Evidence mapPaperPMID 35275539Full record

ArticleJournal of Alzheimer's disease : JAD2022

Cerebrovascular Function, Vascular Risk, and Lifestyle Patterns in Resistant Hypertension.

Patrick J Smith, Andrew Sherwood, Alan L Hinderliter, Stephanie Mabe, Crystal Tyson, Forgive Avorgbedor, Lana L Watkins, Pao-Hwa Lin, William E Kraus, James A Blumenthal

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 44% of its field
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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Clinical predictors of resilience following total knee arthroplasty: the PRIME-KNEE study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  3. Effect of the duration of hypertension on white matter structure and its link with cognition.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  4. Article
  5. Review
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

10 authors at 5 institutions in 1 country.

Patrick J SmithDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Andrew SherwoodDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Alan L HinderliterDepartment of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Stephanie MabeDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Crystal TysonDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Forgive AvorgbedorSchool of Nursing, The University of North Carolina at Greensboro, NC, USA.
Lana L WatkinsDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Pao-Hwa LinDepartment of Medicine and Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, NC, USA.
William E KrausDepartment of Medicine and Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, NC, USA.
James A BlumenthalDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USDuke University Hospital · USDuke University · USUniversity of North Carolina at Chapel Hill · USUniversity of North Carolina at Greensboro · US

Funding

NHLBI NIH HHS R01 HL122836NHLBI NIH HHS R01 HL130237
6 · The paper itself

Abstract

backgroundImpaired cerebrovascular reactivity (CVR) and blunted cerebral hemodynamic recruitment are thought to be important mechanisms linking hypertension to cerebrovascular and cognitive outcomes. Few studies have examined cardiovascular or dietary correlates of CVR among hypertensives.

objectiveTo delineate associations between cardiometabolic risk, diet, and cerebrovascular functioning among individuals with resistant hypertension from the TRIUMPH trial (n = 140).

methodsCVR was assessed by examining changes in tissue oxygenation (tissue oxygenation index [TOI] and oxygenated hemoglobin [HBO2]) using functional near-infrared spectroscopy (fNIRS) during a breath holding test, a standardized CVR assessment to elicit a hypercapnic response. Participants also underwent fNIRS during three cognitive challenge tasks. Vascular function was assessed by measurement of brachial artery flow-mediated dilation and hyperemic flow response. Cardiometabolic fitness was assessed from peak VO2 on an exercise treadmill test and body mass index. Dietary patterns were quantified using the DASH eating score. Cognitive function was assessed using a 45-minute test battery assessing Executive Function, Processing Speed, and Memory.

resultsGreater levels fitness (B = 0.30, p = 0.011), DASH compliance (B = 0.19, p = 0.045), and lower obesity (B = -0.30, p = 0.004), associated with greater changes in TOI, whereas greater flow-mediated dilation (B = 0.19, p = 0.031) and lower stroke risk (B = -0.19, p = 0.049) associated with greater HBO2. Similar associations were found for cerebral hemodynamic recruitment, and associations between CVR and cognition were moderated by duration of hypertension.

conclusionImpaired CVR elevated cardiometabolic risk, obesity, vascular function, and fitness among hypertensives.

Indexed as

Cerebrovascular CirculationHypertensionBreath HoldingHumansLife StyleObesityCerebrovascular reactivitycognitive functionresistant hypertensionvascular endothelial function

Identifiers

PMID35275539
PMCPMC12364520
OpenAlexW4220822942

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.