Female-specific hypertension risk factors across the lifecourse: a co-twin control analysis using the California Twin Program - Summary - MDSpire

Female-specific hypertension risk factors across the lifecourse: a co-twin control analysis using the California Twin Program

  • By

  • Kellie R Imm

  • Wendy Cozen

  • Kim Siegmund

  • Amie E Hwang

  • Myles Cockburn

  • Ann Hamilton

  • Thomas Mack

  • Victoria Kristence Cortessis

  • January 13, 2026

  • 0 min

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Objective:

To confirm factors associated with hypertension across the lifecourse among female twin pairs, focusing on unique female-specific aspects.

Key Findings:
  • Weighing ≥150lbs. at age 18 was associated with 3-fold odds of hypertension.
  • Weighing ≥180lbs. at the time of questionnaire was associated with 6-fold odds of hypertension.
  • Exercising more than one's co-twin was associated with 0.54-fold odds of hypertension.
  • Menopause was positively associated with hypertension, with postmenopausal dizygotic twins experiencing 4-fold odds compared to premenopausal co-twins.
Interpretation:

The study confirmed multiple factors associated with hypertension in women, including body weight at different life stages, exercise levels, and menopausal status.

Limitations:
  • Self-reported data may introduce bias, potentially affecting the reliability of the findings.
  • Genotype data was not available for verification of zygosity, which could limit the accuracy of twin classification.
  • Exclusion of certain twin pairs may limit generalizability to the broader population.
Conclusion:

The findings highlight the importance of considering unique female-specific factors in hypertension risk, suggesting potential areas for targeted interventions such as weight management and exercise programs tailored for women.

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