Plasma Renin Activity and Resting Heart Rate in a Population of Community-Dwelling Japanese: The Tanushimaru Study

作者: H. Adachi , M. Enomoto , A. Fukami , E. Kumagai , S. Nakamura

DOI: 10.1093/AJH/HPU235

关键词:

摘要: BACKGROUND Heart rate is a strong predictor of mortality and development obesity diabetes. The renin-angiotensin-aldosterone system plays an important role in blood pressure control volume homeostasis. Although many studies have indicated the association between aldosterone hypertension or insulin resistance, epidemiological evidence heart with plasma renin activity (PRA) remains scant. Therefore, we investigated whether associated PRA. METHODS A total 1,943 subjects were enrolled, who underwent health examination Tanushimaru 2009. Plasma concentrations measured by radioimmunoassay. PRA homeostasis model assessment (HOMA) used natural-log transformed. Resting was using electrocardiography. RESULTS We divided into four groups (<60/min, 60-69/min, 70-79/min, ≥80/ min), analyzed analysis covariance after adjustments for age sex. adjusted mean HOMA index showed significant trend (P < 0.01) as higher rate, although there no = 0.26). In multiple linear regression age, sex, systolic pressure, index, hypertensive medication, positively strongly elevated 0.01). CONCLUSIONS This study demonstrated that PRA, but not aldosterone, significantly resting general population.

参考文章(31)
Yoshihisa Fujiura, Hisashi Adachi, Makoto Tsuruta, David R. Jacobs, Yuji Hirai, Tsutomu Imaizumi, Heart rate and mortality in a Japanese general population:: An 18-year follow-up study Journal of Clinical Epidemiology. ,vol. 54, pp. 495- 500 ,(2001) , 10.1016/S0895-4356(00)00323-1
Brent M. Egan, Konrad Stepniakowski, Theodore L. Goodfriend, Renin and aldosterone are higher and the hyperinsulinemic effect of salt restriction greater in subjects with risk factors clustering. American Journal of Hypertension. ,vol. 7, pp. 886- 893 ,(1994) , 10.1016/0895-7061(94)P1710-H
J.-C. Reil, M. Böhm, The role of heart rate in the development of cardiovascular disease. Clinical Research in Cardiology. ,vol. 96, pp. 585- 592 ,(2007) , 10.1007/S00392-007-0537-5
M. Ruano, V. Silvestre, R. Castro, M.C.G. García-Lescún, A. Rodríguez, A. Marco, G. García-Blanch, Morbid obesity, hypertensive disease and the renin-angiotensin-aldosterone axis. Obesity Surgery. ,vol. 15, pp. 670- 676 ,(2005) , 10.1381/0960892053923734
Riccardo Sarzani, Fabio Salvi, Paolo Dessì-Fulgheri, Alessandro Rappelli, Renin-angiotensin system, natriuretic peptides, obesity, metabolic syndrome, and hypertension: an integrated view in humans. Journal of Hypertension. ,vol. 26, pp. 831- 843 ,(2008) , 10.1097/HJH.0B013E3282F624A0
Srividya Kidambi, Jane M. Kotchen, Shanthi Krishnaswami, Clarence E. Grim, Theodore A. Kotchen, Hypertension, Insulin Resistance, and Aldosterone: Sex-Specific Relationships Journal of Clinical Hypertension. ,vol. 11, pp. 130- 137 ,(2009) , 10.1111/J.1751-7176.2009.00084.X
L Lind, R Reneland, P-E Andersson, A Haenni, H Lithell, Insulin resistance in essential hypertension is related to plasma renin activity. Journal of Human Hypertension. ,vol. 12, pp. 379- 382 ,(1998) , 10.1038/SJ.JHH.1000642
E. N. Liberopoulos, D. P. Mikhailidis, M. S. Elisaf, Diagnosis and management of the metabolic syndrome in obesity Obesity Reviews. ,vol. 6, pp. 283- 296 ,(2005) , 10.1111/J.1467-789X.2005.00221.X
Tina Thethi, Masumi Kamiyama, Hiroyuki Kobori, The link between the renin-angiotensin-aldosterone system and renal injury in obesity and the metabolic syndrome. Current Hypertension Reports. ,vol. 14, pp. 160- 169 ,(2012) , 10.1007/S11906-012-0245-Z