[Prevalence and risk factors of postprandial hypotension in Korean elderly people].
OBJECTIVE
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.


CONCLUSIONS
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.
Department of Nursing, Catholic University of Daegu, Daegu, Korea.
Jung Tae
JT
Son
Eunjoo
E
Lee
D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000150:complications; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006801:Humans; D007022:Hypotension / Q000453:epidemiology* / Q000209:etiology; D007723:Korea; D008297:Male; D009735:Nursing Homes; D019518:Postprandial Period; D015995:Prevalence; D012307:Risk Factors; D013997:Time Factors