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Article citations


Hatake, K., Kudo, R., Morimura, Y., Kasuda, S. and Ishitani, A. (2005) Occurrence of Sudden Death in the Bathroom Investigated in Nara Prefecture and Considerations of the Cause of Death in Literature. Journal of Nara Medical Association, 56, 235-246.

has been cited by the following article:

  • TITLE: Hemodynamic Response during Japanese-Style Bathing in Elderly Disabled Subjects

    AUTHORS: Naomi Iwane, Takuzo Hano, Yumi Koike, Kanami Nishihara

    KEYWORDS: Elderly, Blood Pressure, Heart Rate, SpO2, Bathing, Japanese-Style Bathtub

    JOURNAL NAME: Health, Vol.6 No.21, December 26, 2014

    ABSTRACT: Aims: Bathing in deep, Japanese-style bathtubs is associated with high rates of sudden death in the elderly in Japan. The predominant causes of death in such cases are cardiovascular events and drowning. Blood pressure changes induced by water pressure and high temperature during bathing may be an important cause of these accidents. Therefore, we investigated the changes in blood pressure, heart rate, and oxygen saturation (SpO2) before and after bathing in elderly Japanese individuals. Methods: Forty-eight elderly (average age, 86.4 ± 7.5 years) persons were enrolled in this study. Results: Changes in systolic blood pressure after bathing correlated negatively with baseline blood pressure before bathing, and participants with baseline systolic blood pressures of 2 did not differ significantly during bathing, but changes in SpO2 correlated negatively with baseline values. Lean participants showed a more marked elevation of SpO2, and those with hypertension showed reduced SpO2. Conclusion: These data suggest that the disabled elderly with low blood pressure experience trends in cardiovascular response during bathing which differ from those of young persons.