{"title":"Utility of urinary sodium-to-potassium ratio for identifying individuals at elevated risk of heart failure","authors":"Keisuke Narita, Satoshi Hoshide, Kazuomi Kario","doi":"10.1038/s41440-025-02318-5","DOIUrl":"10.1038/s41440-025-02318-5","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2727-2729"},"PeriodicalIF":4.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41440-025-02318-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wearable devices for physical activity: limited impact on blood pressure, unlimited potential for health innovation","authors":"Naoko Tomitani, Kazuomi Kario","doi":"10.1038/s41440-025-02321-w","DOIUrl":"10.1038/s41440-025-02321-w","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2735-2736"},"PeriodicalIF":4.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41440-025-02321-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reply to Comment on: Effectiveness of digital health interventions for telemedicine/telehealth for managing blood pressure in adults: a systematic review and meta-analysis","authors":"Atsushi Sakima, Makiko Abe, Hisatomi Arima","doi":"10.1038/s41440-025-02325-6","DOIUrl":"10.1038/s41440-025-02325-6","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2760-2762"},"PeriodicalIF":4.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on: Effectiveness of digital health interventions for telemedicine/telehealth for managing blood pressure in adults: a systematic review and meta-analysis","authors":"Xiaoxia Liu, Wenjuan Wang","doi":"10.1038/s41440-025-02194-z","DOIUrl":"10.1038/s41440-025-02194-z","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2758-2759"},"PeriodicalIF":4.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masanari Kuwabara, Keisuke Shinohara, Hack-Lyoung Kim, Mi-Hyang Jung, Eu Jeong Ku, Hyuk Sung Kwon, Seong Huan Choi, Seung Hwan Han, Kwang Kon Koh, Shin-ichiro Miura
{"title":"Report on the Joint Symposium of the Korean Society of CardioMetabolic Syndrome (KSCMS) and the Japanese Society of Hypertension (JSH) at the 8th Asia-Pacific CardioMetabolic Syndrome (APCMS) Congress in Seoul","authors":"Masanari Kuwabara, Keisuke Shinohara, Hack-Lyoung Kim, Mi-Hyang Jung, Eu Jeong Ku, Hyuk Sung Kwon, Seong Huan Choi, Seung Hwan Han, Kwang Kon Koh, Shin-ichiro Miura","doi":"10.1038/s41440-025-02310-z","DOIUrl":"10.1038/s41440-025-02310-z","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2755-2757"},"PeriodicalIF":4.6,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sodium appetite is enhanced in 5/6 nephrectomized rat by high-sodium diet via increased levels of angiotensin II in the subfornical organ","authors":"Taro Aoki, Naro Ohashi, Yuri Uchiyama, Takashi Matsuyama, Sayaka Ishigaki, Shinsuke Isobe, Masaru Ishibashi, Takamasa Iwakura, Tomoyuki Fujikura, Akihiko Kato, Ken Sugimoto, Hideo Yasuda","doi":"10.1038/s41440-025-02289-7","DOIUrl":"10.1038/s41440-025-02289-7","url":null,"abstract":"Intracerebral renin-angiotensin system (RAS) activation in the forebrain nuclei, such as the subfornical organ (SFO) is among the important factors that increase sodium appetite in rats. Although an increased sodium appetite in congestive heart failure and spontaneously hypertensive rats was reported previously, few reports have shown an increased sodium appetite in chronic kidney disease (CKD) model rats, for which salt restriction is important. Here, we aimed to verify whether CKD model rats show increased sodium appetite and if therapeutic intervention reducing sodium appetite by suppressing the intracerebral RAS is possible. In this study, 5/6 nephrectomized (5/6Nx) and control rats were fed a high-salt (4% NaCl) or low-salt (0.04% NaCl) diet. Angiotensin II (AngII) levels in kidney and the SFO, renal injury, and sodium appetite were evaluated after 2 weeks of salt loading. The 5/6Nx high-salt diet (Nx-HS) group was further divided into subgroups receiving continuous intracerebroventricular (ICV) administration of the angiotensin II type 1 receptor (AT1R) antagonist ZD 7155 or saline. Compared with the control rats, the 5/6Nx rats exhibited significantly increased levels of AngII in kidney and the SFO, accompanied by elevated blood pressure and worsened renal injury, especially in the Nx-HS group. In the Nx-HS group, an increased sodium appetite was observed that was attenuated by the ICV administration of ZD 7155 but not by saline. In conclusion, a high-salt diet enhanced the sodium appetite of 5/6Nx rats via increased levels of AngII in the SFO, which was attenuated by continuous ICV administration of an AT1R antagonist.","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2595-2605"},"PeriodicalIF":4.6,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41440-025-02289-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of physical activity-promoting wearable devices on blood pressure in adults: a systematic review and meta-analysis","authors":"Masayuki Koyama, Nobuaki Himuro, Kei Nakata, Keisuke Oyatani, Yukiko Shinohara, Hirofumi Ohnishi, Hisatomi Arima","doi":"10.1038/s41440-025-02260-6","DOIUrl":"10.1038/s41440-025-02260-6","url":null,"abstract":"Hypertension affects more than 4 billion people worldwide and is a major risk factor for cardiovascular disease. Improving physical activity is an effective way to manage hypertension, and there has been a lot of interest in the use of wearable devices for promoting physical activity, which have become increasingly popular in recent years, but in many countries, improvements in physical activity levels remain inadequate. This systematic review and meta-analysis investigated whether interventions using wearable devices have a beneficial effect on blood pressure in adults. Following PRISMA 2020 guidelines and registered with PROSPERO (CRD42023442506), we searched PubMed, MEDLINE, Cochrane Library, and IchuShi-Web, identifying 21 randomized controlled trials including participants with hypertension, type 2 diabetes, or overweight/obesity. Interventions ranged from 12 to 48 weeks using pedometers, activity trackers, and smartwatches. Random-effects meta-analysis showed these interventions did not produce statistically significant improvements in systolic or diastolic blood pressure at any intervention duration (12, 24, or 48 weeks). Similarly, no statistically significant improvements were found in secondary outcomes (body weight, fasting blood glucose, and Hemoglobin A1c). Heterogeneity varied from low to high depending on outcome and intervention period. These findings indicate that evidence of direct intervention using wearable devices for promoting physical activity alone is currently insufficient to establish clinically meaningful improvements in blood pressure and related metabolic parameters. Future research may need to integrate wearable technology into comprehensive care models that combine targeted feedback and education with behavioral support strategies, rather than direct intervention through monitoring alone.","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2677-2687"},"PeriodicalIF":4.6,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Redefining hyperuricemia in chronic kidney disease: a focus on tubulo-glomerular urate handling","authors":"Tomoaki Takata, Yukari Mae, Shotaro Hoi, Ichiro Hisatome, Hajime Isomoto","doi":"10.1038/s41440-025-02311-y","DOIUrl":"10.1038/s41440-025-02311-y","url":null,"abstract":"Scheme of a proposed classification of hyperuricemia. A proposed scheme of hyperuricemia integrating renal uric acid handling. Renal underexcretion type can occur due to reduced glomerular filtration rate (glomerular under-filtration type) or increased reabsorption of urate in the renal tubules (tubular over-reabsorption type).","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":"48 10","pages":"2766-2767"},"PeriodicalIF":4.6,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}