{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:47:12Z","timestamp":1790696832185,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,6,10]],"date-time":"2013-06-10T00:00:00Z","timestamp":1370822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2013,7]]},"abstract":"\n Objectives<\/jats:title>\n \n To assess the efficacy of a leg exercise performed in supine position to prevent orthostatic hypotension (\n OH<\/jats:styled-content>\n ) in older adults.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Case\u2013control study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n D<\/jats:styled-content>\n ivision of\n P<\/jats:styled-content>\n hysical\n M<\/jats:styled-content>\n edicine and\n R<\/jats:styled-content>\n ehabilitation,\n S<\/jats:styled-content>\n alvatore\n M<\/jats:styled-content>\n augeri\n F<\/jats:styled-content>\n oundation,\n S<\/jats:styled-content>\n cientific\n I<\/jats:styled-content>\n nstitute of\n V<\/jats:styled-content>\n eruno,\n V<\/jats:styled-content>\n eruno,\n I<\/jats:styled-content>\n taly.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Individuals aged 65 and older admitted with degenerative joint disease screened (n\u00a0=\u00a090) and found positive for\n OH<\/jats:styled-content>\n (n\u00a0=\u00a042).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Systolic blood pressure (\n SBP<\/jats:styled-content>\n ), diastolic blood pressure (\n DBP<\/jats:styled-content>\n ), and heart rate (\n HR<\/jats:styled-content>\n ) were recorded using an automatic oscillometric device in the supine position after 10\u00a0minutes of bed rest; immediately upon standing up; and after 1, 3 and 5\u00a0minutes standing. In 42 participants, a fall in\n SBP<\/jats:styled-content>\n of 20\u00a0mmHg or more within 3\u00a0minutes of standing was found. Participants with\n OH<\/jats:styled-content>\n were alternately assigned to the control or exercise group. The following day, both groups were reassessed as above. In the exercise group, before standing up, participants were required to perform 10 full extensions of the lower limbs, starting from 60\u00b0 flexion of hip and 90\u00b0 flexion of knee and ankle joints, against the resistance of an elastic band.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In both participant groups,\n SBP<\/jats:styled-content>\n ,\n DBP<\/jats:styled-content>\n , and\n HR<\/jats:styled-content>\n were similar in the supine position. When standing, the same decrease in\n SBP<\/jats:styled-content>\n and\n DBP<\/jats:styled-content>\n and increase in\n HR<\/jats:styled-content>\n occurred over a similar time\u2010course in both participant groups. The next day, the reduction in\n SBP<\/jats:styled-content>\n was significantly smaller at each time interval after standing up in the exercise than in the control group, but no difference between the exercise and control groups was observed in\n DBP<\/jats:styled-content>\n or\n HR<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Supine leg exercise is effective in reducing an initial fall in\n SBP<\/jats:styled-content>\n when passing from a supine to an upright position in older adults. The duration of the effect requires further investigation.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.12313","type":"journal-article","created":{"date-parts":[[2013,6,10]],"date-time":"2013-06-10T12:04:19Z","timestamp":1370865859000},"page":"1152-1157","source":"Crossref","is-referenced-by-count":11,"title":["Counteracting Effect of Supine Leg Resistance Exercise on Systolic Orthostatic Hypotension in Older Adults"],"prefix":"10.1111","volume":"61","author":[{"given":"Gianluigi","family":"Galizia","sequence":"first","affiliation":[{"name":"Division of Physical Medicine and Rehabilitation Salvatore Maugeri Foundation IRCCS Scientific Institute of Veruno Veruno Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Abete","sequence":"additional","affiliation":[{"name":"Division of Geriatrics Department of Clinical Medicine, Cardiovascular and Immunological Science University of Naples Federico II Naples 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