Background: Orthostatic hypotension is a condition in which blood pressure drops abnormally when a person stands up from a sitting or a lying down position. It is a sustained reduction of systolic blood pressure of at least 20mmHg or diastolic blood pressure of at least 10mmHg within three minutes of standing or a head-up tilt to at least 60 degrees on a tilt table. Orthostatic hypotension has been observed in all age groups, but it occurs more in the elderly, especially in persons who are sick and frail. The burden of Orthostatic hypotension on public health is substantial, with a prevalence of 7% to 55% in the elderly and is higher in those with risk factors. The diagnosis of orthostatic hypotension is therefore important in the treatment of elderly patients. Methods: This cross-sectional study was designed to evaluate the prevalence of orthostatic hypotension in community-dwelling elderly in Anambra State, Nigeria. The study population was a 400 persons aged 60 years and older selected by multistage sampling method. Results: The total prevalence of OH was 14.8% (n=59). The prevalence of OH was related to presence of hypertension, diabetes, raised supine systolic and raised supine diastolic BP (P ≤ 0.05). Diabetics [OR: 4.689 (95% CI: 1.121-19.984)] and those with supine diastolic hypertension [OR: 1.699 (95% CI: 0.401-7.209)] were more likely to have OH. Conclusion: The prevalence of orthostatic hypotension in 60 years and older adults in Anambra State was high and was found to be higher in hypertensives and diabetics.
| Published in | Science Journal of Clinical Medicine (Volume 7, Issue 4) |
| DOI | 10.11648/j.sjcm.20180704.11 |
| Page(s) | 30-36 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Blood Pressure, Orthostatic Hypotension, Elderly, Population-Based Study, Prevalence
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APA Style
Enwonwu Kenechukwu, Ibeh Christian, Modebe Ifeoma, Owoaje Emeh, Ayuba Zoakah, et al. (2018). Prevalence of Orthostatic Hypotension in the Elderly in Anambra State. Science Journal of Clinical Medicine, 7(4), 30-36. https://doi.org/10.11648/j.sjcm.20180704.11
ACS Style
Enwonwu Kenechukwu; Ibeh Christian; Modebe Ifeoma; Owoaje Emeh; Ayuba Zoakah, et al. Prevalence of Orthostatic Hypotension in the Elderly in Anambra State. Sci. J. Clin. Med. 2018, 7(4), 30-36. doi: 10.11648/j.sjcm.20180704.11
AMA Style
Enwonwu Kenechukwu, Ibeh Christian, Modebe Ifeoma, Owoaje Emeh, Ayuba Zoakah, et al. Prevalence of Orthostatic Hypotension in the Elderly in Anambra State. Sci J Clin Med. 2018;7(4):30-36. doi: 10.11648/j.sjcm.20180704.11
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Download@article{10.11648/j.sjcm.20180704.11,
author = {Enwonwu Kenechukwu and Ibeh Christian and Modebe Ifeoma and Owoaje Emeh and Ayuba Zoakah and Ifeadike Chigozie and Ezeama Nkiru and Azuike Emmanuel},
title = {Prevalence of Orthostatic Hypotension in the Elderly in Anambra State},
journal = {Science Journal of Clinical Medicine},
volume = {7},
number = {4},
pages = {30-36},
doi = {10.11648/j.sjcm.20180704.11},
url = {https://doi.org/10.11648/j.sjcm.20180704.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20180704.11},
abstract = {Background: Orthostatic hypotension is a condition in which blood pressure drops abnormally when a person stands up from a sitting or a lying down position. It is a sustained reduction of systolic blood pressure of at least 20mmHg or diastolic blood pressure of at least 10mmHg within three minutes of standing or a head-up tilt to at least 60 degrees on a tilt table. Orthostatic hypotension has been observed in all age groups, but it occurs more in the elderly, especially in persons who are sick and frail. The burden of Orthostatic hypotension on public health is substantial, with a prevalence of 7% to 55% in the elderly and is higher in those with risk factors. The diagnosis of orthostatic hypotension is therefore important in the treatment of elderly patients. Methods: This cross-sectional study was designed to evaluate the prevalence of orthostatic hypotension in community-dwelling elderly in Anambra State, Nigeria. The study population was a 400 persons aged 60 years and older selected by multistage sampling method. Results: The total prevalence of OH was 14.8% (n=59). The prevalence of OH was related to presence of hypertension, diabetes, raised supine systolic and raised supine diastolic BP (P ≤ 0.05). Diabetics [OR: 4.689 (95% CI: 1.121-19.984)] and those with supine diastolic hypertension [OR: 1.699 (95% CI: 0.401-7.209)] were more likely to have OH. Conclusion: The prevalence of orthostatic hypotension in 60 years and older adults in Anambra State was high and was found to be higher in hypertensives and diabetics.},
year = {2018}
}
TY - JOUR T1 - Prevalence of Orthostatic Hypotension in the Elderly in Anambra State AU - Enwonwu Kenechukwu AU - Ibeh Christian AU - Modebe Ifeoma AU - Owoaje Emeh AU - Ayuba Zoakah AU - Ifeadike Chigozie AU - Ezeama Nkiru AU - Azuike Emmanuel Y1 - 2018/11/06 PY - 2018 N1 - https://doi.org/10.11648/j.sjcm.20180704.11 DO - 10.11648/j.sjcm.20180704.11 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 30 EP - 36 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20180704.11 AB - Background: Orthostatic hypotension is a condition in which blood pressure drops abnormally when a person stands up from a sitting or a lying down position. It is a sustained reduction of systolic blood pressure of at least 20mmHg or diastolic blood pressure of at least 10mmHg within three minutes of standing or a head-up tilt to at least 60 degrees on a tilt table. Orthostatic hypotension has been observed in all age groups, but it occurs more in the elderly, especially in persons who are sick and frail. The burden of Orthostatic hypotension on public health is substantial, with a prevalence of 7% to 55% in the elderly and is higher in those with risk factors. The diagnosis of orthostatic hypotension is therefore important in the treatment of elderly patients. Methods: This cross-sectional study was designed to evaluate the prevalence of orthostatic hypotension in community-dwelling elderly in Anambra State, Nigeria. The study population was a 400 persons aged 60 years and older selected by multistage sampling method. Results: The total prevalence of OH was 14.8% (n=59). The prevalence of OH was related to presence of hypertension, diabetes, raised supine systolic and raised supine diastolic BP (P ≤ 0.05). Diabetics [OR: 4.689 (95% CI: 1.121-19.984)] and those with supine diastolic hypertension [OR: 1.699 (95% CI: 0.401-7.209)] were more likely to have OH. Conclusion: The prevalence of orthostatic hypotension in 60 years and older adults in Anambra State was high and was found to be higher in hypertensives and diabetics. VL - 7 IS - 4 ER -
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