Evidence map›Paper›PMID 41669888›Full record

ArticleJournal of hypertension2026

Prospective association between the gut microbiome and incident hypertension: a 20-year cohort study.

Li-Fang Yeo, Joonatan Palmu, Aki S Havulinna, Katariina Pärnänen, Veikko Salomaa, Leo Lahti, Rob Knight, Teemu Niiranen

Abstract read
In one paragraph

Article in Journal of hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

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

  1. Pooled it
  2. Review
  3. Efavirenz-Altered Gut-Microbiota,International journal of molecular sciences · 2026
    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

8 authors.

Li-Fang YeoDivision of Medicine, Turku University Hospital.
Joonatan PalmuDivision of Medicine, Turku University Hospital.
Aki S HavulinnaDepartment of Computing, University of Turku, Turku.
Katariina PärnänenDepartment of Computing, University of Turku, Turku.
Veikko SalomaaDepartment of Internal Medicine, University of Turku, Turku.
Leo LahtiDepartment of Computing, University of Turku, Turku.
Rob KnightDepartment of Pediatrics.
Teemu NiiranenDivision of Medicine, Turku University Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypertension remains the leading modifiable risk factor attributable to 10.8 million premature deaths. Hence the study of hypertension and gut microbiome as a therapeutic target is very important. Yet the links between the gut microbiome and long-term incidence of hypertension are unknown.

aimThis study assessed the association between gut microbiome and incident hypertension.

methodThe study sample consisted of 3311 nonhypertensive individuals (60.7% women) aged 25-74  years who were drawn from the general population in Finland. In the baseline examination performed in the year 2002, the participants underwent a health examination and provided a stool sample. The gut microbiome was assessed using shallow shotgun metagenomic sequencing. Microbiome analyses were performed with Cox proportional hazards model.

resultsIn total, 675 participants developed hypertension over a follow-up period of nearly 20 years. In multivariable-adjusted models, overall gut microbiome composition was not related to risk of future hypertension. Eight genera, including Agathobaculum, Blautia_A_141780, Blautia_A_141781, Mediterraneibacter_A_155590, Enterocloster , Bariatricus , CAG-317-146760 , and CAG-628 were significantly associated with incident hypertension in the age-adjusted and sex-adjusted models, but none remained significant in the multivariable-adjusted models. No functional pathways were associated with hypertension risk.

conclusionOur results do not provide strong evidence for an association between the gut microbiome and risk of future hypertension, especially after adjusting for covariates that are known to influence the gut microbiome.

Indexed as

Gastrointestinal MicrobiomeHypertensionAdultAgedFemaleFinlandHumansIncidenceMaleMiddle AgedProspective StudiesRisk Factorsgut microbiomehypertensionprospective study

Identifiers

PMID41669888
PMCPMC12955955

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Registered trials

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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.