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
5Exercise
downin humans2Moderate certainty
2 studies
Exercise
downin humans2Moderate certainty
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
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
Low-carbohydrate high-fat diet
downin humans1High certainty
1 study
Low-carbohydrate high-fat diet
downin humans1High certainty
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
SGLT2 inhibitors
downin humans1High certainty
1 study
SGLT2 inhibitors
downin humans1High certainty
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
Digital food-as-medicine
downin humans1Very low certainty
1 study
Digital food-as-medicine
downin humans1Very low certainty
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
Isometric exercise training
downin humans1Moderate certainty
1 study
Isometric exercise training
downin humans1Moderate certainty
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
Associations
8Stroke
upin humans1
1 study
Stroke
upin humans1
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
Renal insufficiency
upin humans1
1 study
Renal insufficiency
upin humans1
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
Cognitive function
mixedin humans1
1 study
Cognitive function
mixedin humans1
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
Subclinical myocardial injury
upin humans1
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
Background parenchymal enhancement
upin humans1
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
Coronary microvascular disease
upin humans1OR 1.02
1 study
Coronary microvascular disease
upin humans1OR 1.02
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
Electrocardiographic abnormalities
upin humans1HR 1.17
1 study
Electrocardiographic abnormalities
upin humans1HR 1.17
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
Cardiovascular mortality
upin humans1
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
34Effect of interventions for stress management on blood pressure changes in healthy adults: a systematic review and meta-analysis
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.
Risk-Treatment Discordance and Fatal Cardiovascular Disease: A Nationwide Analysis Using PREVENT Thresholds
Optimized Nutri-Dense meals versus a low-carbohydrate high-fat diet: an exploratory randomized controlled trial
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.
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.