Key result
A model integrating GRS, BMI, ba-PWV, and 8-epi-PGF2α strongly discriminates hypertension, especially in females.
Why the study?
Genetic and metabolic factors contribute to hypertension, but integrated sex-specific models remain limited.
Does integrating genetic risk scores with clinical biomarkers improve prevalent hypertension discrimination in a sex-specific manner in Korean adults?
Does integrating genetic risk scores with clinical biomarkers improve prevalent hypertension discrimination in a sex-specific manner in Korean adults?
A sex-specific discrimination model integrating genetic risk scores and clinical biomarkers achieved high accuracy for prevalent hypertension, particularly in females (AUC 0.913).
May support sex-specific hypertension risk assessment in Koreans; extends GRS-biomarker models but should not yet change practice.
Genetic and metabolic factors contribute to hypertension, yet integrated sex-specific models remain limited. In this cross-sectional study, we developed sex-specific discrimination models for prevalent hypertension discrimination by integrating genetic risk scores (GRSs) with metabolic and vascular biomarkers. From 2075 Korean adults, the final models were evaluated using model-specific complete-case datasets (total n = 775; males n = 382; females n = 397). Blood pressure-related single-nucleotide polymorphisms (SNPs) were screened using genome-wide association analyses (p < 1 × 10−5), and selected variants were used to construct weighted GRSs. Models integrating GRSs with body mass index (BMI), brachial–ankle pulse wave velocity (ba-PWV), and urinary 8-epi-prostaglandin F2α (8-epi-PGF2α) were evaluated by multivariable logistic regression and receiver operating characteristic analysis, with 1000-bootstrap internal validation. Three SNPs formed the total-sample GRS (rs13175330, rs117559502, rs62099117; adjusted odds ratio [OR] = 3.20) and three formed the female GRS (rs13175330, rs6001482, rs62099117; adjusted OR = 2.80); no stable male-specific GRS met prespecified criteria. The final discrimination models achieved an area under the curve of 0.833 in the total sample and 0.913 in females (BMI + ba-PWV + 8-epi-PGF2α + GRS), and 0.758 in males (BMI + ba-PWV + 8-epi-PGF2α). These findings support sex-aware hypertension risk characterization and warrant external and prospective validation.
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Park et al. (2026) studied this question. In Korean adults, hypertension discrimination model with GRS plus BMI, ba-PWV, and 8-epi-PGF2α had AUC 0.913 in females and 0.758 in males.
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