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      Mobile phone calls, genetic susceptibility, and new-onset hypertension: results from 212 046 UK Biobank participants

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          Abstract

          Aims

          The relationship between mobile phone use for making or receiving calls and hypertension risk remains uncertain. We aimed to examine the associations of mobile phone use for making or receiving calls and the use frequency with new-onset hypertension in the general population, using data from the UK Biobank.

          Methods and results

          A total of 212 046 participants without prior hypertension in the UK Biobank were included. Participants who have been using a mobile phone at least once per week to make or receive calls were defined as mobile phone users. The primary outcome was new-onset hypertension. During a median follow-up of 12.0 years, 13 984 participants developed new-onset hypertension. Compared with mobile phone non-users, a significantly higher risk of new-onset hypertension was found in mobile phone users [hazards ratio (HR), 1.07; 95% confidence interval (CI): 1.01–1.12]. Among mobile phone users, compared with those with a weekly usage time of mobile phones for making or receiving calls <5 mins, significantly higher risks of new-onset hypertension were found in participants with a weekly usage time of 30–59 mins (HR, 1.08; 95%CI: 1.01–1.16), 1–3 h (HR, 1.13; 95%CI: 1.06–1.22), 4–6 h (HR, 1.16; 95%CI: 1.04–1.29), and >6 h (HR, 1.25; 95%CI: 1.13–1.39) ( P for trend <0.001). Moreover, participants with both high genetic risks of hypertension and longer weekly usage time of mobile phones making or receiving calls had the highest risk of new-onset hypertension.

          Conclusions

          Mobile phone use for making or receiving calls was significantly associated with a higher risk of new-onset hypertension, especially among high-frequency users.

          Graphical Abstract

          Graphical Abstract

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          Most cited references37

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          A new equation to estimate glomerular filtration rate.

          Equations to estimate glomerular filtration rate (GFR) are routinely used to assess kidney function. Current equations have limited precision and systematically underestimate measured GFR at higher values. To develop a new estimating equation for GFR: the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. Cross-sectional analysis with separate pooled data sets for equation development and validation and a representative sample of the U.S. population for prevalence estimates. Research studies and clinical populations ("studies") with measured GFR and NHANES (National Health and Nutrition Examination Survey), 1999 to 2006. 8254 participants in 10 studies (equation development data set) and 3896 participants in 16 studies (validation data set). Prevalence estimates were based on 16,032 participants in NHANES. GFR, measured as the clearance of exogenous filtration markers (iothalamate in the development data set; iothalamate and other markers in the validation data set), and linear regression to estimate the logarithm of measured GFR from standardized creatinine levels, sex, race, and age. In the validation data set, the CKD-EPI equation performed better than the Modification of Diet in Renal Disease Study equation, especially at higher GFR (P < 0.001 for all subsequent comparisons), with less bias (median difference between measured and estimated GFR, 2.5 vs. 5.5 mL/min per 1.73 m(2)), improved precision (interquartile range [IQR] of the differences, 16.6 vs. 18.3 mL/min per 1.73 m(2)), and greater accuracy (percentage of estimated GFR within 30% of measured GFR, 84.1% vs. 80.6%). In NHANES, the median estimated GFR was 94.5 mL/min per 1.73 m(2) (IQR, 79.7 to 108.1) vs. 85.0 (IQR, 72.9 to 98.5) mL/min per 1.73 m(2), and the prevalence of chronic kidney disease was 11.5% (95% CI, 10.6% to 12.4%) versus 13.1% (CI, 12.1% to 14.0%). The sample contained a limited number of elderly people and racial and ethnic minorities with measured GFR. The CKD-EPI creatinine equation is more accurate than the Modification of Diet in Renal Disease Study equation and could replace it for routine clinical use. National Institute of Diabetes and Digestive and Kidney Diseases.
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            UK Biobank: An Open Access Resource for Identifying the Causes of a Wide Range of Complex Diseases of Middle and Old Age

            Cathie Sudlow and colleagues describe the UK Biobank, a large population-based prospective study, established to allow investigation of the genetic and non-genetic determinants of the diseases of middle and old age.
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              The UK Biobank resource with deep phenotyping and genomic data

              The UK Biobank project is a prospective cohort study with deep genetic and phenotypic data collected on approximately 500,000 individuals from across the United Kingdom, aged between 40 and 69 at recruitment. The open resource is unique in its size and scope. A rich variety of phenotypic and health-related information is available on each participant, including biological measurements, lifestyle indicators, biomarkers in blood and urine, and imaging of the body and brain. Follow-up information is provided by linking health and medical records. Genome-wide genotype data have been collected on all participants, providing many opportunities for the discovery of new genetic associations and the genetic bases of complex traits. Here we describe the centralized analysis of the genetic data, including genotype quality, properties of population structure and relatedness of the genetic data, and efficient phasing and genotype imputation that increases the number of testable variants to around 96 million. Classical allelic variation at 11 human leukocyte antigen genes was imputed, resulting in the recovery of signals with known associations between human leukocyte antigen alleles and many diseases.
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                Author and article information

                Contributors
                Journal
                Eur Heart J Digit Health
                Eur Heart J Digit Health
                ehjdh
                European Heart Journal. Digital Health
                Oxford University Press (US )
                2634-3916
                May 2023
                04 May 2023
                04 May 2023
                : 4
                : 3
                : 165-174
                Affiliations
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Division of Nephrology, Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue , Baiyun District, Guangzhou, China
                National Clinical Research Center for Kidney Disease , Guangzhou, China
                State Key Laboratory of Organ Failure Research, Guangdong Provincial Institute of Nephrology , Guangzhou, China
                Guangdong Provincial Key Laboratory of Renal Failure Research , Guangzhou, China
                Author notes
                Corresponding author. Tel: +86 20 61641591, Fax. +86 20 87281713, Email: pharmaqin@ 123456126.com

                Ziliang Ye and Yanjun Zhang contribute equally to the manuscript.

                Conflict of interest: None declared.

                Author information
                https://orcid.org/0000-0001-7812-7982
                Article
                ztad024
                10.1093/ehjdh/ztad024
                10232238
                37265874
                3e6e1116-1b1e-4a03-8d71-1a7382ca77a1
                © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                : 21 November 2022
                : 16 March 2023
                : 28 March 2023
                : 04 May 2023
                Page count
                Pages: 10
                Funding
                Funded by: National Key Research and Development Program, DOI 10.13039/501100012166;
                Award ID: 2022YFC2009600
                Award ID: 2022YFC2009605
                Funded by: National Natural Science Foundation of China, DOI 10.13039/501100001809;
                Award ID: 81973133
                Award ID: 81730019
                Categories
                Original Article
                AcademicSubjects/MED00200
                Editor's Choice
                Eurheartj/30

                mobile phone calls,usage time,new-onset hypertension,genetic risk of hypertension,uk biobank

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