Moderate Weight Loss Reduces Renin and Aldosterone but does not Influence Basal or Stimulated Pituitary-adrenal Axis Function

Autor: Jui T. Ho, P.M. Clifton, Monika Ehrhart-Bornstein, John G. Lewis, Jennifer B Keogh, Stefan R. Bornstein, David J. Torpy
Přispěvatelé: Ho, J, Keogh, Jennifer Beatrice, Bornstein, S, M, Lewis, J, Clifton, Peter, Torpy, D
Rok vydání: 2007
Předmět:
Adult
Male
medicine.medical_specialty
Mean arterial pressure
Diet
Reducing

Hydrocortisone
Endocrinology
Diabetes and Metabolism

Clinical Sciences
Clinical Biochemistry
Pituitary-Adrenal System
Blood Pressure
Biochemistry
Reducing
Female
Humans
Middle Aged
Obesity
Renin
Renin-Angiotensin System
Sodium Chloride
chemistry.chemical_compound
Endocrinology
Weight loss
Internal medicine
Weight Loss
Renin–angiotensin system
medicine
aldosterone
corticotropin
cortisone
renin
transcortin EMTREE medical terms: adult
aged
body mass
conference paper
diastolic blood pressure
diet restriction
female
hormone blood level
human
hypophysis adrenal system
major clinical study
male
obesity
priority journal
systolic blood pressure
urinalysis
weight reduction MeSH: Adult
Aged
Aldosterone
Body Weight
Caloric Restriction
Cosyntropin
Cross-Over Studies
Diet [EMTREE drug terms]
Sodium Chloride
Dietary

Salt intake
Transcortin
medicine.diagnostic_test
Biochemistry (medical)
ACTH stimulation test
General Medicine
Dietary
Blood pressure
chemistry
medicine.symptom
Cortisone
medicine.drug
Zdroj: Hormone and Metabolic Research. 39:694-699
ISSN: 1439-4286
0018-5043
DOI: 10.1055/s-2007-985354
Popis: Body fat mass and nutrition influence secretion of the adrenocortical hormones--aldosterone and cortisol--via several mechanisms. However, there are no data on adrenocortical function following widely prescribed mild diet-induced weight loss (10%) in obese subjects. In the present study, 25 healthy obese volunteers (BMI 32.9+/-4.3 kg/m (2)) followed a 30% calorie restricted diet over 12 weeks. Hypothalamic-pituitary-adrenal (HPA) axis function was assessed by 24-hour urine free cortisol/cortisone and a 1 mcg ACTH stimulation test with measurement of total and free cortisol and corticosteroid-binding globulin (CBG). The renin-angiotensin-aldosterone system (RAAS) was assessed by measurement of plasma aldosterone and renin under salt depleted (30 mmol/d) and loading (250 mmol/d) conditions. Volunteers' weight fell by 8.5+/-0.8 kg (8.9+/-0.7%) and seated systolic blood pressure fell by 8.7+/-2.7 mmHg and diastolic blood pressure by 7.0+/-1.4 mmHg (p
Databáze: OpenAIRE