Leptin is not associated independently with hypertension in Japanese-Brazilian women

We evaluated the relationship of leptin with hypertension adjusted for body mass index (BMI) and/or waist circumference in a population of Japanese-Brazilian women aged > or = 30 years with centrally distributed adiposity. After excluding diabetic subjects, the study subjects - who participated i...

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Main Authors: B. Almeida-Pititto, S.G.A. Gimeno, R.D. Freire, F.F. Ribeiro-Filho, S.R.G. Ferreira
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2006-01-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000100012
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author B. Almeida-Pititto
S.G.A. Gimeno
R.D. Freire
F.F. Ribeiro-Filho
S.R.G. Ferreira
author_facet B. Almeida-Pititto
S.G.A. Gimeno
R.D. Freire
F.F. Ribeiro-Filho
S.R.G. Ferreira
author_sort B. Almeida-Pititto
collection DOAJ
description We evaluated the relationship of leptin with hypertension adjusted for body mass index (BMI) and/or waist circumference in a population of Japanese-Brazilian women aged > or = 30 years with centrally distributed adiposity. After excluding diabetic subjects, the study subjects - who participated in a population-based study on the prevalence of metabolic syndrome - showed prevalence rates of obesity (BMI > or = 25 kg/m²) and central adiposity (waist > or = 80 cm) of 32.0 and 37.8%, respectively. The hypertensive group (N = 162) was older, had higher BMI (24.9 ± 4.2 vs 23.3 ± 3.4 kg/m², P < 0.001), waist circumference (81.1 ± 10.1 vs 76.3 ± 8.2 cm, P < 0.001) and insulin levels (8.0 ± 6.2 vs 7.1 ± 4.9 µU/mL, P < 0.05) than the normotensive group (N = 322) and showed an unfavorable metabolic profile (higher 2-h plasma glucose, C-reactive protein and non-HDL cholesterol levels). Leptin did not differ between groups (8.2 ± 6.8 vs 7.2 ± 6.6 ng/mL, P = 0.09, for hypertensive vs normotensive, respectively) and its levels correlated significantly with anthropometric variables but not with blood pressure. Logistic regression analysis indicated that age and waist were independently associated with hypertension but not with homeostasis model assessment of insulin resistance or leptin levels. The lack of an independent association of hypertension with metabolic parameters (2-h glucose, C-reactive protein and non-HDL cholesterol) after adjustment for central adiposity suggested that visceral fat deposition may be the common mediator of the disturbances of the metabolic syndrome. Our data indicate that age and waist are major determinants of hypertension in this population of centrally obese (waist > or = 80 cm) Japanese-Brazilian women, but do not support a role for leptin in the elevation of blood pressure.
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spelling doaj.art-d43cfb7ff09b4cc0ae9de0d0e6e603902022-12-21T17:32:12ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2006-01-013919910510.1590/S0100-879X2006000100012Leptin is not associated independently with hypertension in Japanese-Brazilian womenB. Almeida-PitittoS.G.A. GimenoR.D. FreireF.F. Ribeiro-FilhoS.R.G. FerreiraWe evaluated the relationship of leptin with hypertension adjusted for body mass index (BMI) and/or waist circumference in a population of Japanese-Brazilian women aged > or = 30 years with centrally distributed adiposity. After excluding diabetic subjects, the study subjects - who participated in a population-based study on the prevalence of metabolic syndrome - showed prevalence rates of obesity (BMI > or = 25 kg/m²) and central adiposity (waist > or = 80 cm) of 32.0 and 37.8%, respectively. The hypertensive group (N = 162) was older, had higher BMI (24.9 ± 4.2 vs 23.3 ± 3.4 kg/m², P < 0.001), waist circumference (81.1 ± 10.1 vs 76.3 ± 8.2 cm, P < 0.001) and insulin levels (8.0 ± 6.2 vs 7.1 ± 4.9 µU/mL, P < 0.05) than the normotensive group (N = 322) and showed an unfavorable metabolic profile (higher 2-h plasma glucose, C-reactive protein and non-HDL cholesterol levels). Leptin did not differ between groups (8.2 ± 6.8 vs 7.2 ± 6.6 ng/mL, P = 0.09, for hypertensive vs normotensive, respectively) and its levels correlated significantly with anthropometric variables but not with blood pressure. Logistic regression analysis indicated that age and waist were independently associated with hypertension but not with homeostasis model assessment of insulin resistance or leptin levels. The lack of an independent association of hypertension with metabolic parameters (2-h glucose, C-reactive protein and non-HDL cholesterol) after adjustment for central adiposity suggested that visceral fat deposition may be the common mediator of the disturbances of the metabolic syndrome. Our data indicate that age and waist are major determinants of hypertension in this population of centrally obese (waist > or = 80 cm) Japanese-Brazilian women, but do not support a role for leptin in the elevation of blood pressure.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000100012HypertensionBody fat distributionInsulinLeptinCentrally obeseMetabolic syndrome
spellingShingle B. Almeida-Pititto
S.G.A. Gimeno
R.D. Freire
F.F. Ribeiro-Filho
S.R.G. Ferreira
Leptin is not associated independently with hypertension in Japanese-Brazilian women
Brazilian Journal of Medical and Biological Research
Hypertension
Body fat distribution
Insulin
Leptin
Centrally obese
Metabolic syndrome
title Leptin is not associated independently with hypertension in Japanese-Brazilian women
title_full Leptin is not associated independently with hypertension in Japanese-Brazilian women
title_fullStr Leptin is not associated independently with hypertension in Japanese-Brazilian women
title_full_unstemmed Leptin is not associated independently with hypertension in Japanese-Brazilian women
title_short Leptin is not associated independently with hypertension in Japanese-Brazilian women
title_sort leptin is not associated independently with hypertension in japanese brazilian women
topic Hypertension
Body fat distribution
Insulin
Leptin
Centrally obese
Metabolic syndrome
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000100012
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