Orthostatic Hypotension, Sarcopenia
Conditions
Keywords
blood pressure, elderly, sarcopenia, fall
Brief summary
Elderly patients generally have a tendency for having sarcopenia which refers to muscle loss that may be related to many factors. These patients also have a tendency to falls and injuries. Whether elderly sarcopenic patients have abrupt blood pressure drops upon standing remains unknown. Therefore, in this study, we sought to determine the incidence of orthostatic hypotension in sarcopenic elderly patients and compare it with elderly patients with no sarcopenia.
Interventions
Intervention: Each patient's supine and standing blood pressure measurements will be recorded
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients 75 years or older
Exclusion criteria
* Pace-maker * End stage renal insufficiency * End stage malignancy * Dehydration * Severe anemia ( Hgb \< 8 gr/dl) * Acute infection * Marked edema * Neurodegenerative disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in blood pressure | 0-3 minutes | All blood pressure measurements will be performed in the morning after an eight-hour fasting. After 5-minute rest, the first blood pressure measurement will be taken when the patients are supine. Later, three more consecutive measurements will be recorded when the patients stand up each being one-minute apart. All measurements will be performed using a fully automated sphygmomanometer that is attached with the correctly sized cuff matching to the patients' upper arm circumference. OH is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within 3 minutes of standing. The accompanying symptoms such as dizziness, unable to maintain balance, blurred vision will also be recorded. |
Countries
Turkey (Türkiye)