{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:43:14Z","timestamp":1792633394957,"version":"4.5.0"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71871147"],"award-info":[{"award-number":["71871147"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72271172"],"award-info":[{"award-number":["72271172"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004829","name":"Sichuan Provincial Department of Science and Technology","doi-asserted-by":"publisher","award":["2021YJ0013"],"award-info":[{"award-number":["2021YJ0013"]}],"id":[{"id":"10.13039\/501100004829","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004829","name":"Sichuan Provincial Department of Science and Technology","doi-asserted-by":"publisher","award":["2023JDGD0035"],"award-info":[{"award-number":["2023JDGD0035"]}],"id":[{"id":"10.13039\/501100004829","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults with postprandial hypotension (PPH) increase susceptibility to falls, syncope, stroke, acute cardiovascular diseases and even death. However, the prevalence of this condition varies significantly across studies. We aimed to determine the prevalence of PPH in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Web of Science, PubMed, Cochrane Library, Embase and CINAHL were searched from their inception until February 2023. Search terms included \u2018postprandial period\u2019, \u2018hypotension\u2019 and \u2018postprandial hypotension\u2019. Eligible studies were assessed using the Joanna Briggs Institute tool. Meta-analyses were performed among similar selected studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen eligible studies were included, and data from 3,021 participants were pooled. The meta-analysis revealed a PPH prevalence of 40.5% [95% confidence interval (CI): 0.290\u20130.519] in older adults, and this was prevalent in the community (32.8%, 95% CI: 0.078\u20130.647, n\u2009=\u20091,594), long-term healthcare facility (39.4%, 95% CI: 0.254\u20130.610, n\u2009=\u20091,062) and geriatrics department of hospitals (49.3%, 95% CI: 0.357\u20130.630, n\u2009=\u2009365). The pooled results showed significant heterogeneity (I2\u00a0&amp;gt;\u200990%), partially related to the different ages, sex, pre-prandial systolic blood pressure levels of participants, or the different criteria and methodology used to diagnose PPH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PPH is a prevalent condition in older adults. Further research is needed to confirm this result, and priority should be given to establishing international consensus on PPH diagnostic criteria and designing its diagnostic procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afae022","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T17:48:20Z","timestamp":1707846500000},"source":"Crossref","is-referenced-by-count":21,"title":["Prevalence of postprandial hypotension in older adults: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"53","author":[{"given":"Lei","family":"Huang","sequence":"first","affiliation":[{"name":"West China School of Nursing\/Nursing Key Laboratory of Sichuan Province\/Innovation Center of Nursing Research\/West China Hospital, Sichuan University , 37, Guoxue Alley, Chengdu, Sichuan, 610041 , 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National Clinical Research Center for Geriatrics, West China Hospital, , Chengdu, Sichuan Province 610041 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily Dongxia","family":"Xiao","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences, Flinders University , Adelaide , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Zou","sequence":"additional","affiliation":[{"name":"West China School of Nursing\/Nursing Key Laboratory of Sichuan Province\/Innovation Center of Nursing Research\/West China Hospital, Sichuan University , 37, Guoxue Alley, Chengdu, Sichuan, 610041 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyi","family":"Jiang","sequence":"additional","affiliation":[{"name":"West China School of Nursing\/Nursing Key Laboratory of Sichuan Province\/Innovation Center of Nursing Research\/West China Hospital, Sichuan University , 37, Guoxue Alley, Chengdu, Sichuan, 610041 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengying","family":"Zhang","sequence":"additional","affiliation":[{"name":"West China School of Nursing\/Nursing Key Laboratory of Sichuan Province\/Innovation Center of Nursing Research\/West China Hospital, Sichuan University , 37, Guoxue Alley, Chengdu, Sichuan, 610041 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,26]]},"reference":[{"key":"2024022713483060400_ref1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.jamda.2014.01.011","article-title":"Postprandial hypotension: a systematic review","volume":"15","author":"Trahair","year":"2014","journal-title":"J Am Med Dir Assoc"},{"key":"2024022713483060400_ref2","first-page":"244","article-title":"Longitudinal changes in the blood pressure responses to, and gastric emptying of, an oral glucose load in healthy older 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patients","volume":"115","author":"Vaitkevicius","year":"1991","journal-title":"Ann Intern Med"},{"key":"2024022713483060400_ref32","article-title":"Intervention meta-analysis: application and practice using R software","volume":"41","author":"Shim","year":"2019","journal-title":"Epidemiol Health"},{"key":"2024022713483060400_ref33","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1093\/gerona\/58.11.M1031","article-title":"The effect of meals at different mealtimes on blood pressure and symptoms in geriatric patients with postprandial hypotension","volume":"58","author":"Vloet","year":"2003","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"2024022713483060400_ref34","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1017\/S0714980818000752","article-title":"Characteristics associated with the postprandial hypotensive response in falling older adults","volume":"38","author":"Madden","year":"2019","journal-title":"Can J 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