Het effect van het tijdstip van voedselinname op de bloeddruk en klachten na de maaltijd bij geriatrische patiënten met postprandiale hypotensie

Content Provider	Semantic Scholar
Author	Vloet, L. C. M. Smits, Marleen Jansen, R. F.
Copyright Year	2005
Abstract	Objective. To examine the effect of the time of food intake on postprandial blood-pressure (BP) responses in geriatric patients. Design. Descriptive. Method. A standardised liquid test meal was given in the morning, at noon, or in the evening in random order on 3 separate days to I4 patients (6 male and 8 female, aged 66-97 years) who had been admitted to the geriatric ward in the period March-August 2000 and had postprandial hypotension. Systolic BP, diastolic BP and heart rate were measured with an ambulatory BP device every I0 minutes starting 20 minutes before until go minutes after each meal. Patients were monitored for postprandial symptoms every 15 minutes. Postprandial hypotension was defined as a reduction in blood pressure > 20 mmHg within 90 minutes after the meal. Results. Reductions in systolic and diastolic BP occurred after each test meal. The maximum systolic BP reduction was smaller in the evening (-18 mmHg; SEM: 3) than in the morning (-29 mmHg; 2) or afternoon (-34 mmHg; 4). 8 patients showed no postprandial hypotension in the evening, whereas all patients had postprandial hypotension in the morning or afternoon. The duration of postprandial hypotension was shorter and postprandial symptoms were less frequent and less severe in the evening than in the morning or afternoon. Conclusion. In geriatric patients with postprandial hypotension, postprandial BP responses varied depending on the time of day, with less postprandial hypotension and symptoms in the evening.
Starting Page	1457
Ending Page	1462
Page Count	6
File Format	PDF HTM / HTML
Volume Number	149
Alternate Webpage(s)	https://www.ntvg.nl/system/files/publications/2005114570001a.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article