Toward precision medicine: circadian rhythm of blood pressure and chronotherapy for hypertension - 2021 NHLBI workshop report

TY - JOUR

T1 - Toward precision medicine

T2 - circadian rhythm of blood pressure and chronotherapy for hypertension - 2021 NHLBI workshop report

AU - Gumz, Michelle L.

AU - Shimbo, Daichi

AU - Abdalla, Marwah

AU - Balijepalli, Ravi C.

AU - Benedict, Christian

AU - Chen, Yabing

AU - Earnest, David J.

AU - Gamble, Karen L.

AU - Garrison, Scott R.

AU - Gong, Ming C.

AU - Hogenesch, John B.

AU - Hong, Yuling

AU - Ivy, Jessica R.

AU - Joe, Bina

AU - Laposky, Aaron D.

AU - Liang, Mingyu

AU - MacLaughlin, Eric J.

AU - Martino, Tami A.

AU - Pollock, David M.

AU - Redline, Susan

AU - Rogers, Amy

AU - Rudic, R. Dan

AU - Schernhammer, Eva S.

AU - Stergiou, George S.

AU - St-Onge, Marie-Pierre

AU - Wang, Xiaoling

AU - Wright, Jacqueline

AU - Oh, Young S.

N1 - Copyright: © 2022 American Heart Association, Inc.

PY - 2023/3

Y1 - 2023/3

N2 - Healthy individuals exhibit blood pressure variation over a 24-hour period with higher blood pressure during wakefulness and lower blood pressure during sleep. Loss or disruption of the blood pressure circadian rhythm has been linked to adverse health outcomes, for example, cardiovascular disease, dementia, and chronic kidney disease. However, the current diagnostic and therapeutic approaches lack sufficient attention to the circadian rhythmicity of blood pressure. Sleep patterns, hormone release, eating habits, digestion, body temperature, renal and cardiovascular function, and other important host functions as well as gut microbiota exhibit circadian rhythms, and influence circadian rhythms of blood pressure. Potential benefits of nonpharmacologic interventions such as meal timing, and pharmacologic chronotherapeutic interventions, such as the bedtime administration of antihypertensive medications, have recently been suggested in some studies. However, the mechanisms underlying circadian rhythm-mediated blood pressure regulation and the efficacy of chronotherapy in hypertension remain unclear. This review summarizes the results of the National Heart, Lung, and Blood Institute workshop convened on October 27 to 29, 2021 to assess knowledge gaps and research opportunities in the study of circadian rhythm of blood pressure and chronotherapy for hypertension.

AB - Healthy individuals exhibit blood pressure variation over a 24-hour period with higher blood pressure during wakefulness and lower blood pressure during sleep. Loss or disruption of the blood pressure circadian rhythm has been linked to adverse health outcomes, for example, cardiovascular disease, dementia, and chronic kidney disease. However, the current diagnostic and therapeutic approaches lack sufficient attention to the circadian rhythmicity of blood pressure. Sleep patterns, hormone release, eating habits, digestion, body temperature, renal and cardiovascular function, and other important host functions as well as gut microbiota exhibit circadian rhythms, and influence circadian rhythms of blood pressure. Potential benefits of nonpharmacologic interventions such as meal timing, and pharmacologic chronotherapeutic interventions, such as the bedtime administration of antihypertensive medications, have recently been suggested in some studies. However, the mechanisms underlying circadian rhythm-mediated blood pressure regulation and the efficacy of chronotherapy in hypertension remain unclear. This review summarizes the results of the National Heart, Lung, and Blood Institute workshop convened on October 27 to 29, 2021 to assess knowledge gaps and research opportunities in the study of circadian rhythm of blood pressure and chronotherapy for hypertension.

KW - microbiota

KW - vasculature

KW - kidney

KW - circadian clock

KW - sleep

UR - https://www.scopus.com/pages/publications/85148250655

U2 - 10.1161/HYPERTENSIONAHA.122.19372

DO - 10.1161/HYPERTENSIONAHA.122.19372

M3 - Review article

C2 - 36448463

SN - 0194-911X

VL - 80

SP - 503

EP - 522

JO - Hypertension

JF - Hypertension

IS - 3

ER -