Evidence map›Paper›PMID 30715142›Full record

ArticleAmerican journal of hypertension2019

Health Behaviors, Nocturnal Hypertension, and Non-dipping Blood Pressure: The Coronary Artery Risk Development in Young Adults and Jackson Heart Study.

Swati Sakhuja, John N Booth, Donald M Lloyd-Jones, Cora E Lewis, Stephen J Thomas, Joseph E Schwartz, Daichi Shimbo, James M Shikany, Mario Sims, Yuichiro Yano and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Swati SakhujaUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
John N BoothUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Donald M Lloyd-JonesNorthwestern University, Chicago, Illinois, USA.
Cora E LewisUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Stephen J ThomasUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Joseph E SchwartzColumbia University, New York, USA.
Daichi ShimboColumbia University, New York, USA.
James M ShikanyUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Mario SimsUniversity of Mississippi, Jackson, Mississippi, USA.
Yuichiro YanoDuke University, Durham, North Carolina, USA.
Paul MuntnerUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
University of Alabama at Birmingham · USColumbia University · USDuke University · USNorthwestern University · USUniversity of Mississippi · US

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
Incorporation of a Hypertension Working Group into the Jackson Heart StudyR01HL117323 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E, OGEDEGBE, OLUGBENGA G. · 2013 to 2024
$7.2M
Psychological stress, and circadian patterns of sodium excretion and blood pressureR01HL137818 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHIMBO, DAICHI · 2018 to 2021
$2.4M
Midcareer Investigator Award in Patient-Oriented Research in Human HypertensionK24HL125704 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHIMBO, DAICHI · 2015 to 2019
$573k
NHLBI NIH HHS HHSN268201300046CNHLBI NIH HHS HHSN268201300047CNHLBI NIH HHS HHSN268201300048CNHLBI NIH HHS HHSN268201300049CNHLBI NIH HHS HHSN268201300050CNHLBI NIH HHS HHSN268201800003INHLBI NIH HHS HHSN268201800004INHLBI NIH HHS HHSN268201800005INHLBI NIH HHS HHSN268201800006INHLBI NIH HHS HHSN268201800007INHLBI NIH HHS K24 HL125704NHLBI NIH HHS R01 HL117323NHLBI NIH HHS R01 HL137818NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

backgroundSeveral health behaviors have been associated with hypertension based on clinic blood pressure (BP). Data on the association of health behaviors with nocturnal hypertension and non-dipping systolic BP (SBP) are limited.

methodsWe analyzed data for participants with ambulatory BP monitoring at the Year 30 Coronary Artery Risk Development in Young Adults (CARDIA) study exam in 2015-2016 (n = 781) and the baseline Jackson Heart Study (JHS) exam in 2000-2004 (n = 1,046). Health behaviors (i.e., body mass index, physical activity, smoking, and alcohol intake) were categorized as good, fair, and poor and assigned scores of 2, 1, and 0, respectively. A composite health behavior score was calculated as their sum and categorized as very good (score range = 6-8), good (5), fair (4), and poor (0-3). Nocturnal hypertension was defined as mean asleep SBP ≥ 120 mm Hg or mean asleep diastolic BP ≥ 70 mm Hg and non-dipping SBP as < 10% awake-to-asleep decline in SBP.

resultsAmong CARDIA study and JHS participants, 41.1% and 56.9% had nocturnal hypertension, respectively, and 32.4% and 72.8% had non-dipping SBP, respectively. The multivariable-adjusted prevalence ratios (95% confidence interval) for nocturnal hypertension associated with good, fair, and poor vs. very good health behavior scores were 1.03 (0.82-1.29), 0.98 (0.79-1.22), and 0.96 (0.77-1.20), respectively in CARDIA study and 0.98 (0.87-1.10), 0.96 (0.86-1.09), and 0.86 (0.74-1.00), respectively in JHS. The health behavior score was not associated non-dipping SBP in CARDIA study or JHS after multivariable adjustment.

conclusionsA health behavior score was not associated with nocturnal hypertension or non-dipping SBP.

Indexed as

Blood PressureCircadian RhythmHealth BehaviorAdolescentAdultAgedAge FactorsAlcohol DrinkingBody Mass IndexExerciseFemaleHumansHypertensionMaleMiddle AgedPrevalenceambulatory blood pressure monitoringblood pressurehealth behaviorshypertensionnocturnal hypertensionnon-dipping blood pressure

Identifiers

PMID30715142
PMCPMC6636688
OpenAlexW2912173646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.