Evidence map›Paper›PMID 42052971›Full record

ArticleJournal of the American Heart Association2026

Incident Hypertension in Young Adults With a Mild Estimated Glomerular Filtration Rate Reduction.

Sumaiya Ahmed, Junayd Hussain, Nicholas Grubic, Ayub Akbari, Pietro Ravani, Peter Tanuseputro, Gregory L Hundemer, Tim Ramsay, Navdeep Tangri, Ann Bugeja and 6 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 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

16 authors.

Sumaiya AhmedDivision of Nephrology, Department of Medicine The Ottawa Hospital Ottawa ON Canada.ORCID 0000-0001-5622-2700
Junayd HussainSchool of Epidemiology and Public Health University of Ottawa Ottawa ON Canada.ORCID 0000-0001-6300-869X
Nicholas GrubicInstitute of Clinical Evaluative Sciences Ottawa ON Canada.ORCID 0000-0002-6915-7669
Ayub AkbariDivision of Nephrology, Department of Medicine The Ottawa Hospital Ottawa ON Canada.ORCID 0000-0002-1388-9799
Pietro RavaniDepartment of Medicine, University of Calgary Calgary AB Canada.
Peter TanuseputroDepartment of Family Medicine and Primary Care The University of Hong Kong Hong Kong China.ORCID 0000-0002-4409-0795
Gregory L HundemerDivision of Nephrology, Department of Medicine The Ottawa Hospital Ottawa ON Canada.ORCID 0000-0003-3559-3531
Tim RamsayDivision of Nephrology, Department of Medicine The Ottawa Hospital Ottawa ON Canada.ORCID 0000-0001-8478-8170
Navdeep TangriDivision of Nephrology Max Rady College of Medicine, University of Manitoba Winnipeg MB Canada.ORCID 0000-0002-5075-6370
Ann BugejaDivision of Nephrology, Department of Medicine The Ottawa Hospital Ottawa ON Canada.ORCID 0000-0002-4106-0451
Gregory A KnollDivision of Nephrology, Department of Medicine The Ottawa Hospital Ottawa ON Canada.
Douglas ManeulSchool of Epidemiology and Public Health University of Ottawa Ottawa ON Canada.ORCID 0000-0003-0912-0845
Maneesh SudSchulich Heart Program Sunnybrook Health Sciences Centre Toronto ON Canada.ORCID 0000-0003-1936-5133
Shan DhaliwalInstitute of Clinical Evaluative Sciences Ottawa ON Canada.
Rahul ChanchlaniDivision of Pediatric Nephrology, Department of Pediatrics McMaster Children's Hospital Hamilton ON Canada.ORCID 0000-0001-9366-3118
Manish M SoodDivision of Nephrology, Department of Medicine The Ottawa Hospital Ottawa ON Canada.ORCID 0000-0002-9146-2344

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension is a common, modifiable risk factor for cardiovascular disease with an increasing occurrence in young adults. We examined the association of lower-than-normal kidney function with

methodsWe conducted a historical cohort study of 7.8 million individuals (3.7 million aged 18-39 years) using linked provincial health care data sets from Ontario, Canada, between 2008 and 2021. Cox models were used to examine the association of categorized estimated glomerular filtration rate (eGFR) (60-100 mL/min per 1.73 m

resultsAmong our cohort (mean age, 40.4 years; mean eGFR, 104.9 mL/min), a total of 170 905 (4.6%) individuals developed hypertension among young adults, compared with 279 937 (15.3%) in those aged 40 to 49 years and 588 195 (25.2%) in those aged 50 to 65 years. The adjusted rates of hypertension increased with an eGFR of <100 mL/min, increasing step wise as eGFR declined, and occurred at a higher relative eGFR in young adults compared with older age groups. Among young adults who developed hypertension, cardiovascular events were 6- to 10-fold more common and were more likely with minor eGFR reductions.

conclusionsMinor reductions in eGFR in younger adults are associated with new-onset hypertension and a higher risk of cardiovascular consequences, suggesting early identification, monitoring, and management may be beneficial.

Indexed as

Glomerular Filtration RateHypertensionAdolescentAdultAgedAge FactorsFemaleHumansIncidenceMaleMiddle AgedOntarioRisk AssessmentRisk FactorsYoung Adultcardiovascular diseasechronicepidemiologyhypertensionkidney failureprevention

Identifiers

PMID42052971
PMCPMC13279460

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.