Key result
Higher ambulatory ePWV is linked to ~0.5-mL smaller hippocampal volume per SD in hypertension.
Why the study?
Inconsistent links between arterial stiffness and cognition may stem from limited cognitive testing and unaccounted diurnal pulse wave velocity variation.
Is higher 24-hour ambulatory estimated pulse wave velocity associated with dementia-related brain pathology and worse cognitive function in older adults with hypertension?
Cross-Sectional (n=893)
No
Is higher 24-hour ambulatory estimated pulse wave velocity associated with dementia-related brain pathology and worse cognitive function in older adults with hypertension?
Effect estimate: β -0.54 mL per 1-SD increment
p-value: p=<0.001
Ambulatory estimated pulse wave velocity is independently associated with brain structural markers of dementia, highlighting arterial stiffness as a potential therapeutic target to prevent cognitive decline in hypertensive patients.
Should not yet change practice; leaves open whether targeting ambulatory pulse wave velocity preserves brain structure in hypertension.
BACKGROUND: Inconsistent links between arterial stiffness and cognition may reflect limited cognitive tests and unaccounted diurnal pulse wave velocity variation. To bridge this knowledge gap, we investigated 24-hour ambulatory estimated pulse wave velocity (ePWV) and its association with dementia-related neuroimaging and cognitive function in hypertension. METHODS: We assessed 893 patients with hypertension aged ≥50 years (mean age, 67.2 years; 52.3% women), including brain magnetic resonance imaging (n=545), global cognitive testing (n=623), and ambulatory ePWV measurements. White matter hyperintensity and hippocampus were quantified via Computational Anatomy Toolbox 12 and Statistical Parametric Maps 12. Cognition was assessed via the Mini-Mental State Examination and Montreal Cognitive Assessment. RESULTS: ≥0.18). Results were consistent for daytime and nighttime ePWV and across key subgroups. CONCLUSIONS: Ambulatory ePWV is an independent risk factor for dementia-related brain pathology. Targeting arterial stiffness represents a promising strategy for dementia prevention.
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Cheng et al. (2026) conducted a cross-sectional in Hypertension (n=893). 24-hour ambulatory estimated pulse wave velocity (ePWV) vs. Lower ambulatory ePWV was evaluated on Hippocampal volume (β -0.54 mL per 1-SD increment, p=<0.001). Higher 24-hour ambulatory estimated pulse wave velocity was independently associated with a 0.54 mL smaller hippocampal volume and a 2.00 mL greater white matter hyperintensity volume per 1-SD increment in patients with hypertension.
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