypertension?
Observational
Is orthostatic hypotension associated with impaired functional position change and balance in older adults with hypertension?
In older adults with hypertension, intermittent orthostatic hypotension is associated with specific balance impairments under altered sensory conditions, highlighting the need for routine OH screening.
Suggests selective balance deficits under challenging conditions; leaves open causal links and screening utility in hypertensive older adults.
The study investigated the association of orthostatic hypotension (OH) with functional position change and balance in older adults with hypertension. The presence of OH was assessed with intermittent (OH intermittent) and continuous blood pressure (OH continuous) monitoring. The change in functional position was tested with sitting to standing assessment, balance performance using activity specific balance confidence scale (ABC), and timed up and go test (TUG). Testing unilateral and bilateral standing with and without altered sensory inputs was tested using the Humac balance system. ABC, TUG, and standing up time showed no significant association with OH intermittent and OH continuous. A significant association was found between bilateral standing with eyes closed on foam surface for overall stability index and OH intermittent. Older people with hypertension may be routinely examined for OH and appropriate intervention strategies should be included for comprehensive care.
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Sharma et al. (2021) conducted an observational in Hypertension. Orthostatic hypotension (exposure) was evaluated on Functional position change and balance (ABC, TUG, standing up time, and Humac balance system). Intermittent orthostatic hypotension in older adults with hypertension was significantly associated with overall stability index during bilateral standing with eyes closed on a foam surface.
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