Evidence map›Paper›PMID 29927841›Full record

ArticleJournal of hypertension2018

Association between sex hormones and ambulatory blood pressure.

Monik C Jiménez, Lu Wang, Julie E Buring, JoAnn E Manson, John P Forman, Howard D Sesso

Open access · greenAbstract read
In one paragraph

Article in Journal of hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. New Horizons: Testosterone or Exercise for Cardiometabolic Health in Older Men.The Journal of clinical endocrinology and metabolism · 2023
    Article
  3. Review
  4. Article
  5. Article
  6. 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

6 authors at 2 institutions in 2 countries.

Monik C JiménezDivision of Women's Health.
Lu WangDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital.
Julie E BuringDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital.
JoAnn E MansonDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital.
John P FormanChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School.
Howard D SessoDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital.
Brigham and Women's Hospital · USWomen's Health Research Institute · CA

Funding

VITamin D and omegA-3 triaL (VITAL)U01CA138962 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., MANSON, JOANN ELISABETH · 2009 to 2014
$23.6M
The VITamin D and OmegA-3 TriaL (VITAL)R01CA138962 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., MANSON, JOANN ELISABETH · 2015 to 2019
$20.9M
THE ROLE OF CIRCADIAN PERIODICITY IN HUMAN CARDIOVASCULAR DISEASE AND DIABETESR01HL103607 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI FORMAN, JOHN P · 2011 to 2020
$5.9M
Effect of Vitamin D and Omega-3 Fatty Acids on Blood Pressure and HypertensionR01HL102122 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI FORMAN, JOHN P, SESSO, HOWARD D · 2011 to 2016
$3.3M
Examining Racial Disparities in StrokeK01HL124391 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI JIMENEZ, MONIK CARMEN · 2014 to 2018
$761k
NCI NIH HHS R01 CA138962NCI NIH HHS U01 CA138962NHLBI NIH HHS K01 HL124391NHLBI NIH HHS R01 HL102122NHLBI NIH HHS R01 HL103607
6 · The paper itself

Abstract

introductionHigher levels of total testosterone and lower levels of sex hormone-binding globulin (SHBG) have been associated with increased blood pressure (BP) in women with an inverse association between total testosterone and BP among men. Fewer studies have examined associations with 24-h ambulatory blood pressure (ABP), blunted nocturnal BP decline or the role of dehydroepiandrosterone sulfate (DHEAS), a precursor to androgens.

methodsBaseline blood samples were assayed for 229 normotensive men (≥50 years) and women (≥55 years) participating in the VITamin D and OmegA-3 TriaL. Standardized seated BP (SBP and DBP) and 24-h ABP were measured by trained technicians. Self-reported cardiovascular risk factors and sociodemographic variables were reported on baseline questionnaires. Sex stratified linear regression models adjusted for age, race/ethnicity, BMI, smoking and alcohol estimated the association between each sex hormone and measures of BP and 24-h ABP. Logistic regression used to estimate associations with blunted nocturnal decline (>10% reduction in SBP or DBP during sleeping hours).

resultsTotal testosterone and SHBG demonstrated significant inverse correlations with SBP whereas DHEAS was not significantly associated with BP. Among men, in multivariable analyses, each 10% increase in DHEAS was associated with a 0.41 mmHg higher seated DBP (β = 4.29, 95% CI 0.84-7.73) and each 10% increase in total testosterone and SHBG was associated with a 0.54 mmHg (β = -5.65, 95% CI -10.45 to -0.84) and 0.60 mmHg (β = -6.30, 95% CI -11.38 to -1.21) decrease in seated DBP, respectively. No significant associations were observed among women.

conclusionAmong men only, we observed statistically significant inverse cross-sectional associations between total testosterone and SHBG with seated DBP, and a significant positive association with DHEAS levels.

Indexed as

Blood PressureAgedBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesDehydroepiandrosterone SulfateDiastoleFemaleHumansMaleMiddle AgedSex FactorsSex Hormone-Binding GlobulinSystoleTestosteroneDehydroepiandrosterone SulfateSex Hormone-Binding GlobulinTestosterone

Identifiers

PMID29927841
PMCPMC6446243
OpenAlexW2809911088

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.