Evidence map›Paper›PMID 32106744›Full record

Observational studyJournal of the American Heart Association2020

Does Incident Solar Ultraviolet Radiation Lower Blood Pressure?

Richard B Weller, Yuedong Wang, Jingyi He, Franklin W Maddux, Len Usvyat, Hanjie Zhang, Martin Feelisch, Peter Kotanko

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Systematic review on gene-sun exposure interactions in skin cancer.Molecular genetics & genomic medicine · 2023
    Pooled it
  2. Pooled it
  3. Innovative digital solution supporting sun protection and vitamin D synthesis by using satellite-based monitoring of solar radiation.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2022
    Trial
  4. Systemic effects of sunlight: 10-year review of cardiovascular, infection and cancer outcomes.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Review
  5. Blindspot: how sun exposure guidelines have ignored the health of individuals with skin of color.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Sunscreens: A narrative review.Skin health and disease · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Photo-neuro-immuno-endocrinology: How the ultraviolet radiation regulates the body, brain, and immune system.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Richard B WellerCenter for Inflammation Research University of Edinburgh United Kingdom.
Yuedong WangDepartment of Statistics & Applied Probability University of California - Santa Barbara Santa Barbara CA.
Jingyi HeDepartment of Statistics & Applied Probability University of California - Santa Barbara Santa Barbara CA.
Franklin W MadduxIntegrated Care Analytics Fresenius Medical Care North America Waltham MA.
Len UsvyatIntegrated Care Analytics Fresenius Medical Care North America Waltham MA.
Hanjie ZhangRenal Research Institute New York NY.
Martin FeelischClinical & Experimental Sciences Faculty of Medicine, and Institute for Life Sciences Southampton General Hospital University of Southampton United Kingdom.
Peter KotankoRenal Research Institute New York NY.
Renal Research Institute · USFresenius Medical Care (United States) · USUniversity of California, Santa Barbara · USSouthampton General Hospital · GB

Funding

Medical Research Council G1001536
6 · The paper itself

Abstract

Background Hypertension remains a leading global cause for premature death and disease. Most treatment guidelines emphasize the importance of risk factors, but not all are known, modifiable, or easily avoided. Population blood pressure correlates with latitude and is lower in summer than winter. Seasonal variations in sunlight exposure account for these differences, with temperature believed to be the main contributor. Recent research indicates that UV light enhances nitric oxide availability by mobilizing storage forms in the skin, suggesting incident solar UV radiation may lower blood pressure. We tested this hypothesis by exploring the association between environmental UV exposure and systolic blood pressure (SBP) in a large cohort of chronic hemodialysis patients in whom SBP is determined regularly. Methods and Results We studied 342 457 patients (36% black, 64% white) at 2178 US dialysis centers over 3 years. Incident UV radiation and temperature data for each clinic location were retrieved from the National Oceanic and Atmospheric Administration database. Linear mixed effects models with adjustment for ambient temperature, sex/age, body mass index, serum Na

Indexed as

Environmental ExposureSeasonsSolar EnergyUltraviolet RaysAdultAgedBlood PressureFemaleHumansKidney DiseasesMaleMiddle AgedRenal DialysisTemperatureTime FactorsUnited Statescardiovascular diseasecardiovascular healthhypertensionnitric oxiderenal diseaseseasonal variation

Identifiers

PMID32106744
PMCPMC7335547
OpenAlexW3007841636

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.