Aldosterone Studies in Obese Patients with Hypertension
作者:
PETER MARKS,
B. WILSON,
A. DELASSALLE,
期刊:
The American Journal of the Medical Sciences
(OVID Available online 1985)
卷期:
Volume 289,
issue 6
页码: 224-228
ISSN:0002-9629
年代: 1985
出版商: OVID
关键词: Aldosterone;Obesity;Hypertension;Blood pressure reduction
数据来源: OVID
摘要:
Ten patients with hypertension and obesity were studied during a program of weight loss on an unrestricted sodium diet. The study showed that weight loss during the ten month period was accompanied by a significant decrease in urinary aldosterone, tetrahydroaldosterone −3-glucuronide and plasma renin activity values. It was also demonstrated that successful reduction in body weight was associated with a reduction in blood pressure. It is postulated that blood pressure reduction in obese patients during weight reduction may depend on decreases in aldosterone and plasma renin activity. The reduction in levels of tetrahydroaldosterone-3-glucuronide is due to an energy related depression of the glucuronidation process caused by carbohydrate deficiency. It is postulated that the lowered rate of metabolism of aldosterone as measured by the diminished formation of the metabolite tetrahydroaldosterone-3-glucuronide is an important determinant of blood pressure status during weight reduction.
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