Systolic blood pressure

Biomarker19 papers14 findings

In human cohorts, higher systolic blood pressure is associated with increased risks of stroke, cardiovascular mortality, renal insufficiency, and myocardial or vascular injury. Human trials show exercise and dietary interventions reduce it, while reviews link SGLT2 inhibitors to reductions.

  • Human trial5
  • Humans13

Interventions

5

Exercise

downin humans2Moderate certainty

2 studies
  1. Exercise decreases systolic blood pressure in humans (-4.6 mmHg (95% CI: 2.36-6.84)).

    Human trial12 weeks

    Workplace-embedded exercise-snack to interrupt sedentary work: A 12-week randomized trial on blood pressure and perceived stress with implementation implications · Acta psychologica · 29 Sep 2026

  2. Exercise decreases systolic blood pressure in humans (adjusted mean difference -7.2 mmHg, 95% CI -10.5 to -3.9).

    Human trial12 weeksfemalesn = 46

    Baguazhang lowers systolic blood pressure in postmenopausal women · Frontiers in physiology · 18 Sep 2026

Exercise →

Low-carbohydrate high-fat diet

downin humans1High certainty

1 study
  1. Low-carbohydrate high-fat diet decreases systolic blood pressure in humans.

    “SBP in the LCHF Opti group”

    Human trial4 weeks

    Optimized Nutri-Dense meals versus a low-carbohydrate high-fat diet: an exploratory randomized controlled trial · Scientific reports · 3 Oct 2026

Low-carbohydrate high-fat diet →

SGLT2 inhibitors

downin humans1High certainty

1 study
  1. SGLT2 inhibitors decrease systolic blood pressure in humans (MD = -2.98 mm Hg, 95% CI: -3.44 to -2.52).

    Reviewin patients with diabetic CKD

    Renoprotective effects and safety of sodium-glucose cotransporter 2 inhibitors in diabetic chronic kidney disease: A systematic review and meta-analysis · Medicine · 2 Oct 2026

SGLT2 inhibitors →

Digital food-as-medicine

downin humans1Very low certainty

1 study
  1. Digital food-as-medicine decreases systolic blood pressure in humans (−3.33 mmHg (95% CI −6.40 to −0.26)).

    HumansStage-1 baseline blood pressure6 monthsn = 34

    Blood Pressure Reduction in Multiomic Digital Food-as-Medicine: a single-arm cohort study with a regression-to-the-mean-adjusted estimand · medRxiv · 1 Oct 2026 · Preprint

Digital food-as-medicine →

Isometric exercise training

downin humans1Moderate certainty

1 study
  1. Isometric exercise training decreases systolic blood pressure in humans (-9.45±6.69 mm Hg).

    Human trialcompared with control4 weeks

    Isometric exercise training and blood pressure control: exploring the dose-response to training frequency in a randomised controlled trial · BMJ open sport & exercise medicine · 29 Sep 2026

Isometric exercise training →

Associations

8

Stroke

upin humans1

1 study
  1. Systolic blood pressure raises the risk of stroke in humans (SHR 1.37, 95% CI 1.26-1.48).

    Humansper 1 SD

    Triangulating population, individual, and genetic evidence for priority setting in structurally heterogeneous blocs: metabolic risk factors for stroke in the Shanghai Cooperation Organisation · medRxiv · 1 Oct 2026 · Preprint

Stroke →

Renal insufficiency

upin humans1

1 study
  1. Systolic blood pressure raises the risk of renal insufficiency in humans (AOR: 1.052; 95% CI: 1.005-1.101).

    Humansolder adults living with HIV on antiretroviral therapyn = 318

    Prevalence and incidence of non-communicable diseases among older adults living with HIV on antiretroviral therapy in Northern Haiti: A retrospective cohort study · PLOS global public health · 1 Oct 2026

Renal insufficiency →

Cognitive function

mixedin humans1

1 study
  1. Systolic blood pressure is associated with cognitive function in humans (peak at 120.1 mmHg).

    Humansoverall cohort

    Age and frailty shift optimal blood pressure for cognitive aging · Journal of Alzheimer's disease : JAD · 29 Sep 2026

Subclinical myocardial injury

upin humans1

1 study
  1. Systolic blood pressure is associated with subclinical myocardial injury in humans (adjusted odds ratio: 1.13 per mmHg increase, 95% confidence interval: 1.05-1.24).

    “higher systolic blood pressure was independently associated with biochemical evidence suggestive of subclinical myocardial injury after adjusting for demographic, metabolic, and cardiovascular risk factors”

    Humansin adults with prediabetes

    Evaluation of biochemical evidence suggestive of subclinical myocardial injury using high-sensitivity cardiac troponin T in patients with prediabetes: a cross-sectional study · PeerJ · 24 Sep 2026

Background parenchymal enhancement

upin humans1

1 study
  1. Background parenchymal enhancement is associated with systolic blood pressure in humans.

    “Conversely, BPE correlates with systolic blood pressure (SBP), reflecting vascular tone and perfusion.”

    Humans

    Decoupling Structural and Vascular Biomarkers in Contrast-Enhanced Mammography: A Methodological Synthesis and Perspective · Diagnostics (Basel, Switzerland) · 17 Sep 2026

Background parenchymal enhancement →

Coronary microvascular disease

upin humans1OR 1.02

1 study
  1. Systolic blood pressure raises the risk of coronary microvascular disease in humans (OR 1.02, 95% CI 1.00-1.03).

    Humanshigh-altitude training (3,000-3,500 m)n = 1,175

    Correlation between calcium levels and coronary microvascular disease in high-altitude environments: nested case-control study · Frontiers in cardiovascular medicine · 16 Sep 2026

Coronary microvascular disease →

Electrocardiographic abnormalities

upin humans1HR 1.17

1 study
  1. Systolic blood pressure raises the risk of electrocardiographic abnormalities in humans (HR 1.17 (95% CI: 1.04-1.31)).

    “Cox regression showed HRs of 1.17 (95% CI: 1.04-1.31) for the persisting high SBP trajectory”

    Humans4-year follow-upn = 2,561

    Trajectories of blood pressure measures and the incidence of electrocardiographic abnormalities: a worker-based cohort study · Frontiers in public health · 10 Sep 2026

Cardiovascular mortality

upin humans1

1 study
  1. Systolic blood pressure is associated with cardiovascular mortality in humans.

    Humansin adults without baseline CVD

    Risk-Treatment Discordance and Fatal Cardiovascular Disease: A Nationwide Analysis Using PREVENT Thresholds · American journal of preventive cardiology · 20 Jun 2026

Latest

Nov 2025: 0Dec 2025: 0Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 1Jul 2026: 1Aug 2026: 1Sep 2026: 23Oct 2026: 834
Frontiers in PhysiologyHuman trial

Baguazhang lowers systolic blood pressure in postmenopausal women

In a randomized trial, 12 weeks of the mind-body exercise lowered systolic blood pressure by 7.2 mmHg compared with habitual lifestyle.In a randomized trial, 12 weeks of the mind-body exercise lowered systolic blood pressure by 7.2 mmHg compared with habitual lifestyle.

BMJ Public HealthHumans

Over half of hypertension in English adults is undetected

In a study of 1.4 million adults in England, 37.2% had hypertension, 58.8% were undetected, and 50.2% of treated individuals lacked blood pressure…In a study of 1.4 million adults in England, 37.2% had hypertension, 58.8% were undetected, and 50.2% of treated individuals lacked blood pressure control.

BMC Public HealthHumans

Hobbies link to lower hypertension risk in older adults

Hobby engagement was associated with lower hypertension risk in Chinese (HR = 0.84) and American (HR = 0.86) cohorts aged 50 and older.Hobby engagement was associated with lower hypertension risk in Chinese (HR = 0.84) and American (HR = 0.86) cohorts aged 50 and older.