Higher blood pressure is linked to larger brain structures
In an analysis of 1,012 participants, higher blood pressure was linked to larger deep brain volumes compared with blood pressure below 120/80 millimetres of mercury.
Journal of Evidence-based Medicine
Researchers analysed 1,012 participants from a multicentre cohort study in China to evaluate how blood pressure relates to the volume of deep brain structures. Compared with people whose blood pressure was below 120/80 millimetres of mercury, participants with higher readings had larger volumes of subcortical gray matter, including the caudate, putamen, and pallidum. In a separate Mendelian randomisation analysis using genetic data, genetically predicted hypertension was also linked to larger volumes in these same brain regions. A further analysis indicated that this relationship was mediated by enlarged perivascular spaces in the basal ganglia, which are fluid-filled channels that reflect impaired waste clearance in the brain.
Why it matters
Blood pressure and brain structure often alter as people age. Clarifying how elevated blood pressure relates to subcortical gray matter may help researchers understand the mechanisms linking cardiovascular function to brain health.
Caveats
The observational findings cannot show that high blood pressure caused the brain differences, and the cohort was limited to participants in China. Genetic analyses reflect lifelong predispositions, which may not capture the effects of blood pressure changes or treatments later in life.
The paper
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Xinyu Zhao, Pengfei Zhao, Zhenghan Yang, Shuohua Chen, Shouling Wu, Ying Hui, Zhenchang Wang,Beijing Friendship Hospital
Journal of Evidence-based Medicine · 8 Oct 2026
