{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:52:35Z","timestamp":1789987955035,"version":"4.0.1"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Impaired orthostatic blood pressure (\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              ) stabilization is highly prevalent in older adults and is a predictor of end\u2010organ injury, falls, and mortality. We sought to characterize the relationship between postural\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              responses and the kidney.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We performed a cross\u2010sectional analysis of 4204 participants from The Irish Longitudinal Study on Ageing, a national cohort of community\u2010dwelling adults aged \u226550\u00a0years. Beat\u2010to\u2010beat systolic and diastolic\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              were measured during a 2\u2010minute active stand test. The primary predictor was cystatin C estimated glomerular filtration rate (\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">eGFR<\/jats:styled-content>\n              ) categorized as follows (mL\/min per 1.73\u00a0m\n              <jats:sup>2<\/jats:sup>\n              ): \u226590 (reference, n=1414); 75 to 89 (n=1379); 60 to 74 (n=942); 45 to 59 (n=337); &lt;45 (n=132). We examined the association between\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">eGFR<\/jats:styled-content>\n              categories and (1) sustained orthostatic hypotension, defined as a\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              drop exceeding consensus thresholds (systolic\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              drop \u226520\u00a0mm\u00a0Hg\u00b1diastolic\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              drop \u226510\u00a0mm\u00a0Hg) at each 10\u2010second interval from 60 to 110\u00a0seconds inclusive; (2) pattern of\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              stabilization, characterized as the difference from baseline in mean systolic\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              \/diastolic\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              at 10\u2010second intervals. The mean age of subjects was 61.6\u00a0years; 47% of subjects were male, and the median\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">eGFR<\/jats:styled-content>\n              was 82\u00a0mL\/min per\u00a01.73\u00a0m\n              <jats:sup>2<\/jats:sup>\n              . After multivariable adjustment, participants with\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">eGFR<\/jats:styled-content>\n              &lt;60\u00a0mL\/min per 1.73\u00a0m\n              <jats:sup>2<\/jats:sup>\n              were approximately twice as likely to have sustained orthostatic hypotension (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.008 for trend across\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">eGFR<\/jats:styled-content>\n              categories). We observed a graded association between\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">eGFR<\/jats:styled-content>\n              categories and impaired orthostatic\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              stabilization, particularly within the first minute of standing.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We report a novel, graded relationship between diminished\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">eGFR<\/jats:styled-content>\n              and impaired orthostatic\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              stabilization. Mapping the postural\n              <jats:styled-content style=\"fixed-case\" toggle=\"no\">BP<\/jats:styled-content>\n              response merits further study in kidney disease as a potential means of identifying those at risk of hypotension\u2010related events.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.117.005661","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T20:25:39Z","timestamp":1493929539000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":28,"title":["Graded Association Between Kidney Function and Impaired Orthostatic Blood Pressure Stabilization in Older Adults"],"prefix":"10.1161","volume":"6","author":[{"given":"Mark","family":"Canney","sequence":"first","affiliation":[{"name":"Trinity College Dublin","place":["Dublin 2, Ireland"]},{"name":"Tallaght Hospital","place":["Dublin 24, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D. L.","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Trinity College Dublin","place":["Dublin 2, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donal J.","family":"Sexton","sequence":"additional","affiliation":[{"name":"Trinity College Dublin","place":["Dublin 2, Ireland"]},{"name":"Tallaght Hospital","place":["Dublin 24, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Trinity College Dublin","place":["Dublin 2, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose Anne","family":"Kenny","sequence":"additional","affiliation":[{"name":"Trinity College Dublin","place":["Dublin 2, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Little","sequence":"additional","affiliation":[{"name":"Tallaght Hospital","place":["Dublin 24, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conall M.","family":"O'Seaghdha","sequence":"additional","affiliation":[{"name":"Beaumont Hospital","place":["Dublin 9, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"crossref","first-page":"233","DOI":"10.7326\/0003-4819-159-4-201308200-00004","article-title":"Blood pressure and mortality in U.S. veterans with chronic kidney disease: a cohort study","volume":"159","author":"Kovesdy CP","year":"2013","unstructured":"Kovesdy CP, Bleyer AJ, Molnar MZ, Ma JZ, Sim JJ, Cushman WC, Quarles LD, Kalantar\u2010Zadeh K. 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