Pharmacological treatment of postprandial reductions in blood pressure: a systematic review.

Abstract:

OBJECTIVES:To systematically review the current literature on the pharmacological treatment of postmeal reductions in blood pressure (BP). DESIGN:A systematic literature search and standardized data collection of randomized controlled trials on the pharmacological prevention of postprandial reductions in BP in adults using MEDLINE (1950-), EMBASE (1980-), and CINAHL databases was conducted up to July 2013. Bibliographies of relevant reports were also hand-searched to identify all potentially eligible studies. SETTING:Systematic review of randomized controlled trials using PRISMA guidelines. MEASUREMENTS:Articles were assessed using the Critical Appraisal Skills Programme for randomized controlled trials. RESULTS:Thirteen articles reporting 12 studies (1 study was reported in 2 articles) demonstrated that caffeine (5 studies); acarbose; 3,4-DL-threo-dihydroxyphenylserine; guar gum (3 studies); and octreotide (2 studies) statistically attenuated the postprandial reduction in BP. One caffeine study did not show this. Most studies did not include individuals with symptomatic postprandial hypotension (PPH), so interpretation and application of these findings to this patient group should be made with caution. For symptomatic participants, there was improvement with acarbose but none with caffeine. Differences in the way the data were presented in the studies did not allow for quantification of treatment effects using meta-analysis. CONCLUSION:Drug interventions can attenuate postprandial reductions in BP, but they may not necessarily be effective in people with symptomatic PPH.

journal_name

J Am Geriatr Soc

authors

Ong AC,Myint PK,Potter JF

doi

10.1111/jgs.12728

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

649-61

issue

4

eissn

0002-8614

issn

1532-5415

journal_volume

62

pub_type

杂志文章,评审
  • Global Sensory Impairment in Older Adults in the United States.

    abstract:OBJECTIVES:To determine whether there may be a common mechanism resulting in global sensory impairment of the five classical senses (vision, smell, hearing, touch, and taste) in older adults. DESIGN:Representative, population-based study. SETTING:National Social Life, Health, and Aging Project. PARTICIPANTS:Communit...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13955

    authors: Correia C,Lopez KJ,Wroblewski KE,Huisingh-Scheetz M,Kern DW,Chen RC,Schumm LP,Dale W,McClintock MK,Pinto JM

    更新日期:2016-02-01 00:00:00

  • Association of Alzheimer's disease and smoking: the case for sibling controls.

    abstract:OBJECTIVES:To study the association between cigarette smoking and Alzheimer's Disease (AD). DESIGN:Intrafamily case-control, with sibling controls and a variable number of controls per case. SETTING:AD cases were identified through the Research Registry of the University Hospitals of the Cleveland/Case Western Reserv...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb04756.x

    authors: Debanne SM,Rowland DY,Riedel TM,Cleves MA

    更新日期:2000-07-01 00:00:00

  • Milk and dairy consumption and risk of dementia in an elderly Japanese population: the Hisayama Study.

    abstract:OBJECTIVES:To determine the effect of milk and dairy intake on the development of all-cause dementia and its subtypes in an elderly Japanese population. DESIGN:Prospective cohort study. SETTING:The Hisayama Study, Japan. PARTICIPANTS:Individuals aged 60 and older without dementia (N = 1,081). MEASUREMENTS:Milk and ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12887

    authors: Ozawa M,Ohara T,Ninomiya T,Hata J,Yoshida D,Mukai N,Nagata M,Uchida K,Shirota T,Kitazono T,Kiyohara Y

    更新日期:2014-07-01 00:00:00

  • Prevalence and Preventability of Drug-Related Hospital Readmissions: A Systematic Review.

    abstract:OBJECTIVES:To summarize the evidence on the prevalence and preventability of drug-related hospital readmissions. DESIGN:A systematic review was performed of studies that examined drug-related hospital readmissions. PubMed, EMBASE, and the Cochrane Library were searched from inception through August 2016. Reference lis...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15244

    authors: El Morabet N,Uitvlugt EB,van den Bemt BJF,van den Bemt PMLA,Janssen MJA,Karapinar-Çarkit F

    更新日期:2018-03-01 00:00:00

  • Self-reported sleep characteristics and mortality in older adults of mexican origin: results from the Hispanic established population for the epidemiologic study of the elderly.

    abstract:OBJECTIVES:To determine how poor sleep affects the health of older ethnic minorities. DESIGN:Cross-sectional study involving a population-based survey. SETTING:Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE) survey conducted in the southwestern United States. PARTICIPANTS:Two tho...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2012.04144.x

    authors: Howrey BT,Peek MK,Raji MA,Ray LA,Ottenbacher KJ

    更新日期:2012-10-01 00:00:00

  • Rationale for a primary prevention study using low-dose aspirin to prevent coronary and cerebrovascular disease in the elderly.

    abstract::The benefits of prophylactic aspirin therapy to prevent cardiovascular and cerebrovascular disease in asymptomatic individuals remains unclear. The rationale for developing a multicentered, double-blind, placebo-controlled clinical trial to determine whether low-dose aspirin (100 mg daily) prevents cardiovascular and ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.1991.tb02494.x

    authors: Silagy CA,McNeil JJ,Bulpitt CJ,Donnan GA,Tonkin AM,Worsam B

    更新日期:1991-05-01 00:00:00

  • Senior PharmAssist: Less Hospital Use with Enrollment in an Innovative Community-Based Program.

    abstract:OBJECTIVES:To evaluate changes in acute health services use of Senior PharmAssist participants. DESIGN:Retrospective analysis. SETTING:Community-based, nonprofit program in Durham County, North Carolina. PARTICIPANTS:Adults aged 60 and older with income of 200% of the federal poverty level or less who enrolled in th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15617

    authors: Herity LB,Upchurch G,Schenck AP

    更新日期:2018-12-01 00:00:00

  • The Prevention for Elderly Persons (PEP) Program: a model of municipal and academic partnership to meet the needs of older persons for preventive services.

    abstract:OBJECTIVE:To create a program to identify preventive needs for community-dwelling older persons and incorporate intervention strategies to improve implementation of these services. DESIGN:Program development and case-series. SETTING:Community-based meal sites, academically administered program. PARTICIPANTS:Persons ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb01416.x

    authors: Reuben DB,Hirsch SH,Frank JC,Maly RC,Schlesinger MS,Weintraub N,Yancey S

    更新日期:1996-11-01 00:00:00

  • Follow-up of mild hypothyroidism in a nursing home.

    abstract::The course of untreated mild hypothyroidism was followed in 67 nursing home residents (mean age 78 years). The diagnosis was based on a normal free thyroxine index (FTI) and elevated thyrotropin concentration (TSH 4.6 to 15.0 microIU/mL, nl less than or equal to 4.5 microIU/mL. FTI and FSH were measured in follow-up 4...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1991.tb01648.x

    authors: Drinka PJ,Nolten WE,Voeks SK,Langer EH

    更新日期:1991-03-01 00:00:00

  • A behavior management program to increase social responses in psychogeriatric patients.

    abstract::Although increased numbers of psychogeriatric patients have been placed in proprietary nursing homes in recent years, many facilities have not been able to accommodate the behavioral problems involved. This study summarizes the results of a behavior management program for improving the social functioning and social be...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1981.tb01236.x

    authors: Nigl AJ,Jackson B

    更新日期:1981-02-01 00:00:00

  • Guar gum reduces postprandial hypotension in older people.

    abstract:OBJECTIVE:To determine whether slowing of gastric emptying and glucose absorption with guar gum would reduce the fall in blood pressure after an oral glucose load in older subjects. DESIGN:A randomized, experimental, cross-over study. SETTING:Department of Nuclear Medicine, Royal Adelaide Hospital, Adelaide, SA, Aust...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1532-5415.2001.49037.x

    authors: Jones KL,MacIntosh C,Su YC,Wells F,Chapman IM,Tonkin A,Horowitz M

    更新日期:2001-02-01 00:00:00

  • Level and change in cognitive test scores predict risk of first stroke.

    abstract:OBJECTIVES:To determine whether cognitive test scores and cognitive decline predict incidence of first diagnosed stroke. DESIGN:Stroke-free Health and Retirement Study participants were followed on average 7.6 years for self- or proxy-reported first stroke (1,483 events). Predictors included baseline performance on a ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2008.02132.x

    authors: DeFries T,Avendaño M,Glymour MM

    更新日期:2009-03-01 00:00:00

  • Relative importance of preoperative health status versus intraoperative factors in predicting postoperative adverse outcomes in geriatric surgical patients.

    abstract:OBJECTIVES:To determine the prevalence and predictors of adverse postoperative outcomes in older surgical patients undergoing noncardiac surgery. DESIGN:Prospective cohort study of consecutive patients undergoing noncardiac surgery in 1997. SETTING:A medical school-affiliated teaching community hospital. PARTICIPANT...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2001.49212.x

    authors: Leung JM,Dzankic S

    更新日期:2001-08-01 00:00:00

  • Mobility of elderly patients in bed. Measurement and association with patient condition.

    abstract::Measurements were made of the overnight mobility of a group of elderly hospital patients whose clinical status had been assessed using the Norton clinical assessment score. The number of movements on the first two nights after admission differed from subsequent nights. There was a significant correlation between mobil...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1986.tb04903.x

    authors: Barbenel JC,Ferguson-Pell MW,Kennedy R

    更新日期:1986-09-01 00:00:00

  • Urinary incontinence in a community-based cohort: prevalence and healthcare-seeking.

    abstract:OBJECTIVE:To estimate the prevalence of urinary incontinence and to assess care-seeking behavior for urinary symptoms among community-dwelling people. DESIGN:A community-based cross-sectional study. SETTING:Randomly selected men and women from Olmsted County, Minnesota. PARTICIPANTS:Two cohorts, one comprised of bot...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb02468.x

    authors: Roberts RO,Jacobsen SJ,Rhodes T,Reilly WT,Girman CJ,Talley NJ,Lieber MM

    更新日期:1998-04-01 00:00:00

  • Family perceptions of end-of-life care for long-term care residents with dementia: differences between the United States and the Netherlands.

    abstract:OBJECTIVES:To examine cross-national care and outcomes related to end-of-life experiences. DESIGN:Postdeath interviews and self-administered questionnaires completed with family caregivers of residents with dementia who died in long-term care settings or shortly after transfer. SETTING:One hundred eighty-three nursin...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03816.x

    authors: Cohen LW,van der Steen JT,Reed D,Hodgkinson JC,van Soest-Poortvliet MC,Sloane PD,Zimmerman S

    更新日期:2012-02-01 00:00:00

  • Nosocomial pneumococcal pneumonia in the elderly.

    abstract::Among 35 elderly patients with transtracheal aspirate (TTA)-documented nosocomial pneumonia, 7 (20 percent) had Streptococcus pneumoniae infection. Clinical and epidemiologic data are reported on these 7 patients and on 2 others with nosocomial pneumococcal pneumonia documented by bacteremia. Malignancy and chronic ob...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1981.tb01272.x

    authors: Berk SL,Gallemore GM,Smith JK

    更新日期:1981-07-01 00:00:00

  • Elderly patients' knowledge of drug benefit caps and communication with providers about exceeding caps.

    abstract:OBJECTIVES:Many elderly persons have drug benefits with coverage gaps, such as in Medicare Part D. Because beneficiaries who have such gaps must pay all drug costs, an accurate knowledge of gap thresholds and communication with providers about exceeding caps is important for elderly persons to manage out-of-pocket drug...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02244.x

    authors: Tseng CW,Dudley RA,Brook RH,Keeler E,Hixon AL,Manlucu LR,Mangione CM

    更新日期:2009-05-01 00:00:00

  • Blood pressure and survival in the oldest old.

    abstract:OBJECTIVES:To determine the relationship between blood pressure (BP) and all-cause mortality in subjects aged 80 and older with hypertension. DESIGN:Retrospective cohort study with 5 years of follow-up. SETTING:Ten Veterans AFFAIRS (VA) sites. PARTICIPANTS:Four thousand seventy-one ambulatory patients aged 80 and ol...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01069.x

    authors: Oates DJ,Berlowitz DR,Glickman ME,Silliman RA,Borzecki AM

    更新日期:2007-03-01 00:00:00

  • Prosopo-affective agnosia and computerized tomography findings in patients with cerebral disorders.

    abstract::Thirty-nine male patients (median age 61, range 19-92) from a neurologic ward were examined by a test for prosopo-affective agnosia (PAA), i.e., impairment in the recognition of facial affect (emotions) with no impairment in the recognition of facial features (PA, prosopo-agnosia). The scores for patients without hemi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb01123.x

    authors: Kurucz J,Soni A,Feldmar G,Slade WR

    更新日期:1980-10-01 00:00:00

  • Adiponectin isoforms in elderly patients with or without coronary artery disease.

    abstract:OBJECTIVES:To study the distribution of adiponectin isoforms in a group of very old patients. DESIGN:Cross-sectional. SETTING:Geriatric ambulatory clinic of the Department of Medicine at Policlinico "Tor Vergata." PARTICIPANTS:One hundred eight elderly adults (mean age 85.0+/-3.2) with or without a history of a prev...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02773.x

    authors: Rizza S,Gigli F,Galli A,Micchelini B,Lauro D,Lauro R,Federici M

    更新日期:2010-04-01 00:00:00

  • Psychometric characteristics of the minimum data set II: validity.

    abstract:OBJECTIVE:To determine the validity of the Minimum Data Set (MDS). DESIGN:MDS domain scores were correlated with a variety of independently obtained measures of basic behavioral and mental health functions of 513 nursing home residents. SETTING:All participants were residents of the Philadelphia Geriatric Center. PA...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb03809.x

    authors: Lawton MP,Casten R,Parmelee PA,Van Haitsma K,Corn J,Kleban MH

    更新日期:1998-06-01 00:00:00

  • Antidepressant adherence and risk of coronary artery disease hospitalizations in older and younger adults with depression.

    abstract:OBJECTIVES:To assess whether the relationship between antidepressant adherence and coronary artery disease (CAD) hospitalizations varied between older and younger adults with depression. DESIGN:Retrospective cohort study. SETTING:Department of Veterans Affairs outpatient clinics nationwide. PARTICIPANTS:Chronically ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12849

    authors: Cooper DC,Trivedi RB,Nelson KM,Reiber GE,Eugenio EC,Beaver KA,Fan VS

    更新日期:2014-07-01 00:00:00

  • Mild cognitive impairment is associated with poorer decision-making in community-based older persons.

    abstract:OBJECTIVE:To test the hypothesis that mild cognitive impairment (MCI) is associated with poorer financial and healthcare decision-making. DESIGN:Community-based epidemiological cohort study. SETTING:Communities throughout northeastern Illinois. PARTICIPANTS:Older persons without dementia from the Rush Memory and Agi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13346

    authors: Han SD,Boyle PA,James BD,Yu L,Bennett DA

    更新日期:2015-04-01 00:00:00

  • Treating in Place: Acute Care for Long-Stay Residents in Nursing Facilities Under a CMS Initiative.

    abstract:BACKGROUND/OBJECTIVES:Nursing facility (NF) residents are commonly hospitalized, and many of these hospitalizations may be avoidable. A Centers for Medicare & Medicaid Services (CMS) initiative enables participating NFs to bill Medicare for providing on-site acute care to long-stay residents diagnosed with one of six a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16901

    authors: Segelman M,Ingber MJ,Feng Z,Khatutsky G,Bercaw L,Gasdaska A,Huber B,Voltmer H

    更新日期:2020-11-12 00:00:00

  • Detrusor underactivity: Clinical features and pathogenesis of an underdiagnosed geriatric condition.

    abstract::Urinary incontinence and other lower urinary tract symptoms exert a major influence on the health and independence of frail older people. Detrusor underactivity (DU) is defined as a contraction of reduced strength and/or duration, resulting in prolonged bladder emptying and/or a failure to achieve complete bladder emp...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.2006.00917.x

    authors: Taylor JA 3rd,Kuchel GA

    更新日期:2006-12-01 00:00:00

  • Association Between Sleep and Physical Function in Older Veterans in an Adult Day Healthcare Program.

    abstract:OBJECTIVES:To examine whether sleep disturbance is associated with poor physical function in older veterans in an adult day healthcare (ADHC) program. DESIGN:Cross-sectional. SETTING:One ADHC program in a Veterans Affairs Ambulatory Care Center. PARTICIPANTS:Older veterans (N = 50) enrolled in a randomized controlle...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jgs.13527

    authors: Song Y,Dzierzewski JM,Fung CH,Rodriguez JC,Jouldjian S,Mitchell MN,Josephson KR,Alessi CA,Martin JL

    更新日期:2015-08-01 00:00:00

  • Influenza vaccination in community elderly. A controlled trial of postcard reminders.

    abstract::Available strategies to increase influenza vaccination rates in the elderly have not been tested in the private sector where most elderly receive care. We performed a randomized controlled trial of a postcard reminder in the three private general internal medicine practices. The observed vaccination rates of 55% in ex...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.1987.tb06354.x

    authors: Buchner DM,Larson EB,White RF

    更新日期:1987-08-01 00:00:00

  • The application of health care surrogate laws to older populations: how good a match?

    abstract:OBJECTIVE:The Health Care Surrogate Act (HCSA) in Illinois has been proposed as a model for state laws naming surrogate medical decision-makers for those without advance directives (ADs). Our objective was to determine if the HCSA identifies the same surrogate as older persons would choose for themselves. If not, is th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb02437.x

    authors: Hayley DC,Stern R,Stocking C,Sachs GA

    更新日期:1996-02-01 00:00:00

  • Replacement of Urinary Catheter for Urinary Tract Infections: A Prospective Observational Study.

    abstract:OBJECTIVES:To assess whether catheter replacement is associated with better clinical outcomes in individuals with long-term urinary catheters. DESIGN:Prospective, noninterventional study. PARTICIPANTS:Individuals (mean age 79.2±11.5) who had had an indwelling urinary catheter for longer than 7 days and a symptomatic ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15517

    authors: Babich T,Zusman O,Elbaz M,Ben-Zvi H,Paul M,Leibovici L,Avni T

    更新日期:2018-09-01 00:00:00