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June 3, 2026Journal of Hypertension

Association Between Short-Term Blood Pressure Variability and Arterial Stiffness in a Prehypertensive Population

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Why the study?

Short-term blood pressure variability is a potential indicator of cardiovascular risk, but its association with arterial stiffness in individuals with prehypertension remains unclear.

Does short-term blood pressure variability associate with arterial stiffness in a prehypertensive population?

Population

8,504 residents aged 35-80 years with office BP 120-139/80-89 mm Hg

Comparison

Short-term systolic BP variability indices derived from 24-hour ABPM

Design

Community-based prospective cohort study

Key result

Short-term daytime systolic blood pressure variability was independently associated with arterial stiffness in prehypertension (OR per unit increase in SD 1.02; 95% CI 1.01-1.04; P<0.05).

Authors

MLMengmeng LiuZLZhiwei LiTWTingting Wang

Discussion

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Overview

Does not yet support routine BP variability monitoring in prehypertension; extends observational links to arterial stiffness.

Key Points

  • Assess the link between short-term blood pressure variability and arterial stiffness in a prehypertensive population.
  • Community-based prospective cohort study with participants aged 35-80 years
  • Used 24-hour ambulatory blood pressure monitoring to calculate systolic BP variability indices
  • Evaluated arterial stiffness via brachial–ankle pulse wave velocity.
  • Among 8,504 participants, 7,465 (87.8%) showed arterial stiffness.
  • Daytime systolic BP variability positively correlates with arterial stiffness (adjusted OR for SD: 1.02 [95% CI: 1.01–1.04]).
  • Stronger associations noted in men and individuals under 60 years (adjusted OR for SD: 1.03 [95% CI: 1.01–1.06]).

Study Design

Type

Cohort (n=8,504)

Structured PICO

Does short-term blood pressure variability associate with arterial stiffness in a prehypertensive population?

P
Population
8,504 residents aged 35-80 years with prehypertension (office BP 120-139/80-89 mm Hg) evaluated for arterial stiffness.
E
Exposure
Short-term systolic blood pressure variability indices (SD, CV, ARV, VIM) derived from 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
O
Outcome
Arterial stiffness defined as brachial-ankle pulse wave velocity (baPWV) ≥ 1800 cm/s.surrogate

Main Result

Odds Ratio: 1.02 (95% CI 1.01–1.04)

p-value: p=<0.05

Short-term daytime systolic blood pressure variability is independently associated with arterial stiffness in prehypertensive individuals, suggesting its potential utility for early vascular risk stratification.

Cite This Study

Liu et al. (2026) conducted a cohort in Prehypertension (n=8,504). Short-term daytime systolic blood pressure variability was evaluated on Arterial stiffness (baPWV ≥ 1800 cm/s) (OR 1.02, 95% CI 1.01-1.04, p=<0.05). Short-term daytime systolic blood pressure variability was independently associated with arterial stiffness in prehypertension (OR per unit increase in SD 1.02; 95% CI 1.01-1.04; P<0.05).

synapsesocial.com/papers/6a1fc550dee9eb8c0dce6baahttps://doi.org/10.1097/01.hjh.0001197324.90802.b8
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