Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/17656
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dc.contributor.authorJones, K.en
dc.contributor.authorO'Donovan, D.en
dc.contributor.authorRusso, A.en
dc.contributor.authorMeyer, J.en
dc.contributor.authorStevens, J.en
dc.contributor.authorLei, Y.en
dc.contributor.authorKeogh, J.en
dc.contributor.authorTonkin, A.en
dc.contributor.authorHorowitz, M.en
dc.date.issued2005en
dc.identifier.citationAmerican Journal of Physiology-Gastrointestinal and Liver Physiology, 2005; 289(2):G240-G248en
dc.identifier.issn0193-1857en
dc.identifier.issn1522-1547en
dc.identifier.urihttp://hdl.handle.net/2440/17656-
dc.descriptionPublished abstract used with permission of the copyright owner.en
dc.description.abstractPostprandial hypotension (PPH) occurs frequently in the elderly; the magnitude of the fall in blood pressure (BP) is related to the rate of glucose entry into the duodenum during intraduodenal glucose infusion and spontaneous gastric emptying (GE). It is unclear if glucose concentration affects the hypotensive response. Gastric distension may attenuate PPH; therefore, meal volume could influence the BP response. We aimed to determine the effects of 1) drink volume, 2) glucose concentration, and 3) glucose content on the BP and heart rate (HR) responses to oral glucose. Ten subjects (73.9 ± 1.2 yr) had measurements of BP, GE, and blood glucose on 4 days after 1) 25 g glucose in 200 ml (12.5%), 2) 75 g glucose in 200 ml (37.5%), 3) 25 g glucose in 600 ml (4%), and 4) 75 g glucose in 600 ml (12.5%). GE, BP, HR, and blood glucose were measured for 180 min. After all drinks, duodenal glucose loads were similar in the first 60 min. Regardless of concentration, 600-ml (but not 200-ml) drinks initially increased BP, and in the first 30 min, systolic BP correlated (P < 0.01) with volume in both the proximal and total stomach. At the same concentration (12.5%), systolic BP fell more (P = 0.02) at the smaller volume; at the same volumes, there were no effects of concentration on BP. There was no difference in the glycemic response to drinks of identical glucose content. We conclude that 1) ingestion of glucose at a higher volume attenuates and 2) under constant duodenal load, glucose concentration (4–37%) does not affect the fall in BP.en
dc.description.statementofresponsibilityKaren L. Jones, Deirdre O’Donovan, Antonietta Russo, James H. Meyer, Julie E. Stevens, Yong Lei, Jennifer Keogh, Anne Tonkin, and Michael Horowitzen
dc.language.isoenen
dc.publisherAmer Physiological Socen
dc.rightsCopyright © 2005 by the American Physiological Societyen
dc.subjectpostprandial hypotension; gastric emptying; elderlyen
dc.titleEffects of drink volume and glucose load on gastric emptying and postprandial blood pressure in healthy older subjectsen
dc.typeJournal articleen
dc.identifier.rmid0020050171en
dc.contributor.organisationMedicine Learning and Teaching Uniten
dc.identifier.doi10.1152/ajpgi.00030.2005en
dc.identifier.pubid55248-
pubs.library.collectionPharmacology publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
Appears in Collections:Pharmacology publications

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