Jung Tae Son; Eunjoo Lee

doi:10.4040/jkan.2009.39.2.198

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Original Article
Prevalence and Risk Factors of Postprandial Hypotension in Korean Elderly People: Jung Tae Son, Eunjoo Lee; Journal of Korean Academy of Nursing 2009;39(2):198-206.
DOI: https://doi.org/10.4040/jkan.2009.39.2.198
Published online: April 28, 2009

¹Associate Professor, Department of Nursing, Catholic University of Daegu, Daegu, Korea.

²Associate Professor, College of Nursing, Kyungpook National University, Daegu, Korea.

Address reprint requests to: Lee, Eunjoo. College of Nursing, Kyungpook National University, 101 Dongin-dong, Jung-gu, Daegu 700-422, Korea. Tel: 82-53-420-4934, Fax: 82-53-421-2758, jewelee@knu.ac.kr

• Received: July 4, 2008 • Accepted: March 2, 2009

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purposes of this study were to identify the prevalence of postprandial hypotension (PPH) and risk factors for PPH in Korean elderly people.
Methods
A cross-sectional descriptive study was conducted with community dwelling and nursing home residents. The blood pressure of 162 adults aged 65 yr or older was measured before meal as a baseline and then at 15 min intervals from immediately after the meal through 90 min after the meal. Descriptive statistics and logistic regression with the SPSS WIN 14.0 program were used to analyze the data.
Results
The prevalence of PPH was 29% and the PPH occurred immediately after the meal continuously through 90 min after the meal. The biggest drop in systolic blood pressure occurred at 45 min after the meal. Risk factors for PPH were age, base line systolic blood pressure, and presence of cardiovascular disease.
Conclusion
To prevent side effects of PPH such as falls and syncope, nurses should provide careful management of PPH and prohibit activities until at least 90 min after a meal. We also recommend that risk of PPH should be included in fall prevention guidelines for elderly people.
Keywords: Aged; Postprandial period; Hypotension

This work was supported by the Korean Research Foundation Grant by the Korean Government (MOEHRD) (KRF-2007-531-E00090).

REFERENCES

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Table 1

Demographics of Participants (N=162)

BMI=body mass index.

Table 2

Postprandial Hypotension related Characteristics (N=162)

^*Multiple response.

BP=blood pressure.

Table 3

Incidence of the Postprandial Hypotension (N=162)

SBP=systolic blood pressure; PPH=postprandial hypotension.

Table 4

Postprandial Hypotension Incidence by Time after Meal (N=162)

Table 5

Comparison of After Meal Systolic Blood Pressure with Baseline Systolic Blood Pressure (N=162)

Table 6

Number of Postprandial Hypotension Occurrence among Postprandial Hypotension Cases during 90 min after Meal

PPH=postprandial hypotension.

Table 7

Underlying Diseases among Postprandial Hypotension Cases (N=47)

^*Multiple response.

Table 8

Risk Factors of the Postprandial Hypotension

^*Cardiovascular diseases included congestive heart failure, hypertension, ischemic heart disease, peripheral vascular disorders, myocardial infarction, hypotension, arteriosclerosis, and stroke.

95% CI=95% confidence Interval.

Figure & Data

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Prevalence and Risk Factors of Postprandial Hypotension in Korean Elderly People

J Korean Acad Nurs. 2009;39(2):198-206. Published online April 28, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.2.198

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Prevalence and Risk Factors of Postprandial Hypotension in Korean Elderly People

Table 1

Demographics of Participants (N=162)

BMI=body mass index.

Table 2

Postprandial Hypotension related Characteristics (N=162)

^*Multiple response.

BP=blood pressure.

Table 3

Incidence of the Postprandial Hypotension (N=162)

SBP=systolic blood pressure; PPH=postprandial hypotension.

Table 4

Postprandial Hypotension Incidence by Time after Meal (N=162)

Table 5

Comparison of After Meal Systolic Blood Pressure with Baseline Systolic Blood Pressure (N=162)

Table 6

Number of Postprandial Hypotension Occurrence among Postprandial Hypotension Cases during 90 min after Meal

PPH=postprandial hypotension.

Table 7

Underlying Diseases among Postprandial Hypotension Cases (N=47)

^*Multiple response.

Table 8

Risk Factors of the Postprandial Hypotension

^*Cardiovascular diseases included congestive heart failure, hypertension, ischemic heart disease, peripheral vascular disorders, myocardial infarction, hypotension, arteriosclerosis, and stroke.

95% CI=95% confidence Interval.

Table 1 Demographics of Participants (N=162)

BMI=body mass index.

Table 2 Postprandial Hypotension related Characteristics (N=162)

^*Multiple response.

BP=blood pressure.

Table 3 Incidence of the Postprandial Hypotension (N=162)

SBP=systolic blood pressure; PPH=postprandial hypotension.

Table 4 Postprandial Hypotension Incidence by Time after Meal (N=162)

Table 5 Comparison of After Meal Systolic Blood Pressure with Baseline Systolic Blood Pressure (N=162)

Table 6 Number of Postprandial Hypotension Occurrence among Postprandial Hypotension Cases during 90 min after Meal

PPH=postprandial hypotension.

Table 7 Underlying Diseases among Postprandial Hypotension Cases (N=47)

^*Multiple response.

Table 8 Risk Factors of the Postprandial Hypotension

^*Cardiovascular diseases included congestive heart failure, hypertension, ischemic heart disease, peripheral vascular disorders, myocardial infarction, hypotension, arteriosclerosis, and stroke.