Evidence map›Paper›PMID 42221218›Full record

ArticleJournal of inflammation research2026

Association Between the Aggregate Index of Systemic Inflammation and Non-Dipper Blood Pressure Pattern in Hypertensive Patients with Type 2 Diabetes Mellitus.

Alp Yıldırım, Alperen Taş, Müzeyyen Gizem Parmak, Muhammet Salih Ateş, Erdoğan Sökmen

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Article in Journal of inflammation research, 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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Alp YıldırımDepartment of Cardiology, Ahi Evran University Faculty of Medicine, Kırsehir, Turkey.ORCID 0000-0002-8517-2033
Alperen TaşDepartment of Cardiology, Ahi Evran University Faculty of Medicine, Kırsehir, Turkey.ORCID 0000-0002-1696-7449
Müzeyyen Gizem ParmakDepartment of Cardiology, Ahi Evran University Faculty of Medicine, Kırsehir, Turkey.ORCID 0009-0007-8046-3185
Muhammet Salih AteşDepartment of Cardiology, Ahi Evran University Faculty of Medicine, Kırsehir, Turkey.ORCID 0000-0003-4099-0064
Erdoğan SökmenDepartment of Cardiology, Ahi Evran University Faculty of Medicine, Kırsehir, Turkey.ORCID 0000-0002-8170-5912

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to investigate the association between the Aggregate Index of Systemic Inflammation (AISI) and non-dipper blood pressure (BP) pattern in hypertensive (HT) patients with type 2 diabetes mellitus (DM). Given the well-established role of systemic inflammation in circadian BP regulation, we hypothesized that elevated AISI levels would be associated with impaired nocturnal BP decline. Patients and Methods: A total of 356 newly diagnosed HT patients with type 2 DM and 170 normotensive control subjects were included in this observational study. HT patients were further classified as dipper (n=186) or non-dipper (n=170) based on 24-hour ambulatory blood pressure monitoring (ABPM). AISI was calculated using neutrophil, lymphocyte, platelet, and monocyte counts. Correlation analyses were performed to evaluate the relationship between AISI and ambulatory BP parameters. Multivariate logistic regression analysis with a backward stepwise method was conducted to determine independent predictors of non-dipper status. Receiver operating characteristic (ROC) curve analysis was used to assess the discriminative performance of AISI and other inflammatory indices. Results: AISI and ln(AISI) levels were significantly higher in non-dipper HT patients than in dipper HT patients and normotensive controls (p<0.001 for all). Ln(AISI) was positively correlated with nighttime systolic and diastolic BP (p<0.05). In multivariate logistic regression analysis, ln(AISI) emerged as the strongest independent predictor of non-dipper blood pressure pattern (OR: 14.13, 95% CI: 3.68-54.32, p<0.001). In ROC analysis, ln(AISI) showed the highest discriminative performance for identifying non-dipper status, with a sensitivity of 71.0% and specificity of 74.1% at a cutoff value of 5.80 (AUC: 0.757, p<0.001), outperforming NLR, PLR, SII, and SIRI. Conclusion: Elevated AISI levels were independently associated with non-dipper blood pressure pattern in hypertensive patients with type 2 diabetes mellitus. These findings suggest that AISI may serve as a practical and integrative biomarker for identifying high-risk patients with impaired circadian blood pressure regulation.

Indexed as

aggregate index of systemic inflammationambulatory blood pressure monitoringnon-dipper hypertensionsystemic inflammationtype 2 diabetes mellitus

Identifiers

PMID42221218
PMCPMC13220829

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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.