학술논문

The associations of adipokines with selected markers of the renin–angiotensinogen–aldosterone system: the multi-ethnic study of atherosclerosis
Document Type
article
Source
Journal of Human Hypertension. 29(2)
Subject
Biomedical and Clinical Sciences
Cardiovascular Medicine and Haematology
Clinical Sciences
Cardiovascular
Clinical Research
Obesity
Hypertension
Adiponectin
Aged
Aldosterone
Antihypertensive Agents
Atherosclerosis
Body Mass Index
Female
Humans
Leptin
Longitudinal Studies
Male
Middle Aged
Renin
Renin-Angiotensin System
Cardiovascular System & Hematology
Cardiovascular medicine and haematology
Clinical sciences
Language
Abstract
Among obese individuals, increased sympathetic nervous system (SNS) activity results in increased renin and aldosterone production, as well as renal tubular sodium reabsorption. This study determined the associations between adipokines and selected measures of the renin-angiotensinogen-aldosterone system (RAAS). The sample consisted of 1970 men and women from the Multi-Ethnic Study of Atherosclerosis who were free of clinical cardiovascular disease at baseline and had blood assayed for adiponectin, leptin, plasma renin activity (PRA) and aldosterone. The mean age was 64.7 years and 50% were female. The mean (s.d.) PRA and aldosterone were 1.45 (0.56) ng ml(-1) and 150.1 (130.5) pg ml(-1), respectively. After multivariable adjustment, a 1-s.d. increment of leptin was associated with a 0.55 ng ml(-1) higher PRA and 8.4 pg ml(-1) higher aldosterone (P