Evidence map›Paper›PMID 41191649›Full record

ArticleAmerican journal of hypertension2026

Sex Differences in Blood Pressure and Cardiovascular Disease in the UK Biobank: A Prospective Cohort Study.

Rebecca K Kelly, Katie Harris, Cheryl Carcel, Paul Muntner, Mark Woodward

Abstract readComparative Study
In one paragraph

Article in American journal of hypertension, 2026. 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. Article
  2. Article
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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

5 authors.

Rebecca K KellyThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-7409-8520
Katie HarrisThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-2444-2869
Cheryl CarcelThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-8942-953X
Paul MuntnerDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, United States.
Mark WoodwardThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-9800-5296

Funding

Australian National Health and Medical Research Council Investigator APP2009726
6 · The paper itself

Abstract

backgroundRecent studies show that cardiovascular disease (CVD) risk increases from a lower nadir of systolic blood pressure (SBP) in women than men, and increases thereafter at a greater rate. This has led to a suggestion that sex-based SBP thresholds are required. We investigated sex differences in the associations of SBP and incident atherosclerotic CVD.

methodsThis prospective study included 420,649 UK Biobank participants with no prior history of CVD. Age-adjusted sex-specific risks, relative risks (RRs), and risk differences (RDs) relating SBP to CVD were estimated using Poisson and Cox regression.

resultsOver 13.6 years of follow-up, there were 28,628 CVD events. CVD risks across BP levels showed a "J-shape," and were higher in men than women at all BP levels. The lowest risks were at SBP 100-<105 mmHg (events per 10,000 person-years [95% CI]: 15.6 [11.8-19.4]) and 110-<115 (47.2 [41.4-53.0]) among women and men, respectively. Compared with SBP 100-<110, sex-specific RRs at above 120 were higher in women than men, but RDs were higher in men than women at all levels of SBP. Compared to men at 110-<115 (ie, the men with least risk), risks in women were lower at all levels of SBP below 170.

conclusionsCVD risk is lowest for women at a slightly lower SBP than men and RRs for CVD increase with SBP at a slightly steeper rate in women. However, both risks and RDs in women are never greater than in men. This evidence does not support lower thresholds for diagnosis of hypertension in women.

Indexed as

Blood PressureCardiovascular DiseasesHealth Status DisparitiesHypertensionAdultAgedBiological Specimen BanksFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRisk AssessmentRisk FactorsSex Factorsblood pressurecoronary heart diseasehypertensionsex differencesstroke

Identifiers

PMID41191649
PMCPMC12802948

What Socratic holds

Textmetadata
LicenceCC BY
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.