Orthostatic hypotension, diabetes, and falling in older patients: A cross-sectional study

British Journal of General Practice

Volumn 62, Issue 603, 2012, Pages

  Van Hateren, Kornelis J J ^a   Kleefstra, Nanne ^a   Blanker, Marco H ^b   Ubink Veltmaat, Lielith J ^c   Groenier, Klaas H ^a   Houweling, Sebastiaan T ^d   Kamper, Adriaan M ^a   Van Der Meer, Klaas ^b   Bilo, Henk J G ^a  

^a ISALA HOSPITAL   (Netherlands)

^b UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^c General Practice t Veen ^*  (Netherlands)

^d LANGERHANS MEDICAL RESEARCH GROUP   (Netherlands)

Author keywords

Aged; Diabetes mellitus type 2; Falling; Orthostatic hypotension; Primary care

Indexed keywords

ANTIHYPERTENSIVE AGENT;

AGED; AGING; ANTIHYPERTENSIVE THERAPY; ARTICLE; BLOOD PRESSURE MEASUREMENT; BODY MASS; BODY POSTURE; CROSS-SECTIONAL STUDY; DIABETES MELLITUS; DIABETIC PATIENT; DISEASE DURATION; FALL RISK; FALL RISK ASSESSMENT; FALLING; FEMALE; FOOD INTAKE; GENERAL PRACTICE; GERIATRIC PATIENT; HIGH RISK POPULATION; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; NETHERLANDS; NON INSULIN DEPENDENT DIABETES MELLITUS; OBSERVATIONAL STUDY; ORTHOSTATIC HYPOTENSION; PREVALENCE;

ACCIDENTAL FALLS; AGED; BLOOD PRESSURE DETERMINATION; CROSS-SECTIONAL STUDIES; DIABETES MELLITUS, TYPE 2; FEMALE; GENERAL PRACTICE; HUMANS; HYPOTENSION, ORTHOSTATIC; INDEPENDENT LIVING; LOGISTIC MODELS; MALE; NETHERLANDS; ODDS RATIO; PREVALENCE; RISK FACTORS;

EID: 84867432064     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp12X656838     Document Type: Article

References (28)

1. Luukinen H, Koski K, Laippala P, Kivelä SL. Prognosis of diastolic and systolic OH in older persons. Arch Intern Med 1999; 159: 273-280. (Pubitemid 29075647)
2. Luukinen H, Airaksinen KEJ. Orthostatic hypotension predicts vascular death in older diabetic patients. Diabetes Res Clin Pract 2005; 67: 163-166. (Pubitemid 40093026)
3. Rose KM, Eigenbrodt ML, Biga RL, et al. Orthostatic hypotension predicts mortality in middle-aged adults. The Atherosclerosis Risk in Communities (ARIC) study. Circulation 2006; 114: 630-636. (Pubitemid 44252304)
4. Rose KM, Tyroler HA, Nardo CJ, et al. Orthostatic hypotension and the incidence of coronary heart disease: the Atherosclerosis Risk in Communities Study. Am J Hypertens 2000; 13: 571-578. (Pubitemid 30459866)
5. Eigenbrodt ML, Rose KM, Couper DJ, et al. Orthostatic hypotension as a risk factor for stroke. The Atherosclerosis Risk in Communities (ARIC) study, 1987-1996. Stroke 2000; 31: 2307-2313.
6. Rutan GH, Hermanson B, Bild DE, et al. Orthostatic hypotension in older adults. The cardiovascular health study. CHS Collaborative Research Group. Hypertension 1992; 19: 508-519.
7. Ooi WL, Hossain M, Lipsitz LA. The association between orthostatic hypotension and recurrent falls in nursing home residents. Am J Med 2000; 108: 106-111. (Pubitemid 30064420)
8. Tinetti ME, Williams TF, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med 1986; 80: 429-434. (Pubitemid 16098779)
9. Rubenstein LZ, Josephson KR, Robbins AS. Falls in the nursing home. Ann Intern Med 1994; 121: 442-451.
10. Graafmans WC, Ooms ME, Hofstee HM, et al. Falls in the elderly: a prospective study of risk factors and risk profiles. Am J Epidemiol 1996; 143: 1129-1136. (Pubitemid 26158109)
11. Liu BA, Topper AK, Reeves RA, et al. Falls among older people: relationship to medication use and orthostatic hypotension. J Am Geriatr Soc 1995; 43: 1141-1145.
12. Maurer MS, Cohen S, Cheng HC. The degree and timing of orthostatic blood pressure changes in relation to falls in nursing home residents. J Am Med Dir Assoc 2004; 5: 233-238. (Pubitemid 39089700)
13. Low PA. Prevalence of orthostatic hypotension. Clin Auton Res 2008; 18[suppl1]: 8-13. (Pubitemid 351667197)
14. Masaki KH, Schatz IJ, Burchfiel CM, et al. Orthostatic hypotension predicts mortality in elderly men: the Honolulu Heart Program. Circulation 1998; 98: 2290-2295. (Pubitemid 28533848)
15. Tilvis RS, Hakala SM, Valvanne J, Erkinjuntti T. Postural hypotension and dizziness in a general aged population: a four-year follow-up of the Helsinki Aging Study. J Am Geriatr Soc 1996; 44: 809-814. (Pubitemid 26238724)
16. Hiitola P, Enlund H, Kettunen R, et al. Postural changes in blood pressure and the prevalence of orthostatic hypotension among home-dwelling elderly aged 75?years or older. J Hum Hypertens 2009; 23: 33-39.
17. Wu JS, Yang YC, Lu FH, et al. Population-based study on the prevalence and risk factors of orthostatic hypotension in subjects with pre-diabetes and diabetes mellitus. Diabetes Care 2009; 32: 69-74.
18. Tilling LM, Darawil K, Britton M. Falls as a complication of diabetes mellitus in older people. J Diabetes Complications 2006; 20: 158-162. (Pubitemid 44316604)
19. Pluijm SMF, Smit JH, Tromp EAM, et al. A risk profile for identifying community-dwelling elderly with a high risk of recurrent falling: results of a 3-year prospective study. Osteoporos Int 2006; 17: 417-425.
20. Verdecchia P, Angeli F, Poeta F, et al. Validation of the A&D UA774 (UA-767Plus) device for self measurement of blood pressure. Blood Press Monit 2004; 9: 225-229. (Pubitemid 39159166)
21. Mariotti G, Alli C, Avanzini F, et al. Arm position as a source of error in blood pressure measurement. Cluin Cardiol 1987; 10: 591-593. (Pubitemid 17162543)
22. Anonymous. Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. The Consensus Committee of the American Autonomic Society and the American Academy of Neurology. Neurology 1996; 46: 1470.
23. Lahrmann H, Cortelli P, Hilz M, et al. EFNS guidelines on the diagnosis and management of orthostatic hypotension. Eur J Neurol 2006; 13: 930-936. (Pubitemid 44284897)
24. von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. PLoS Med 2007; 4(10): e296.
25. Romero-Ortuno R, Cogan L, Foran T, Kenny RA, Fan CW. Continuous noninvasive orthostatic blood pressure measurements and their relationship with orthostatic intolerance, falls, and frailty in older people. J Am Geriatr Soc 2011; 59: 655-665.
26. Ooi WL, Barrett S, Hossain M, Kelley-Gagnon M, Lipsitz LA. Patterns of orthostatic blood pressure change and their clinical correlates in a frail, elderly population. JAMA 1997; 277: 1299-1304. (Pubitemid 27194354)
27. van der Velde N, Stricker BH, Pols HA, Van der Cammen TJ. Risk of falls after withdrawal of fall-risk-increasing drugs: a prospective cohort study. Br J Clin Pharmacol 2007; 63: 232-237. (Pubitemid 46072110)
28. van der Velde N, Van den Meiracker AH, Pols HA, et al. Withdrawal of fall-risk-increasing drugs in older persons: effect on tilt-table test outcomes. J Am Geriatr Soc 2007; 55: 734-739. (Pubitemid 46668962)