Weight Loss and the Renin-Angiotensin-Aldosterone System

Autor: Michael Bader, K. Gorzelniak, Jürgen Janke, Stefan Engeli, Petra Schling, Jana Böhnke, Friedrich C. Luft, Arya M. Sharma
Rok vydání: 2005
Předmět:
Zdroj: Hypertonie 2004; 28. Wissenschaftlicher Kongress der Deutschen Hochdruckliga; 20041124-20041127; Hannover; DOC04hochP29 /20050810/
ISSN: 1524-4563
0194-911X
DOI: 10.1161/01.hyp.0000154361.47683.d3
Popis: The renin-angiotensin-aldosterone system has been causally implicated in obesity-associated hypertension. We studied the influence of obesity and weight reduction on the circulating and adipose tissue renin-angiotensin-aldosterone system in menopausal women. Blood samples were analyzed for angiotensinogen, renin, aldosterone, angiotensin-converting enzyme activity, and angiotensin II. In adipose tissue biopsy samples, we analyzed angiotensinogen, renin, renin-receptor, angiotensin-converting enzyme, and angiotensin II type-1 receptor gene expression. Obese women (n=19) had higher circulating angiotensinogen, renin, aldosterone, and angiotensin-converting enzyme than lean women (n=19), and lower angiotensinogen gene expression in adipose tissue. Seventeen women successfully participated in a weight reduction protocol over 13 weeks to reduce daily caloric intake by 600 kcal. Body weight was reduced by −5%, as were angiotensinogen levels by −27%, renin by −43%, aldosterone by −31%, angiotensin-converting enzyme activity by −12%, and angiotensinogen expression by −20% in adipose tissue (all P r =0.74; P
Databáze: OpenAIRE