Relationship between Helicobacter pylori and Incident Hypertension as well as Blood Pressure: A Systematic Review and Meta-Analysis

Microbiota: Systematic Review and Meta-Analysis

Yue L.a· Zhang R.b,c· Chen S.a· Duan G.a

Author affiliations

aDepartment of Epidemiology, College of Public Health, Zhengzhou University, Zhengzhou, China
bThe First Affiliated Hospital and International School of Public Health and One Health, Hainan Medical University, Haikou, China
cMolecular Epidemiology Group, College of Public Health, Zhengzhou University, Zhengzhou, China

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Article / Publication Details

Received: July 03, 2021
Accepted: March 14, 2022
Published online: April 04, 2022

Number of Print Pages: 14
Number of Figures: 5
Number of Tables: 4

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: https://www.karger.com/DDI

Abstract

Background: Helicobacter pylori (H. pylori) may be a risk factor for hypertension, but the reported studies have given conflicting results. This study aimed to explore the association between H. pylori infection and hypertension risk and blood pressure. Method: PubMed, Embase, Web of Science, CNKI, Weipu, and Wanfang databases were searched for articles published up to June 2, 2021. Dual-selection and data abstraction were conducted. Random-effect models were used to measure pooled estimates. All data were analyzed with Stata 14.0 SE (StataCorp, College Station, TX, USA). Results: A total of 55 studies with 198,750 individuals were included in the meta-analysis. Among them, 33 studies reported the relationship between H. pylori infection and the risk of hypertension, and 25 studies reported the association of H. pylori infection with systolic blood pressure (SBP) and diastolic blood pressure (DBP). Three studies reported both of the above. Meta-analysis showed that H. pylori infection increased the risk of hypertension by 32% (odd ratio: 1.32, 95% CI: 1.15–1.52). Compared with non-H. pylori-infection individuals, the subjects with H. pylori infection had elevated levels of SBP (WMD: 1.86, 95% CI: 1.21–2.50) and DBP (WMD: 1.12, 95% CI: 0.81–1.43). Conclusion: This meta-analysis suggested that H. pylori infection increased the risk of hypertension. This may provide a new strategy for hypertension prevention. However, the association between H. pylori infection and hypertension needs to be confirmed in further prospective cohort studies.

© 2022 S. Karger AG, Basel

References Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation. 2016;134(6):441–50. Xiong X, Chen J, He M, Wu T, Yang H. Helicobacter pylori infection and the prevalence of hypertension in Chinese adults: the Dongfeng-Tongji cohort. J Clin Hypertens. 2020;22(8):1389–95. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16(4):223–37. Wang Z, Chen Z, Zhang L, Wang X, Hao G, Zhang Z, et al. Status of hypertension in China: results from the China hypertension survey, 2012–2015. Circulation. 2018;137(22):2344–56. Vahdat K, Pourbehi MR, Ostovar A, Hadavand F, Bolkheir A, Assadi M, et al. Association of pathogen burden and hypertension: the Persian Gulf Healthy Heart Study. Am J Hypertens. 2013;26(9):1140–7. Camilo V, Sugiyama T, Touati E. Pathogenesis of Helicobacter pylori infection. Helicobacter. 2017;22(Suppl 1):e12405. Zhao Y, Li Y, Hu J, Wang X, Ren M, Lu G, et al. The effect of Helicobacter pylori eradication in patients with gastroesophageal reflux disease: a meta-analysis of randomized controlled studies. Dig Dis. 2020;38(4):261–8. Wan Z, Hu L, Hu M, Lei X, Huang Y, Lv Y. Helicobacter pylori infection and prevalence of high blood pressure among Chinese adults. J Hum Hypertens. 2018;32(2):158–64. Jiang J, Chen Y, Shi J, Song C, Zhang J, Wang K. Population attributable burden of Helicobacter pylori-related gastric cancer, coronary heart disease, and ischemic stroke in China. Eur J Clin Microbiol Infect Dis. 2017;36(2):199–212. Xu C, Yan M, Sun Y, Joo J, Wan X, Yu C, et al. Prevalence of Helicobacter pylori infection and its relation with body mass index in a Chinese population. Helicobacter. 2014;19(6):437–42. Jeon CY, Haan MN, Cheng C, Clayton ER, Mayeda ER, Miller JW, et al. Helicobacter pylori infection is associated with an increased rate of diabetes. Diabetes Care. 2012;35(3):520–5. Saijo Y, Utsugi M, Yoshioka E, Horikawa N, Sato T, Gong Y, et al. Relationship of Helicobacter pylori infection to arterial stiffness in Japanese subjects. Hypertens Res. 2005;28(4):283–92. Gunji T, Matsuhashi N, Sato H, Fujibayashi K, Okumura M, Sasabe N, et al. Helicobacter pylori infection is significantly associated with metabolic syndrome in the Japanese population. Am J Gastroenterol. 2008;103(12):3005–10. Sun J, Rangan P, Bhat SS, Liu L. A meta-analysis of the association between Helicobacter pylori infection and risk of coronary heart disease from published prospective studies. Helicobacter. 2016;21(1):11–23. Liu L, Liu Y, Tong W, Ye H, Zhang X, Cao W, et al. Pathogen burden in essential hypertension. Circ J. 2007;71(11):1761–4. Fan N, Peng L, Xia Z, Zhang L, Wang Y, Peng Y. Helicobacter pylori infection is not associated with non-alcoholic fatty liver disease: a cross-sectional study in China. Front Microbiol. 2018;9:73. Oshima T, Ozono R, Yano Y, Oishi Y, Teragawa H, Higashi Y, et al. Association of Helicobacter pylori infection with systemic inflammation and endothelial dysfunction in healthy male subjects. J Am Coll Cardiol. 2005;45(8):1219–22. Chou Y, Zhong H, Guan G, Jiao K. Correlation analysis of Helicobacter pylori infection and blood lipids, uric acid in young and middle-aged people in Shanghai. Medical Diet and Health. 2020;18(6):5–8. Li M, Luo Z, Yu S, Tang Z. Proton pump inhibitor use and risk of dementia: systematic review and meta-analysis. Medicine. 2019;98(7):e14422. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7(3):177–88. Sun C. Investigation of dietary nutrition status in patients with Helicobacter pylori infection and intervention effect of cranberry juice in Binzhou. Qingdao University. 2019. Zhao Z. Study on the status of gastric Helicobacter pylori infection in the physical examination population in Dalian. Chin J Modern Drug Application. 2020;14(09):214–6. Liang B. Prevalence and risk factors for Helicobacter pylori infection in Fuzhou based on the study of health examination. Fujian Medical University; 2018. Li H, Zhang Z, Lu R, Jiang Y, Li Y. Prevalence of Helicobacter pylori infections among physical examination population in Hangzhou area. Chin J Nosocomiol. 2016;26(9):2036–7+2040. Zou R. Clinical value of antibody typing and Helicobacter pylori antibiotics susceptibility testing for diagnosis and therapy of Helicobacter pylori. Jinan University; 2019. Dong Y, Tang X, Sun W, Feng X, Zhou C, Zheng Y. Investigation and analysis of Helicobacter pylori infection among healthy people in a community in Ningbo. Chin Foreign Med Res. 2014;12(26):80–1. Zhang L, Li N, Zou H, Cai Y, Wang B, Zhu L. Current status and influencing factors of Helicobacter pylori infection in health examination population and outpatients in Baoshan District, Shanghai. Chin J Gastroenterol. 2019;24(6):326–30. Peng Y, Zhang Y, Liao X, Li F. Investigation and analysis of Helicobacter pylori infection in physical examination population. Contemp Med. 2019;25(19):122–5. Wu J, Ying M, Cao X, Li F, Zeng Q. Prevalence of Helicobacter pylori infection in individuals undergoing health examination. Chin J Diffic and Compl Cas. 2014;13(11):1118–22. Yang B, Liu S, Wang C, Liu C, Yu J. Study on the correlations between Helicobacter pylori infection and homocysteine or metabolic syndrome. J Guangdong Med. 2020;41(4):365–9. Huai Y, Zhang G, Liu H. Relationship between Helicobacter pylori infection and primary hypertension and hypertensive heart disease. Clin J Med Offic. 2014;42(11):1113–4+1121. Wawro N, Amann U, Butt J, Meisinger C, Akmatov MK, Pessler F, et al. Helicobacter pylori seropositivity: prevalence, associations, and the impact on incident metabolic diseases/risk factors in the population-based KORA study. Front Public Health. 2019;7:96. Tang E. Investigation of Helicobacter pylori infection in cadre physical examination in Qingpu District, Shanghai. Clin Misdiag Mistherapy. 2009;22(12):5–7. Patel P, Mendall MA, Carrington D, Strachan DP, Leatham E, Molineaux N, et al. Association of Helicobacter pylori and Chlamydia pneumoniae infections with coronary heart disease and cardiovascular risk factors. BMJ. 1995;311(7007):711–4. Gu C, Li Y, Li H, Liu G, Wang L. Analysis of Helicobacter pylori infection in Luohe residents. Chin J Health Lab Tec. 2014;24(14):2094–5+2101. Salem-Sokhn E, Salami A, Fawaz M, Eid AH, El Shamieh S. Helicobacter pylori interacts with serum vitamin D to influence hypertension. Curr Aging Sci. 2021;14(1):26–31. Abo-Amer YE, Sabal A, Ahmed R, Hasan NFE, Refaie R, Mostafa SM, et al. Relationship between Helicobacter pylori infection and nonalcoholic fatty liver disease (NAFLD) in a developing country: a cross-sectional study. Diabetes Metab Syndr Obes. 2020;13:619–25. Han D, Tang H, Lu J. Analysis of Helicobacter pylori infection in different groups of population in Yangzhou. Int J Lab Med. 2015;36(04):458–60. Zhang X. Clinical study on Helicobacter pylori infection and drug resistance. Dalian Medical University; 2020. Yang W, Wang Y, Zhang Z, Gao J, Zhang S. Study on the relationship between Helicobacter pylori infection and nonalcoholic fatty liver disease. Chin J Health Care Med. 2020;22(02):212–3. Lip GH, Wise R, Beevers G. Association of Helicobacter pylori infection with coronary heart disease. Study shows association between H. pylori infection and hypertension. BMJ. 1996;312(7025):250–1. Migneco A, Ojetti V, Specchia L, Franceschi F, Candelli M, Mettimano M, et al. Eradication of Helicobacter pylori infection improves blood pressure values in patients affected by hypertension. Helicobacter. 2003;8(6):585–9. Sun P, Sheng J, Xu Q, Zhou L, Hong X. Serum levels of TNF-α, IL-6 and IL-8 in hypertensive patients with different types of Helicobacter pylori infection. Infect Dis Info. 2018;31(02):165–7. Zhang Z. Effect of Helicobacter pylori infection on blood pressure and some serum biochemical indexes. Yanan University; 2020. Ma L, Yang Z, Hai X. Effect of Helicobacter pylori infection on homocysteine and blood lipid changes in patients with hypertension. Ningxia Med J. 2020;42(6):528–9. Rodriguez-Garcia JL, Carmona-Sanchez R. Functional dyspepsia and dyspepsia associated with Helicobacter pylori infection: do they have different clinical characteristics? Rev Gastroenterol Mex. 2016;81(3):126–33. Zhao W. Correlation analysis of Helicobacter pylori infection and lipid metabolism in patients with essential hypertension. Mod Diagn Treat. 2019;30(13):2292–3. Sotuneh N, Hosseini SR, Shokri-Shirvani J, Bijani A, Ghadimi R. Helicobacter pylori infection and metabolic parameters: is there an association in elderly population? Int J Prev Med. 2014;5(12):1537–42. Bi C. Investigation on Helicobacter pylori present infection in 382 elderly retired cadres. Pract Prevent Med. 2013;20(9):1129–31. Harvey R, Lane A, Murray L, Harvey I, Nair P, Donovan J. Effect of Helicobacter pylori infection on blood pressure: a community based cross sectional study. BMJ. 2001;323(7307):264–5. Whincup PH, Mendall MA, Perry IJ, Strachan DP, Walker M. Prospective relations between Helicobacter pylori infection, coronary heart disease, and stroke in middle aged men. Heart. 1996;75(6):568–72. Koksal A, Ekmekci Y, Karadeniz Y, Koklu S, Apan T, Yilmaz M, et al. Helicobacter pylori seropositivity and atherosclerosis risk factors. Dig Dis. 2004;22(4):386–9. Isiktas Sayilar E, Celik B, Dumlu S. Relationship between Helicobacter pylori infection and metabolic syndrome. Turk J Gastroenterol. 2015;26(6):468–73. Murray LJ, Bamford KB, O’Reilly DP, McCrum EE, Evans AE. Helicobacter pylori infection: relation with cardiovascular risk factors, ischaemic heart disease, and social class. Br Heart J. 1995;74(5):497–501. Takashima T, Adachi K, Kawamura A, Yuki M, Fujishiro H, Rumi MA, et al. Cardiovascular risk factors in subjects with Helicobacter pylori infection. Helicobacter. 2002;7(2):86–90. Rahman MM, Kibria MG, Sultana N, Akhter M, Begum H, Haque MA, et al. Seroprevalence of Helicobacter pylori and its association with metabolic syndrome in a rural community of Bangladesh. JGH Open. 2021;5(1):64–72. Naja F, Nasreddine L, Hwalla N, Moghames P, Shoaib H, Fatfat M, et al. Association of H. pylori infection with insulin resistance and metabolic syndrome among Lebanese adults. Helicobacter. 2012;17(6):444–51. Choi JM, Lim SH, Han YM, Lee H, Seo JY, Park HE, et al. Association between Helicobacter pylori infection and arterial stiffness: results from a large cross-sectional study. PLoS One. 2019;14(8):e0221643. Shan J, Bai X, Han L, Yuan Y, Yang J, Sun X. Association between atherosclerosis and gastric biomarkers concerning Helicobacter pylori infection in a Chinese healthy population. Exp Gerontol. 2018;112:97–102. Kim TJ, Lee H, Kang M, Kim JE, Choi YH, Min YW, et al. Helicobacter pylori is associated with dyslipidemia but not with other risk factors of cardiovascular disease. Sci Rep. 2016;6:38015. Longo-Mbenza B, Nsenga JN, Mokondjimobe E, Gombet T, Assori IN, Ibara JR, et al. Helicobacter pylori infection is identified as a cardiovascular risk factor in Central Africans. Vasc Health Risk Manag. 2012;6:455–61. Kopacova M, Koupil I, Seifert B, Fendrichova MS, Spirkova J, Vorisek V, et al. Blood pressure and stature in Helicobacter pylori positive and negative persons. World J Gastroenterol. 2014;20(19):5625–31. Bai P, Ma H, Zhang L, Ding S, Duan S, Chang Z. Study on the correlation between Helicobacter pylori infection and metabolic syndrome in adult physical examination. Chin J Pract Med. 2020;47(18):8–10. Xiao J, Wei X, Li J, Tang J, Yang X, Zhao X. Relationship between Helicobacter pylori infection and metabolic syndrome indicators in healthy subjects. Mod Dig Inter. 2020;25(6):783–5. Xia R, Nie Y, Zhao M, Qiu W, Lu Y, Kong L, et al. Correlation analysis of Helicobacter pylori infection and osteoporosis among retired staff in a university. Chin J Clin. 2019;47(12):1422–5. Wang Y, Zhang D, Zhou Y, Bai Y, Ou Y, Ruan W, et al. The relationship between the level of Helicobacter pylori colonization in stomach and metabolic syndrome. Mod Dig Inter. 2020;25(05):576–80. Wan Z, Hu L, Hu M, Lei X, Huang Y, Lv Y. Association between Helicobacter pylori infection and overweight/obesity among adult health checkup population in China. Chin J Health Manag. 2018;12(4):327–31. Lugon JR, Moreira MD, de Almeida JM, Silva AS, Esberard EC, Bousquet-Santos K, et al. Cardiovascular autonomic response to food ingestion in patients with gastritis: a comparison between Helicobacter pylori-positive and -negative patients. Helicobacter. 2006;11(3):173–80. Hartung DM, Touchette D. Overview of clinical research design. Am J Health Syst Pharm. 2009;66(4):398–408. Franceschi F, Sepulveda AR, Gasbarrini A, Pola P, Silveri NG, Gasbarrini G, et al. Cross-reactivity of anti-CagA antibodies with vascular wall antigens: possible pathogenic link between Helicobacter pylori infection and atherosclerosis. Circulation. 2002;106(4):430–4. Diomedi M, Stanzione P, Sallustio F, Leone G, Renna A, Misaggi G, et al. Cytotoxin-associated gene-a-positive Helicobacter pylori strains infection increases the risk of recurrent atherosclerotic stroke. Helicobacter. 2008;13(6):525–31. Nakagawa H, Tamura T, Mitsuda Y, Goto Y, Kamiya Y, Kondo T, et al. Significant association between serum interleukin-6 and Helicobacter pylori antibody levels among H. pylori-positive Japanese adults. Mediators Inflamm. 2013;2013:142358. Ramji DP, Davies TS. Cytokines in atherosclerosis: key players in all stages of disease and promising therapeutic targets. Cytokine Growth Factor Rev. 2015;26(6):673–85. Wellen KE, Hotamisligil GS. Inflammation, stress, and diabetes. J Clin Invest. 2005;115(5):1111–9. Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertens Res. 2010;33(5):386–93. Kucukazman M, Yavuz B, Sacikara M, Asilturk Z, Ata N, Ertugrul DT, et al. The relationship between updated Sydney system score and LDL cholesterol levels in patients infected with Helicobacter pylori. Dig Dis Sci. 2009;54(3):604–7. Chen Y, Ku H, Zhao L, Wheeler DC, Li LC, Li Q, et al. Inflammatory stress induces statin resistance by disrupting 3-hydroxy-3-methylglutaryl-CoA reductase feedback regulation. Arterioscler Thromb Vasc Biol. 2014;34(2):365–76. Pellicano R, Oliaro E, Fagoonee S, Astegiano M, Berrutti M, Saracco G, et al. Clinical and biochemical parameters related to cardiovascular disease after Helicobacter pylori eradication. Int Angiol. 2009;28(6):469–73. Fox JG, Dangler CA, Taylor NS, King A, Koh TJ, Wang TC. High-salt diet induces gastric epithelial hyperplasia and parietal cell loss, and enhances Helicobacter pylori colonization in C57BL/6 mice. Cancer Res. 1999;59(19):4823–8. Beevers DG, Lip GY, Blann AD. Salt intake and Helicobacter pylori infection. J Hypertens. 2004;22(8):1475–7. Colin Bell A, Adair LS, Popkin BM. Ethnic differences in the association between body mass index and hypertension. Am J Epidemiol. 2002;155(4):346–53. Stevens J, Truesdale KP, Katz EG, Cai J. Impact of body mass index on incident hypertension and diabetes in Chinese Asians, American Whites, and American Blacks: the People’s Republic of China study and the atherosclerosis risk in communities study. Am J Epidemiol. 2008;167(11):1365–74. Liu Y, Li H, Hong S, Yin X. Salt reduction and hypertension in China: a concise state-of-the-art review. Cardiovasc Diagn Ther. 2015;5(3):191–6. Brown IJ, Tzoulaki I, Candeias V, Elliott P. Salt intakes around the world: implications for public health. Int J Epidemiol. 2009;38(3):791–813. Zhang L, Wang M, Li X. Correlation between essential hypertension and Helicobacter pylori infection. Prevent Treat Cardiol Cereb Vasc Dis. 2017;17(02):146–8. Article / Publication Details

Received: July 03, 2021
Accepted: March 14, 2022
Published online: April 04, 2022

Number of Print Pages: 14
Number of Figures: 5
Number of Tables: 4

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: https://www.karger.com/DDI

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