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ArticleHypertension research : official journal of the Japanese Society of Hypertension2026

Longitudinal association between having stress-coping strategy and hypertension in a community-based Japanese study: the Circulatory Risk in Communities Study (CIRCS).

Ryotaro Matsuo, Manami Kimura, Ai Ikeda, Kazumasa Yamagishi, Isao Muraki, Yuji Shimizu, Tetsuya Ohira, Hironori Imano, Hiroyasu Iso, Takeshi Tanigawa

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Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ryotaro MatsuoDepartment of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Manami KimuraDepartment of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Ai IkedaDepartment of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan. a-noda@juntendo.ac.jp.
Kazumasa YamagishiDepartment of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Isao MurakiDepartment of Public Health Medicine, Institute of Medicine, and Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
Yuji ShimizuEpidemiology Section, Division of Public Health, Osaka Institute of Public Health, Osaka, Japan.
Tetsuya OhiraDepartment of Epidemiology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Hironori ImanoDepartment of Public Health, Kindai University Faculty of Medicine, Osaka, Japan.
Hiroyasu IsoInstitute for Global Health Policy Research, Japan Institute for Health Security, Tokyo, Japan.
Takeshi TanigawaDepartment of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimHypertension is a leading contributor to the global disease burden and mortality. Although various risk factors have been identified, the roles of psychosocial stress and stress-coping strategies in the development of hypertension remain unclear. This study examined the longitudinal association between having a stress-coping strategy and the incidence of hypertension in Japanese communities.

methodsA prospective cohort study, a part of the Circulatory Risk in Communities Study, included 3668 participants (1359 men and 2309 women), aged 40-74 years, from three rural areas in Japan. Stress levels, the presence of a stress-coping strategy, and hypertension status were assessed annually from 2010 to 2018. Generalized linear mixed models were used to examine longitudinal associations of stress levels and stress-coping strategies with the incidence of hypertension, adjusting for potential confounding factors. Separate models were fitted to explore sex-specific associations.

resultsThe presence of a stress-coping strategy was significantly associated with a lower incidence of hypertension at baseline in both women (OR = 0.21 and 95% confidence interval (CI): 0.11 to 0.38, p < 0.001) and men (OR = 0.33, 95% CI: 0.18 to 0.60, p < 0.001). This association persisted throughout the follow-up period for both sexes, although the association was not significant in men with high stress.

conclusionsHaving a stress-coping strategy was associated with a lower incidence of hypertension in both sexes. These findings highlight the potential role of coping strategies in hypertension prevention.

Indexed as

Adaptation, PsychologicalCoping SkillsHypertensionStress, PsychologicalAdultAgedEast Asian PeopleFemaleHumansIncidenceJapanLongitudinal StudiesMaleMiddle AgedProspective StudiesRisk FactorsHypertensionLongitudinal studiesPsychological adaptationPsychological stress

Identifiers

PMID42168327

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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.