Korean J Adult Nurs.  2012 Apr;24(2):139-148.

Postprandial Hypotension and Heart Rate Variability in Older Adults

• Jang AL
• Hwang S

Abstract

PURPOSE
A study was designed to compare heart rate variability (HVR) of older adults with postprandial hypotension (PPH) with older adults with no PPH.
METHODS
The samples were community-dwelling older adults (> or = 60 years old) with PPH (n=35) and without PPH (n=35). HRV was measured by 10 minutes of electrocardiography using Physiolab 400 and analyzed in time domain (SDNN) and with power spectral analysis in frequency domain (TP, LF, HF, LF/HF). Blood pressure was measured every 15 minutes before and until 120 minutes after the meal.
RESULTS
All HRV parameters were lower in the PPH group compared to those with no PPH. Specifically the measures of SDNN, TP, LF, and LF/HF of the PPH group were significantly lower (U=385.0, p=.008; U=361.0, p=.003; U=375.0, p=.005; U=368.0, p=.004, respectively). Further, the LF and LF/HF of SBP (> or =140 mmHg) group and the LF/HF of DBP (> or = 90 mmHg) group were significantly lower (chi2=6.33, p=.042; chi2=33.10, p<.001; chi2=11.03, p=.004, respectively).
CONCLUSION
These findings indicate that the autonomic nervous functions in persons with PPH are less activated than those persons with no PPH. The findings contribute to an understanding of HRV and the association of autonomic nervous function with the mechanism of PPH.

MeSH Terms

Adult
Aged
Blood Pressure
Electrocardiography
Heart
Heart Rate
Humans
Hypotension
Postprandial Period