ArticleHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2025
Elevated Pulse Pressure and Risk of Chronic Kidney Disease by Hypertension Status: A Longitudinal Study in Japanese Adults.
Article in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Blood pressure indices for predicting incident cardiovascular disease: A 13-year follow-up study in Japanese population.American journal of preventive cardiology · 2025Article
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Abstract
introductionLittle is known about the relationship between pulse pressure (PP) and incident chronic kidney disease (CKD) in Asian populations, particularly when analyzed separately by hypertension status.
aimThis study aimed to assess the association between PP and subsequent onset of CKD in Japanese adults.
methodsThis longitudinal study included middle-aged and older Japanese citizens who participated in administrative checkups (1998-2024) conducted by Zentsuji City. The relationship between PP (diastolic blood pressure subtracted from systolic blood pressure) and incident CKD (estimated glomerular filtration rate < 60 mL/min/1.73 m
resultsAmong 15,788 participants, 8881 (men: 42.7%) were examined in the study. The mean follow-up time was 6.21 years for non-hypertensive participants and 6.27 years for hypertensive participants. Higher PP was associated with higher rate of CKD incidence regardless of prevalent hypertension. In non-hypertensive participants, PP ≥ 60 mmHg had a 10% shorter time to CKD onset (95% confidence interval: 3-16%) compared with PP < 40 mmHg. In hypertensive participants, attenuated results were observed, with all 95% confidence intervals crossing the null value.
conclusionsElevated PP may serve as a useful indicator for CKD development in non-hypertensive Japanese subjects. Regular BP monitoring may assist in developing public health strategies for CKD prevention, especially among non-hypertensive Asian populations.
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