Evidence map›Paper›PMID 42390117›Full record

Observational studyAmerican journal of hypertension2026

Long-term SBP time in target and risk of cardiovascular events in older adults: a secondary analysis of the ASPREE cohort.

Michael E Ernst, Katherine L Webb, Raj C Shah, Lawrence Beilin, Alice Owen, Suzanne G Orchard, Michelle A Fravel, Robyn L Woods, Mark R Nelson, Kevan R Polkinghorne and 4 more

Abstract readObservational Study
In one paragraph

Observational study in American journal 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Michael E ErnstDepartment of Pharmacy Practice and Science, College of Pharmacy, The University of Iowa, Iowa City, IA, United States.ORCID 0000-0003-0267-4888
Katherine L WebbSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-9380-6075
Raj C ShahDepartment of Family and Preventive Medicine and the Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, United States.ORCID 0000-0001-9706-9730
Lawrence BeilinMedical School Royal Perth Hospital, University of Western Australia, Perth, WA, Australia.
Alice OwenSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-4807-6069
Suzanne G OrchardSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Michelle A FravelDepartment of Pharmacy Practice and Science, College of Pharmacy, The University of Iowa, Iowa City, IA, United States.
Robyn L WoodsSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0003-1249-6149
Mark R NelsonMenzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia.
Kevan R PolkinghorneSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Nigel StocksDiscipline of General Practice, Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.
Rory WolfeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-2126-1045
Jordana B CohenRenal-Electrolyte and Hypertension Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.ORCID 0000-0003-4649-079X
Christopher M ReidSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0001-9173-3944

Funding

ASPirin in Reducing Events in the ElderlyU01AG029824 · NIA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI MCNEIL, JOHN JAMES, MURRAY, ANNE M · 2009 to 2018
$64.6M
Main Administrative CoreU19AG062682 · NIA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI CHAN, ANDREW T, MCNEIL, JOHN JAMES · 2019 to 2023
$42.9M
Monash UniversityNational Health and Medical Research Council of Australia 1127060National Health and Medical Research Council of Australia 334037NCINCI NIH HHSNIANIA NIH HHS U01 AG029824NIA NIH HHS U19 AG062682NIH HHS U01AG029824The ASPirin in Reducing Events in the ElderlyVictorian Cancer Agency U19AG062682
6 · The paper itself

Abstract

backgroundBP time in target range (TTR) predicts cardiovascular disease (CVD) in high-risk populations; however, TTR's predictive utility in older adults without prior CVD is uncertain.

methodsWe performed a post hoc analysis of the ASPirin in Reducing Events in the Elderly trial and its observational follow-up. SBP TTR for <140 and <130 mm Hg was estimated for each participant using BPs from the first 3 visits. Participants with 0% or 100% TTR were categorized separately, and remaining participants grouped into tertiles using linear interpolation to estimate TTR. Cox proportional hazards models evaluated associations between TTR and adjudicated incident CVD and major adverse cardiovascular events (MACE) after the TTR estimation period, with 0% TTR as reference.

resultsAmong 16,730 predominantly White Australian adults (mean age, 74 years) followed for a mean of 7.7 years after TTR estimation, 100% TTR <140 mm Hg had reduced risk of CVD (HR, 0.81; 95% CI, 0.68-0.96; P = .01), while 100% TTR <130 mm Hg had reduced risks of CVD (HR, 0.82; 95% CI, 0.67-0.99; P = .04) and MACE (HR, 0.72; 95% CI, 0.57-0.91; P < .01). Associations were strongest among women, antihypertensive users, frail/pre-frail participants, and those younger than median age. Findings were consistent after adjusting for competing risk of non-CVD death, when the TTR estimation period was extended an additional year, and when estimated using proportion of individual visit BPs at target.

conclusionsLonger SBP TTR was associated with reduced risk of cardiovascular events in older adults, underscoring the importance of sustained BP control with aging.

Indexed as

Antihypertensive AgentsBlood PressureCardiovascular DiseasesHypertensionAgedAged, 80 and overAge FactorsAspirinAustraliaFemaleHumansIncidenceMaleRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsAntihypertensive AgentsAspirinblood pressurecardiovascular eventshypertensionolder adultssystolic blood pressuretime in target

Identifiers

PMID42390117
PMCPMC13579045

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.