Plasma aldosterone levels and development of insulin resistance: prospective study in a general population

Autor: Eri Tsukagawa, Yasuki Nanjo, Ako Fukami, Maki Otsuka, David R. Jacobs, Hisashi Adachi, Kanako Yokoi, Yuji Hirai, Kinuka Ogata, Kuniko Yoshikawa, Akiko Kasahara, Shun Ichi Kumagae, Tsutomu Imaizumi, Eishi Esaki, Eita Kumagai, Kyoko Ohbu-Murayama, Mika Enomoto
Rok vydání: 2011
Předmět:
Zdroj: Hypertension (Dallas, Tex. : 1979). 58(6)
ISSN: 1524-4563
Popis: Aldosterone plays a role in hypertension, and hypertension is prevalent in patients with insulin resistance. Cross-sectional studies have reported that plasma aldosterone levels are higher in patients with insulin resistance. However, it is not known whether plasma aldosterone levels predict the development of insulin resistance. Subjects of the present study were 1235 local residents (490 men and 745 women) who participated in health screenings in Japan in 1999. Plasma aldosterone levels were measured by radioimmunoassay. We investigated the cross-sectional relationship between plasma aldosterone levels and insulin resistance (homeostasis model assessment index ≥1.73 according to the diagnostic criteria used in Japan) in 1088 nondiabetic participants. At the 10-year follow-up, 141 subjects had died, and 260 subjects refused re-examination. We performed a prospective analysis of 564 subjects to predict incident insulin resistance. We found a significant ( P P
Databáze: OpenAIRE