Evidence map›Paper›PMID 39973071›Full record

ArticleObesity (Silver Spring, Md.)2025

Associations between obesity class and ambulatory blood pressure curves in African American women.

Raphiel J Murden, Nicole D Fields, Zachary T Martin, Benjamin B Risk, Alvaro Alonso, Amita Manatunga, Christy L Erving, Reneé Moore, Shivika Udaipuria, Arshed Quyyumi and 2 more

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Association ofGenes · 2026
    Article
  2. Perirenal Fat and Disrupted Circadian Blood Pressure Patterns.Journal of clinical hypertension (Greenwich, Conn.) · 2026
    Article
  3. 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

12 authors.

Raphiel J MurdenDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-6396-9105
Nicole D FieldsDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Zachary T MartinDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Benjamin B RiskDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Alvaro AlonsoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Amita ManatungaDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Christy L ErvingDepartment of Sociology, Population Research Center, University of Texas, Austin, Texas, USA.
Reneé MooreDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.
Shivika UdaipuriaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Arshed QuyyumiDepartment of Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA.
Viola VaccarinoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Tené T LewisDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.

Funding

Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
Psychosocial Stress Due to COVID-19 and Vascular Aging in African-American WomenR01HL158141 · NHLBI · EMORY UNIVERSITY · PI LEWIS, TENÉ T · 2021 to 2024
$3.9M
Expectations of Discrimination and CVD Risk in Africian-American WomenR01HL130471 · NHLBI · EMORY UNIVERSITY · PI LEWIS, TENÉ T · 2016 to 2019
$3.7M
Mentoring and Patient-Oriented Research on Social Exposures and CVD Risk in Underrepresented WomenK24HL163696 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis · 2022 to 2026
$619k
NHLBI NIH HHS K24 HL163696NHLBI NIH HHS K24HL163696NHLBI NIH HHS R01 HL130471NHLBI NIH HHS R01HL130471NHLBI NIH HHS R01 HL158141NHLBI NIH HHS R01HL158141NHLBI NIH HHS T32 HL130025NHLBI NIH HHS T32HL130025
6 · The paper itself

Abstract

objectiveStudies of body size and blood pressure (BP) in African American women typically focus on obesity overall or collapse obesity classes II and III into a single subgroup, ignoring potential heterogeneity in associations across categories. Moreover, ambulatory BP outcomes are primarily analyzed as mean daytime and/or nighttime BP, without examination of circadian changes during the day-to-night transition or the full 24-h cycle.

methodsFunctional data analysis methods were used to examine whether obesity categories modified ambulatory monitoring-assessed BP circadian rhythm in a cohort of 407 African American women.

resultsAge-adjusted systolic BP (SBP) was 4 mm Hg (95% CI: 0.4-8.4) higher among women with class I or II obesity than those with normal weight or overweight from 12:30 p.m. through 8:00 a.m. Age-adjusted differences in SBP among women with class III obesity versus those with normal weight or overweight were 6 mm Hg (95% CI: 0.7-10.8) during daytime hours and increased to 11 mm Hg (95% CI: 5.8-16.0) overnight. Compared with all other BMI categories, SBP of women with class III obesity declined more slowly from day to night.

conclusionsCircadian BP among African American women was distinct among those with class III obesity compared with those with other body weight categories, suggesting that intervention efforts in African American women should target this group.

Indexed as

Black or African AmericanBlood PressureCircadian RhythmObesityAdultBlood Pressure Monitoring, AmbulatoryBody Mass IndexCohort StudiesFemaleHumansHypertensionMiddle AgedOverweight

Identifiers

PMID39973071
PMCPMC11897855

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.