Adropin and risk factors of arterial hypertension in patients with excess body weight and obesity

Introduction. Adropin is a hormone that is involved in the pathogenesis of arterial hypertension (AH) and diseases of the cardiovascular system and energy homeostasis, in particular, it reduces insulin resistance by controlling glucose synthesis in the liver. Aim. To investigate the level of adropin...

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Main Authors: Nataliia Pokrovska, Eugen Sklyarov
Format: Article
Language:English
Published: V. N. Karazin Kharkiv National University 2022-11-01
Series:Journal of V. N. Karazin Kharkiv National University: Series Medicine
Subjects:
Online Access:https://periodicals.karazin.ua/medicine/article/view/21062
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author Nataliia Pokrovska
Eugen Sklyarov
author_facet Nataliia Pokrovska
Eugen Sklyarov
author_sort Nataliia Pokrovska
collection DOAJ
description Introduction. Adropin is a hormone that is involved in the pathogenesis of arterial hypertension (AH) and diseases of the cardiovascular system and energy homeostasis, in particular, it reduces insulin resistance by controlling glucose synthesis in the liver. Aim. To investigate the level of adropin and its interaction with risk factors for AH in overweight and obese patients. Materials and methods. 70 patients with AH and overweight or obesity aged 62.4 ± 10.4 years were examined. 10 practically healthy people were selected for the control group. The level of adropin was determined by enzyme immunoassay (Finetest Elisa Kit) in blood serum. The inclusion criteria for participation in the study were: age of patients 40–75 years; arterial hypertension; BMI > 25 kg/m2. Results. It was established that the average level of adropin in patients with AH and comorbid obesity or excess body weight (n = 70) was 775.5 ± 311.7 pg/ml, which is significantly lower than the content of this peptide in practically healthy individuals (n = 10), which was 1084.6 ± 110.2 pg/ml (p < 0.01). A tendency towards a decrease in the level of the hormone in men was noted. It is probably associated with a much higher prevalence of smoking among this category of people, since when assessing the factors contributing to the development of AH and worsening its prognosis, a significant decrease in adropin was found in persons with a history of smoking (p < 0.01). In obese patients (BMI > 30 kg/m2), the level of adropin was significantly lower (p < 0.05), as well as in individuals with blood pressure > 150/90 mm Hg (p > 0.05). Conclusions. The level of serum adropin is significantly reduced in persons with AH and overweight and obesity compared to practically healthy persons. Factors contributing to a decrease in peptide concentration include smoking, obesity, and elevated blood glucose levels. Blood pressure indicators are not critical for changes in blood hormone concentration, which is probably due to medications used to treat AH.
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spelling doaj.art-175ec683f82e412281fb8690fd044c082023-01-30T09:54:51ZengV. N. Karazin Kharkiv National UniversityJournal of V. N. Karazin Kharkiv National University: Series Medicine2313-66932313-23962022-11-014545445010.26565/2313-6693-2022-45-05Adropin and risk factors of arterial hypertension in patients with excess body weight and obesityNataliia Pokrovska0https://orcid.org/0000-0002-7835-5878Eugen Sklyarov1https://orcid.org/0000-0001-9037-0969Danylo Halytsky Lviv National Medical UniversityDanylo Halytsky Lviv National Medical UniversityIntroduction. Adropin is a hormone that is involved in the pathogenesis of arterial hypertension (AH) and diseases of the cardiovascular system and energy homeostasis, in particular, it reduces insulin resistance by controlling glucose synthesis in the liver. Aim. To investigate the level of adropin and its interaction with risk factors for AH in overweight and obese patients. Materials and methods. 70 patients with AH and overweight or obesity aged 62.4 ± 10.4 years were examined. 10 practically healthy people were selected for the control group. The level of adropin was determined by enzyme immunoassay (Finetest Elisa Kit) in blood serum. The inclusion criteria for participation in the study were: age of patients 40–75 years; arterial hypertension; BMI > 25 kg/m2. Results. It was established that the average level of adropin in patients with AH and comorbid obesity or excess body weight (n = 70) was 775.5 ± 311.7 pg/ml, which is significantly lower than the content of this peptide in practically healthy individuals (n = 10), which was 1084.6 ± 110.2 pg/ml (p < 0.01). A tendency towards a decrease in the level of the hormone in men was noted. It is probably associated with a much higher prevalence of smoking among this category of people, since when assessing the factors contributing to the development of AH and worsening its prognosis, a significant decrease in adropin was found in persons with a history of smoking (p < 0.01). In obese patients (BMI > 30 kg/m2), the level of adropin was significantly lower (p < 0.05), as well as in individuals with blood pressure > 150/90 mm Hg (p > 0.05). Conclusions. The level of serum adropin is significantly reduced in persons with AH and overweight and obesity compared to practically healthy persons. Factors contributing to a decrease in peptide concentration include smoking, obesity, and elevated blood glucose levels. Blood pressure indicators are not critical for changes in blood hormone concentration, which is probably due to medications used to treat AH.https://periodicals.karazin.ua/medicine/article/view/21062arterial hypertensionadropinobesitycomorbid pathologymetabolic syndrome
spellingShingle Nataliia Pokrovska
Eugen Sklyarov
Adropin and risk factors of arterial hypertension in patients with excess body weight and obesity
Journal of V. N. Karazin Kharkiv National University: Series Medicine
arterial hypertension
adropin
obesity
comorbid pathology
metabolic syndrome
title Adropin and risk factors of arterial hypertension in patients with excess body weight and obesity
title_full Adropin and risk factors of arterial hypertension in patients with excess body weight and obesity
title_fullStr Adropin and risk factors of arterial hypertension in patients with excess body weight and obesity
title_full_unstemmed Adropin and risk factors of arterial hypertension in patients with excess body weight and obesity
title_short Adropin and risk factors of arterial hypertension in patients with excess body weight and obesity
title_sort adropin and risk factors of arterial hypertension in patients with excess body weight and obesity
topic arterial hypertension
adropin
obesity
comorbid pathology
metabolic syndrome
url https://periodicals.karazin.ua/medicine/article/view/21062
work_keys_str_mv AT nataliiapokrovska adropinandriskfactorsofarterialhypertensioninpatientswithexcessbodyweightandobesity
AT eugensklyarov adropinandriskfactorsofarterialhypertensioninpatientswithexcessbodyweightandobesity