{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:13:21Z","timestamp":1791638001333,"version":"4.3.4"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"20","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,10,21]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">The inverse association between blood pressure (BP) and ambient temperature is known, but evidence on personal\u2010level environmental temperature (PET) and ambulatory BP among patients with hypertension remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">This 3\u2010phase panel study recruited 277 patients with hypertension with intermediate\u2010to\u2010high cardiovascular disease risk in 4 cities in China from November 2017 to August 2019. Continuous PET and ambulatory BP were recorded by personal portable monitors. We used generalized linear mixed\u2010effect models to explore the associations of 24\u2010hour daytime and nighttime ambulatory BP, BP variability, and circadian rhythm with PET. Generalized additive mixed models were used to fit the exposure\u2013response curves. Subgroup analyses were stratified by BP control status, body mass index, age, and sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      An acute, inverse, and near\u2010linear association of PET with ambulatory BP, especially daytime systolic BP, were observed, with a 0.61 (95% CI, 0.48\u20130.75) mm\u2009Hg increase per 1 \u00b0C decrease of PET on the concurrent day. BP variability was linearly correlated with PET decline across all exposure windows. Circadian indicators, including morning BP, morning BP surge, and nocturnal BP decline, were also significantly associated with PET. Stronger associations were found among women and those with uncontrolled BP. Particularly, per 1 \u00b0C decline in PET on the concurrent day resulted in elevated daytime systolic BP of 0.98 (95% CI, 0.67\u20131.29) mm\u2009Hg, 0.43 (95% CI, 0.30\u20130.56) mm\u2009Hg among those with uncontrolled and controlled BP, respectively (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      for interaction=0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">A decrease in short\u2010term PET exposure could lead to adverse impacts on ambulatory BP indicators. This study highlights the beneficial role of BP control in response to temperature decline in hypertension management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.045295","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T03:15:48Z","timestamp":1761102948000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Short\u2010Term Effects of Personal\u2010Level Environmental Temperature on Ambulatory Blood Pressure in Patients With Hypertension: A Multicity Panel Study"],"prefix":"10.1161","volume":"14","author":[{"given":"Hanrui","family":"Liu","sequence":"first","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3602-7881","authenticated-orcid":false,"given":"Zhennan","family":"Lin","sequence":"additional","affiliation":[{"name":"Fuzhou University Affiliated Provincial Hospital","place":["Fuzhou, China"]},{"name":"Fujian Provincial Clinical Research Center for Severe Acute Cardiovascular Diseases","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueli","family":"Yang","sequence":"additional","affiliation":[{"name":"Tianjin Medical University","place":["Tianjin, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Cao","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9166-642X","authenticated-orcid":false,"given":"Jianxin","family":"Li","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keyong","family":"Huang","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0825-0747","authenticated-orcid":false,"given":"Shufeng","family":"Chen","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4088-2338","authenticated-orcid":false,"given":"Xiangfeng","family":"Lu","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2781-7825","authenticated-orcid":false,"given":"Dongfeng","family":"Gu","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]},{"name":"Southern University of Science and Technology","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6316-4481","authenticated-orcid":false,"given":"Fangchao","family":"Liu","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1889-7907","authenticated-orcid":false,"given":"Jianfeng","family":"Huang","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]},{"name":"Chinese Academy of Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","unstructured":"Global Burden of Disease Collaborative Network . 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