Lifestyle intervention might easily improve blood pressure in hypertensive men with the C genotype of angiotensin II type 2 receptor gene

作者: Kaori Kitaoka , Azusa Kitade , Junko Nagaoka , Kokoro Tsuzaki , Kiyomi Harada

DOI: 10.4162/NRP.2015.9.4.385

关键词: Polymorphism (computer science)ExcretionEssential hypertensionEndocrinologyBlood pressureGenotypeInternal medicineGeneAlleleMedicinePhysiologyAngiotensin II Type-2 Receptor

摘要: BACKGROUND/OBJECTIVES: Recent studies have reported an association of the angiotensin II type 2 receptor (AT2R) 3123Cytosine/Adenine (3123C/A) polymorphism with essential hypertension and cardiovascular diseases. The purpose study was to investigate whether AT2R 3123C/A affects blood pressure for free-living hypertensive men during a 5-month intervention period. SUBJECTS/METHODS: subjects were Japanese aged 40 75 years who agreed in period from 2004 2011. Detection determined by polymerase chain reaction. dietary designed decrease salt level increase potassium through cooking instructions self-monitoring diet. exercise session consisted activities such as stretching, resistance training, walking. Blood pressure, urinary sodium excretion, lifestyle data, non-fasting venous sample collected at baseline after RESULTS: Thirty nine eligible participation follow-up rate 97.4%. C allele proportion 57.9%. X-chromosome-linked, therefore we analyzed A genotypes. At baseline, no significant differences observed between genotype groups. After intervention, there habit Nevertheless, estimated excretion (g/day) significantly decreased only (13.0-10.3, P = 0.031). No change systolic (SBP) (mmHg) genotype, but (150.0-141.5, 0.024). CONCLUSTIONS: In it might be easy improve SBP men, however generalization could not achieved small size.

参考文章(29)
Ikeda J, Higashi A, Nagata H, Validity of scores calculated from the results of a food frequency questionnaire Japanese journal of public health. ,vol. 42, pp. 829- ,(1995)
Hiroko Fujii, Takashi Muto, Yasuo Haruyama, Makiko Nakade, Emiko Kobayashi, Kaori Ishisaki, Community-based lifestyle modification of cardiovascular disease risks in middle-aged Japanese: a 27-month update. Tohoku Journal of Experimental Medicine. ,vol. 220, pp. 307- 318 ,(2010) , 10.1620/TJEM.220.307
Yasuyuki Nakamura, Takako Yamamoto, Tomonori Okamura, Takashi Kadowaki, Takehito Hayakawa, Yoshikuni Kita, Shigeyuki Saitoh, Akira Okayama, Hirotsugu Ueshima, The NIPPON DATA 80 Research Group, Combined cardiovascular risk factors and outcome: NIPPON DATA80, 1980-1994. Circulation. ,vol. 70, pp. 960- 964 ,(2006) , 10.1253/CIRCJ.70.960
Christina M. Shay, Jeremiah Stamler, Alan R. Dyer, Ian J. Brown, Queenie Chan, Paul Elliott, Liancheng Zhao, Nagako Okuda, Katsuyuki Miura, Martha L. Daviglus, Linda Van Horn, Nutrient and food intakes of middle-aged adults at low risk of cardiovascular disease: the international study of macro-/micronutrients and blood pressure (INTERMAP) European Journal of Nutrition. ,vol. 51, pp. 917- 926 ,(2012) , 10.1007/S00394-011-0268-2
Lutz Hein, Gregory S. Barsh, Richard E. Pratt, Victor J. Dzau, Brian K. Kobilka, Behavioural and cardiovascular effects of disrupting the angiotensin II type-2 receptor gene in mice Nature. ,vol. 377, pp. 744- 747 ,(1995) , 10.1038/377744A0
Nancy R Cook, Eva Obarzanek, Jeffrey A Cutler, Julie E Buring, Kathryn M Rexrode, Shiriki K Kumanyika, Lawrence J Appel, Paul K Whelton, Trials of Hypertension Prevention Collaborative Research Group, Joint effects of sodium and potassium intake on subsequent cardiovascular disease: the Trials of Hypertension Prevention follow-up study. JAMA Internal Medicine. ,vol. 169, pp. 32- 40 ,(2009) , 10.1001/ARCHINTERNMED.2008.523
Katsuyuki Miura, Nagako Okuda, Tanvir Chowdhury Turin, Naoyuki Takashima, Hideaki Nakagawa, Koshi Nakamura, Katsushi Yoshita, Akira Okayama, Hirotsugu Ueshima, Dietary salt intake and blood pressure in a representative Japanese population: baseline analyses of NIPPON DATA80. Journal of Epidemiology. ,vol. 20, ,(2010) , 10.2188/JEA.JE20090220
P S Parfrey, N D Markandu, J E Roulston, B E Jones, J C Jones, G A MacGregor, Relation between arterial pressure, dietary sodium intake, and renin system in essential hypertension. BMJ. ,vol. 283, pp. 94- 97 ,(1981) , 10.1136/BMJ.283.6284.94
J Stamler, P Elliott, B Dennis, AR Dyer, H Kesteloot, K Liu, H Ueshima, BF Zhou, None, INTERMAP: background, aims, design, methods, and descriptive statistics (nondietary). Journal of Human Hypertension. ,vol. 17, pp. 591- 608 ,(2003) , 10.1038/SJ.JHH.1001603
W B Kannel, T R Dawber, D L McGee, Perspectives on systolic hypertension. The Framingham study. Circulation. ,vol. 61, pp. 1179- 1182 ,(1980) , 10.1161/01.CIR.61.6.1179