دورية أكاديمية
أعرض في EDS

The Impact of Head-Up Tilt Sleeping on Orthostatic Tolerance: A Scoping Review.

التفاصيل البيبلوغرافية
العنوان: The Impact of Head-Up Tilt Sleeping on Orthostatic Tolerance: A Scoping Review.
المؤلفون: van der Stam AH; Department of Neurology, Donders Institute for Brain Cognition and Behavior, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands., Shmuely S; Department of Neurology, Donders Institute for Brain Cognition and Behavior, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands., de Vries NM; Department of Neurology, Donders Institute for Brain Cognition and Behavior, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands., Bloem BR; Department of Neurology, Donders Institute for Brain Cognition and Behavior, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands., Thijs RD; Department of Neurology, Leiden University Medical Centre, 2300 RC Leiden, The Netherlands.; Stichting Epilepsie Instellingen Nederland, 2130 AM Hoofddorp, The Netherlands.; UCL Queen Square Institute of Neurology, University College London, London WC1N 1PJ, UK.
المصدر: Biology [Biology (Basel)] 2023 Aug 09; Vol. 12 (8). Date of Electronic Publication: 2023 Aug 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101587988 Publication Model: Electronic Cited Medium: Print ISSN: 2079-7737 (Print) Linking ISSN: 20797737 NLM ISO Abbreviation: Biology (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI, 2012-
مستخلص: To systematically summarize the evidence of head-up tilt sleeping (HUTS) on orthostatic tolerance, we conducted a systematic, predefined search in PubMed, OVID Embase, Cochrane and Web of Science. We included studies assessing the effect of HUTS on orthostatic tolerance and other cardiovascular measures and rated the quality with the American Academy of Neurology risk of bias tool. We included 10 studies ( n = 185) in four groups: orthostatic hypotension (OH; 6 studies, n = 103), vasovagal syncope (1 study, n = 12), nocturnal angina pectoris (1 study, n = 10) and healthy subjects (2 studies, n = 58). HUTS duration varied (1 day-4 months) with variable inclinations (5°-15°). In two of six OH studies, HUTS significantly improved standing systolic blood pressure. Orthostatic tolerance was consistently enhanced in OH studies with higher angles (≥12°), in 2 out of 3 with smaller angles (5°) but also in one studying horizontal sleeping. In vasovagal syncope, HUTS significantly augmented resilience to extreme orthostatic stress. One study was rated as a class II risk of bias, one of Class II/III and eight of Class IV. The evidence favouring HUTS to improve orthostatic tolerance is weak due to variable interventions, populations, small samples and a high risk of bias. Despite this, we found some physiological signs suggesting a beneficial effect.
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معلومات مُعتمدة: MJFF-020200 Michael J. Fox Foundation for Parkinson's Research
فهرسة مساهمة: Keywords: Parkinson’s disease; autonomic failure; nocturia; nonpharmacological interventions; orthostatic hypotension; supine hypertension
تواريخ الأحداث: Date Created: 20230826 Latest Revision: 20230828
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10452159
DOI: 10.3390/biology12081108
PMID: 37626994
قاعدة البيانات: MEDLINE
الوصف
تدمد:2079-7737
DOI:10.3390/biology12081108