Postprandial hypotension in the elderly: Findings in a Mexican population

Asensio, Enrique; Alvarez, José B.; Lara, Susano; Cadena, Jorge E. Alvarez de la; Juarez, Daniela Vázquez

doi:10.1016/j.acmx.2015.05.002

Cited by 3 publications

(10 citation statements)

References 32 publications

(18 reference statements)

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“…The included studies were conducted in the following countries: South Korea [ 23 , 24 ], France [ 25 , 26 ], Australia [ 27 , 28 ], Japan [ 9 , 29 ], the USA [ 30 , 31 ], Belgium [ 10 ], Mexico [ 11 ] and the Netherlands [ 14 ]. Papers were published between 1991 and 2020.…”

Section: Resultsmentioning

confidence: 99%

“…Nine and four studies used cross-sectional and cohort design, respectively ( Table 1 ). Participants were enlisted from diverse settings: three studies recruited participants from communities [ 9 , 23 , 27 ]; four from long-term healthcare facilities [ 24 , 28 , 30 , 31 ]; five from hospitals, specifically from an acute geriatric department [ 10 ], geriatric rehabilitation centre [ 25 ] and geriatric department [ 14 , 26 , 29 ]; and the remaining from retirement homes and communities [ 11 ]. The inclusion and exclusion criteria varied across the included studies [ 9–11 , 14 , 23–31 ], and the sample sizes fluctuated between 50 and 1,308 cases.…”

Section: Resultsmentioning

confidence: 99%

“…Generally, more women were recruited. Ten included studies reported that the pre-prandial BP level of participants ranged from 122.3 to 156.6 mmHg for pre-prandial SBP and 69.0 to 84.6 mmHg for pre-prandial diastolic blood pressure (DBP) [ 9 , 14 , 23 , 24 , 26–31 ], while the remaining studies did not report this aspect [ 10 , 11 , 25 ]. Eight and three included studies reported that the most common cardiovascular disease among participants were hypertension and cardiac disorders, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of postprandial hypotension in older adults: a systematic review and meta-analysis

Huang,

Li,

Xie

et al. 2024

Age and Ageing

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Background Older adults with postprandial hypotension (PPH) increase susceptibility to falls, syncope, stroke, acute cardiovascular diseases and even death. However, the prevalence of this condition varies significantly across studies. We aimed to determine the prevalence of PPH in older adults. Methods Web of Science, PubMed, Cochrane Library, Embase and CINAHL were searched from their inception until February 2023. Search terms included ‘postprandial period’, ‘hypotension’ and ‘postprandial hypotension’. Eligible studies were assessed using the Joanna Briggs Institute tool. Meta-analyses were performed among similar selected studies. Results Thirteen eligible studies were included, and data from 3,021 participants were pooled. The meta-analysis revealed a PPH prevalence of 40.5% [95% confidence interval (CI): 0.290–0.519] in older adults, and this was prevalent in the community (32.8%, 95% CI: 0.078–0.647, n = 1,594), long-term healthcare facility (39.4%, 95% CI: 0.254–0.610, n = 1,062) and geriatrics department of hospitals (49.3%, 95% CI: 0.357–0.630, n = 365). The pooled results showed significant heterogeneity (I2 > 90%), partially related to the different ages, sex, pre-prandial systolic blood pressure levels of participants, or the different criteria and methodology used to diagnose PPH. Conclusions PPH is a prevalent condition in older adults. Further research is needed to confirm this result, and priority should be given to establishing international consensus on PPH diagnostic criteria and designing its diagnostic procedure.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence of postprandial hypotension in older adults: a systematic review and meta-analysis

Huang,

Li,

Xie

et al. 2024

Age and Ageing

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“…Some research groups have found a more pronounced BP drop after high carbohydrate compared to high fat feeding, (1, 3, 5, 6, 10, 13, 14) and another study showed a sustained BP increase after high fat feeding (3, 6). However, one large study on a Mexican population found no correlation between macronutrient composition and PPH (4). One study found that warmer meals resulted in larger decreases in post-prandial blood pressure (22).…”

Section: Discussionmentioning

confidence: 99%

“…It has been well documented in older adults (2–6) and can be accompanied by falls and syncope (7). Individuals with neurological diseases are at greater risk of PPH, including Alzheimer’s disease (AD), Parkinson’s disease and diabetic neuropathy (4, 8–10). Other risk factors include both hypertension (HTN) and severe hypotension (10, 11).…”

Section: Introductionmentioning

confidence: 99%

APOE Genotype Influences Postprandial Blood Pressure After High fat Feeding in Older Adults

Stewart

Subramanian

Neal

et al. 2019

The Journal of nutrition, health and aging

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Objective: Postprandial hypotension (PPH) is a common phenomenon among older adults. The degree to which individuals experience PPH is related to cerebrovascular risk factors and the presence of neurodegenerative diseases such as Alzheimer’s disease (AD). Carrier status of the E4 allele of the apolipoprotein E (APOE) gene is a risk factor for AD and influences a variety of responses to metabolic and dietary interventions. However, it is unknown whether APOE genotype influences the risk of PPH and whether type of meal can mediate that response. Design: Acute meal study with a crossover design. Participants: 32 cognitively healthy older adults with (n=18) and without (n=14) E4+ carrier status. Intervention: As a part of an ongoing meal study we examined the postprandial blood pressure response after ingestion of a high carbohydrate (HCM) and high fat meal (HFM). Measurements: Blood pressure measurements were taken at 7 time points and change scores, area under the curve (AUC) scores were calculated. Data were analyzed by repeated measures ANOVA as well as Pearson correlation. Results: Both meals produced a sustained drop in systolic (SBP) and diastolic (DBP) blood pressure, with 37.5% of participants meeting criteria for PPH. Participants carrying the E4+ risk gene experienced a larger decrease in SBP than E4− participants, and this was significantly different after the HFM (E4+ AUC = −30.8 ± 7.6, E4− AUC = −0.2 ± 8.7, p=0.015). Increasing age was associated with a larger drop in postprandial blood pressure but only for the E4+ group after the HFM (p=0.002). Conclusions: These data suggest that E4+ individuals experience a greater postprandial blood pressure response particularly following high fat feeding, and this effect becomes more pronounced with age. The prevalence of PPH may play a role in the development of AD and may be mediated by diet.

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Prevalence and Risk Factors of Postprandial Hypotension among Elderly People Admitted in a Geriatric Evaluation and Management Unit : An Observational Study

Stilmant

Iacovelli

Toussaint

et al. 2019

The Journal of nutrition, health and aging

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Postprandial hypotension in the elderly: Findings in a Mexican population

Cited by 3 publications

References 32 publications

Prevalence of postprandial hypotension in older adults: a systematic review and meta-analysis

Prevalence of postprandial hypotension in older adults: a systematic review and meta-analysis

APOE Genotype Influences Postprandial Blood Pressure After High fat Feeding in Older Adults

Prevalence and Risk Factors of Postprandial Hypotension among Elderly People Admitted in a Geriatric Evaluation and Management Unit : An Observational Study

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