Evidence map›Paper›PMID 41097892›Full record

ArticleBrain and behavior2025

Association Between Short-Term Blood Pressure Variability and the Alzheimer's Disease Continuum.

Xinying Zou, Qiwei Ren, Wenyi Li, Shirui Jiang, Linlin Wang, Shiyi Yang, Min Zhao, Tianlin Jiang, Huiying Zhang, Fenshuang Zheng and 2 more

Erratum issuedAbstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Clinical Associations and Possible Risk Factors for Affective Neuropsychiatric Symptoms in Older Adults With and Without Cognitive Impairment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Xinying ZouDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Qiwei RenDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Wenyi LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Shirui JiangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Linlin WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Shiyi YangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Min ZhaoDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Tianlin JiangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Huiying ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Fenshuang ZhengDepartment of Emergency Medicine, Second People's Hospital of Yunnan Province, Kunming, China.
Jun XuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jiwei JiangChina National Clinical Research Center For Neurological Diseases, Beijing, China.

Funding

Key Project of Yunnan Provincial Department of Science and Technology 202301AS070037Key Project of Yunnan Provincial Department of Science and Technology 202305AK340001National Key Research and Development Program of China 2021YFC2500100National Key Research and Development Program of China 2021YFC2500103National Key Research and Development Program of China 2024YFF0507500National Natural Science Foundation of China 81870821National Natural Science Foundation of China 8207118National Natural Science Foundation of China 82360387National Natural Science Foundation of China 82471212Scientific and Technological Innovation 2030 2023ZD0505804
6 · The paper itself

Abstract

backgroundEmerging evidence indicates that blood pressure variability (BPV) is a modifiable vascular risk factor for Alzheimer's disease (AD). Herein, we aimed to systematically evaluate the potential role of short-term BPV across the AD continuum.

methodsThis study included 263 patients on the AD continuum from the Chinese Imaging, Biomarkers, and Lifestyle study between January 1, 2023, and December 31, 2023. 24-h ambulatory blood pressure monitoring was performed to obtain blood pressure measurements and evaluate BPV. Partial Spearman's correlation and restricted cubic spline analysis were performed to assess the associations between BPV and neuropsychological tests, cerebrospinal fluid biomarkers, and multimodal neuroimaging measures, respectively. The mediating effects of multimodal neuroimaging measures on the association between BPV and neuropsychiatric symptoms (NPS) were analyzed.

resultsThe elevated standard deviation (SD) and average real variability of nightly diastolic blood pressure (DBP) were correlated with higher Neuropsychiatric Inventory (NPI) scores (r = 0.19, p = 0.034; r = 0.22, p = 0.013). The increased SD of nightly systolic blood pressure (SBP) was correlated with increased Hamilton Anxiety Scale (HAMA) scores and total tau levels (r = 0.20, p = 0.026; r = 0.17, p = 0.027), and elevated coefficient of variation (CV) of nightly SBP was correlated with higher HAMA scores and lower Aβ

conclusionThis study suggests that short-term BPV may play a role in the AD continuum. These findings provide evidence of a vascular pathway to AD, as well as a potential and accessible intervention target for patients on the AD continuum.

Indexed as

Alzheimer DiseaseBlood PressureAgedAged, 80 and overAmyloid beta-PeptidesBiomarkersBlood Pressure Monitoring, AmbulatoryCognitive DysfunctionFemaleHumansMaleMiddle AgedNeuroimagingNeuropsychological TestsRisk Factorstau ProteinsAmyloid beta-PeptidesBiomarkerstau ProteinsAlzheimer's diseasebiomarkerblood pressure variabilityneuropsychiatric symptoms

Identifiers

PMID41097892
PMCPMC12528549

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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.