Prevalence of Orthostatic Hypotension in the Elderly in Anambra State

Kenechukwu, Enwonwu; Christian, Ibeh; Ifeoma, Modebe; Emeh, Owoaje; Zoakah, AI; Chigozie, Ifeadike; Nkiru, Ezeama; Emmanuel, Azuike

doi:10.11648/j.sjcm.20180704.11

Cited by 2 publications

(8 citation statements)

References 26 publications

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“…Orthostatic hypotension (OH) is a condition in which blood pressure drops abnormally when a person stands up from a sitting or lying down position. It is a sustained reduction of systolic blood pressure of at least 20 mmHg or diastolic blood pressure of at least 10 mmHg within three minutes of standing or a head-up tilt to at least sixty on a tilt table [1]. It is an important problem that occurs more commonly in the elderly [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…It is a sustained reduction of systolic blood pressure of at least 20 mmHg or diastolic blood pressure of at least 10 mmHg within three minutes of standing or a head-up tilt to at least sixty on a tilt table [1]. It is an important problem that occurs more commonly in the elderly [1,2]. They can have both acute and chronic forms [3].…”

Section: Introductionmentioning

confidence: 99%

“…The total prevalence of OH ranges from 14.8% to 56% [1,6]. Its prevalence is approximately 30% in patients aged > 70 years [7].…”

Section: Introductionmentioning

confidence: 99%

“…OH causes a burden on public health with a mean prevalence of 31% in the elderly and is higher in those with risk factors [1]. It may complicate the treatment of hypertension, heart failure, and cause disabling symptoms, complaints, and traumatic injuries.…”

Section: Introductionmentioning

confidence: 99%

“…In general, the most common factors predicting postural hypotension are dioxin use, Parkinson's disease, hypertension, cardiovascular disease an inter-arm systolic blood pressure difference [17], dehydration, bleeding, diuretics, drugs that cause vasodilatation, prolonged bed rest, significant recent weight loss [18], and hypovolemia [19]. In addition, there is evidence that the occurrence of OH is related to uncontrolled hypertension and diabetes [2,1].…”

Section: Introductionmentioning

confidence: 99%

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Early detection of the risk for orthostatic hypotension among the elderly people

El-saidy

Sayed

Taha

et al. 2022

NILES journal for Geriatric and Gerontology

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Background/Aim: Orthostatic hypotension is an important problem that commonly occurs in elderly people. It causes a burden on public health, is associated with impaired motor performance, and negatively affects physical functioning and activities. This study aimed to detect the risk of orthostatic hypotension in elderly people. Materials and methods:A descriptive research design was used. The study was conducted at the Badr geriatric home and outpatient clinic of Fayoum university hospital, Egypt. Subjects: A total of 300 elderly individuals. Tools: Structured interview questionnaire, Orthostatic Hypotension Symptom Assessment Questionnaire, and supine to stand test.Results: About three-fifths of the sample were aged 60-69 years old and more than one third of the participants (34.0%) were aged 70-79 years old. In addition, 53.3% of the clients were male and 46.7% were female. Regarding to the residence, more than three quarters of the participants (79.3%) were from rural areas and 40.0% of them were illiterate, not working (86.7%), and married (62.0%). In addition, 24.0% of the elderly clients suffered from orthostatic hypotension (OH) which affected activities that required walking or standing for a long time. In addition, a longer time was required for a shower (86.1%), prolonged bed rest (55.6%), carbohydrate-heavy meals (54.2%), obesity (52.7%), hypertension (43.1%), diabetes mellitus (36.1%), cardiac diseases (27.8%), and anemia (16.7%) were the main precipitating factors for OH in elderly clients. Conclusion:Approximately one-fifth of the clients suffered from OH. The main precipitating factors included a long time for a shower, prolonged bed rest, heavy carbohydrate meals, obesity, hypertension, diabetes mellitus, cardiac diseases, and anemia. Recommendations: All older adults especially those with chronic diseases should receive regular monitoring of blood pressure to detect OH and prevent complications.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The total prevalence of OH ranges from 14.8% to 56% [1,6]. Its prevalence is approximately 30% in patients aged > 70 years [7].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Early detection of the risk for orthostatic hypotension among the elderly people

El-saidy

Sayed

Taha

et al. 2022

NILES journal for Geriatric and Gerontology

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Prevalence of orthostatic hypotension and associated factors among older people with hypertension in Northern Ethiopia

Hailu,

Tesfaye,

Derseh

et al. 2024

BMC Geriatr

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Background The prevalence of hypertension increases with age, and older people with this condition are at increased risk of developing orthostatic hypotension (OH) due to age-related changes in blood pressure regulation mechanisms as well as prescribed medications. OH increases the risk of falls, often with subsequent fractures as well as other morbidity and even mortality. The prevalence and characteristics of OH in older people with hypertension in Low-Income Countries have not been well characterized. This study aims to determine the prevalence of OH and associated factors among older people with hypertension in northern Ethiopia. Method A hospital-based cross-sectional study was conducted using a convenience sample of patients aged 60 years and older with hypertension receiving pharmacotherapy and followed up at the University of Gondar Hospital, Ethiopia. Blood pressure (BP) was measured in the supine position, and after 3 min of standing; the level of BP drop (> 20/10) was used to define measured OH. Data regarding symptoms of OH were also collected using the Orthostatic Hypotension Questionnaire (OHQ). The data were entered into Microsoft Excel version 2016 and exported to SPSS version 20 for statistical analysis. Logistic regression analysis was conducted to assess the factors associated with OH. Results A total of 240 participants were included, with a mean age of 68.8 ± 7.1 years. The prevalence of OH was 23.8% (CI: 21.5%, 26.1%). Of the medications used, calcium channel blocker (CCBs) treatment was strongly associated with OH (AOR = 2.03[95%CI = 1.08–3.8]). Two-thirds (61.4%) of participants with measured OH experienced relevant symptoms of OH. Conclusion There was a high prevalence of OH among older patients with hypertension attending a tertiary care hospital in Gondar, with one in four affected. The use of CCBs was identified as an independent risk factor for OH. Most patients with OH experienced relevant symptoms, so monitoring this condition in this group may help prevent adverse consequences. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-024-05519-8.

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Prevalence of Orthostatic Hypotension in the Elderly in Anambra State

Cited by 2 publications

References 26 publications

Early detection of the risk for orthostatic hypotension among the elderly people

Early detection of the risk for orthostatic hypotension among the elderly people

Prevalence of orthostatic hypotension and associated factors among older people with hypertension in Northern Ethiopia

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