NIH-funded research R01 grant

Midlife stress-related blood pressure and early brain blood vessel changes

Official title: Midlife cardiovascular stress physiology and preclinical cerebrovascular disease

Funded at University of Pittsburgh at Pittsburgh · NIH-11141631 · Data updated 2026-11-12

This project looks at whether people in their 40s–50s who have larger blood pressure spikes during stress show early signs of damage to brain blood vessels.

More Cerebrovascular Disease research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Pittsburgh at Pittsburgh
NIH-funded
Lab location1 site (Pittsburgh, United States)
Project startJuly 1, 2023
Project endJune 30, 2028
Funding year2025
Award (this year)$744,861
NIH project number5R01HL169990-03
Project IDNIH-11141631 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates are community-dwelling adults aged about 40–59, including those with high stress reactivity or midlife cardiovascular risk factors, who can attend visits in Pittsburgh.

Less likely to help

People under 40, over about 60, or those with established dementia are unlikely to be direct beneficiaries of this project.

What this research studies

You would join a community group of about 538 adults aged 40–59 (about 60% women and 40% nonwhite). Researchers measure how your blood pressure and heart responses change during short psychological stress tasks and test blood vessel health including arterial stiffness and endothelial function. They also record beat-to-beat hemodynamics and obtain brain imaging markers related to cerebral pulsatility and other signs of preclinical cerebrovascular disease. The team aims to connect midlife stress-related cardiovascular responses with early brain vessel changes that can increase dementia risk.

Why it matters

Potential benefit: If successful, this work could help spot midlife cardiovascular signs that flag higher risk for later brain vessel disease and dementia, enabling earlier prevention efforts.

How similar studies have gone: Prior studies have linked stress-evoked blood pressure to later hypertension and heart disease, but applying these measures to predict preclinical cerebrovascular changes and brain pulsatility is relatively novel.

Where this research is happening

  • University of Pittsburgh at Pittsburgh
    Pittsburgh, United States
    Active

Researchers

  • Principal investigator: Gianaros, Peter J — University of Pittsburgh at Pittsburgh
  • Study coordinator: Gianaros, Peter J

Related research

Other NIH-funded projects on the same topics.

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  • Midlife heart stress and later brain health

    This project looks at how stress-related changes in blood pressure during midlife may relate to early brain changes linked to dementia.

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  • Finding hidden small strokes and white matter damage on routine brain scans with AI

    Using artificial intelligence to spot unnoticed brain blood-vessel damage on routine CT or MRI scans to help people at risk for stroke and dementia.

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  • How changes in NOTCH3 affect brain blood vessel disease

    Researchers are looking at whether specific changes in the NOTCH3 protein are linked to worse brain blood vessel disease and higher dementia risk, especially among Veterans.

    NIH research Veterans Health Administration · Ann Arbor, United States · NIH-11213915

  • Imaging library for stroke and vascular brain disease

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    NIH research Broad Institute, INC. · Cambridge, United States · NIH-11178352

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.