Journal of Human Hypertension最新文献

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Association between antihypertensive drug use and the risk of depression: a systematic review and network meta-analysis 抗高血压药物使用与抑郁症风险之间的关系:系统回顾和网络荟萃分析。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-29 DOI: 10.1038/s41371-025-01011-x
Jay Tewari, Khalid Ahmad Qidwai, Ajoy Tewari, Anadika Rana, Vineeta Tewari, Vanshika Singh, Rishabh Tiwari, Anuj Maheshwari, Narsingh Verma, Hemali Jha, Savneet Kaur
{"title":"Association between antihypertensive drug use and the risk of depression: a systematic review and network meta-analysis","authors":"Jay Tewari, Khalid Ahmad Qidwai, Ajoy Tewari, Anadika Rana, Vineeta Tewari, Vanshika Singh, Rishabh Tiwari, Anuj Maheshwari, Narsingh Verma, Hemali Jha, Savneet Kaur","doi":"10.1038/s41371-025-01011-x","DOIUrl":"10.1038/s41371-025-01011-x","url":null,"abstract":"Hypertension is the biggest and most prevalent risk factor for cardiovascular diseases. Depression is the most common psychiatric illness worldwide. Many studies have linked the development of new depression to the use of antihypertensive drugs. This meta-analysis was done to ascertain the relationship. Using standard reporting techniques a literature search was undertaken in Pubmed from inception till 10 May 2024. The risk bias assessment was done using the ROBINS-I tool. Data for the odds ratio were combined using Revman 5.4 using a random or fixed effects model. Our analysis found a significant association between beta blockers and calcium channel blockers use and the risk of developing new depression. Results for other classes of antihypertensives were not significant. The findings highlight the importance of taking into account the potential psychiatric side effects of antihypertensive drugs in people with hypertension. Physicians should stay vigilant and screen their patients for these conditions regularly.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 4","pages":"246-253"},"PeriodicalIF":2.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-025-01011-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Close relationship between electrocardiogram QRS duration and the risk of developing hypertension 心电图QRS持续时间与高血压发病风险密切相关。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-28 DOI: 10.1038/s41371-025-01012-w
Hiroyuki Takase, Sumiyo Yamashita, Naomi Kawakatsu, Kazusa Hayashi, Fumihiko Kin, Takeru Isogaki, Yasuaki Dohi
{"title":"Close relationship between electrocardiogram QRS duration and the risk of developing hypertension","authors":"Hiroyuki Takase, Sumiyo Yamashita, Naomi Kawakatsu, Kazusa Hayashi, Fumihiko Kin, Takeru Isogaki, Yasuaki Dohi","doi":"10.1038/s41371-025-01012-w","DOIUrl":"10.1038/s41371-025-01012-w","url":null,"abstract":"Electrocardiogram QRS duration is associated with cardiovascular events and all-cause death. The present study was conducted to investigate the hypothesis that the QRS duration predicts the future development of hypertension in the Japanese general population with normal blood pressure. Overall, 13,382 individuals without bundle branch block, Wolff–Parkinson–White syndrome, complete atrioventricular block, pacemaker implantation, or old myocardial infarction on electrocardiogram were enrolled. The cross-sectional analysis indicated that the QRS duration was longer in hypertensive than in normotensive participants. After excluding the participants with hypertension, the remaining 9293 participants with normal blood pressure (male = 5425, 50.2 ± 11.7 years) were followed up for the median of 4 years with an endpoint of hypertension development. During the follow-up period, 1953 participants developed hypertension (50.6 per 1000 person-year). Kaplan–Meier analysis revealed that the incidence of hypertension increased across the quartiles of participants based on QRS duration at baseline as 39.0, 48.6, 53.7, and 62.4 per 1000 person-years in the first, second, third, and fourth quartiles, respectively. Univariate analysis confirmed a significant impact of QRS duration on the development of hypertension. In the multivariate Cox hazard regression analysis adjusted for possible confounding variables, QRS duration was an independent predictor of the development of hypertension. These results suggest the close association between electrocardiogram QRS duration and the future development of hypertension in the Japanese general population. Moreover, alterations in the intraventricular conduction may precede clinically apparent hypertension.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 5","pages":"362-368"},"PeriodicalIF":2.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ambulatory blood pressure monitoring before and after resection of catecholamine-secreting pheochromocytoma or paraganglioma 儿茶酚胺分泌嗜铬细胞瘤或副神经节瘤切除术前后动态血压监测。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-26 DOI: 10.1038/s41371-025-01008-6
Jordana B. Cohen, Liann Abu Salman, Bonita J. Bennett, Debbie L. Cohen
{"title":"Ambulatory blood pressure monitoring before and after resection of catecholamine-secreting pheochromocytoma or paraganglioma","authors":"Jordana B. Cohen, Liann Abu Salman, Bonita J. Bennett, Debbie L. Cohen","doi":"10.1038/s41371-025-01008-6","DOIUrl":"10.1038/s41371-025-01008-6","url":null,"abstract":"Pheochromocytomas/paragangliomas are catecholamine-secreting tumors that are a rare cause of hypertension and associated with high cardiovascular risk. We aimed to evaluate changes in 24-h ambulatory blood pressure (BP) monitoring (ABPM) following tumor resection. Individuals with evidence of pheochromocytoma/paraganglioma prospectively underwent 24-h ABPM and plasma and urine catecholamine measurement 2–3 weeks before and 6–8 weeks after pathologically-confirmed tumor resection. Patients with metastatic disease were excluded. Changes in office, 24-h, daytime, and nighttime mean systolic and diastolic BP and heart rate, 24-h BP and heart rate average real variability, and rates of controlled, sustained, white coat, and masked hypertension were assessed in paired analyses. There were 34 participants who completed 24-h ABPM before and after tumor resection. Mean age was 55 ± 13 years, with 21 (62%) women, median duration of hypertension of 3 years, and 6 (18%) participants with coronary artery disease. Serum and urine catecholamines normalized following tumor resection and participants were prescribed 1 ± 0.2 fewer antihypertensive medications. Office BP declined by a mean 10 ± 16/7 ± 9 mmHg, 24-h BP declined by 8 ± 14/4 ± 10 mmHg, with greater improvement in nighttime (9 ± 18/5 ± 13 mmHg) than daytime (7 ± 14/4 ± 9) ambulatory BP. Systolic BP variability and heart rate variability significantly improved. While the frequency of controlled hypertension increased (4 [12%] to 11 [32%]; p = 0.008), there was no significant change in masked hypertension (9 [26%] to 12 [35%]; p = 0.366). In conclusion, pheochromocytoma/paraganglioma resection was associated with improvement in 24-h BP and BP variability, particularly nighttime BP. ABPM may be useful following tumor resection to identify patients with unrecognized residual cardiovascular risk.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 5","pages":"369-375"},"PeriodicalIF":2.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-025-01008-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
sFlt-1/PlGF ratio combined with endocan-1 serum levels improves the predictive values for the occurrence and prognosis of preeclampsia in a single centre study 在一项单中心研究中,sFlt-1/PlGF比值联合内源性-1血清水平提高了对子痫前期发生和预后的预测价值。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-25 DOI: 10.1038/s41371-025-01009-5
Shanshan Tian, Libin He, Ahuang Pan, Lina Zhang, Jielin Wang
{"title":"sFlt-1/PlGF ratio combined with endocan-1 serum levels improves the predictive values for the occurrence and prognosis of preeclampsia in a single centre study","authors":"Shanshan Tian, Libin He, Ahuang Pan, Lina Zhang, Jielin Wang","doi":"10.1038/s41371-025-01009-5","DOIUrl":"10.1038/s41371-025-01009-5","url":null,"abstract":"This retrospective study evaluated diagnostic and prognostic values of sFlt-1/PlGF ratio combined with serum endocan-1 for preeclampsia (PE). This study included 105 patients with PE admitted at Xiamen University Affiliated Xiang’an Hospital from January 2020 to September 2023, with 90 healthy pregnant women receiving routine check-ups during the same period as controls. sFlt-1, PlGF, and endocan-1 levels were measured, and sFlt-1/PlGF ratio was calculated. The correlation of sFlt-1/PlGF ratio with serum endocan-1 levels was analysed, and influencing factors for poor prognosis of PE patients were screened. Diagnostic and prognostic values of sFlt-1/PlGF ratio combined with serum endocan-1 were assessed. Results showed an increase in sFlt-1/PlGF ratio and serum endocan-1 levels in PE patients and a positive correlation between them. For assisting in the diagnosis of PE, the AUC of the sFlt-1/PlGF ratio combined with serum endocan-1 was 0.874 (95%CI: 0.819 − 0.917; sensitivity, 75.24%; specificity, 100.00%), which was superior over that of sFlt-1/PlGF ratio (P = 0.025) and endocan-1 (P = 0.047) alone. Elevated sFlt-1/PlGF ratio and serum endocan-1 levels were independent risk factors for poor prognosis of PE patients. For assisting in predicting poor prognosis of PE, the AUC of sFlt-1/PlGF ratio with serum endocan-1 was 0.955 (95%CI: 0.896 − 0.986; sensitivity, 82.61%; specificity, 100.00%), which was higher than that of sFlt-1/PlGF ratio (P = 0.023) or serum endocan-1 (P = 0.010) alone. Altogether, sFlt-1/PlGF ratio combined with serum endocan-1 is advantageous over sFlt-1/PlGF ratio and serum endocan-1 alone for predicting PE occurrence and prognosis.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 5","pages":"348-354"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation between different types of obesity and hypertension in perimenopausal working women 围绝经期职业妇女不同类型肥胖与高血压的相关性研究。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-24 DOI: 10.1038/s41371-025-01010-y
Huaiqin Zhong, Yan Qiu, Xvping Zhu, Jinyu Li, Mei Liu, Zhuoqun Zou
{"title":"Correlation between different types of obesity and hypertension in perimenopausal working women","authors":"Huaiqin Zhong, Yan Qiu, Xvping Zhu, Jinyu Li, Mei Liu, Zhuoqun Zou","doi":"10.1038/s41371-025-01010-y","DOIUrl":"10.1038/s41371-025-01010-y","url":null,"abstract":"Hypertension (HTN) can lead to a series of target organ damage and is associated with increased cardiovascular disease incidence and mortality. Perimenopause implies an important physiological transition. Previous studies have confirmed that obesity is a risk factor for the development of HTN. Nevertheless, few studies have investigated the prevalence of HTN in perimenopausal women and the relationships between peripheral or abdominal obesity and HTN. Therefore, we analysed the influencing factors of HTN in perimenopausal working women and the correlation between different types of obesity and HTN to provide evidence for the need to prevent HTN in perimenopausal women. Perimenopausal women who underwent physical examination at Shanghai Health and Medical Center from January 2021 to October 2021 were selected as subjects. A multivariate logistic regression model was used to analyse the associations between different types of obesity and HTN in perimenopausal women. Five hundred eighty-two perimenopausal women were included in this study; 124 cases of HTN were detected (incidence rate 21.31%), 23 of which were isolated systolic HTN (18.55% of total HTN cases). Multivariate logistic regression analysis revealed that age and BMI were the influencing factors of HTN in perimenopausal women. Compared with that of perimenopausal women without peripheral obesity, HTN in overweight (OR = 1.84, 95% CI: 1.13–2.98) and peripheral obesity (OR = 4.36, 95% CI: 1.52–12.54) women increased with increasing body weight. Perimenopausal women with abdominal obesity had a greater risk of developing HTN (OR = 2.69, 95% CI: 1.16–6.21) (P < 0.05). Age and BMI are risk factors for the development of HTN in perimenopausal working women. Both abdominal obesity and peripheral obesity are positively associated with HTN in perimenopausal women. The BMI and abdominal circumference of perimenopausal women need to be monitored as early as possible to prevent obesity and reduce the occurrence of HTN.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 5","pages":"343-347"},"PeriodicalIF":2.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Population-based surveillance for hypertension awareness, treatment, and control in nine districts - India Hypertension Control Initiative, 2018–19 印度高血压控制倡议,2018-19年,9个地区高血压意识、治疗和控制的基于人群的监测
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-22 DOI: 10.1038/s41371-025-01005-9
Prabhdeep Kaur, Kamaraj Pattabi, Amirthammal Gunasekaran, Vettrichelvan Venkatasamy, Azhagendran Sivalingam, Sabarinathan Ramasamy, Sailaja Bitragunta, Tapas Chakma, Sampada D. Bangar, Meenakshi Sharma, Abhishek Kunwar, Kiran Durgad, Anupam K. Pathni, Sandeep S. Gill, Padmaja Jogewar, Madhavi Mallela, Ashish Saxsena, Bipin Gopal, Bidisha Das, Vishwajit Bharadwaj, Pooja Gaigaware, Sreedhar Chintala, Chakshu Joshi, Rupali Bharadwaj, Suyesh Shrivastava, Pankaj Uike, Yannick P. Puthussery, Gopinath T Sambandam, RS Dhaliwal, Balram Bhargava
{"title":"Population-based surveillance for hypertension awareness, treatment, and control in nine districts - India Hypertension Control Initiative, 2018–19","authors":"Prabhdeep Kaur, Kamaraj Pattabi, Amirthammal Gunasekaran, Vettrichelvan Venkatasamy, Azhagendran Sivalingam, Sabarinathan Ramasamy, Sailaja Bitragunta, Tapas Chakma, Sampada D. Bangar, Meenakshi Sharma, Abhishek Kunwar, Kiran Durgad, Anupam K. Pathni, Sandeep S. Gill, Padmaja Jogewar, Madhavi Mallela, Ashish Saxsena, Bipin Gopal, Bidisha Das, Vishwajit Bharadwaj, Pooja Gaigaware, Sreedhar Chintala, Chakshu Joshi, Rupali Bharadwaj, Suyesh Shrivastava, Pankaj Uike, Yannick P. Puthussery, Gopinath T Sambandam, RS Dhaliwal, Balram Bhargava","doi":"10.1038/s41371-025-01005-9","DOIUrl":"10.1038/s41371-025-01005-9","url":null,"abstract":"Hypertension control is the crucial indicator for cardiovascular disease programs. We conducted a baseline cross-sectional survey to estimate hypertension awareness, treatment, and control in the selected districts in 2018–19, where the India Hypertension Control Initiative is being implemented. We conducted cross-sectional surveys in nine project districts for 18–69 years age group. The sample size was 624 per district. The study population was individuals with raised BP/diagnosed HT. We estimated the proportion and 95% confidence intervals (CI) for each district’s awareness, treatment, and control. We computed unadjusted and adjusted prevalence ratios (APR) with 95% CI for factors associated with BP control. Hypertension was defined as systolic blood pressure (SBP) > = 140 or diastolic blood pressure (DBP) > = 90 mmHg or treatment in the previous two weeks. Control was defined as SBP < 140 and DBP < 90 mmHg. Among 7047 who had hypertension, 52.4% were aware, 40.8% were on treatment, and 14.5% had BP control. BP control was below 5% in two districts, 5–15% in three districts, and more than 15% in four districts. Among hypertensives aware of the diagnosis, the factors (APR with 95% CI) associated with control were lack of alcohol consumption [1.28 (1.09–1.52)], recent visit to government [1.98 (1.57–2.50)] or private facility [1.99 (1.61–2.46)] and treatment with single drug [2.40 (1.98–2.90)] or multiple drugs [2.84 (2.27–3.55)]. The simple, rapid population-based surveys can document awareness, treatment, and control changes. Improving access to treatment for hypertension through the public or private sector should be a high priority for India.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 5","pages":"376-386"},"PeriodicalIF":2.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-025-01005-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PERSPECTIVE – The Growing Global Benefits of Limiting Salt Intake: an urgent call from the World Hypertension League for more effective policy and public health initiatives PERSPECTIVE - 限制食盐摄入量的全球益处日益增加:世界高血压联盟紧急呼吁采取更有效的政策和公共卫生措施。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-21 DOI: 10.1038/s41371-025-00990-1
Brent M. Egan, Daniel T. Lackland, Susan E. Sutherland, Michael K. Rakotz, Janet Williams, Yvonne Commodore-Mensah, Daniel W. Jones, Sverre-Erik Kjeldsen, Norm R. C. Campbell, Gianfranco Parati, Feng J. He, Graham A. MacGregor, Michael A. Weber, Paul K. Whelton
{"title":"PERSPECTIVE – The Growing Global Benefits of Limiting Salt Intake: an urgent call from the World Hypertension League for more effective policy and public health initiatives","authors":"Brent M. Egan, Daniel T. Lackland, Susan E. Sutherland, Michael K. Rakotz, Janet Williams, Yvonne Commodore-Mensah, Daniel W. Jones, Sverre-Erik Kjeldsen, Norm R. C. Campbell, Gianfranco Parati, Feng J. He, Graham A. MacGregor, Michael A. Weber, Paul K. Whelton","doi":"10.1038/s41371-025-00990-1","DOIUrl":"10.1038/s41371-025-00990-1","url":null,"abstract":"","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 4","pages":"241-245"},"PeriodicalIF":2.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-025-00990-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Home versus routine dialysis-unit blood pressure recordings among patients on hemodialysis 家庭与常规透析:血液透析患者单位血压记录。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-17 DOI: 10.1038/s41371-025-01007-7
Kallistheni Leonidou, Panagiotis I. Georgianos, Anastasios Kollias, Ioannis Kontogiorgos, Vasilios Vaios, Konstantinos Leivaditis, Apostolos Karligkiotis, Eleni Stamellou, Elias V. Balaskas, George S. Stergiou, Vassilios Liakopoulos
{"title":"Home versus routine dialysis-unit blood pressure recordings among patients on hemodialysis","authors":"Kallistheni Leonidou, Panagiotis I. Georgianos, Anastasios Kollias, Ioannis Kontogiorgos, Vasilios Vaios, Konstantinos Leivaditis, Apostolos Karligkiotis, Eleni Stamellou, Elias V. Balaskas, George S. Stergiou, Vassilios Liakopoulos","doi":"10.1038/s41371-025-01007-7","DOIUrl":"10.1038/s41371-025-01007-7","url":null,"abstract":"The optimal method for the diagnosis of hypertension among patients on hemodialysis remains a controversial issue. Using 44-h ambulatory blood pressure (BP) monitoring (ABPM) as the reference-standard, we assessed the diagnostic performance of home BP monitoring (HBPM) versus routine dialysis-unit BP recordings in hemodialysis patients. Over a period of 2 weeks, the following methods were used for the assessment of hypertension: (i) routine predialysis and postdialysis BP recordings averaged over 6 consecutive dialysis sessions; (ii) HBPM for 7 days (duplicate morning and evening measurements, Microlife WatchBP Home N); (iii) 44-h ABPM (20-min intervals over an entire interdialytic interval, Microlife WatchBPO3). The study included 70 patients (mean age: 65.3 ± 13.2 years; treated hypertensives: 87.1%; 44-h ambulatory systolic/diastolic BP: 120.6 ± 15.2/66.3 ± 10.1 mmHg). Mean (standard deviation) of the differences between ambulatory daytime systolic BP (SBP) and routine predialysis SBP was −11.4 (13.4) mmHg, routine postdialysis SBP −4.0 (15.1) mmHg and home SBP −8.6 (10.7) mmHg. The area under the receiver-operating-characteristic-curve (AUC) for the detection of an ambulatory daytime SBP ≥ 135 mmHg was higher for home SBP [AUC: 0.934; 95% confidence interval (CI): 0.871–0.996] relative to predialysis SBP (AUC: 0.778; 95% CI: 0.643–0.913) and postdialysis SBP (AUC: 0.766; 95% CI: 0.623–0.909) (P = 0.02 for both comparisons). Home SBP at the cut-off point of 141.0 mmHg provided the best combination of sensitivity (85.7%) and specificity (92.9%) in diagnosing hypertension. In conclusion, the present study shows that among hemodialysis patients, HBPM for 1 week is superior to 2-week averaged routine predialysis or postdialysis BP in predicting ambulatory hypertension.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 5","pages":"355-361"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Body mass index modifies genetic susceptibility to high systolic blood pressure in adolescents and young adults: results from an 18-year longitudinal study 体重指数改变了青少年和年轻人对高收缩压的遗传易感性:一项18年纵向研究的结果。
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-15 DOI: 10.1038/s41371-025-01003-x
Teodora Riglea, Tatiana Dessy, Jodi Kalubi, Danick Goulet, Fiston Ikwa Ndol Mbutiwi, Scott M. Williams, James C. Engert, Hao Yu Chen, Jennifer O’Loughlin, Marie-Pierre Sylvestre
{"title":"Body mass index modifies genetic susceptibility to high systolic blood pressure in adolescents and young adults: results from an 18-year longitudinal study","authors":"Teodora Riglea, Tatiana Dessy, Jodi Kalubi, Danick Goulet, Fiston Ikwa Ndol Mbutiwi, Scott M. Williams, James C. Engert, Hao Yu Chen, Jennifer O’Loughlin, Marie-Pierre Sylvestre","doi":"10.1038/s41371-025-01003-x","DOIUrl":"10.1038/s41371-025-01003-x","url":null,"abstract":"Genome-wide association studies (GWAS) in adults have identified single nucleotide polymorphisms (SNPs) associated with systolic blood pressure (SBP), but it is unclear whether the findings apply in youth. Further, the role of body mass index (BMI) in these associations is understudied. Our objective was to determine whether BMI modifies genetic susceptibility to high SBP in young people. The sample comprised 714 participants of European ancestry recruited in 1999–2000 from 10 Montreal-area high schools for a longitudinal study. SBP was measured at ages 12, 15, 17, 24, and 30. Blood and saliva samples were collected at ages 14, 20, and 25. Two evidence-based genetic risk scores (GRS) were constructed based on GWAS results in adults: GRS22 used 22 SNPs and GRS182 added 160 additional SNPs to GRS22. Sex-specific associations between each GRS and repeated measures of SBP were estimated using linear mixed models including BMI and a GRS*BMI product term. GRS182 explained a greater proportion of SBP variance than GRS22, and a greater proportion in females than males. The associations increased monotonically with BMI values between 22 kg/m2 and 35 kg/m2. Results indicate that BMI modifies the association between a GRS and SBP levels from adolescence to adulthood.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 5","pages":"334-342"},"PeriodicalIF":2.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between epicardial adipose tissue thickness and sedentary time, physical activity level, and physical performance in patients with hypertension 高血压患者心外膜脂肪组织厚度与久坐时间、体力活动水平和体能表现的关系
IF 2.7 4区 医学
Journal of Human Hypertension Pub Date : 2025-03-11 DOI: 10.1038/s41371-025-01002-y
Emine Tunc Suygun, Naciye Vardar Yagli, Hakan Suygun
{"title":"Relationship between epicardial adipose tissue thickness and sedentary time, physical activity level, and physical performance in patients with hypertension","authors":"Emine Tunc Suygun, Naciye Vardar Yagli, Hakan Suygun","doi":"10.1038/s41371-025-01002-y","DOIUrl":"10.1038/s41371-025-01002-y","url":null,"abstract":"Epicardial adipose tissue is associated with the development of cardiovascular disease and its increase is positively correlated with blood pressure elevation in hypertensive individuals. In the literature, being physically active has been shown to be effective in the treatment of hypertension and reduction of epicardial adipose tissue thickness. The aim of this study was to evaluate the relationship between epicardial adipose tissue thickness and sedentary time, physical activity level and physical performance in patients with hypertension. The physical and demographic characteristics of the 40 patients with hypertension were collected with sociodemographic form. Waist/hip circumference was measured with tape measure and epicardial adipose tissue thickness with echocardiography device. Physical activity levels and sedentary time were recorded via IPAQ-7. Physical performance was determined using the 30-s sit-and-stand test. There was a moderate negative correlation between epicardial adipose tissue thickness and IPAQ-7 score (rho: −0.568 p < 0.001) and a high negative correlation between epicardial adipose tissue thickness and sit-and-stand test score (rho: −0.794 p < 0.001). There was no relationship between epicardial adipose tissue thickness and daily sitting time, BMI, or hip circumference. There was moderate positive correlation between epicardial adipose tissue thickness and age (rho: 0.504 p: 0.001) and low positive correlation between waist circumference (rho: 0.322 p < 0.05).This study demonstrated that the epicardial adipose tissue thickness was negatively associated with activity and performance in hypertensive patients, but not with daily sitting time. These results underscore the importance of physical activity in the management and prevention of chronic diseases.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":"39 4","pages":"274-278"},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-025-01002-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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