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Jenkins DJA, Sahye-Pudaruth S, Khodabandehlou K, Liang F, Kasmani M, Wanyan J, Wang M, Selvaganesh K, Paquette M, Patel D, Glenn AJ, Srichaikul K, Kendall CWC, Sievenpiper JL. Systematic review and meta-analysis examining the relationship between postprandial hypotension, cardiovascular events, and all-cause mortality. Am J Clin Nutr 2022; 116:663-671. [PMID: 35675216 PMCID: PMC9437988 DOI: 10.1093/ajcn/nqac158] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 06/03/2022] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Postprandial hypotension (PPH) has been reported to be associated with syncope, falls, adverse cardiovascular outcomes, and increased all-cause mortality. It has been reported to have an incidence as high as 30% in the elderly and persons with diabetes. We therefore performed a meta-analysis to determine the relation of PPH with cardiovascular disease (CVD) events and all-cause mortality. OBJECTIVES Our objective was to conduct a systematic review and meta-analysis of cohort and cross-sectional studies to determine the association of PPH with CVD and all-cause mortality. METHODS We searched the databases MEDLINE, EMBASE, and Cochrane library up to 13 April 2022 for prospective cohort and cross-sectional studies that examined the association of PPH with CVD outcomes and all-cause mortality. Data were analyzed using the generic inverse variance method with a random-effects model. Grading of Recommendations, Assessment, Development, and Evaluation approach assessed the certainty of evidence. RESULTS Seven studies that included 2389 participants met our inclusion criteria. PPH was associated with each outcome individually, including increased all-cause mortality, total CVD, CVD mortality, and stroke. CVD outcomes and all-cause mortality combined were also associated with PPH (RR: 1.52; 95% CI: 1.05, 2.18; P = 0.03; I2 = 77%). The certainty of evidence was graded as very low due to significant heterogeneity and the limited number of studies. CONCLUSIONS This assessment indicates an association of PPH with CVD and all-cause mortality. Further studies are required to improve CVD and mortality estimates, but the potential seriousness of CVD and all-cause mortality as outcomes of PPH justifies more screening, diagnosis, and research.
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Affiliation(s)
| | - Sandhya Sahye-Pudaruth
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
| | | | - Fred Liang
- Department of Physiology and Immunology, University of Toronto, Toronto, Ontario
| | - Maaria Kasmani
- School of Medicine, University College of Dublin, Dublin, Ireland
| | - Jessica Wanyan
- Department of Human Biology, University of Toronto, Toronto, Ontario
| | - Maggie Wang
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | | | - Melanie Paquette
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Darshna Patel
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Andrea J Glenn
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Toronto, Ontario, Canada,Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Korbua Srichaikul
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Cyril W C Kendall
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Toronto, Ontario, Canada,Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada,College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - John L Sievenpiper
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada,Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Toronto, Ontario, Canada,Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada,Division of Endocrinology and Metabolism, St. Michael's Hospital, Toronto, Ontario, Canada
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Praveen J, Nameer PO, Jha A, Aravind A, Dilip KG, Karuthedathu D, Tom G, Mavelikara H, Mannar H, Palot J, Johnson J, Jishnu R, Rodrigues KM, Mujeeb PM, Namassivayan L, Payyeri N, Nesrudheen PP, Narayanan SP, Prasanth SS, Krishna MCP, Praveen ES, Velayudhan P, Reghuvaran P, Kidoor R, Rathish RL, Roshnath R, Sashikumar C, Meppayur S, Sivakumar AK, Sreedevi AK, Sreekumar B, Sreekumar ER, Sumesh PB, Venugopal R, Venugopal V, Vishnudas CK, Kartha V, Puliyeri V, Quader S, Reddy A, Puthiyeri AR, Riyas KA, Abhijith RS, Surendran A, Sunil AM, Chandran A, Abhirami C, Jayakumar AM, Peter AS, Muhammed NVA, Katakath AF, Ajai P, Raju AK, Akhil PM, Akhil US, Amal US, Menon A, Ansari AI, Aneesh KS, Aneesh S, Hari CA, Anjitha R, Raj PNA, John A, Varma A, Anushreedha SS, Aravind CK, Ramachandran A, Arun B, George A, Gopi AP, Varghese A, Vinod A, Shaji A, Raj VMA, Viswanathan A, Mohammed A, Aswin A, Aswin KS, Ali AA, Balaji PB, Paul MB, Shree JC, Venkatraman C, Charutha K, Jose CT, Jose CP, Singh D, Sanghamithra D, Sikarwar DS, Murukesh D, Divin V, Arief F, Mandal J, Sarlin PJ, Nafar AA, Bachan KHA, Rejitha V, Dev RSV, Rowther BE, Raja F, Iyer G, George G, Gireesan TU, Mohan PKG, Dsouza GP, Govind G, Greeshma P, Prasad PMH, Hariharan TV, Harith A, Harith C, Hemanth B, Mohamed I, David JP, Jain PK, Jameela P, Jayakrishnan G, Jishnu K, Jismi MO, Johnson J, Soniya CJ, Babu JR, Roy J, Nelson J, Krishnan MJ, Bhandary KP, Jamaludheen KM, Ravi K, Thrikkadeeri K, Nair KK, Kiran BS, Kumar KS, Raj DK, Panaganti KK, Moorthy MK, Murthy RK, Krishnanunni MR, Prabhakaran L, Lathika KK, Abraham L, Narayanan GH, Panigrahi M, Manav S, Karingamadathil M, Manoj TR, Thomas M, Manuel PP, Varghese MG, Chandran PM, Sulaiman MM, Madathil MA, Hirash VKM, Ramees KM, Thirunnavaya MS, Niyas APM, Muhasin CT, Kizhakkemadham M, Azeez NA, Nikhil PV, Niranjana C, Mundekad N, Mohan N, Pavithra A, Viswanathan P, Pramod P, Prakash G, Prasath S, Prakash P, Preethi N, Rajeevan R, Rajaguru M, Rajarajan V, Sankaran R, Ratheesh K, Crasta RP, Mohan R, Renju A, Koshy RC, Rai R, Tom R, Chandran S, Sachinkrishna MV, Ali MVSA, Siril S, Bharadwaj DDS, George S, Morris S, Augustine S, Das SK, Morris S, Sandra PR, Sanuraj TK, Sawant S, Morris S, Selvaganesh K, Shahil K, Shahina NN, Valasy S, Siji PK, Joseph S, Sivashankar R, Karim SA, Mohan SK, Pillai SM, Sowmiya MS, Srinila KT, Subin KS, Sujith VG, Sukumaran S, Syamili MS, Menon T, Praveen T, Thilak SA, Antony T, Ullas UR, Sivaji VO, Narayanan V, Sreejith MV, Chandran AV, Sudhakaran V, Vridhi R, Humam WI, Uchummal YJ, Yathumon MA. Kerala Bird Atlas 2015–20: features, outcomes and implications of a citizen-science project. CURR SCI INDIA 2022. [DOI: 10.18520/cs/v122/i3/298-309] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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