HypertensionCohort study

Sex-specific associations between blood pressure in early midlife and arterial stiffness 27 years later: the Hordaland Health Study

Eur J Prev CardiolPublished

  • Prospective cohort study

Authors' conclusion

In the Hordaland health study, having elevated BP or hypertension in early midlife were associated with increased arterial stiffness 27 years later in women, but not in men.

Study context

Population
Women and men, mean age 42 years at baseline, Hordaland Health Study1,127 women · 938 men
Exposure
Elevated blood pressure (BP) or hypertension vs non-elevated BP in early midlife, by sex
Outcome
Increased arterial stiffness (carotid-femoral pulse wave velocity > 10 m/s)
Follow-up
27 years later

Main finding

As reported in the abstract

Increased arterial stiffness, by sex · 27 years
Each group vs non-elevated BPOdds ratio (95% CI)
Elevated BPwomen
2.78(1.74–4.42)
Hypertensionwomen
4.62(2.48–8.58)
Elevated BPmen
1.10(0.58–2.10)
Hypertensionmen
1.33(0.67–2.66)

Observational data: associations, not effects.

Further findings

Increased arterial stiffness at follow-up, by sex

P < 0.001

BP category at baseline, by sex

Elevated BP: women vs men
62% vs 67%
Hypertension: women vs men (P < 0.001)
9% vs 26%

Original publication

Sex-specific associations between blood pressure in early midlife and arterial stiffness 27 years later: the Hordaland Health Study. Eur J Prev Cardiol. Published 28 June 2025. doi:10.1093/eurjpc/zwaf379

Summarised from the published abstract; every number is checked against it