Association of Postprandial Hypotension With Incidence of Falls, Syncope, Coronary Events, Stroke, and Total Mortality at 29‐Month Follow‐Up in 499 Older Nursing Home Residents

Abstract

A marked reduction in postprandial systolic blood pressure in older nursing home residents was associated at long-term follow-up with a higher incidence of falls, syncope, new coronary events, new stroke, and total mortality.

Epidemiology of reflex syncope

“…This corresponds to an annual incidence of 6 % (compared to almost 2 % annual incidence of syncope for those older than 80 in the latest report from the Framingham study) for subjects living in the community. A recurrence rate of 30 % was found during the 2 year follow-up.A high incidence of syncope was also found in a study involving older nursing home residents: a total of 72 episodes of syncope were counted over 29 months in 499 persons [5]. The frailer nature of institutionalized populations and the more accurate reporting in institutional settings may explain the considerably higher incidence of syncope among institutionalized elderly populations [50].…”

Physical Activity: Wearing slippers, falls and injury in residential care

“…1 Reports of fallers and fall rates vary widely from 13% to more than 60% of residential care residents [2][3][4] and 0.2 to 3.6 falls per bed per year 5 respectively. This is due to variation in both the study design and method of measurement of falls and injuries.…”

Postprandial hypotension is attenuable with Acarbose treatment in older adults with diabetes mellitus type 2: a randomized controlled crossover cohort study

“…Postprandial hypotension (decreased systolic blood pressure ≥20 mmHg or in systolic blood pressure <90 mmHg when previously ≥100 mmHg within 2 hours after meal) is common in institutionalized older adults (>75 years old) 1,4 contributing to syncope, falls, cardiac events/ stroke, and increased mortality [2][3][4][5][6][7][8] . Proposed mechanisms include blunted gastrovascular sympathetic reflex post-meal 9,10 …”