Frequency and Importance of Postprandial Blood Pressure Reduction in Elderly Nursing-Home Patients

Peter Vaitkevicius; Donna M. Esserwein; Andrea K. Maynard; Frances C. O’Connor; Jerome L. Fleg

doi:10.7326/0003-4819-115-11-865

December 1, 1991Annals of Internal Medicine

Frequency and Importance of Postprandial Blood Pressure Reduction in Elderly Nursing-Home Patients

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Why the study?

Does a standardized meal cause postprandial reductions in systolic blood pressure in elderly nursing-home patients?

Key Points

This study aims to assess the frequency and significance of postprandial systolic blood pressure reductions in elderly nursing home residents.
Cohort study involving 113 nursing-home residents with an average age of 78 years.
Sequential blood pressure measurements taken over 90 minutes after a standardized meal.
Analyses included multiple regression to identify factors associated with blood pressure reductions.
96% of patients experienced postprandial reductions in systolic blood pressure, with a mean reduction of 17.9 mm Hg.
36% of patients had a reduction exceeding 20 mm Hg, while 11% dropped below 100 mm Hg.
No significant difference in blood pressure nadir was observed between patients who died and those who survived during a median follow-up of 6.1 months.

Structured PICO

Does a standardized meal cause postprandial reductions in systolic blood pressure in elderly nursing-home patients?

P

Population

120 debilitated, elderly nursing-home residents (113 volunteers receiving test meal, 7 noneating controls), mean age 78 +/- 9 years.

I

Intervention

Standardized meal followed by sequential blood pressure measurements for 90 minutes.

C

Comparator

Noneating control subjects (n=7) observed during the same period.

O

Outcome

Postprandial reduction in systolic blood pressure within 90 minutes.surrogate

Postprandial hypotension is highly prevalent (96%) and often substantial in elderly nursing-home residents, though it does not appear to predict intermediate-term mortality.

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Implication

Supports post-meal BP monitoring in nursing-home residents; leaves open prognostic value and management implications.

Abstract

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Discussion

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Cite This Study

Vaitkevicius et al. (1991) studied this question.

synapsesocial.com/papers/6a23e0a6a2806805a2a00f9e https://doi.org/10.7326/0003-4819-115-11-865

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Frequency and Importance of Postprandial Blood Pressure Reduction in Elderly Nursing-Home Patients

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Frequency and Importance of Postprandial Blood Pressure Reduction in Elderly Nursing-Home Patients

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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