Cardiometabolic Renal Health Profile, Intensive Blood Pressure‐Lowering Treatment and Cognitive Dysfunction: A Post Hoc Analysis of the SPRINT Trial

Diabetes Obes MetabPublished Post hoc analysis of the SPRINT randomised trial

Authors' conclusion

Intensive BP-lowering treatment tended to be associated with greater absolute risk reductions for MCI among participants with favourable cardiometabolic renal health profiles.

Study context

Population
SPRINT participants with complete baseline profile data (FPG, non-HDL cholesterol, eGFR, urine albumin-to-creatinine ratio, subclinical and clinical CVD history); mean age 67.8 years, 35.2% women
Participants
8,162 participants
Comparison
Intensive vs standard blood pressure (BP)-lowering treatment, by cardiometabolic renal health profile tertile
Primary endpoint
Cognitive outcomes: probable dementia, mild cognitive impairment (MCI) and a composite of the two
Methodological detailsexploratory tertile-based analyses
  • Exploratory tertile-based analyses

Primary result

As reported in the abstract

MCI, intensive BP-lowering treatment in favourable profile
FavourableAdjusted hazard ratio (95% CI)
Intensivevs standard BP-lowering treatment
0.64(0.48–0.86)
FavourableAdjusted ARD, % (95% CI)P value
Largest absolute risk difference; interaction on the ARD scale
−3.05(−4.85% to −1.24%)
P = 0.039for interaction

Safety

No interaction was observed for adverse events

Original publication

Cardiometabolic Renal Health Profile, Intensive Blood Pressure‐Lowering Treatment and Cognitive Dysfunction: A Post Hoc Analysis of the SPRINT Trial. Diabetes Obes Metab. Published 12 August 2026. doi:10.1111/dom.71217

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