Evidence map›Paper›PMID 37193339›Full record

ArticleClinical interventions in aging2023

Appropriate Circadian-Circasemidian Coupling Protects Blood Pressure from Morning Surge and Promotes Human Resilience and Wellbeing.

Kuniaki Otsuka, Shougo Murakami, Kiyotaka Okajima, Koichi Shibata, Yutaka Kubo, Denis G Gubin, Larry A Beaty, Germaine Cornelissen

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
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  3. Evidence for ~12-h ultradian gene programs in humans.Npj biological timing and sleep · 2024
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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 4 countries.

Kuniaki OtsukaTokyo Women's Medical University, Tokyo, Japan.
Shougo MurakamiDepartment of Cardiovascular Medicine, Soseikai General Hospital, Kyoto, Japan.
Kiyotaka OkajimaCardiovascular Internal Medicine, Higashi Omiya General Hospital, Saitama, Japan.
Koichi ShibataTokyo Women's Medical University, Tokyo, Japan.
Yutaka KuboDepartment of Medicine, Machida Keisen Hospital, Tokyo, Japan.
Denis G GubinLaboratory for Chronobiology and Chronomedicine, Research Institute of Biomedicine and Biomedical Technologies, Medical University, Tyumen, 625023, Russia.
Larry A BeatyHalberg Chronobiology Center, University of Minnesota, Minneapolis, MN, USA.
Germaine CornelissenHalberg Chronobiology Center, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-1698-1590
University of Minnesota · USInstitute for Biomedicine · ITKeisen University · JPTokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Blood pressure (BP) variability is involved in the appraisal of threat and safety, and can serve as a potential marker of psychological resilience against stress. The relationship between biological rhythms of BP and resilience was cross-sectionally assessed by 7-day/24-hour chronobiologic screening in a rural Japanese community (Tosa), with focus on the 12-hour component and the "circadian-circasemidian coupling" of systolic (S) BP. Subjects and Methods: Tosa residents (N = 239, 147 women, 23-74 years), free of anti-hypertensive medication, completed 7-day/24-hour ambulatory BP monitoring. The circadian-circasemidian coupling was determined individually by computing the difference between the circadian phase and the circasemidian morning-phase of SBP. Participants were classified into three groups: those with a short coupling interval of about 4.5 hours (Group A), those with an intermediate coupling interval of about 6.0 hours (Group B), and those with a long coupling interval of about 8.0 hours (Group C). Results: Residents of Group B who showed optimal circadian-circasemidian coordination had less pronounced morning and evening SBP surges, as compared to residents of Group A (10.82 vs 14.29 mmHg, P < 0.0001) and Group C (11.86 vs 15.21 mmHg, P < 0.0001), respectively. The incidence of morning or evening SBP surge was less in Group B than in Group A (P < 0.0001) or Group C (P < 0.0001). Group B residents showed highest measures of wellbeing and psychological resilience, assessed by good relation with friends (P < 0.05), life satisfaction (P < 0.05), and subjective happiness (P < 0.05). A disturbed circadian-circasemidian coupling was associated with elevated BP, dyslipidemia, arteriosclerosis and a depressive mood. Conclusion: The circadian-circasemidian coupling of SBP could serve as a new biomarker in clinical practice to guide precision medicine interventions aimed at achieving properly timed rhythms, and thereby resilience and wellbeing.

Indexed as

Blood PressureCircadian RhythmMonitoring, PhysiologicResilience, PsychologicalAdultAgedAgingFemaleHappinessHumansMaleMiddle AgedNormal DistributionPersonal SatisfactionSleepTime Factors12-hour morning acrophase7-day/24-hour chronobiologic screeningappropriate circadian-circasemidian couplingbiological 12-hour rhythmblood pressurecircadian acrophaseevening blood pressure surgehuman resiliencemorning blood pressure surgewellbeing

Identifiers

PMID37193339
PMCPMC10183193
OpenAlexW4376871523

What OpenQuestion holds

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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.