Evidence map›Paper›PMID 37073724›Full record

ArticleHypertension (Dallas, Tex. : 1979)2023

Sex Differences in Association Between Gut Microbiome and Essential Hypertension Based on Ambulatory Blood Pressure Monitoring.

Preeti Dinesh Virwani, Gordon Qian, Matthew S S Hsu, Tommy K K T S Pijarnvanit, Carman Nga-Man Cheung, Yick Hin Chow, Lok Kan Tang, Yiu-Hei Tse, Jia-Wen Xian, Shirley Sau-Wing Lam and 18 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07206303 (The Effects of Bifidobacterium-based Probiotics in Reducing Blood Pressure in Middle-aged Chinese With Hypertension), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 2% 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.

NCT07206303 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effects of Bifidobacterium-based Probiotics in Reducing Blood Pressure in Middle-aged Chinese With Hypertension: a Single-term Feasibility Pilot Study

TypeinterventionalSponsorThe University of Hong KongRan2026 to 2027Enrolled30ConditionsHypertensionArmsBifidobacterium probiotics supplementation
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Foods (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. The gut as a central hub for multi-organ crosstalk in aging.Cellular and molecular life sciences : CMLS · 2026
    Review
  12. Current hypertension epidemiology and contemporary approaches using the "Real-World Evidence Cycle" framework.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  13. Article
  14. Review
  15. Review
  16. Gut Mucolytic Bacteria Is Associated with IgA Nephropathy.Journal of the American Society of Nephrology : JASN · 2026
    Article
  17. Article
  18. Review
  19. Review
  20. Review
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

28 authors at 7 institutions in 8 countries.

Preeti Dinesh Virwani *Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Gordon Qian *School of Biomedical Sciences, Li Ka Shing Faculty of Medicine (G.Q., J.W.K.H.).ORCID 0000-0001-9603-6275
Matthew S S HsuDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Tommy K K T S PijarnvanitDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Carman Nga-Man CheungDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Yick Hin ChowDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).ORCID 0000-0001-8926-4341
Lok Kan TangDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Yiu-Hei TseDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Jia-Wen XianDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Shirley Sau-Wing LamDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Crystal P I LeeDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Chelsea C W LoDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Roxanna K C LiuDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).ORCID 0000-0003-2557-4097
Tsi Lok HoDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).ORCID 0000-0002-1430-8861
Bak Yue ChowDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).
Kin Sum LeungSchool of Biological Sciences, Faculty of Science (K.S.L., E.K.K.L., J.C.Y.L., H.E.-N.).
Hing Wai TsangDepartment of Paediatrics and Adolescent Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (H.W.T., K.T.S.T., P.I.).
Emily K K LoSchool of Biological Sciences, Faculty of Science (K.S.L., E.K.K.L., J.C.Y.L., H.E.-N.).ORCID 0000-0001-9258-0716
Keith T S TungDepartment of Paediatrics and Adolescent Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (H.W.T., K.T.S.T., P.I.).ORCID 0000-0001-6647-4346
Sookja Kim ChungState Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong, Hong Kong Special Administrative Region, China (S.K.C.).
Man-Fung YuenDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).ORCID 0000-0001-7985-7725
Suet Yi LeungDepartment of Pathology, School of Clinical Medicine, Queen Mary Hospital (S.Y.L.).ORCID 0000-0001-8614-4619
Patrick IpDepartment of Paediatrics and Adolescent Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (H.W.T., K.T.S.T., P.I.).
Ivan Fan-Ngai HungDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).ORCID 0000-0002-1556-2538
Jimmy Chun Yu LouieSchool of Biological Sciences, Faculty of Science (K.S.L., E.K.K.L., J.C.Y.L., H.E.-N.).ORCID 0000-0001-7736-605X
Hani El-NezamiSchool of Biological Sciences, Faculty of Science (K.S.L., E.K.K.L., J.C.Y.L., H.E.-N.).
Joshua Wing Kei HoSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine (G.Q., J.W.K.H.).ORCID 0000-0003-2331-7011
Kui Kai LauDepartment of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine (P.D.V., M.S.S.H., T.K.K.T.S.P., C.N.-M.C., Y.H.C., L.K.T., Y.-H.T., J.-W.X., S.S.-W.L., C.P.I.L., C.C.W.L., R.K.C.L., T.L.H., B.Y.C., M.-F.Y., I.F.-N.H., K.K.L.).ORCID 0000-0002-8657-2418
University of Hong Kong · HKDepartment of Health · CNHesco (United States) · USNorwegian Womens Public Health Association · NOInstitute of Cognitive and Brain Sciences · USMacau University of Science and Technology · MOQueen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex differences in the pathogenesis of hypertension exist. While gut microbiota (GM) has been associated with hypertension, it is unclear whether there are sex-linked differences in the association between GM and hypertension.

methodsWe conducted a cross-sectional study to investigate the sex differences in associations between GM characterized by shotgun sequencing, GM-derived short-chain fatty acids, and 24-hour ambulatory blood pressure in 241 Hong Kong Chinese (113 men and 128 women; mean age, 54±6 years).

resultsThe hypertensive group was associated with GM alterations; however, significant differences in β-diversity and GM composition in hypertensive versus normotensive groups were only observed in women and not in men under various statistical models adjusting for the following covariates: age, sex, body mass index, sodium intake estimated by spot urine analysis, blood glucose, triglycerides, low- and high-density lipoprotein cholesterol, smoking, menopause, and fatty liver status. Specifically,

conclusionsGM dysregulation was strongly associated with 24-hour ambulatory blood pressure in women but not men, which may be mediated through propionic acid. Our work suggests that sex differences may be an important consideration while assessing the role of GM in the development and treatment of hypertension.

Indexed as

Gastrointestinal MicrobiomeHypertensionBlood PressureBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesEssential HypertensionFemaleHumansMaleMiddle AgedPropionatesSex CharacteristicsPropionatesblood pressure monitoring, ambulatorycross-sectional studiesfatty acidshypertensionmicrobiotasex characteristics

Identifiers

PMID37073724
PMCPMC10191209
OpenAlexW4366351907

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Registered trials

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.