Evidence map›Paper›PMID 40576032›Full record

Observational studyJournal of the American Heart Association2025

Proton Pump Inhibitor Use and Incident Hypertension in Menopausal Women.

Ahmed I Soliman, Jean Wactawski-Wende, Amy E Millen, Shelly L Gray, Charles B Eaton, Kathleen M Hovey, Macarius Donneyong, Nazmus Saquib, Charles P Mouton, Deepika Laddu and 4 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Ahmed I SolimanDepartment of Epidemiology and Environmental Health University at Buffalo-SUNY Buffalo NY USA.ORCID 0000-0002-9539-8167
Jean Wactawski-WendeDepartment of Epidemiology and Environmental Health University at Buffalo-SUNY Buffalo NY USA.ORCID 0000-0003-3096-9595
Amy E MillenDepartment of Epidemiology and Environmental Health University at Buffalo-SUNY Buffalo NY USA.ORCID 0000-0001-9011-4869
Shelly L GraySchool of Pharmacy University of Washington Seattle WA USA.
Charles B EatonDepartment of Family Medicine Warren Alpert Medical School of Brown University Pawtucket RI USA.ORCID 0000-0002-7723-9461
Kathleen M HoveyDepartment of Epidemiology and Environmental Health University at Buffalo-SUNY Buffalo NY USA.ORCID 0009-0005-6335-760X
Macarius DonneyongCollege of Pharmacy The Ohio State University Columbus OH USA.ORCID 0000-0003-2710-913X
Nazmus SaquibCollege of Medicine Sulaiman AlRajhi University Bukariyah Saudi Arabia.ORCID 0000-0002-2819-2839
Charles P MoutonUniversity of Texas Medical Branch Galveston TX USA.
Deepika LadduArbor Research Collaborative for Health Ann Arbor MI USA.ORCID 0000-0001-6790-0220
Simin LiuDepartment of Epidemiology & Biostatistics University of California Irvine School of Population and Public Health Irvine CA USA.ORCID 0000-0003-2098-3844
Daichi ShimboDepartment of Medicine Columba University Irving Medical Center New York NY USA.ORCID 0000-0001-6302-8834
Sylvia Wassertheil-SmollerDepartment of Epidemiology and Population Health Albert Einstein College of Medicine Bronx NY USA.ORCID 0000-0002-5447-4653
Michael J LaMonteDepartment of Epidemiology and Environmental Health University at Buffalo-SUNY Buffalo NY USA.ORCID 0000-0002-6669-5242

Funding

WOMEN'S HEALTH INITIATIVE - CLINICAL COORDINATING CENTER: TASK AREA B - LONG LIFE STUDY VISIT 2 LIMITED HOME VISIT75N92021D00001 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, GARNET L. · 2021 to 2025
$52.0M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC): TASK AREA A AND A275N92021D00002 · NHLBI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WACTAWSKI-WENDE, JEAN · 2021 to 2025
$6.9M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00004 · NHLBI · STANFORD UNIVERSITY · PI STEFANICK, MARCIA · 2021 to 2025
$6.5M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00003 · NHLBI · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA · 2021 to 2025
$5.0M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00005 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI VITOLINS, MARA · 2021 to 2025
$4.2M
NHLBI NIH HHS 75N92021D00001NHLBI NIH HHS 75N92021D00002WHI NIH HHS 75N92021D00003WHI NIH HHS 75N92021D00004WHI NIH HHS 75N92021D00005
6 · The paper itself

Abstract

backgroundProton pump inhibitors (PPIs) could affect blood pressure regulation by suppressing gastric acid required for the conversion of oral nitrite into nitric oxide. Whether PPI use is associated with incident hypertension remains unknown.

methodsWe included 64 720 menopausal women who were free from cardiovascular disease and hypertension at enrollment in the Women's Health Initiative Observational Study (1993-1998). Baseline PPI use and duration were determined using medication inventories. The outcome was physician diagnosed/treated incident hypertension, assessed by self-report on annual questionnaires. Hazard ratios (HRs) and 95% CIs were estimated using multivariable Cox proportional hazard models for incident hypertension according to baseline PPI use (no/yes) and duration (<1 year, 1-3 years, >3 years). The association between PPI use and 3-year changes in measured blood pressure was examined using linear regression.

resultsThere were 28 951 cases of incident hypertension after a mean follow-up of 8.7 years. PPI use was associated with 17% higher risk of hypertension compared with nonuse in the fully adjusted model (HR, 1.17 [95% CI, 1.08-1.27]). Longer PPI use durations were significantly associated with incrementally higher risk of hypertension (HR, 1.13, 1.17, 1.28, respectively; trend

conclusionsPPI use was associated with higher risk of diagnosed hypertension in menopausal women, and the risk showed a significant trend according to longer duration of use. Further studies are needed to confirm these findings.

Indexed as

Blood PressureHypertensionMenopauseProton Pump InhibitorsAgedFemaleHumansIncidenceMiddle AgedProportional Hazards ModelsProspective StudiesRisk AssessmentRisk FactorsTime FactorsUnited StatesProton Pump Inhibitorsblood pressurehypertensionmenopauseproton pump inhibitorswomen

Identifiers

PMID40576032
PMCPMC12449964

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.