Reliability of orthostatic responses in healthy men aged between 65 and 75 years

Gabbett, Tim J. and Gass, Greg C. (2005) Reliability of orthostatic responses in healthy men aged between 65 and 75 years. Experimental Physiology, 90 4: 587-592. doi:10.1113/expphysiol.2005.030387

Author Gabbett, Tim J.
Gass, Greg C.
Title Reliability of orthostatic responses in healthy men aged between 65 and 75 years
Journal name Experimental Physiology   Check publisher's open access policy
ISSN 0958-0670
Publication date 2005-07
Sub-type Article (original research)
DOI 10.1113/expphysiol.2005.030387
Volume 90
Issue 4
Start page 587
End page 592
Total pages 6
Place of publication Oxford, U.K.
Publisher Blackwell Publishing
Language eng
Subject 0606 Physiology
1116 Medical Physiology
Formatted abstract
The purpose of this study was to investigate the short-, medium- and long-term reproducibility of cardiovascular responses during 90° head-up tilt (HUT) in healthy older men. Twenty-eight healthy male subjects aged 69 (95% confidence intervals, 68–70) years participated in the study. Eight subjects underwent duplicate 90° HUT tests on consecutive days, while 20 subjects underwent four 90° HUT tests performed at baseline, and after 1 week, 1 month and 1 year. Following a 20-min supine resting period, each subject was rapidly tilted to the upright vertical position (90° HUT) and remained in that position for 15 min. Beat-by-beat recordings of mean (MAP), systolic (SBP) and diastolic (DBP) pressures were made via Finapres, while heart rate (HR) was monitored continuously from an electrocardiogram. No significant test–retest differences (P > 0.05) were observed for the changes in HR, MAP, SBP or DBP during 90° HUT. These measurements demonstrated high reproducibility (intraclass correlation coefficient, r= 0.91–0.99, P < 0.05). The supine resting and tilted HR, MAP, SBP and DBP over the 1-week, 1-month and 1-year period were not significantly different (P > 0.05) from baseline, and demonstrated high reproducibility (intraclass correlation coefficient, r= 0.82–0.98, P < 0.05). The results of this study demonstrate that in healthy older men, cardiovascular responses during orthostasis are highly reproducible, and this reproducibility is maintained over a 12-month period. These findings demonstrate that the 90° HUT test offers a reproducible method of monitoring longitudinal orthostatic responses in healthy older men.
© 2010 The Physiological Society
Keyword 90◦ head-up tilt
Cardiovascular responses
Orthostatic responses
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
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