THE EFFECT OF POSTPRANDIAL HYPOTENSION ON REHABILITATION OF THE FRAIL ELDERLY WITH CEREBROVASCULAR-DISEASE

被引:9
作者
FARNSWORTH, TA [1 ]
HESELTINE, D [1 ]
机构
[1] YORK DIST GEN HOSP,YORK,N YORKSHIRE,ENGLAND
关键词
POSTPRANDIAL HYPOTENSION; CEREBROVASCULAR DISEASE; ELDERLY; EXERCISE CAPABILITY;
D O I
10.1177/030006059402200202
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
A total of 15 elderly patients recovering from stroke were included in a random, observer-blind, crossover trial to investigate the effects of postprandial cardiovascular changes. Exercise capability, sitting and erect blood pressure and heart rate were recorded pre- and postprandially; a control group received water only. Exercise capability decreased significantly (P < 0.05) in the control group, but not in the test group. Systolic and diastolic blood pressures in the erect position post-exercise were significantly (P < 0.05) reduced in the test group 15 min after eating; in the control group there was no significant change. A significant (P < 0.05) increase in heart rate in the erect position was seen postprandially in the test group after exercise, but not in the control group. All other changes recorded did not reach statistical significance. No reduction in exercise capability occurred in patients exhibiting postprandial hypotension after food, as simultaneous increases in heart rate probably resulted in output being maintained.
引用
收藏
页码:77 / 84
页数:8
相关论文
共 17 条
[1]   EFFECT OF ORAL PROTEIN AND GLUCOSE FEEDING ON SPLANCHNIC BLOOD FLOW AND OXYGEN UTILIZATION IN NORMAL AND CIRRHOTIC SUBJECTS [J].
BRANDT, JL ;
CASTLEMAN, L ;
RUSKIN, HD ;
GREENWALD, J ;
KELLY, JJ .
JOURNAL OF CLINICAL INVESTIGATION, 1955, 34 (07) :1017-1025
[2]   EXERCISE CAPABILITY IN HEART-FAILURE - IS CARDIAC-OUTPUT IMPORTANT AFTER ALL [J].
COWLEY, AJ ;
FULLWOOD, LJ ;
MULLER, AF ;
STAINER, K ;
SKENE, AM ;
HAMPTON, JR .
LANCET, 1991, 337 (8744) :771-773
[3]   POSTPRANDIAL ALTERATIONS IN HEMODYNAMICS AND BLOOD-PRESSURE IN NORMAL SUBJECTS [J].
FAGAN, TC ;
SAWYER, PR ;
GOURLEY, LA ;
LEE, JT ;
GAFFNEY, TE .
AMERICAN JOURNAL OF CARDIOLOGY, 1986, 58 (07) :636-641
[4]  
HASELTINE D, 1991, POSTGRAD MED J, V67, P543
[5]   POSTPRANDIAL HYPOTENSION IN ELDERLY PEOPLE [J].
HESELTINE, D ;
POTTER, JF .
AGE AND AGEING, 1990, 19 (04) :233-235
[6]  
KELBAEK H, 1989, BRIT HEART J, V61, P500
[7]  
KOORER JJ, 1989, Q J EXP PHYSL, V74, P569
[8]   CARDIOVASCULAR AND NOREPINEPHRINE RESPONSES AFTER MEAL CONSUMPTION IN ELDERLY (OLDER THAN 75 YEARS) PERSONS WITH POSTPRANDIAL HYPOTENSION AND SYNCOPE [J].
LIPSITZ, LA ;
PLUCHINO, FC ;
WEI, JY ;
MINAKER, KL ;
ROWE, JW .
AMERICAN JOURNAL OF CARDIOLOGY, 1986, 58 (09) :810-815
[9]   POSTPRANDIAL REDUCTION IN BLOOD-PRESSURE IN THE ELDERLY [J].
LIPSITZ, LA ;
NYQUIST, RP ;
WEI, JY ;
ROWE, JW .
NEW ENGLAND JOURNAL OF MEDICINE, 1983, 309 (02) :81-83
[10]   EFFECT OF AGE ON INSULIN STIMULATION OF SYMPATHETIC NERVOUS-SYSTEM ACTIVITY IN MAN [J].
MINAKER, KL ;
ROWE, JW ;
YOUNG, JB ;
SPARROW, D ;
PALLOTTA, JA ;
LANDSBERG, L .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1982, 31 (12) :1181-1184