Evidence map›Paper›PMID 40265460›Full record

Observational studyJournal of hypertension2025

Assessing the relationship between short-term blood pressure variability and glycation profile in young and middle-aged nondiabetic hypertensive individuals.

Nestor Vazquez-Agra, Lucia Barrera-Lopez, Ana-Teresa Marques-Afonso, Anton Cruces-Sande, Jose-Enrique Lopez-Paz, Antonio Pose-Reino, Alvaro Hermida-Ameijeiras

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06325800 (Multimodal Vascular Phenotyping and Target-Organ Damage Using Vascular Imaging, Glyco-Oxidative Biomarkers, and Photoplethysmography in Adults at Increased Cardiovascular Risk), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT06325800 recruitingnot on this map

Multimodal Vascular Phenotyping and Target-Organ Damage Using Vascular Imaging, Glyco-Oxidative Biomarkers, and Photoplethysmography in Adults at Increased Cardiovascular Risk: The GlycOxiTOD Observational Registry

Typeobservational_patient_registrySponsorComplejo Hospitalario Universitario de SantiagoRan2024 to 2035Enrolled1,000ConditionsHypertension, Target Organ Damage, Heart Disease Risk Factors, Vascular StiffnessArmsMultimodal Cardiovascular Phenotyping
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Nestor Vazquez-AgraDepartment of Internal Medicine, University Hospital of Santiago de Compostela.
Lucia Barrera-LopezDepartment of Internal Medicine, University Hospital of Santiago de Compostela.
Ana-Teresa Marques-AfonsoDepartment of Internal Medicine, University Hospital of Santiago de Compostela.
Anton Cruces-SandeHealth Research Institute of Santiago de Compostela (IDIS).
Jose-Enrique Lopez-PazDepartment of Internal Medicine, University Hospital of Santiago de Compostela.
Antonio Pose-ReinoDepartment of Internal Medicine, University Hospital of Santiago de Compostela.
Alvaro Hermida-AmeijeirasDepartment of Internal Medicine, University Hospital of Santiago de Compostela.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionElevated short-term blood pressure (BP) variability (BPV) has been associated with a poorer cardiovascular prognosis. The glycation profile is related to BPV in diabetic and prediabetic individuals. However, little is known about the relationship between glycation levels and BPV in hypertensive patients with optimal glycemic control.

objectivesThis observational study aimed to elucidate the relationship between glycated hemoglobin (HbA1c) levels and short-term BPV in young and middle-aged hypertensive patients over 18 years with HbA1c levels below 5.7%.

methodsWe collected and analyzed data on 24-h ambulatory BP monitoring, demographic, epidemiological, clinical, and laboratory variables from 143 hypertensive patients. BPV was measured as the standard deviation (SD) and average real variability (ARV) in millimeters of mercury, as well as the dimensionless coefficient of variation (CV).

resultsDepending on the index, each one unit increase in nighttime SD and CV indices was associated with a 17-24% higher likelihood of elevated HbA1c levels (higher than 5.2%). Regarding BPV dipping, each 1% decrease in nighttime SD and CV dipping was associated with a 10-20% higher risk of increased HbA1c levels. Additionally, each 1% decrease in nighttime ARV DBP dipping was also associated with a 10% higher risk of elevated HbA1c levels. A one-standardized-unit increase in the overall combined BPV index, as a pooled measure of BPV, was associated with a 45% higher likelihood of raised HbA1c levels.

conclusionEven within the optimal range, elevated HbA1c levels may reflect an underlying increase in BPV, which may be particularly relevant given the prognostic implications of short-term BPV.

Indexed as

Blood PressureGlycated HemoglobinHypertensionAdultBlood Pressure Monitoring, AmbulatoryFemaleGlycosylationHumansMaleMiddle AgedGlycated Hemoglobinhemoglobin A1c protein, humanblood pressure variabilityglycated hemoglobinglycationhypertensionshort-term

Identifiers

PMID40265460
PMCPMC12144551

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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.