Evidence map›Paper›PMID 38881460›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2024

Relationship Between Sarcopenia and Intensive Blood Pressure Control Efficacy and Safety: A Secondary Analysis of SPRINT.

Saeid Mirzai, Ian Persits, Richard Kazibwe, Mohanad Gabani, Austin Seals, Matthew J Singleton, Rishi Rikhi, Parag A Chevli, Salvatore Carbone, W H Wilson Tang and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01206062 (Systolic Blood Pressure Intervention Trial), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01206062 nacompletednot on this map

Systolic Blood Pressure Intervention Trial

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2010 to 2019Enrolled9,361ConditionsHypertensionArmsIntensive control of SBP, Standard control of SBP
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Genomic medicine and personalized treatment: a narrative review.Annals of medicine and surgery (2012) · 2025
    Review
  10. Combining body mass index and muscle function in investigating mortality among older hypertensive patients.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  11. Article
  12. Article
  13. Sarcopenia as a risk factor for hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  14. Sarcopenia.Journal of diabetes · 2024
    Article
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

15 authors.

Saeid MirzaiSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0000-0002-2579-4965
Ian PersitsDepartment of Internal Medicine (I.P.), Cleveland Clinic, OH.ORCID 0000-0002-6700-6867
Richard KazibweSection on Hospital Medicine (R.K., P.A.C.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0000-0001-7085-3373
Mohanad GabaniSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.
Austin SealsSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.
Matthew J SingletonSection on Cardiovascular Medicine, Department of Medicine, WellSpan Health, York, PA (M.J.S.).ORCID 0000-0002-7266-0951
Rishi RikhiSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0000-0002-8013-4564
Parag A ChevliSection on Hospital Medicine (R.K., P.A.C.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0000-0002-4084-8175
Salvatore CarbonePauley Heart Center, Division of Cardiology, Department of Internal Medicine (S.C.), Virginia Commonwealth University, Richmond.ORCID 0000-0002-8163-0527
W H Wilson TangKaufman Center for Heart Failure Treatment and Recovery, Heart Vascular and Thoracic Institute (W.H.W.T.), Cleveland Clinic, OH.ORCID 0000-0002-8335-735X
Joseph YeboahSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0000-0001-6274-5882
Jeff D WilliamsonSection on Gerontology and Geriatric Medicine (J.D.W., D.W.K.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.
Dalane W KitzmanSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0009-0000-5274-0826
David M HerringtonSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0000-0002-7670-6400
Michael D ShapiroSection on Cardiovascular Medicine (S.M., M.G., A.S., R.R., J.Y., D.W.K., D.M.H., M.D.S.), Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC.ORCID 0000-0002-9071-3287

Funding

CVD Epidemiology Training ProgramT32HL076132 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DAVID McLeod HERRINGTON · 2004 to 2026
$8.4M
NHLBI NIH HHS HHSN268200900040CNHLBI NIH HHS HHSN268200900046CNHLBI NIH HHS HHSN268200900047CNHLBI NIH HHS HHSN268200900048CNHLBI NIH HHS HHSN268200900049CNHLBI NIH HHS T32 HL076132
6 · The paper itself

Abstract

backgroundSarcopenia and hypertension are independently associated with worse cardiovascular disease (CVD) risk and survival. While individuals with sarcopenia may benefit from intensive blood pressure (BP) control, the increased vulnerability of this population raises concerns for potential harm. This study aimed to evaluate clinical and safety outcomes with intensive (target <120 mm Hg) versus standard (<140 mm Hg) systolic BP targets in older hypertensive adults with sarcopenia compared with nonsarcopenic counterparts in the SPRINT (Systolic Blood Pressure Intervention Trial).

methodsSarcopenia was defined using surrogates of the lowest sex-stratified median of the sarcopenia index (serum creatinine/cystatin C×100) for muscle wasting and gait speed ≤0.8 m/s for muscle weakness. Outcomes included CVD events, all-cause mortality, and serious adverse events.

resultsOf 2571 SPRINT participants with sarcopenia index and gait speed data available (aged ≥75 years), 502 (19.5%) met the criteria for sarcopenia, which was associated with higher risks of CVD events (adjusted hazard ratio, 1.49 [95% CI, 1.15-1.94];

conclusionsOlder hypertensive adults with sarcopenia randomized to intensive BP control experienced a lower risk of CVD without increased adverse events compared with standard BP control. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT01206062.

Indexed as

Antihypertensive AgentsBlood PressureHypertensionSarcopeniaAgedAged, 80 and overBlood Pressure DeterminationCardiovascular DiseasesFemaleHumansMaleTreatment OutcomeAntihypertensive Agentscardiovascular diseasescreatininecystatin Chypertensionsarcopeniawalking speed

Identifiers

PMID38881460
PMCPMC11254568

What OpenQuestion holds

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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.