Evidence map›Paper›PMID 11956353›Full record

Trial reportThe Journal of physiology2002

Postprandial hypotension in response to duodenal glucose delivery in healthy older subjects.

Deirdre O'Donovan, Christine Feinle, Anne Tonkin, Michael Horowitz, Karen Louise Jones

2 registry-linked trialsOpen access · greenAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in The Journal of physiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02308254 phase1 / phase2unknown statusnot on this mapstarted 2013, after this paper: background citation

Effects of Lixisenatide on Gastric Emptying, Glycaemia and 'Postprandial' Blood Pressure in Type 2 Diabetes and Healthy Subjects.

TypeinterventionalSponsorRoyal Adelaide HospitalRan2013 to 2016Enrolled30ConditionsDiabetes Mellitus, GastroparesisArmsLixisenatide, Placebo
NCT02713412 nacompletednot on this mapstarted 2013, after this paper: background citation

Cardiovascular Function and Postprandial Hypotension (PPH): Effect of an Oral Glucose Load on Cardiac Contractility, Cardiac Output, Diastolic Function and Endothelial Function - Relationship to Gastric Emptying

TypeinterventionalSponsorRoyal Adelaide HospitalRan2013 to 2014Enrolled8ConditionsAutonomic Nervous System Diseases, Baroreflex Failure, Blood Pressure, HypotensionArmsGlucose, Water
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. The gut and heart's role in reward processing.Frontiers in integrative neuroscience · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. The effect of intraduodenal glucose on muscle sympathetic nerve activity in healthy young and older subjects.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2008
    Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Deirdre O'DonovanDepartment of Medicine, University of Adelaide, Royal Adelaide Hospital, South Australia, 5000, Australia.
Christine Feinle
Anne Tonkin
Michael Horowitz
Karen Louise Jones
Royal Adelaide Hospital · AUUniversity of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postprandial hypotension occurs frequently in older people and may lead to syncope and falls. Some recent studies suggest that the magnitude of the postprandial fall in blood pressure (BP) is influenced by the rate of gastric emptying. The aim of this study was, therefore, to determine whether the fall in blood pressure induced by intraduodenal glucose is influenced by the rate of nutrient delivery into the small intestine, bypassing the effects of gastric emptying. Eight healthy elderly subjects (four male and four female, age 70.3 +/- 3.4 years) were studied on two separate days, in double-blind, randomised order. Glucose was infused intraduodenally at a rate of either 1 or 3 kcal min(-1), for 60 min, (0-60 min) followed by 0.9 % saline for a further 60 min (60-120 min). Blood pressure and heart rate were recorded at baseline and every 3 min during the study. Blood glucose and plasma insulin were also determined. Only the 3 kcal min(-1) infusion caused a significant fall in systolic (P < 0.001) and diastolic (P < 0.0001) blood pressure and an increase in the heart rate (P < 0.0001). The rises in blood glucose (P < 0.01) and plasma insulin (P < 0.05) concentrations were greater during the 3 kcal min(-1) infusion. We conclude that in healthy older subjects, the magnitude of the fall in blood pressure and increase in heart rate induced by intraduodenal glucose infusion is dependent on the rate of nutrient delivery into the small intestine. These results may have relevance to the treatment of postprandial hypotension.

Indexed as

AgedAutonomic Nervous SystemBlood PressureCardiovascular SystemDuodenumFemaleGlucoseHeart RateHumansHypotensionInsulinIntubation, GastrointestinalKineticsMalePostprandial PeriodGlucoseInsulin

Identifiers

PMID11956353
PMCPMC2290234
OpenAlexW2067286598

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.