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Chronic Pain Tied to Higher Future Hypertension Risk, Large UK Study Finds

Depression explains part of the association, with smaller effects from inflammation.

Overview

  • The study, published November 17 in Hypertension, followed 206,963 UK Biobank adults for about 13.5 years, during which nearly 10% developed high blood pressure.
  • People with widespread chronic pain had about a 75% higher risk of later hypertension compared with those reporting no pain, versus 20% for chronic localized pain and 10% for short-term pain.
  • Location mattered: chronic abdominal pain was linked to a ~43% higher risk, headaches ~22%, neck or shoulder ~19%, hip ~17% and back ~16%.
  • Depression, with minimal contribution from inflammation, accounted for roughly 11.7% of the observed link between persistent pain and subsequent hypertension.
  • Clinicians are urged to monitor blood pressure in pain care and screen for depression, while experts call for randomized trials to test pain-management approaches and medication effects, including NSAIDs.