Study on the effects of different postprandial positions on blood pressure and heart rate in older adults with primary hypertension and postprandial hypotension

Lu, Fengling; Liu, Yu; Xiao, Zhu; Wu, Shuai; Wu, Quanying; Lin, Keke; Yang, Kailian; Li, Xiao

doi:10.1016/j.gerinurse.2022.05.016

Cited by 1 publication

(22 citation statements)

References 19 publications

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“…We found five effective non‐pharmacological interventions: small meals (Son & Lee, 2015; Vloet et al, 2001), exercise intervention (Nair et al, 2015; Oberman et al, 1999), fibre with meal (Jang et al, 2015), green tea (Son & Lee, 2012) and water therapy (Deguchi et al, 2007). However, position changes were ineffective in preventing postprandial SBP reduction in older adults with PPH (Lu et al, 2022; Son & Lee, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…(3) Determining the postprandial BP monitoring time interval. The time intervals of postprandial BP monitoring were 15 min in four of the nine included studies (Jang et al, 2015; Son & Lee, 2012, 2013, 2015); 5 min, accounting for 1/3 (Deguchi et al, 2007; Oberman et al, 1999; Vloet et al, 2001); 6–15 min (Nair et al, 2015) and 30 min (Lu et al, 2022), accounting for 1/9, respectively. (4) Determining the postprandial BP monitoring period.…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, the postprandial SBP decrease induced by a test meal did not return to the pre‐prandial SBP level without intervention during postprandial BP monitoring. Notably, none of the studies reported reasons for adopting the above BP determination methods (Deguchi et al, 2007; Jang et al, 2015; Lu et al, 2022; Nair et al, 2015; Oberman et al, 1999; Son & Lee, 2012, 2013, 2015; Vloet et al, 2001).…”

Section: Resultsmentioning

confidence: 99%

“…(2) Determining the timepoint when postprandial BP monitoring began. Five out of the nine included studies started postprandial BP monitoring after the test meal (Jang et al, 2015;Oberman et al, 1999;Son & Lee, 2012, 2013, whereas the other four started post-meal BP monitoring at the start of eating the test meal (Deguchi et al, 2007;Lu et al, 2022;Nair et al, 2015;Vloet et al, 2001) et al, 2007;Oberman et al, 1999;Vloet et al, 2001); 6-15 min (Nair et al, 2015) and 30 min (Lu et al, 2022), accounting for 1/9, respectively. (4) Determining the postprandial BP monitoring period.…”

Section: Bp Determination Methodsmentioning

confidence: 99%

“…By analysing special influencing factors and summarizing common confounding factors (see Table S2), this review may lay a solid foundation for future studies to ensure their reliability. Additionally, unlike orthostatic hypotension, position changes may not prevent postprandial SBP decline in older adults with PPH (Lu et al, 2022; Son & Lee, 2013), which means that we may reconsider the recommendation ‘Lying in semi‐recumbent position for 90 min after meals may be necessary for patients with PPH’ (Jose‐Alberto Palma & Horacio Kaufmann, 2022).…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

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Non‐pharmacological interventions for older adults with postprandial hypotension: A scoping review

Huang

Liu

Xie

et al. 2023

Journal of Clinical Nursing

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BackgroundOlder adults frequently suffer from postprandial hypotension, associated with an increased risk of falls, syncope, acute cardiovascular and cerebrovascular diseases, and even death. Researchers use non‐pharmacological interventions, but related literature is dispersed and lacks a latest summary.ObjectiveThe aim of this study was to map and examine non‐pharmacological interventions currently employed to assist older adults with postprandial hypotension and lay a solid foundation for future studies.MethodsThis study adhered to the JBI methodology for scoping reviews and preferred reporting items for systematic reviews and meta‐analyses extension for scoping reviews. PubMed, Web of Science, Embase, Cochrane Library, CINAHL, SCOPUS, Chinese Biomedical Journal, China National Knowledge Infrastructure, VIP and WAN FANG Data were retrieved from their inception to 1 August 2022.ResultsTwo randomized controlled trials and seven quasi‐experimental studies were included. Small meals, exercise interventions, fibre with meals, green tea and water therapy have been reported to prevent postprandial hypotension effectively; however, position changes have been reported to have no impact on postprandial blood pressure decrease. Additionally, the blood pressure determination methods and test meals may affect observed trial effects.ConclusionLarge samples and long‐term follow‐up studies are needed to prove the efficacy and safety of existing non‐pharmacological interventions. Future studies should develop a BP determination method based on the postprandial BP decline trajectory induced by a given test meal to improve the reliability of study results.Relevance to Clinical PracticeThis review broadly summarizes existing studies on developing and validating non‐pharmacological interventions for older adults with postprandial hypotension. It also analyses special factors that may influence the trial effects. This may provide a useful reference for future research.

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