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The Influence of Food Ingestion on Blood Pressure in Stroke Patients

Author: Rowat, Anne M; Wardlaw, Joanna M; Dennis, Martin S; Warlow, Charles P
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Abstract: We aimed to investigate whether and how often changes in blood pressure (BP) were
occurring in relation to eating in a large sample of acute stroke patients. BP was measured noninvasively at 5-min intervals from 10 min before the meal, throughout the meal and for 10 min
after completion of the meal while the patient was seated. Stroke patients (n = 93) had a higher
BP at baseline than both elderly (n = 49) and young controls (n = 20), which was statistically
significant. There were no significant differences in the magnitude of change of BP during the
meal between the three groups. Compared with the average baseline BP recordings, stroke and
elderly control patients, but not young healthy control subjects, had a significant fall in average
BP recordings by 3-4 mm Hg. Falls of >or =10 mm Hg in systolic BP immediately after finishing
the meal were observed in a similar frequency of stroke (26%) and elderly patients (22%) and in a
small number of young controls (10%). These data suggest that acute stroke and elderly patients
have similar changes in BP during and immediately after eating. Although reassuring, these
results may have greater implications in patients with acute ischaemic stroke, although it is
unclear whether changes in BP of this magnitude and duration might influence the fate of the
penumbral brain tissue and thus the clinical outcome after stroke.
Copyright 2001 S. Karger AG, Basel

MeSH: Adult, Aged, Aged, 80 & over, Aging -- physiology, Female, Humans, Inpatients, Male,
Middle Aged, Postprandial Period, Reference Values, Blood Pressure -- physiology (major), Eating -physiology (major), Stroke -- physiopathology (major)
Publication title: Cerebrovascular Diseases
Volume: 12
Issue: 3
Pages: 152-8
Number of pages: 7
Publication year: 2001
Publication date: 2001
Year: 2001
Publisher: S. Karger AG
Place of publication: Basel
Country of publication: Switzerland
Publication subject: Medical Sciences
ISSN: 10159770
Source type: Scholarly Journals
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Language of publication: English

Document type: Journal Article
Accession number: 11641578
ProQuest document ID: 221144490
Document URL: http://search.proquest.com/docview/221144490?accountid=49910
Copyright: Copyright (c) 2001 S. Karger AG, Basel
Last updated: 2013-01-28
Database: ProQuest Medical Library

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