Evidence map›Paper›PMID 35362209›Full record

ArticleBrain and behavior2022

The relationship between isolated hypertension with brain volumes in UK Biobank.

Danielle Newby, Laura Winchester, William Sproviero, Marco Fernandes, Upamanyu Ghose, Donald Lyall, Lenore J Launer, Alejo J Nevado-Holgado

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 12% 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, 14 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Danielle NewbyDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.ORCID 0000-0002-3001-1478
Laura WinchesterDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.
William SprovieroDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.
Marco FernandesDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.ORCID 0000-0002-4768-0934
Upamanyu GhoseDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.
Donald LyallInstitute of Health and Wellbeing, University of Glasgow, Scotland, UK.
Lenore J LaunerNational Institute on Aging, Bethesda, Maryland, USA.
Alejo J Nevado-HolgadoDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.
Warneford Hospital · GBNational Institute on Aging · USOpen Data Institute · GBUniversity of Glasgow · GB

Funding

Brain aging and cardiovascular risk factors and diseaseZIAAG007480 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2011 to 2025
$2.7M
Medical Research Council MR/L023784/2
6 · The paper itself

Abstract

backgroundHypertension is a well-established risk factor for cognitive impairment, brain atrophy, and dementia. However, the relationship of other types of hypertensions, such as isolated hypertension on brain health and its comparison to systolic-diastolic hypertension (where systolic and diastolic measures are high), is still relatively unknown. Due to its increased prevalence, it is important to investigate the impact of isolated hypertension to help understand its potential impact on cognitive decline and future dementia risk. In this study, we compared a variety of global brain measures between participants with isolated hypertension to those with normal blood pressure (BP) or systolic-diastolic hypertension using the largest cohort of healthy individuals.

methodsUsing the UK Biobank cohort, we carried out a cross-sectional study using 29,775 participants (mean age 63 years, 53% female) with BP measurements and brain magnetic resonance imaging (MRI) data. We used linear regression models adjusted for multiple confounders to compare a variety of global, subcortical, and white matter brain measures. We compared participants with either isolated systolic or diastolic hypertension with normotensives and then with participants with systolic-diastolic hypertension.

resultsThe results showed that participants with isolated systolic or diastolic hypertension taking BP medications had smaller gray matter but larger white matter microstructures and macrostructures compared to normotensives. Isolated systolic hypertensives had larger total gray matter and smaller white matter traits when comparing these regions with participants with systolic-diastolic hypertension.

conclusionsThese results provide support to investigate possible preventative strategies that target isolated hypertension as well as systolic-diastolic hypertension to maintain brain health and/or reduce dementia risk earlier in life particularly in white matter regions.

Indexed as

DementiaHypertensionBiological Specimen BanksBlood PressureBrainCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedUnited Kingdombrain healthhypertensionisolated hypertension

Identifiers

PMID35362209
PMCPMC9120723
OpenAlexW4225809619

What OpenQuestion holds

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LicenceCC BY
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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.